Burnout among nursing students: predictors and association with empathy and self-efficacy

Lopes, Adriana Rezende; Nihei, Oscar Kenji

doi:10.1590/0034-7167-2018-0280

Cited by 26 publications

(19 citation statements)

References 32 publications

(55 reference statements)

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“…Regarding the association between the measured components of medical professionalism and burnout, analyses confirmed a negative correlation between global scores of burnout and global scores of empathy and lifelong learning but not teamwork. These findings are in consonance with other previously reported studies, where burnout and empathetic abilities [19,41,43] and learning environments [44] were assessed.…”

Section: Positive Correlation Between Burnout and The Measures Of Lon...supporting

confidence: 93%

Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout

Gradiški¹,

Borovečki

Ćurković

et al. 2022

IJERPH

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Background: Burnout is a common mental problem in medical students. For those who are following medical studies abroad there is a higher risk of suffering this syndrome, due to the combination of academic stress and the stress derived from their new living situation. This study was performed with the purpose of testing the following hypothesis: in medical students enrolled in medical programs abroad, abilities associated with professionalism and family support play a protective role in the prevention of suffering burnout. Methods: A cross-sectional study was performed in the Faculty of Medicine of the University of Zagreb, where a fully English medical program is offered. The general version of the Maslach Burnout Inventory (MBI-GS) was used as a dependent variable, while Jefferson Scales of empathy, teamwork, and physician lifelong learning and the Social and Emotional Loneliness Scale for Adults were used as predictive variables. In addition, information related to sex, country of birth, native language, age, academic achievement, and living situation were collected in a socio-demographic form. Linear regression models were applied to identify predictors of burnout. Results: In a sample composed of 188 medical students (38 Croatians and 144 foreigners from 28 countries), 18% of the global score in the MBI-GS was explained by lifelong learning and family loneliness. A separate analysis for each domain of the MBI-GS allowed the creation of three models: the first model explained 19% of the variance of the “exhaustion” domain by “country of birth”, “living with parents”, “academic year”, and “cynicism”; a second model explained 24% of the variance of the “cynicism” domain by “academic year”, “empathy”, “lifelong learning”, and “exhaustion”; and finally, a third model explained 24% of the variance of the “professional efficacy” domain by “lifelong learning”, “family loneliness”, and “cynicism”. All obtained models presented an effect size between medium and large, as well as matching the required conditions for statistical inference. Conclusions: These findings confirm the important role that family plays as a source of support for medical students. Empathy and lifelong learning, two specific elements of medical professionalism, appear as protective factors in the prevention of burnout in international students.

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Section: Positive Correlation Between Burnout and The Measures Of Lon...supporting

confidence: 93%

Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout

Gradiški¹,

Borovečki

Ćurković

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…The results obtained have, in our opinion, important practical repercussions. Effective intervention programmes for health care professionals to improve their physical and mental health when caring of critically ill patients must be designed, 43 being even more relevant in pandemic situations 44 . Therefore, it is of special relevance to implement programmes based on the acquisition or improvement of psychological resources such as self‐efficacy and resilience.…”

Section: Implications For Clinical Practicementioning

confidence: 99%

Stress and quality of life of intensive care nurses during the COVID‐19 pandemic: Self‐efficacy and resilience as resources

Peñacoba

Catalá

Velasco

et al. 2021

Nursing in Critical Care

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Background Health care workers employed in the COVID‐19 emergency are at a high risk of stress. Aims and objectives To explore the mediating roles of self‐efficacy and resilience between stress and both physical and mental quality‐of‐life components in intensive care nurses during the COVID‐19 pandemic. Design Cross‐sectional survey design. Methods The stress subscale (depression, anxiety, and stress scale in Spanish Scale, DASS‐21), the summary components (physical and mental) of health‐related quality of life (SF‐36), the general self‐efficacy scale (GSES), and the resilience scale (RS‐14) were administered in 308 intensive care nurses. Serial multiple mediator models were used. Results There was a significant indirect effect of levels of perceived stress on both physical and mental health components through self‐efficacy and resilience. Specifically, greater perception of self‐efficacy was associated with a lower perception of stress and greater resilience, while higher resilience was associated with greater physical and mental health (B = −0.03; SE = 0.02; 95% confidence interval [CI] = [−0.07, −0.01]; B = −0.03, SE = 0.01, 95% CI = [−0.07, −0.01], respectively). It was observed that self‐efficacy alone also mediates the relationship of the perception of stress on the components of physical and mental health (B = −0.07; SE = 0.05; 95% CI = [−0.18, −0.03]; B = −0.09; SE = 0.04; 95% CI = [−0.17, −0.24], respectively). However, resilience alone was not a significant mediator of these associations. Conclusions It can be concluded that stress is linked to the physical and mental health components related to quality of life through self‐efficacy and resilience. Relevance to clinical practice These psychological resources would allow the nursing staff to maintain a good quality of life despite high levels of stress. These findings have implications for future research in terms of both model testing and clinical application.

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“…It is likely that men use the depersonalization mechanism to protect themselves from the stress caused by burnout [ 13 ] and that many of them experience emotional exhaustion due to the characteristics of patients with mental disorders [ 46 ]. The literature indicates that nurses maintain stability in their personal accomplishments while they are active in care work [ 47 ]. However, in our study we observed that personal accomplishment has a non-linear relationship with age, years as a nurse, and years in mental health.…”

Section: Discussionmentioning

confidence: 99%

Empathy, Burnout, and Attitudes towards Mental Illness among Spanish Mental Health Nurses

Román‐Sánchez

Paramio‐Cuevas

Paloma‐Castro

et al. 2022

IJERPH

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Mental health nurses, together with psychiatrists, are the healthcare professionals who display the highest levels of empathy and the best attitudes towards patients with mental disorders. However, burnout is a common problem among these professionals. The aim of our study is to describe the association between empathy, burnout, and attitudes towards patients with mental disorders among mental health nurses in Spain. A descriptive cross-sectional design was used involving a sample of 750 specialist nurses working in mental health facilities in Spain. An intentional, non-probability, non-discriminative, exponential snowball sampling method was used. The Jefferson Scale of Empathy, the Maslach Burnout Inventory, and the Community Attitudes towards Mental Illness Inventory were used to measure the study variables. A positive correlation was observed between empathy and all the study variables, with the exception of the personal accomplishment dimension of burnout and the social restrictiveness and authoritarianism dimensions of attitudes towards mental illness, where a negative relation was observed. Our findings suggest that empathy is associated with an increase in positive attitudes towards patients with mental disorders, decreasing associated stigma, but did not act as a protective factor against burnout in the study sample.

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Burnout among nursing students: predictors and association with empathy and self-efficacy

Cited by 26 publications

References 32 publications

Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout

Burnout in International Medical Students: Characterization of Professionalism and Loneliness as Predictive Factors of Burnout

Stress and quality of life of intensive care nurses during the COVID‐19 pandemic: Self‐efficacy and resilience as resources

Empathy, Burnout, and Attitudes towards Mental Illness among Spanish Mental Health Nurses

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