Burnout, Depression and Sense of Coherence in Nurses during the Pandemic Crisis

Pachi, Argyro; Sikaras, Christos; Ilias, Ιoannis; Παναγιώτου, Ασπασία; Zyga, Sofia; Tsironi, Maria; Baras, Spyros; Tsitrouli, Lydia Aliki; Tselebis, Athanasios

doi:10.3390/healthcare10010134

Cited by 30 publications

(38 citation statements)

References 46 publications

(54 reference statements)

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“…to relieve work pressure. In terms of professional identity, it is possible to help young nurses integrate into the collective through further education, learning, group activities, etc., to strengthen team awareness and professional identity, to enable nurses to find the meaning and value of their work [ 53 , 54 ]. Institutional and leadership arts can reduce nurses' invisible absenteeism by improving nurses' psychological coherence through incentives and inclusive leadership [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

Psychological coherence, inclusive leadership and implicit absenteeism in obstetrics and gynecology nurses: a multi-site survey

Jin

Bi²,

Song

et al. 2022

BMC Psychiatry

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Background Implicit absenteeism is very common among clinical nurses. We aimed to evaluate the role of psychological coherence in the inclusive leadership and implicit absenteeism among obstetrics and gynecology nurses, to provide evidence to the clinical management of nurses. Methods Through the convenience sampling method, a survey of gynecology nurses in tertiary hospitals in 16 cities of Anhui Province, China was conducted using the General Information Questionnaire, the Stanford Implicit Absence Scale, the Inclusive Leadership Scale and the Sense of Coherence Scale. Statistical analysis was performed by SPSS 20. Results A total of 1080 nurses were included with an effective response rate of 93.5%. The average score of nurses' recessive absenteeism in this study was (16.8 ± 0.15). The average of inclusive leadership score was (34.25 ± 7.23). The average score of psychological coherence score of obstetrics and gynecology nurses was (55.79 ± 8.28). Pearson correlation analysis showed that there was a relationship between implicit absenteeism behavior, inclusive leadership, and the level of psychological coherence in obstetrics and gynecology nurses (all P < 0.05). Linear regression analysis indicated that psychological coherence played a partial mediating role between inclusive leadership and obstetrics and gynecology nurses' implicit absenteeism (all P < 0.05). Conclusions Obstetrics and gynecology nurses have serious recessive absenteeism with low sense of psychological coherence and inclusive leadership. Nursing managers should improve the psychological coherence through effective interventions, thereby reducing the incidence of implicit absenteeism.

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Section: Discussionmentioning

confidence: 99%

Psychological coherence, inclusive leadership and implicit absenteeism in obstetrics and gynecology nurses: a multi-site survey

Jin

Bi²,

Song

et al. 2022

BMC Psychiatry

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“…The study conducted among nurses by Pachi et al also highlighted that burnout is a factor influencing depression. In this study, regression evidenced that 43.7% of the variation in the BDI (Beck’s Depression Inventory) rating was explained by the CBI (Copenhagen Burnout Inventory) [ 17 ]. Kaschka et al also indicated that burnout is likely to be a risk factor for developing depression [ 47 ].…”

Section: Discussionmentioning

confidence: 99%

“…These authors believed that, despite the fact that a strong correlation coefficient was obtained between these variables, the interpretation of the variation of depression from burnout at the level of 43.7% cannot justify the overlap between burnout and depression. The authors adopted the position of the World Health Organization, which treats burnout as a separate disease [ 17 ]. We also adopted this concept in our study.…”

Section: Introductionmentioning

confidence: 99%

Predictors of the Occupational Burnout of Healthcare Workers in Poland during the COVID-19 Pandemic: A Cross-Sectional Study

Szwamel

Kaczorowska

Lepsy

et al. 2022

IJERPH

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The study aims at analysing the occupational burnout phenomenon, the level of anxiety and depression, as well as the quality of life (QOL) of healthcare workers (HCW) during the COVID-19 pandemic. There were 497 healthcare workers examined across Poland. The Maslach Burnout Inventory (MBI), Hospital Anxiety Depression Scale (HADS) and World Health Organization Quality of Life Instrument Short Form (WHOQOL BREF) were used. A total of 71.63% (356) of the respondents presented high and moderate levels of emotional exhaustion during the pandemic, 71.43% (355) reported low and moderate job satisfaction levels, whereas 40.85% (203) displayed high and moderate levels of depersonalization. A group of 62.57% (n = 311) demonstrated clear or borderline states of anxiety disorders, while 38.83% (n = 193) suffered from depression or its borderline symptoms. Direct predictors of occupational burnout included: escalating depression; quality of life domains such as the physical, psychological and social; being provided personal protective equipment (PPE) by an employer; age; medical profession; and material status. Emotional exhaustion appeared to be much higher in nursing and ‘other’ medical professionals than in physiotherapists (p = 0.023). In the times of pandemic, the occupational burnout prophylaxis ought to be focused on early recognition of depression like symptoms and their treatment, as well as providing the staff with PPE and satisfying earnings.

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“…In addition, students in the nursing field experienced more traumatic events during the COVID-19 pandemic crisis than before it [ 62 ]. The sense of coherence may act as a negative regulator between burnout and depression and it has been reported to be reduced by the influence of the COVID-19 pandemic [ 63 ]. Our study was developed before the COVID-19 pandemic crisis; thus, it is possible that during the COVID-19 crisis and also the post COVID-19 crisis, other specific life events could show a relationship with burnout.…”

Section: Discussionmentioning

confidence: 99%

The Association of Life Events Outside the Workplace and Burnout: A Cross-Sectional Study on Nursing Assistants

Tortorelli

Trigo

Bolibio

et al. 2022

IJERPH

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Background: Burnout, by definition, is related to adverse chronic workplace stressors. Life events outside the workplace have been associated with an increased risk of psychiatric morbidity. However, it is unknown whether life events outside the workplace increase the severity of burnout. Purpose: The aim of the study was to investigate the association between burnout and life events outside the workplace in nursing assistants. Methods: In an observational, cross-sectional, single-site study of 521 nursing assistants at a university hospital, we assessed burnout with the Maslach Burnout Inventory-Human Services Survey, and life events with the Social Readjustment Rating Scale. We constructed equations of multiple linear regression analyses that included each burnout subscale as the dependent variable and a domain of life events as the independent variable. Results were adjusted for potential confounders, including gender, no religion or faith, years of work, and depression. Results: An increase in the number of life events in the domain of personal changes or difficulties (e.g., personal injury or illness, sexual difficulties, change in recreation, church activities, social activities, sleeping habits, eating habits and revision of personal habits) was associated with increased severity of emotional exhaustion. An increase in the number of life events in the domain of changes in familial situation and in the domains of death of relatives or friends were associated with increased severity of depersonalization. Those associations were independent of work-related life events and other potential confounders. Conclusions: Life events outside the workplace may increase the levels of burnout in nursing assistants.

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Burnout, Depression and Sense of Coherence in Nurses during the Pandemic Crisis

Cited by 30 publications

References 46 publications

Psychological coherence, inclusive leadership and implicit absenteeism in obstetrics and gynecology nurses: a multi-site survey

Psychological coherence, inclusive leadership and implicit absenteeism in obstetrics and gynecology nurses: a multi-site survey

Predictors of the Occupational Burnout of Healthcare Workers in Poland during the COVID-19 Pandemic: A Cross-Sectional Study

The Association of Life Events Outside the Workplace and Burnout: A Cross-Sectional Study on Nursing Assistants

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