Sociodemographic and occupational aspects associated with burnout in military nursing workers

Dorneles, Ademir Jones Antunes; Dalmolin, Graziele de Lima; Andolhe, Rafaela; Magnago, Tânia Solange Bosi de Souza; Lunardi, Valéria Lerch

doi:10.1590/0034-7167-2018-0350

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 73 (2) • 2020 • https://doi.org/10.1590/0034-7167-2018-0350 copy

Sociodemographic and occupational aspects associated with burnout in military nursing workers

Aspectos sociodemográficos y ocupacionales asociados al burnout en trabajadores de enfermería militar

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to analyze association between burnout and sociodemographic and occupational features of military nursing workers.

Methods:

a cross-sectional study, developed in five military hospitals of the Army of Rio Grande do Sul State, among 167 workers from military nursing from December 2015 to May 2016. Sociodemographic and occupational questionnaires and the Maslach Burnout Inventory were applied. For the analysis, it was used descriptive statistics, Chi-Square Test and Poisson Regression.

Results:

the majority of participants were female; temporary military personnel, nursing technicians, with a median age of 34 years old. Burnout was related to the variables: Military Health Organization, time of practice in military nursing and accomplishment of leisure activities.

Conclusions:

burnout assessment may contribute to the Brazilian Army Command in organizing plans for prevention and handling of occupational diseases in military nursing, improving quality of life at work.

Descriptors:
Professional Burnout; Military Nursing; Nursing; Military Hospitals; Worker’s Health

Variable	burnout - n (%)
Variable	Absent	Present	p value
Military Health Organization^* * - x2 test;
Military Hospital of Area	56 (72.7)	21 (27.3)	<0.0001
Military Hospitals of Garrison	88 (97.8)	2 (2.2)	<0.0001
Gender^* * - x2 test;
Female	106 (84.8)	19 (15.2)	0.258
Male	31 (91.2)	3 (8.8)	0.258
Post or Graduation^ - Linear Association by Linear of x2; significance - p <0.05.
Garrison	123 (86.6)	19 (13.4)	0.412
Junior officer	17 (89.5)	2 (10.5)
Intermediate and superior officers	4 (66.7)	2 (33.3)
Age^* * - x2 test;
Up to 34 years old	88 (89.8)	10 (10.2)	0.118
Over 34 years old	56 (81.2)	13 (18.8)	0.118
Nursing practice time^* * - x2 test;
Up to 10 years	71 (92.2)	6 (7.8)	0.031
Over 10 years	73 (81.1)	17 (18.9)	0.031
Military nursing practice time^* * - x2 test;
Up to 4 years	84 (93.3)	6 (6.7)	0.004
Over 4 years	60 (77.9)	17 (22.1)	0.004
Work shift^* * - x2 test;
Morning	90 (90.9)	9 (91.1)	<0.0001
Afternoon	35 (92.1)	3 (7.9)
Night	6 (85.7)	1 (14.3)
Mixed	13 (56.5)	10 (43.5)
Absence from work^* * - x2 test;
Yes	12 (70.6)	5 (29.4)	0.063
No	132 (88.0)	18 (12.0)	0.063
Leisure activities^* * - x2 test;
Yes	123 (92.5)	10 (7.5)	<0.0001
No	21 (61.8)	13 (38.2)	<0.0001
Hours worked s in the last month^* * - x2 test;
Up to 48 hours per week	73 (93.6)	5 (6.4)	0.008
Over 48 hours per week	51 (78.5)	14 (21.5)	0.008

Variable	CrudePR	CI (95%)	p value	AdjPR1	CI (95%)	p value	AdjPR2	CI (95%)	p value	AdjPR3	CI (95%)	p value
Military Health Organization
Military Hospital of Area	1.245	1.145-1.354	0.000				1.229	1.084-1.393	0.001^* * Poisson probability distribution model; CI - Confidence Interval; p-significance = <0.05.; CrudePR- Prevalence Ratio; AdjPR1- burnout+age+leisure; AdjPR2- burnout+Military Health Organization+nursing practice time+military nursing practice time+work shift+absence from work+leisure activities+work sector+Hours worked in the last month; PRadj3- burnout+leisure activities+Military Health Organization+military nursing practice time.	1.208	1.113-1.310	<0.0001
Military Hospital of Garrison	1						1
Age
Over 34 years old	1.078	0.981-1.186	0.119	1.065	0.977-1.161	0.154
Up to 34 years old	1
Nursing practice time
Over 10 years	1.103	1.010-1.204	0.029				1.033	0.951-1.122	0.439
Up to 10 years	1						1
Military nursing practice time
Over 4 years	1.144	1.046-1.252	0.003				1.120	1.019-1.232	0.019^* * Poisson probability distribution model; CI - Confidence Interval; p-significance = <0.05.; CrudePR- Prevalence Ratio; AdjPR1- burnout+age+leisure; AdjPR2- burnout+Military Health Organization+nursing practice time+military nursing practice time+work shift+absence from work+leisure activities+work sector+Hours worked in the last month; PRadj3- burnout+leisure activities+Military Health Organization+military nursing practice time.	1.139	1.051-1.234	0.002
Up to 4 years	1						1
Work shift
Morning	1.011	0.920-1.112	0.820				0.016	0.914-1.130	0.767
Night	1.059	0.833-1.347	0.639				1.028	0.818-1.292	0.813
Mixed	1.330	1.131-1.564	0.001				1.130	0.952-1.342	0.161
Afternoon	1						1
Absence from work
Yes	1.155	0.971-1375	0.103				1.056	0.879-1.269	0.558
No	1
Leisure activities
No	1.286	1.134-1.457	0.001	1.28	1.33-1.446	0.000	1.179	1.041-1.336	0.010^* * Poisson probability distribution model; CI - Confidence Interval; p-significance = <0.05.; CrudePR- Prevalence Ratio; AdjPR1- burnout+age+leisure; AdjPR2- burnout+Military Health Organization+nursing practice time+military nursing practice time+work shift+absence from work+leisure activities+work sector+Hours worked in the last month; PRadj3- burnout+leisure activities+Military Health Organization+military nursing practice time.	1.194	1.061-1.343	0.003
Yes	1		0.000				1
Work sector
Closed	1.013	0.914-1.122	0.810
Others	1.094	0.955-1.254	0.196
Mixed	1.089	0.905-1.311	0.368
Open	1
Hours worked in the last month
Over 48 hours per week	1.142	1.037-1.258	0.007				0.977	0.862-1.108	0.721
Up to 48 hours per week	1

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[1] Corresponding Author: Graziele de Lima Dalmolin E-mail: grazi.dalmolin@gmail.com