DOI QR코드

DOI QR Code

Association of Grit and Body Composition with Fatigue and Burnout among Shift-work Nurses

  • Baek, MinJung (Department of Nursing, Chung-Ang University Graduate School) ;
  • Han, Kihye (College of Nursing, Chung-Ang University)
  • Received : 2022.03.29
  • Accepted : 2022.08.02
  • Published : 2022.08.31

Abstract

Purpose: This study aimed to investigate the effects of grit and body composition on fatigue and burnout in shift-working nurses. Methods: A descriptive cross-sectional design using self-report questionnaires was employed. Data were collected between February and April 2021 from 192 shift-working nurses in 22 units of C tertiary hospitals. Of the 192, 175 nurses returned their completed questionnaires (return rate: 91.1%). The participants objectively measured their body composition for three consecutive days using a home body composition measurement scale. Results: Nurses with higher consistency of interest were more likely to have lower chronic fatigue (B = -5.23, p= .013), lower emotional exhaustion (B = -2.75, p< .001), and decreased depersonalization (B = -1.08, p= .014). Perseverance of effort was not statistically significant for fatigue; however, it was statistically significant for higher personal accomplishment among the subdomains of burnout (B= 2.50, p< .001). Skeletal muscle mass and body mass index had no significant effect on fatigue and burnout. Conclusion: To reduce fatigue and burnout in shift-working nurses, comprehensive efforts at the organizational and individual levels should be implemented to increase their grit. Further research is needed to determine whether body composition affects fatigue and burnout in shift-working nurses.

