Workloads and burnout of nursing workers

a cross-sectional study, including 211 nursing workers from a university hospital, between July and August 2016. For the analysis, the descriptive statistics, Chi-Square Test, Fisher’s Exact Test and Mann Whitney U-Test were used.

Results:

the most evidenced loads were biological. A significant association was found between workloads and workers’ occupation, as well as a significant association between workloads and worker burnout. Burnout caused upper limb pain, neck and lumbar pain, lower limb pain, muscle spasm, lower limb edema, mental fatigue, headache, nervousness, and forgetfulness.

Conclusion:

workloads identification is a subsidy for the promotion of interventions that minimize the burnout generated to the health of the nursing worker.

Descriptors:
Nursing, Team; Occupational Health; Workload; Burnout, Professional; Nursing

Workload	Occupation						p value
	Nurse		Nurse Technician		Nursing Assistant
	n	%	n	%	n	%
Biological load
Virus							.019^* * Chi-Square Test;
Present	49	100	80	94.1	67	87
Absent	0	0	5	5.59	10	13
Bacteria							.011^* * Chi-Square Test;
Present	49	100	83	97.6	69	89.6
Absent	0	0	2	2.4	8	10.4
Physical load
Humidity							.001^* * Chi-Square Test;
Present	16	32.7	26	30.6	44	57.1
Absent	33	67.3	59	69.4	33	42.9
Mechanical load
Accidents with sharps							.029^* * Chi-Square Test;
Present	45	91.8	74	87.1	58	75.3
Absent	4	8.2	11	12.9	19	24.7
Psychic load
Prolonged tension							.009^* * Chi-Square Test;
Present	38	77.6	48	56.5	39	50.6
Absent	11	22.4	37	43.5	38	49.4
Conflicts							.005^* * Chi-Square Test;
Present	33	67.3	34	40	32	41.6
Absent	16	32.7	51	60	45	58.4
Difficult interpersonal relationships among staff							.047^ Fisher's Exact Test.
Present	24	49	36	42.4	22	2.6
Absent	25	51	49	57.6	55	71.4
Physiological load
Work shift							.031^* * Chi-Square Test;
Present	4	8.2	20	23.5	21	27.3
Absent	45	91.5	65	76.5	56	72.7
Physical effort							.012^* * Chi-Square Test;
Present	27	55.1	54	63.5	61	79.2
Absent	22	44.9	31	36.5	16	20.8
Long distance travel in the institution							.004^* * Chi-Square Test;
Present	16	32.7	35	41.2	47	61
Absent	33	67.3	50	58.8	30	39

Burnout	Workloads
	Biological		Chemical		Physical		Mechanical		Psychic		Physiological
	md	p	md	P	md	p	md	p	md	p	md	p
Upper limb pain	1.00	.132	1.00	.028^* * Chi-Square Test;	2.00	.004^* * Chi-Square Test;	2.00	.006^* * Chi-Square Test;	1.00	.058	1.00	.007^* * Chi-Square Test;
Yes (n=66)
No (n=145)
Cervical region pain	1.00	.203	1.00	.054	2.00	.003^* * Chi-Square Test;	2.00	.000^* * Chi-Square Test;	1.00	.000^* * Chi-Square Test;	1.00	.019^* * Chi-Square Test;
Yes (n=106)
No (n=105)
Thoracic region pain	1.00	.631	1.00	.351	2.00	.971	2.00	.633	1.00	.362	1.00	.588
Yes (n=22)
No (n=189)
Lumbar pain	1.00	.066	1.00	.910	2.00	.006^* * Chi-Square Test;	2.00	.007^* * Chi-Square Test;	1.00	.007^* * Chi-Square Test;	1.00	.085
Yes (n=109)
No (n=102)
Lower limb pain	1.00	.299	1.00	.993	2.00	.065	2.00	.014^* * Chi-Square Test;	1.00	.065	1.00	.082
Yes (n=82)
No (n=129)
Joints pain	1.00	.912	1.00	.388	2.00	.062	2.00	.142	1.00	.528	1.00	.437
Yes (n=59)
No (n=152)
Muscle spasm	1.00	.685	1.00	.970	2.00	.641	2.00	.960	1.00	.042^* * Chi-Square Test;	1.00	.700
Yes (n=31)
No (n=180)
Lower limbs edema	1.00	.334	1.00	.019^* * Chi-Square Test;	2.00	.062	2.00	.020^* * Chi-Square Test;	1.00	.126	1.00	.744
Yes (n=59)
No (n=152)
Shortness of breath	1.00	.384	1.00	.724	2.00	.482	2.00	.480	1.00	.570	1.00	.058
Yes (n=13)
No (n=198)
Digestive disorders	1.00	.257	1.00	.071	2.00	.116	2.00	.074	1.00	.403	1.00	.343
Yes (n=50)
No (n=161)
Mental fatigue	1.00	.442	1.00	.154	2.00	.191	2.00	.002^* * Chi-Square Test;	1.00	.004^* * Chi-Square Test;	1.00	.213
Yes (n=117)
No (n=94)
Headache	1.00	.028^* * Chi-Square Test;	1.00	.019^* * Chi-Square Test;	2.00	.077	2.00	.004^* * Chi-Square Test;	1.00	.008^* * Chi-Square Test;	1.00	.024^* * Chi-Square Test;
Yes (n=80)
No (n=131)
Nervousness	1.00	.349	1.00	.693	2.00	.702	2.00	.159	1.00	.003^* * Chi-Square Test;	1.00	.368
Yes (n=41)
No (n=170)
Forgetfulness	1.00	.894	1.00	.289	2.00	.931	2.00	.046^* * Chi-Square Test;	1.00	.745	1.00	.717
Yes (n=65)
No (n=146)
Insomnia	1.00	.516	1.00	.561	2.00	.363	2.00	.436	1.00	.498	1.00	.147
Yes (n=93)
No (n=118)
Eye irritation	1.00	.546	1.00	.318	2.00	.134	2.00	.136	1.00	.781	1.00	.730
Yes (n=41)
No (n=170)
Weakness	1.00	.573	1.00	.690	2.00	.970	2.00	.203	1.00	.628	1.00	.257
Yes (n=18)
No (n=193)
Dizziness	1.00	.746	1.00	.416	2.00	.318	2.00	.107	1.00	.505	1.00	.313
Yes (n=27)
No (n=184)

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[1] Corresponding Author: Deciane Pintanela de Carvalho. E-mail: deciane.carvalho@gmail.com