Browse > Article
http://dx.doi.org/10.5762/KAIS.2019.20.9.93

The Relationship of Emotional Burnout on Hospital Nursing Workload  

Kim, Yu-Jin (Graduate School of Public Health, Chungnam National University)
Kim, Chul-Woung (College of Medicine, Chungnam National University)
Im, Hyo-Bin (Industry Academic Cooperation Foundation, Chungnam National University)
Lee, Sang-Yi (Medical College, Jeju National University)
Kang, Jung-Hee (Department of Nursing Science, U1 University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.20, no.9, 2019 , pp. 93-102 More about this Journal
Abstract
This study examined the nurse's emotional exhaustion and influencing factors, and the relationship between emotional burnout and hospital nursing workload using multilevel logistic regression analysis. The study subjects were 3,083 nurses of 65 hospitals, who participated in the training conducted by the Healthcare Industry Trade Union in 2010 and responded to the questionnaire. First, 71.6% of nurses experienced emotional exhaustion, and the average score of emotional exhaustion was 33.53. Second, the 'non - nursing work experience' showed a significant effect on emotional exhaustion. Third, the 'sufficient nursing staff' variable increased the emotional exhaustion. Fourth, the nursing grades were correlated significantly with emotional exhaustion compared to those with more than four beds per nurse. Fifth, in the case of working in the internal ward, the shorter the clinical career, the higher the emotional exhaustion. In other words, higher emotional exhaustion was associated with more nursing work experience, more perceived insufficient nursing staff, more nurses per bed, the department of internal medicine, and a shorter clinical career.
Keywords
Emotional Exhaustion; Nursing; Workload; Multi-Level Logistic Regression;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 Aiken LH, Clarke SP, Sloane DM, "Hospital Staffing, Organization, and Quality of Care: Cross-National Findings", Int J Qual Health Care, 50(5), pp.187-194, 2002.
2 Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH, "Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction", J Am Med Assoc, 288(16), pp.1987-1993, 2002. DOI: http://dx.doi.org/10.1001/jama.288.16.1987   DOI
3 Natasha Khamisa, Karl Peltzer, Dragan Ilic, Brian Oldenburg, "Effect of personal and work stress on burnout, job satisfaction and general health of hospital nurses in South Africa", Health SA Gesondheid, 22, a1011, 2017 DOI: http://dx.doi.org/10.4102/hsag.v22i0.1011   DOI
4 Julie Jean Lanz, Valentina Bruk-Lee, "Resilience as a moderator of the indirect effects of conflict and workload on job outcomes among nurses", J Advanced Nursing, 73(12), pp.2973-2986, 2017. DOI: http://dx.doi.org/10.1111/jan.13383   DOI
5 Moore S, Kuhrik M, Kuhrik N, Katz B, "Coping with downsizing: stress, self-esteem, and social intimacy" Nurs Manag, 27, pp.28-30, 1996.
6 Schaefer JA, Moos RH, "Relationship, task and system stressors in the health care workplace", J Community Appl Socl Psychol, 3, pp.285-298, 1993. DOI: http://dx.doi.org/10.1002/casp.2450030406   DOI
7 Armstrong M, Cameron SJ, Horsburgh ME, "The impact of organizational downsizing on the job satisfaction of nurses" Can J Nurs Leadersh, 9, pp.8-32, 1996.
8 Aust B, Rugulies R, Skakon J, Scherzer T, Jensen C, "Psychosocial work environment of hospital workers: Validation of a comprehensive assessment scale", Int J Nurs Stud, 44, pp.814-825, 2007. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2006.01.008   DOI
9 Ko Yu Kyung, Park bo hyun, "The Relationship of the Nursing Work Environment and Nursing Outcome among it's Nurses and Content Analysis of Nurses' Workload", Korean Journal of Hospital Management, 19(1), pp. 54-67, 2014.
10 Kim, Kyung Sook, Han, Yung Hee, "A Study on Intention to Quit and Job Overload, Role Ambiguity, Burn out among Nurses in General Hospital", Korean J Occup Health Nurs 22(2), pp.121-129, 2013. DOI: http://dx.doi.org/10.5807/kjohn.2013.22.2.121   DOI
11 Freudenberger HJ, "Staff burn-out", J Soc Issues, 30(1), pp.159-165, 1974. DOI: http://dx.doi.org/10.1111/j.1540-4560.1974.tb00706.x   DOI
12 Maslach C, Schaufeli WB, Leiter MP. Job bournout. Annu Rev Psychol, 52, pp.397-422, 2001.   DOI
13 Kim youngock, " A Study of Factors Predicting Burnout in Hospital Staff Nurses', Korean Society of Adult Nursing, 14($), pp.591-601, 2002
14 Descamp KD, Thomas CC, "Buffering Nursing Stress Through Play at Work", West J Nurs Res, 5(5), pp.619-627, 1993.
15 Poghosyan L, Aiken LH, Sloane DM, "Factor structure of the Maslach burnout inventory: An analysis of data from large scale cross-sectional surveys of nurses from eight countries", Int J Nurs Stud, 46, pp.894-902, 2009. DOI: http://dx.doi.org/10.1016/j.ijnurstu.2009.03.004   DOI
16 A. Nantsupawat, W. Kunaviktikul, R. Nantsupawat, "Effects of nurse work environment on job dissatisfaction, burnout, intention to leave", International Nursing Review, 42(1), pp.91-98. DOI: http://dx.doi.org/10.1111/inr.12342   DOI
