Professional burnout, stress and job satisfaction of nursing staff at a university hospital

Portero de la Cruz, Silvia; Vaquero Abellán, Manuel

doi:10.1590/0104-1169.0284.2586

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 23 (3) • May-Jun 2015 • https://doi.org/10.1590/0104-1169.0284.2586 copy

Professional burnout, stress and job satisfaction of nursing staff at a university hospital¹ 1 Supported by Universidad de Córdoba, Córdoba, Spain

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVES:

to describe the social and work characteristics of the nursing staff at a tertiary hospital in the Public Health Service of Andalucía, to assess the degree of professional professional burnout and job satisfaction of those professionals and to study the possible relation between the professional burnout variables and the stress and job satisfaction levels on the one hand and social and employment variables on the other.

METHOD:

descriptive and cross-sectional study in a sample of 258 baccalaureate and auxiliary nurses. As research instruments, an original and specific questionnaire was used to collect social and employment variables, the Maslach Burnout Inventory, the Nursing Stress Scale and the Font-Roja questionnaire. Descriptive, inferential statistics and multivariate analysis were applied.

RESULTS:

average scores were found for professional stress and satisfaction, corresponding to 44,23 and 65,46 points, respectively. As regards professional burnout, an average score was found on the emotional exhaustion subscale; a high score for depersonalization and a low score for professional accomplishment. Studies are needed to identify the scores on these subscales in health organizations and to produce knowledge on their interrelations.

Burnout; Stress; Job Satisfaction; Occupational Health

		Arithmetic mean (Standard error) n=258	95% confidence interval
Nursing Stress Scale
	Total work-related stress (points)	44.23 (12.97)	42.64 – 45.82
	Work burden (points)	1.57 (0.49)	1.51 – 1.63
	Death and suffering (points)	1.46 (0.66)	1.38 – 1.54
	Insufficient preparation (points)	1.37 (0.74)	1.28 – 1.46
	Lack of support (points)	1.39 (0.66)	1.31 – 1.47
	Uncertainty in treatment (points)	1.10 (0.20)	1.08 – 1.12
	Problems with medical staff (points)	1.02(0.58)	0.95 – 1.09
Maslach Burnout Inventory
	Emotional exhaustion (points)	17.48 (11.93)	16.02 – 18.94
	Depersonalization (points)	9.04 (5.53)	8.36 – 9.72
	Personal accomplishment (points)	39.22 (8)	38.24 – 40.20
Font-Roja
	Global mean satisfaction	65.46 (7.04)	64.60 – 66.32
	Work-related tension (points)	2.41 (0.71)	2.32 – 2.50
	Professional competency (points)	2.37 (0.68)	2.29 – 2.45
	Work pressure (points)	2.78 (1.03)	2.65 – 2.91
	Professional promotion (points)	2.77 (0.48)	2.71 – 2.83
	Interpersonal relationship with heads (points)	3.84 (0.66)	3.72 – 3.92
	Interpersonal relationship with work colleagues (points)	3.85 (0.84)	3.75 – 3.95
	Extrinsic characteristics of status (points)	2.05 (0.72)	1.96 – 2.14
	Job monotony (points)	2.86 (0.72)	2.77 – 2.95

		EE*(points) n=258		p^\|\|	DP^†(points) n=258	p^\|\|	PA^‡(points) n=258	p^\|\|
		Mean(SE)^§		p^\|\|	Mean (SE)^§	p^\|\|	Mean (DT)^§	p^\|\|
Sex
	Man	18.24(12.25)		0.58	9.78(5.67)	0.25	39.34(7.90)	0.90
	Woman	17.25(11.85)		0.58	8.83(5.48)	0.25	39.19(8.05)	0.90
Professional category
	Nurse	16.92(11.74)		0.31	8.84(5.79)	0.42	39.43(7.72)	0.59
	Auxiliary nurse	18.49(12.25)		0.31	9.41(5.03)	0.42	38.86(8.52)	0.59
Estado civil
	Single	20.60(11.63)		0.08	11.83(4.29)^a	<0.001^¶	40.09(7.20)	0.14
	Married	17.40(12.02)			9.17(5.36)^a		39.59(7.96)
	Separated	13.06(10.28)			6.39(5.85)		37.22(8.97)
	Widowed	25.37(12.02)			6(6.82)		36.38(7.07)
Children
	Yes	17.06(12.14)		0.24	8.86(5.70)	0.26	38.88(8.32)	0.13
	No	19.37(10.83)		0.24	9.87(4.61)	0.26	40.83(6.19)	0.13
Living with relatives
	No	19.62(11.41)		0.11	10.08(4.83)	0.24	40.10(6.13)^b	<0.01^¶
	First-degree relatives	16.79(11.94)			8.85(5.68)		39.68(7.95)^b
	Second-degree relatives	23.69(13.60)			10.54(5.53)		29.85(9.97)^c
	Both	15.41(10.41)			7.71(5.16)		39.35(6.80)
Complementary education
	Yes	18.47(12.39)		0.22	9.07(5.73)	0.95	39.31(7.68)	0.87
	No	16.63(11.49)		0.22	9.02(5.38)	0.95	39.15(8.30)	0.87
Extra job
	Yes	17.71(12.04)		0.80	9.49(5.21)	0.31	39.13(8.30)	0.89
	No	17.33(11.89)		0.80	8.77(5.71)	0.31	39.28(7.86)	0.89
Type of contract
	Statutory	17.41(11.73)		0.94	8.78(5.66)	0.37	39.13(8.17)	0.96
	Undefined	18.33(13.25)			9.80(5.31)		39.42(7.87)
	Hired	16.52(11.27)			9.56(4.98)		39.52(7.31)
Trainees
	Yes	15.15(11.67)		<0.01	7.94(5.73)	0.001	39.21(7.75)	0.98
	No	19.89(11.75)		<0.01	10.18(5.10)	0.001	39.24(8.29)	0.98
		Coef. Corr. Pearson (r)	R²**		Coef. Corr. Pearson (r)	R²**	Coef. Corr. Pearson (r)	R²**
Age (years)		0.02	0.02%		-0.02	0.05%	-0.07	0.48%
Hours work/week		0.04	0.13%		0.04	0.15%	-0.005	0.03%
Number of patients professional is in charge of daily		-0.03	0.12%		-0.05	0.21%	0.04	0.17%
Work experience (years)		0.02	0.04%		-0.05	0.21%	-0.03	0.08%
Time on the job (years)		-0.002	0.04%		0.04	0.20%	-0.04	0.19%
EE*		1
DP^†		0.67^††	46.11%		1
PA^‡		-0.40^††	15.64%		-0.32^††	10.16%	1
Global work-related stress		0.29^††	8.57%		0.33^††	10.86%	-0.05	0.29%
Global job satisfaction		-0.11	1.26%		-0.05	0.26%	0.06	0.31%