Keywords

References

  1. Shim JY, Seo NS, Kim MA, Park JS. Influence of job stress, sleep quality and fatigue on work engagement in shift nurses. Stress. 2019;27(4):344-352. https://doi.org/10.17547/kjsr.2019.27.4.344
  2. Demerouti E, Bakker AB, Nachreiner F, Schaufeli WB. The Job Demands-Resources model of burnout. Journal of Applied Psychology. 2001;86(3):499-512. https://doi.org/10.1037/0021-9010.86.3.499
  3. Brzozowski SL, Cho H, Arsenault Knudsen EN, Steege LM. Predicting nurse fatigue from measures of work demands. Applied Ergonomics. 2021;92:103337. https://doi.org/10.1016/j.apergo.2020.103337
  4. de Oliveira SM, de Alcantara Sousa LV, Vieira Gadelha MDS, do Nascimento VB. Prevention actions of burnout syndrome in nurses: an integrating literature review. Clinical Practice & Epidemiology in Mental Health. 2019;15(1):64-73. https://doi.org/10.2174/1745017901915010064
  5. Dall'Ora C, Ball J, Reinius M, Griffiths P. Burnout in nursing: a theoretical review. Human Resources for Health. 2020;18(1):41. https://doi.org/10.1186/s12960-020-00469-9
  6. Kim KS, Choi KS, Han K. Structural equation modeling on health status in hospital nurses: based on the theory of salutogenesis with bio behavioral approach. Journal of Korean Biological Nursing Science. 2015;17(1):50-59. https://doi.org/10.7586/jkbns.2015.17.1.50
  7. Duckworth AL, Peterson C, Matthews MD, Kelly DR. Grit: perseverance and passion for long-term goals. Journal of Personality and Social Psychology. 2007;92(6):1087-1101. https://doi.org/10.1037/0022-3514.92.6.1087
  8. Jeong JY, Seo YS, Choi JH, Kim SH, Lee MS, Hong SH, et al. The influence of grit on turnover intention of university hospital nurses: the mediating effect of job involvement. Journal of Korean Academy of Nursing. 2019;49(2):181-190. https://doi.org/10.4040/jkan.2019.49.2.181
  9. Sung C. Factors related to nursing performance among intensive care unit nurses [master's thesis]. Seoul: Ewha Womans University; 2018. p. 27-39.
  10. Sinning WE. Body composition assessment of college wrestlers. Medicine and Science in Sports. 1974;6(2):139-145.
  11. Shin MR. The comparison analysis of skeletal muscle mass, basal metabolic rate abdominal obesity and health related physical fitness of female college students - targeting students who majored in dance and general -. The Journal of Korean Society of Dance Science. 2020;37(1):29-38. https://doi.org/10.21539/ksds.2020.37.1.29
  12. Shin SY, Jin SM, Kim WJ. Correlation between body composition, aerobic fitness and anaerobic fitness in 20s woman by body mass index. Journal of the Korean Society for Wellness. 2017;12(2):497-505. https://doi.org/10.21097/ksw.2017.05.12.2.497
  13. Chiriboga DA, Bailey J. Stress and burnout among critical care and medical surgical nurses: a comparative study. Critical Care Nursing Quarterly. 1986;9(3):84-92.
  14. Lee JH, Jung JH. The relationship between stress level, physical fitness, and dyslipidemia in female college students. Journal of Korean Association of Physical Education and Sport for Girls and Women. 2020;34(1):163-178. https://doi.org/10.16915/jkapesgw.2020.3.34.1.163
  15. Cha ES, Shin YA, Kim HY. A feasibility study of an exercise intervention based on self-efficacy theory among overweight and obese college students in Korea. Journal of Korean Academy of Community Health Nursing. 2008;19(4):704-714.
  16. Ortega FB, Ruiz JR, Espana-Romero V, Vicente-Rodriguez G, Martinez-Gomez D, Manios Y, et al. The International Fitness Scale (IFIS): usefulness of self-reported fitness in youth. International Journal of Epidemiology. 2011;40(3):701-711. https://doi.org/10.1093/ije/dyr039
  17. Lee SR, Sohn YW. What are the strong predictors of academic achievement?-deliberate practice and grit. The Korean Journal of School Psychology. 2013;10(3):349-366. https://doi.org/10.16983/kjsp.2013.10.3.349
  18. Sung BJ, Park YG, Jung SJ. A comparative study of body composition and physical activity level among the type of duty in Korean navy. Journal of Korean Society of Living Environmental System. 2018;25(6):777-786. https://doi.org/10.21086/ksles.2018.12.25.6.777
  19. Center, LS. Lange skinfold caliper operators manual [internet]. Warwick Rhode Island: Quickmedical Department of Lange Service; 2008 [cited 2022 July 22]. Available from: https://www.langeservicecenter.com/Lange%Manual.pdf.
  20. Kim DY, Kim JW. Physique, physical fitness, body composition and blood lipid by BMI of female students in a teachers' college. Journal of Health Informatics and Statistics. 2017;42(1):53-62. https://doi.org/10.21032/jhis.2017.42.1.53
  21. Seo MH, Lee WY, Kim SS, Kang JH, Kang JH, Kim KK, et al. 2018 Korean society for the study of obesity guideline for the management of obesity in Korea. Korean Society for the Study of Obesity. 2019;28(1):40-45. https://doi.org/10.7570/jomes.2019.28.1.40
  22. Winwood PC, Winefield AH, Dawson D, Lushington K. Development and validation of a scale to measure work-related fatigue and recovery: the Occupational Fatigue Exhaustion/Recovery scale (OFER). Journal of Occupational and Environmental Medicine. 2005;47(6):594-606. https://doi.org/10.1097/01.jom.0000161740.71049.c4
  23. Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory manual. 3rd ed. Palo Alto, CA: Consulting Psychologists; 1996. p. 191-218.
  24. Pejtersen JH, Kristensen TS, Borg V, Bjorner JB. The second version of the Copenhagen psychosocial questionnaire. Scandinavian Journal of Public Health. 2009;38(3suppl):8-24. https://doi.org/10.1177/1403494809349858
  25. June KJ, Choi ES. Reliability and validity of the Korean version of the Copenhagen psyco-social questionnaire scale. Korean Journal of Occupational Health Nursing. 2013;22(1):1-12. https://doi.org/10.5807/KJOHN.2013.22.1.1
  26. Jeong E, Jung MR. Effect of work-life balance, compassion satisfaction, compassion fatigue, and burnout on grit of clinical nurses. Journal of the Korea Academia-Industrial Cooperation Society. 2020;21(3):438-446. https://doi.org/10.5762/KAIS.2020.21.3.438
  27. Lee SJ, Park JY. The effects of grit and stress on nursing student's adjustment to college life. Journal of Digital Convergence. 2018;16(2):269-276. https://doi.org/10.14400/JDC.2018.16.2.269
  28. Park JY, Woo CH, Kim JE. Convergence factors affecting the grit of nursing students experiencing clinical practice. Journal of Digital Convergence. 2018;16(1):165-175. https://doi.org/10.14400/JDC.2018.16.1.165
  29. Reed AJ, Schmitz D, Baker E, Nukui A, Epperly T. Association of "grit" and satisfaction in rural and nonrural doctors. The Journal of the American Board of Family Medicine. 2012;25(6):832-839. https://doi.org/10.3122/jabfm.2012.06.110044
  30. J. Samborowski L, Price J, Pratico J. The correlation between grit and leadership: a longitudinal study. Black Sea Journal of Management and Marketing. 2021;2(1):1-24. https://doi.org/10.47299/bsjmm.v2i1.63
  31. The Ministry of Culture, Sports and Tourism. 2017 Survey of the national physical fitness. Report. Seoul: Department of the Ministry of Culture, Sports and Tourism (Korea); 2017. p. 267. Report No.: ISSN 2234-5671.
  32. Tucker S, Farrington M, Lanningham-Foster LM, Clark MK, Dawson C, Quinn GJ, et al. Worksite physical activity intervention for ambulatory clinic nursing staff. Workplace Health and Safety. 2016;64(7):313-325. https://doi.org/10.1177/2165079916633225
  33. Kim MS, Jung W, Kwon YW. Comparison of body composition and physical fitness between general and physical education female college students. Journal of Korea Sports Science. 2019;28(5):781-788. https://doi.org/10.35159/kjss.2019.10.28.5.781
  34. Jang HC. Recent progression in sarcopenia and sarcopenic obesity. Journal of Korean Geriatric Society. 2011;15(1):1-7. https://doi.org/10.4235/jkgs.2011.15.1.1
  35. Kim BG, Han TY, Kim TH. The research about validation of BMI for age and sex. The Korea Journal of Sports Science. 2019;28(4):1045-1054. https://doi.org/10.35159/kjss.2019.08.28.4.1045
  36. Belanger CF, Hennekens CH, Rosner B, Speizer FE. The Nurses' Health Study. The American of Journal Nursing. 1978;78(6):1039-1040. https://doi.org/10.2307/3462013
  37. Carey VJ, Walters EE, Colditz GA, Solomon CG, Willett WC, Rosner BA, et al. Body fat distribution and risk of non-insulin-dependent diabetes mellitus in women: the nurses' health study. American Journal of Epidemiology. 1997;145(7):614-619. https://doi.org/10.1093/oxfordjournals.aje.a009158