Investigating the relationship between job burnout and willingness to stay of nurses in psychiatric wards of hospitals affiliated Isfahan University of Medical Sciences in 2018

Authors
1 Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
2 Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Introduction

Job burnout is one of the main factors in decreasing returns, causing physical and psychological complications in various occupations, especially in nursing. The effects of job burnout sometimes reduce the person's willingness to stay in the job. The purpose of this study was to determine the relationship between job burnout and willingness to stay of nurses.

Materials and Methods

This descriptive-analytical study was performed on 130 nursing staff in psychiatric wards of MUI hospitals selected by simple random sampling. Two questionnaires were used to collect information, Maslach burns out questionnaires and wiener and Vardy questionnaire for willingness to staying in the job. Data were analyzed by SPSS software version 24.

Results

Emotional fatigue (58.46%), depersonalization of personality (44.61%), and inefficiency (43.07%) were calculated at a low level. Most nurses working in psychiatry wards had moderate (43.84%) willingness to stay. Also, the correlation between willingness to stay in the job and emotional exhaustion and depersonalization of personality was inverse and significant (P <0.05). But there was no significant correlation between willingness to stay and inefficiency and job burnout (P <0.05).

Conclusion

The results showed that there is a significant relationship between the dimension of emotional exhaustion and depersonalization with the willingness to stay in the job. By reducing burnout and increasing the willingness of nurses to stay in psychiatry wards, more appropriate services increased job satisfaction, and reduced health care costs can be achieved.
Keywords

