The work environment of haemodialysis nurses and its mediating role in burnout

Abstract

Background The work environment can contribute to the occurrence of nurses' burnout. Objectives This study assessed the work environment of haemodialysis nurses and the extent of burnout they have suffered, and it explored the connection between work environment and burnout. Design A multicentre cross‐sectional study was conducted in 53 public, hospital‐based haemodialysis units in Greece. Participants A total of 537 haemodialysis nurses participated. The majority consisted of females (90.8%) who possessed a university degree or a degree from a technological institute (72.6%). They had an average of 15 years of experience in dialysis. Measurements The Practice Environment Scale of the Nursing Work Index and the Copenhagen Burnout Inventory (CBI) were used. The demographic characteristics of the participants were also collected. Results Although the nurses rated their work environment as healthy, they were experiencing a moderate degree of burnout. The multivariate linear regression analysis with the CBI scales as dependent variables was applied. The increased nurses' participation in hospital affairs was associated with decreased personal (coefficient β = −9.4, 95% confidence interval [CI] = −17.4 to −1.3, p = 0.023), work‐related (coefficient β = −12.9, 95% CI = −22.5 to −3.5, p = 0.008) and patient‐related burnout (coefficient β = −15.9, 95% CI = −24.5 to −7.4, p = < 0.001). The better collegial nurse–physician relationships were associated with decreased personal (coefficient β = −10.7, 95% CI = −18.3 to −3.0, p = .007) and work‐related burnout (coefficient β = −15.1, 95% CI = −23.3 to −7.0, p = < 0.001). Conclusions The work environment of haemodialysis nurses was associated with burnout. Its improvement is an important tool in administrations' effort to ensure the nursing staff's well‐being.

Associations Between Perceptions of the Work Environment and Job Burnout Based on MIMIC Models Among 679 Knowledge Workers

“…A current study shows that social support in the work environment and supervision opportunities for trainees are key predictors of burnout and job satisfaction (Plantiveau et al, 2018). Clinically, a cross-sectional study in Greece concludes the work environment of hemodialysis nurses is associated with burnout (Moisoglou et al, 2020). Another study indicates the impact of work environment on burnout is greater than that of facility and individual characteristics among nursing directors in smaller hospitals (Takemura et al, 2019).…”

The Association of Work Environments and Nurse-Nurse Collaboration: A Multicenter Cross-Sectional Study

“…Previous research has reported that working within better work environments could increase nurses' job satisfaction and decreases their intention to leave and burnout (Nantsupawat et al, 2017). More recently, Moisoglou et al (2020) found a negative association of healthy work environment with nurses' personal, work-related and patient-related burnout.…”

The Global Impact of the COVID-19 Pandemic on In-Center Hemodialysis Services: An ISN-Dialysis Outcomes Practice Patterns Study Survey

“…( 43 ) Staff in many locations will also have had to deal with the additional burden of providing consults and acute dialysis services to people with acute kidney injury associated with SARS-CoV-2 infection, and potentially having had to ration treatment. ( 44 ) The COVID-19 pandemic has put unprecedented pressures on healthcare services and professionals, not least those providing care to people with kidney disease, ( 39 , 45 ) yet psychological support services were only available in about half of surveyed centres.…”