Burnout and Related Factors of Nurses Caring for DNR Patients in Intensive Care Units, South Korea

Abstract

This study examined the factors related to burnout, depression, job stress, and job satisfaction in intensive care unit (ICU) nurses caring for do not resuscitate (DNR) patients, as well as analyzed any differences. A cross-sectional descriptive design was employed. Study participants involved a total of 115 nurses caring for DNR patients in ICUs in South Korean hospitals. Measures involved a demographic form, Copenhagen Burnout Inventory (CBI), Center for Epidemiologic Studies Depression Scale, Nursing Job Stress Scale (Korean version), and Nursing Job Satisfaction Scale (Korean version). Data were collected from February to March 2017. The analyses illustrated a higher level of burnout, a slightly lower level of depression, a slightly lower level of nursing job stress, and a very slightly higher level of nursing job satisfaction compared with the median value of the score range for each scale. Burnout had a significant, positive relationship with depression and nursing job stress, and depression had a significant, positive relationship with nursing job stress. This study illuminates preliminary evidence that ICU nurses who are caring for DNR patients have a higher level of burnout compared with the median value of the score range in the CBI (Korean version). Burnout, depression, job stress, and job satisfaction were interrelated in ICU nurses.

Where to Look for a Remedy? Burnout Syndrome and its Associations with Coping and Job Satisfaction in Critical Care Nurses—A Cross-Sectional Study

“…Our results could be used when planning the organization of educational activities concerning active coping in order to reduce burnout, as the authors from Jordan suggested [ 6 ], which could be a feasible way of addressing the high burnout results. Given that burnout and coping were associated ( Table 2 ), results of this study may be considered in concordance with other studies [ 34 ].…”

Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis

“…Sociodemographic factors such as being younger, single marital status, and having less professional experience in the intensive care unit (ICU were associated with burnout levels [ 24 , 25 , 27 , 29 ]. Age was negatively correlated with EE, and the effort–reward imbalance was positively correlated with EE [ 27 ].…”

“…A high EE score was significantly related to depression and personality factors [ 18 , 29 , 30 ]. Some authors showed that EE was significantly related to four personality factors, neuroticism, agreeableness, responsibility, and extraversion.…”

“…Neuroticism was a positive predictor of EE [ 18 , 26 ] and extraversion was a negative predictor [ 26 ]. Conversely, EE was interrelated with depression, job stress, and job satisfaction within intensive care nursing staff [ 29 ]. Depressive symptoms are more likely to appear in nurses who work in the ICU and who have a high level of burnout [ 26 , 30 ].…”

The Impact of Epidemics and Pandemics on the Mental Health of Healthcare Workers: A Systematic Review

“…For instance, most of the female HCWs were nurses, and nurses experience higher mental health problems due to their increased exposure and nature of work. Besides, previous studies have shown that nurses and doctors working in the emergency department and intensive care units are at a higher risk of burnout, depression, and job stress compared to their colleagues working in other hospital departments [ 98 , 99 , 100 ]. Therefore, future studies need to rule out these aspects, while determining the effects of a pandemic or epidemic on mental health.…”