Work‐related stress, burnout, and job satisfaction of dialysis nurses in association with perceived relations with professional contacts

Abstract

OBJECTIVEWe set out to determine levels of job‐related stress, burnout, and job satisfaction in dialysis nurses and their association with nurses' perceptions regarding relations with co‐workers, and co‐worker opinions on the nursing profession. The subjects compared in this study were employed in the dialysis units, intensive care units (ICUs) and the most preferred (cardiology, general surgery and orthopedics wards) of three different hospitals.METHODSThis descriptive and cross‐sectional study was conducted in April 2003, and included 180 nurses: 31 working in dialysis units, 100 in ICUs, and 49 in the most preferred wards of the same hospitals. The study candidates were assessed with the use of a questionnaire regarding their socio‐demographic characteristics, work places, and views concerning their relations with and the opinions of their professional contacts. Other means of data collection were the Work‐Related Strain Inventory (WRSI), the Maslach Burnout Inventory (MBI) and the Minnesota Work Satisfaction Questionnaire (MWSQ). Percentage estimations, the chi‐square test, and variance analysis were used for statistical evaluation of the data; p > 0.05 was accepted as significant.RESULTWhen compared with ICU and ward unit nurses, dialysis nurses had evidence of decreased job stress and burnout as well as increased job satisfaction, accompanied by decreased intention to leave the profession and higher levels of positive views concerning their relationships with physician co‐workers and the opinions of their professional contacts toward the nursing profession.CONCLUSIONThis study confirmed some established predictors of job satisfaction, work‐related stress, and burnout and provided data on an unexplored area. Dialysis nurses appear to be at a decreased risk for job stress, burnout and premature retirement from nursing, with higher levels of job satisfaction. Further. the quality of relationships with physician co‐workers and the opinions of professional contacts regarding the nursing profession as perceived by nurses may be related to job stress, burnout and work satisfaction.

Patient Satisfaction with Nursing Care and Its Sociodemographic Predictors in Dialysis and Cardiac Care Units

“…The sample size was estimated to be 313 at 95% confidence level, 5% margin of error, and alpha level of 0.05. The patients were randomly sampled in each hospital if they met the inclusion criteria: 1, willingness to participate in the study; 2, age ≥ 18 years; 3, being conscious, coherent, and oriented to time, person, and place; 4,) ability to read and write in Persian; 5, being hospitalized in CCU for at least 24 hours (9); and 6, undergoing dialysis for at least six months (10).…”

Relación entre carga laboral y Burnout en enfermeras de unidades de diálisis

“…También influye la imagen profesional que proyecta la enfermera en las personas que atiende. Las enfermeras que pensaban que los pacientes tenían una visión negativa de la profesión, tenían mayor estrés laboral, burnout y bajos niveles de satisfacción; lo que refleja la importancia para las enfermeras de su interacción con los pacientes 26 …”

“…Ello puede reducir o eliminar la precepción de bajo apoyo social y escaso refuerzo positivo. El incremento de las oportunidades para aplicar los conocimientos y destrezas para el aprendizaje y el desarrollo de nuevas habilidades, a través de la capacitación continua, lo que aumenta las posibilidades de desarrollo 26,46 .…”

“…Las limitaciones físicas y los cuidados asociados a estos pacientes suponen un aumento significativo de la carga del trabajo del personal de enfermería, que habrá que tener presente para garantizar la calidad de atención a los mismos 15 Entre las características de las enfermeras de las uHD que participaron en el estudio se encontraba que: habían escogido su profesión y las unidades en las que trabajaban; no se habían cambiado de trabajo en los últimos cinco años y presentaban una baja intención de dejar la profesión. Por otra parte, aquellas que llevaban menos de 10 años trabajando tenían mayor estrés laboral, agotamiento emocional y despersonalización, así como la percepción de tener baja realización personal y satisfacción laboral 26,42,43,46 .…”

“…El porcentaje de enfermeras con puntuaciones de SB por encima de las normas publicadas (alrededor del 20%) para el personal sanitario, varió de 54% en las enfermeras encuestadas en Pennsylvania/ USA a 34% en Escocia. Además, las enfermeras que reportaban escaso apoyo para el cuidado de enfermería fueron dos veces más propensas a reportar insatisfacción con sus puestos de trabajo y tener puntuaciones de burnout por encima de la norma 26 .…”