1. Pourkiani M, Mortazavi H, Mokhtari F, Mehrabifar F. A Study of the Relationship Between Emotional Intelligence and Mental Health with Job Burnout Among the Nurses in Kerman Hospitals. J Edu Eva. 2013;5(20):111-125. [Persian]
2. Azarnoosh F, Neisi A, Kochi SM, Drekvand T. The Relationship Between the Psychological Ownership with Affective Commitment and intent to Stay in Job for The Employees at National South Oil Company-Ahvaz. Kno Res Applied Psy. 2012;13(47):74-82. [Persian]
3. Kaveh J, Farahbakhsh M, Hekmatpour A, Ghiasy M. Relationship Between Leadership Style of Head Nurses with Continuing Activities of Nurses in Specialized Units of Selected Hospitals of Shahid Beheshti University of Medical Sciences. Pajoohandeh J. 2011;16(3):112-6. [Persian]
4. Hassmiller Sb, Cozine M. Addressing the Nurse Shortage to Improve the Quality of Patient Care. Health Affairs. 2006;25(1):268-274.
5. Rouhi G, Molaei E, Mahmoudi Gr. Management Approach to Nurse Administrators and Its Relationship with Occupational Burnout Among Nurse Staff of Golestan University Hospitals. J Jahrom Univ Med Sci. 2008;6(2):38-55. [Persian]
6. Vakili S. Survey of Different Attitudes of Managers and Employees Factors Affecting the Motivation in Auditing Organization in 2006 [Dissertation]. Tehran: University of Tehran; 2006. [Persian]
7. Zahedi S, Ghajarieh F. Relationship Between Organizational Commitments and Nurses' Intention to Remain at Health Centers Affiliated to Army of the Islamic Republic of Iran. Iran J Nurs. 2011;24(73):19-26. [Persian]
8. Karami Ajdari P, Aeenparast A, Masoudi Asl I. Burnout Among Nurses in Selected Hospitals of Tehran University of Medical Sciences. Payesh Health Monit. 2017;16(5):595-603. [Persian]
9. Shakerinia I, Mohammadpour M. Relationship Between Job Stress and Resiliency with Occupational Burnout Among Nurses. J Kermanshah Univ Med Sci. 2010; 14 (2):161-9. [Persian]
10. Gorter Rc, Eijkman Ma, Hoogstraten J. Burnout and Health Among Dutch Dentists. Eur Oral Sci. 2000;108(4):261-267.
11. Pöhlmann K, Jonas I, Ruf S, Harzer W. Stress, Burnout and Health in The Clinical Period of Dental Education. Eur J Dental Edu. 2005;9(2):78-84.
12. Schaufeli W, Enzmann D. The Burnout Companion to Study and Practice: A Critical Analysis. 1 th ed. London: Crc Press; 1998.
13. Sadeghzadeh Nasseri M, Ashktorab T, Atashzadehshoredeh F, Alavi Majd H. Assessment of burnout rate and related factors in selected wards nursesHospitals affiliated withFasa and JahromUniversities ofMedical Sciences& Health Servies in 2014. J Fac Nurs Midwifery. 2014;24(85):53-60. [Persian]
14. Poladi F, Atashzade F, Abaaszade A, Moslemi A. The Correlation Between Moral Distress and Burnout in Nurses Working in Educational Hospitals of Shahid Beheshti University of Medical Sciences During 2013. Iran J Med Ethics Hist Med. 2015;8(4):37-45. [Persian]
15. Cañadas-De La Fuente Ga, Vargas C, San Luis C, García I, Canadas Gr, De la Fuente EI. Risk Factors and Prevalence of Burnout Syndrome in The Nursing Profession. Inter J Nurs Stud. 2015;52(1):240-9.
16. Aziznejad P, Hosseini S. Burnout and The Influential Factors on It in Medical Educational Hospital Nurses in Babol. Journal of Babol Medical University. 2006;8(2):63-9. [Persian]
17. Pourreza A, Monazam Mr, Abassinia M, Asghari M, Safari H, Sorani M, Et Al. Relationship Between Job Burnout and Mental Health of Nurses Working in Province of Qom. J Hospital. 2012;11(2):45-54. [Persian]
18. Marten W, Wilkerson B. Stress, Work and Mental Health: A Global Perspective. Acta Neuropsychiatrica. 2003;15(1):44-53.
19. Hesam M, Asayesh H, Roohi Gh, Shariati A, Nasiry H, Shouribidgoli A. Assessing the Relationship Between Nurses' Quality of Work Life and Their Intention to Leave the Nursing Profession. Quart J Nurs Manag. 2012;1(3):28-36. [Persian]
20. Hariri GR, Yaghmaei F, Zagheri Tafreshi M, Shakeri N. Assessment of Some Factors Related to Leave in Nurses and Their Demographic Charater in Educational Hospitals of Shahid Behesthi University of Medical Sciences. J Health Promo Manag. 2012;1(3):17-27. [Persian]
21. Zargar Balaye Jame S, Alimoradnori M, Daneshvar A. The Relationship Between Job Burnout and Its Dimensions with Job Stress in Isfahan University of Medical Sciences in 2018. J Hospital. 2018;17(3):87-99. [Persian]
22. Azarnoosh F, Neisi A, Kochi SM, Drekvand T. The Relationship Between the Psychological Ownership with Affective Commitment and intent to Stay in Job for The Employees at National South Oil Company-Ahvaz. Kno Res Applied Psy. 2012;13(47):74-82. [Persian]
23. Van Der Doef M, Mbazzi Fb, Verhoeven C. Job Conditions, Job Satisfaction, Somatic Complaints and Burnout Among East African Nurses. J Clinic Nurs. 2012;21(11‐12):1763-75.
24. Safari S, Goudarzi H. An Investigation on Job Burnout Rate and The Relationship with Demographic Variables Among Faculty Members and Staffs of University. J Mod Indust/Org Psy 2010;1(16):63-69. [Persian]
25. Abdi F, Khaghanizade M, Sirati M. Determination of the Amount Burnout in Nursing Staff. J Behav Sci. 2008;2(1):51-59. [Persian]
26. Sadeghi M, Ebrahimi H, Abbasi M. The relationship between moral distress and burnout in clinical nurses in the Shahroud city. IJNR. 2016;11(2):78-87. [Persian]
27. Sahebazzamani M, Safavi M, Farahani H. Burnout of Nurses Employed at Tehran Psychiatric Hospitals and Its Relation with Social Supports. Medical Science Journal of Islamic Azad Univesity-Tehran Medical Branch. 2009;19(3):206-11. [Persian]
28. Wlodarczyk D, Lazarewicz M. Frequency and Burden with Ethical Conflicts and Burnout in Nurses. Nurs Ethics. 2011;18(6):847-61.
29. Hojjat S K, Vahidi G, Noruzi Khalili M, Hashemi M. Comparison of Depression Scores Between Psychiatric Section Staffs and Other Sections in Imam Reza Hospital in Bojnurd in 2013. Jnkums. 2013;5(5):1017-1021. [Persian]
30. Sadr-O-Sadat Sj, Younesi Sj. Burnout Syndrome Prevention and Rehabilitation Methods. Teb Tazkiyeh. 2004;1(54):29-40. [Persian]
31. Kaviani H, Khaghanizade M, Momeni Aa. The Relationship Between Burnout and Mental Health Among Nurses. Tehran Univ Med J. 2007;65(6):65-75. [Persian]
32. Arefi M, Ghahramani M, Taheri M. Levels of Burn Out and Its Relationship with Certain Demographic Factors Among Faculty Members of Shahid Beheshti University. J applied psy. 2010;4(2):72-86. [Persian]
33. Rashedi V, Foroughan M, Hosseini M A. Burnout and Related Demographic Variables Among Tehran Welfare Organization Staffs. J Kermanshah Uni Med Sci. 2012;16(1):28-36. [Persian]
34. Alam M M, Fakir Mohammad J. Level of Job Satisfaction and Intent to Leave Among Malaysian Nurses. Business Intelligence J. 2010; 3(1): 123-137.
35. Hojati H, Azma F. Relationship Between Ethical Climate and The Intention to Remain in Clinical Nurses. Quart J Ners Manag. 2014;3(1):19-26. [Persian]
36. Hart S E. Hospital Ethical Climates and Registered Nurses’ Turnover Intentions. J Nurs Scholar. 2005; 37(2) 173–177.