		Global work-related stress (points) n=258	p^†	Global job satisfaction (points) n=258	p^†
		Mean (SE)*	p^†	Mean (SE)*	p^†
Sex
	Man	44.86(14.01)	0.67	65.86(6.92)	0.08
	Woman	44.04(12.68)	0.67	64.05(7.34)	0.08
Professional category
	Nurse	42.50(13.52)	0.08	65.03(6.63)	0.19
	Auxiliary nurse	47.35(11.32)	0.08	66.23(7.70)	0.19
Marital status
	Single	50.03(9.63)	0.07	64.82(6.22)	0.85
	Married	44.18(12.88)		65.65(7.28)
	Separated	38.83(12.59)		64.86(6.69)
	Widowed	44.25(19.88)		66.63(7.46)
Children
	Yes	43.94(13.23)	0.45	65.47(7.17)	0.94
	No	45.54(11.74)	0.45	65.39(6.47)	0.94
Living with relatives
	No	46.69(11.92)	0.59	65.90(6.70)	0.16
	First-degree relatives	43.85(13.17)		65.18(7.19)
	Second-degree relatives	42.15(9.86)		64.15(6.32)
	Both	44.41(15.22)		68.53(6.33)
Complementary education
	Yes	44.28(12.89)	0.96	64.67(6.88)	0.10
	No	44.19(13.09)	0.96	66.12(7.13)	0.10
Extra job
	Yes	43.61(13.21)	0.33	64.95(7.06)	0.37
	No	45.23(12.57)	0.33	65.77(7.03)	0.37
Type of contract
	Statutory	43.65(12.72)	0.38	65.83(7.20)	0.18
	Undefined	44.80(13.51)		65.31(6.71)
	Hired	47.26(13.78)		63.15(6.22)
Trainees
	Yes	41.40(14)	<0.001	66.05(6.25)	0.17
	No	47.15(11.13)	<0.001	64.84(7.75)	0.17
		Pearson Corr.	R^2‡	Pearson Corr.	R^2‡
Age (years)		0.03	0.09%	0.22^§	4.71%
Hours work/week		-0.06	0.38%	0.11	1.29%
Number of daily patients		0.04	0.13%	0.09	0.80%
Work experience (years)		0.01	0.02%	0.07	0.56%
Time on current job (years)		0.07	0.53%	0.16	2.47%
EE^\|\|		0.29^§	8.57%	-0.11	1.26%
DP^¶		0.33^§	10.86%	-0.05	0.26%
PA**		-0.05	8.29%	0.06	0.31%
Global work-related stress		1		0.09	0.76%
Global job satisfaction		0.09	0.76%	1

Dependent variable	Independent variables	Regression coefficients	P*
EE^†	Global job satisfaction	-0.22	0.03
	Trainees
	Global work stress = 30 points	-6.84
	Global work stress = 64 points	1.86	0.003
	Global work stress = 98 points	10.56
DP^‡	Trainees
	Global work stress = 30 points	-8.17
	Global work stress = 64 points	-7.30	0.002
	Global work stress = 98 points	-6.44
PA^§	Living alone (reference)	1
	First-degree relatives	-0.43	0.76
	Second-degree relatives	-10.26	<0.001
	Both	-0.75	0.74

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E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Silvia Portero de la Cruz Universidad de Córdoba. Facultad de Enfermería Avda Menéndez Pidal, s/n 14071, Córdoba, España E-mail: n92pocrs@uco.es

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Professional burnout, stress and job satisfaction of nursing staff at a university hospital1 1 Supported by Universidad de Córdoba, Córdoba, Spain

OBJECTIVES:

METHOD:

RESULTS:

Professional burnout, stress and job satisfaction of nursing staff at a university hospital¹ 1 Supported by Universidad de Córdoba, Córdoba, Spain