17 Schaufeli WB, Buunk BP, "Progessional burnout", Handbook of Work and Healthy Psychology, 1996.
18 Yoon, Geum-Suk, Kim, Souk Young, "Influences of Job Stress and Burnout on Turnover Intention of Nurses", J Korean Acad Nurs Admin, 16(4), pp,507-516, 2010.   DOI
19 Maslach C, Jackson SE, "The measurement of experienced burnout", J Occup Behav, 2, pp.99-113, 1981. DOI: http://dx.doi.org/10.1002/job.4030020205   DOI
20 Firth H, McIntee J, McKeown P, Britton P, "Maslach burnout inventory: Factor structure and norms for British nursing staff", Psychol Rep, 57(1), pp.147-150, 1985. DOI: http://dx.doi.org/10.2466/pr0.1985.57.1.147   DOI
21 Duffield, C., Diers, D., O'Brien-Pallas, L., Aisbett, C., Roche, M., King, M., Aisbett, K, "Nursing staffing, nursing workload, the work environment and patient outcomes" Appl Nurs Res, 24(4), pp.244-255, 2011. DOI: http://dx.doi.org/10.1016/j.apnr.2009.12.004   DOI
22 Nurses' reports on hospital care in five countries. Health Aff, 20(3), pp.43-53, 2001.   DOI
23 Masako Kanai-Pak, Linda H Aiken, Douglas M Sloane and Lusine Poghosyan, "Poor work environments and nurse inexperience are associated with burnout, job dissatisfaction and quality deficits in Japanese hospitals", J Clin Nurs, 17, pp.3324-3329, 2008. DOI: http://dx.doi.org/10.1111/j.1365-2702.2008.02639.x   DOI
24 Al-Kandari, Fatimah, Thomas, Deeps, "Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait", J Clin Nurs, 18, pp.581-590, 2008.   DOI
25 Cho SH, June KJ, Kim YM, Cho YA, Yoo CS et al, "Nurse staffing, quality of nursing care and nurse job outcomes in intensive care units", J Clin nurs, 18, pp.1729-1737, 2009. DOI: http://dx.doi.org/10.1111/j.1365-2702.2008.02721.x   DOI
26 Kim CW, Lee SY, Kang JH, Park BH, Park SC et al, "Application of revised nursing work index to hospital nurses of South Korea", Asian Nurs Res, 7(3), pp.128-135, 2013. DOI: http://dx.doi.org/10.1016/j.anr.2013.07.003   DOI
27 Lake ET, "Multilevel models in health outcomes research: Part II: Statistical and analytic issues", Appl Nurs Res, 19(2), pp.113-115, 2006. DOI: http://dx.doi.org/10.1016/j.apnr.2006.01.001   DOI
28 Choi HJ, Jeong NU, "Perfectionism tendency, social support, and burnout among counselors", Korean J Health Psychol, 8(2), pp.279-300, 2003.
29 Lynn, "Licensed Nurse Staffing and Adverse Events in Hospitals", Med Care, 41(1), pp.142-152, 2003.   DOI
30 Park Eun-joo, The Relationship of Emotional Burnout on Job Satisfaction and Intention Leave among Hospital Empolyees, Ph.D dissertation, Chungnam National University, pp.30, 2017.
31 Louisa Sheward, Jennifer Hunt, "The relationship between UK hospital nurse staffing and emotional exhaustion and job dissatisfaction", J Nurs Manag, 13, pp.51-60, 2005.   DOI
32 LU Minmin, RUAN H, "Nurse burnout in China: a questionnarie survery on staffing, job satisfaction, and quality of care", J Nurs Manag, 23, pp.440-447, 2015.   DOI
33 Wolf GA, "Nursing turnover: Some cases of solution.", Nurs Outlook, 14, pp.233-246, 1981.
34 Esther M. et al, "Role stress in nurses: review of related factors and strategies for moving forward", Nursing and Health Sciences, 7, pp.57-65, 2005.   DOI
35 Lee, Se Young,, Oh, Eun Jin1, Sung, Kyung Mi, "The Experiences of Turnover Intention in Early Stage Nurses", J. East-West Nurs. Res, 19(2), pp.168-176, 2013. DOI: http://dx.doi.org/10.14370/jewnr.2013.19.2.168   DOI
36 Chae Youngran, Yu SuJeong, Lee Eun Ja, Eun Ha, "The Relation Among Moral Distress, Physical Symptoms Burnout of Hospital Nurses", J Korean Acad Soc Nurs Educ, 23(4), pp.430-440, 2017. DOI: http://dx.doi.org/10.5977/jkasne.2017.23.4.430   DOI
37 Heather K, Michael P, "The Impact of Nursing Work Environments on Patient Safety Outcomes", J Nurs Adm, 36(5), pp.259-267, 2006.   DOI
38 Byun DaeSik, YoungHeeYom, "Factors Affecting the Burnout of Clinical Nurses - Focused on Emotional Labor", J Korean Acad Nurs Adm, 15(3), pp.444-454, 2009.
39 Suk Young Kim, Relationofamong Emotionallabor,Burnoutand coping typeofclinicalnurse, Master's thesis, Gachon University, pp.27, 2014.
40 Jenong-Sook Kang, Jiyoung Lim, "Effects of Clinical Nurses' Resilience on Job Stress and Burnout", Jour. of KoCon.a, 15(11), pp.263-273, 2015. DOI: http://dx.doi.org/10.5392/JKCA.2015.15.11.263   DOI