Burnout Syndrome and shift work among the nursing staff

cross-sectional study addressing a representative sample of 502 nursing workers from a philanthropic hospital facility. Data were collected using a characterization instrument, the Maslach Burnout Inventory - Human Service Survey and the Demand-Control-Support Questionnaire. Data were analyzed using descriptive statistics and multiple binary logistic regression.

Results:

levels of Burnout Syndrome were significantly higher among those working the day shift and associated factors included: high demand; low control; low social support; dissatisfaction with sleep and financial resources; being a nurse; and sedentariness. Professionals working the night shift, having low social support, being dissatisfied with sleep, having children, not having a religion, having worked for a short period in the institution, and being a nursing technician or aid were significantly more likely to experience high levels of the syndrome.

Conclusion:

psychosocial factors and factors from the work context, mainly low social support, were associated with the syndrome dimensions among nursing workers of both shifts.

Descriptors:
Nursing; Shift Work; Workplace; Burnout, Professional; Stress Psychological; Occupational Health

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Maria José Quina Galdino Universidade Estadual do Norte do Paraná Rod. BR 369, km 54 Bairro: Vila Maria CEP: 86360-000, Bandeirantes, PR, Brasil E-mail: mariagaldino@uenp.edu.br

Variable	Work shift		p-value
Variable	Day n(%)	Night n(%)
Age group
20-40 years old	224(57.00)	169(43.00)	<0.01
≥41 years old	47(43.12)	62(56.88)	<0.01
Sex
Male	20(41.67)	28(58.33)	0.05
Female	251(55.29)	203(44.71)	0.05
Marital status
Single	122(51.26)	116(48.74)	0.14
Married/stable union	149(56.44)	115(43.56)	0.14
Children
No	118(59.90)	79(40.10)	0.02
Yes	153(50.16)	152(49.84)	0.02
Religion
No	18(47.37)	20(52.63)	0.25
Yes	253(54.53)	211(45.47)	0.25
Physical activity
Sedentary	188(56.97)	142(43.03)	0.04
Physically active^*	83(48.29)	89(51.74)	0.04
Smoking
No	260(54.74)	215(45.26)	0.11
Yes	11(40.74)	16(59.26)	0.11
Satisfied with sleep
No	124(46.79)	141(53.21)	<0.01
Yes	147(62.03)	90(37.97)	<0.01
Satisfied with leisure
No	213(59.66)	144(40.34)	<0.01
Yes	58(40.00)	87(60.00)	<0.01
Education
High School	164(55.03)	134(44.97)	0.57
Higher education	107(52.45)	97(47.55)	0.57
Profession
Nurse	100(51.81)	93(48.19)	0.25
Nursing technician/aid	171(55.34)	138(44.66)	0.25
Time working in the institution
1-2 years	167(61.62)	104(38.38)	<0.01
≥3 years	104(45.02)	127(54.98)	<0.01
Other job
No	228(54.81)	188(45.19)	0.24
Yes	43(50.00)	43(50.00)	0.24
Monthly wage^†
1-2 times the minimum wage	203(56.70)	155(43.30)	0.03
3-5 times the minimum wage	68(47.22)	76(52.78)	0.03
Satisfied with financial resources
No	239(54.82)	197(45.18)	0.20
Yes	32(48.48)	34(51.52)	0.20

Dimensions	Cronbach’s alpha	Work shift		p-value
Dimensions	Cronbach’s alpha	Day n(%)	Night n(%)	p-value
Emotional exhaustion	0.90
Low		132(51.16)	126(48.84)	0.04
High		139(56.97)	105(43.03)	0.04
Depersonalization	0.71
Low		156(54.17)	132(45.83)	0.92
High		115(53.74)	99(46.26)	0.92
Professional realization	0.78
Low		165(58.72)	116(41.28)	0.02
High		106(47.96)	115(52.04)	0.02
Demand	0.76
Low		179(51.73)	167(48.27)	0.04
High		92(58.97)	64(41.03)	0.04
Control	0.70
Low		145(53.70)	125(46.30)	0.89
High		126(54.31)	106(45.69)	0.89
Social support	0.76
Low		177(58.61)	125(41.39)	0.01
High		94(47.00)	106(53.00)	0.01

Variables	Odds ratioraw (confident interval 95%)	p-value	Odds ratioadjusted (confident interval 95%)	p-value
Emotional exhaustion^*†
Dissatisfied with sleep	2.14(1.26-3.63)	<0.01	2.20(1.31-3.72)	<0.01
Demand (high)	2.48(1.42-4.33)	<0.01	2.50(1.44-4.35)	<0.01
Control (low)	2.43(1.44-4.13)	<0.01	2.43(1.44-4.11)	<0.01
Social support (low)	1.78(1.02-3.11)	<0.01	1.87(1.08-3.25)	0.03
Depersonalization^*†
Social support (low)	3.73(1.53-4.86)	<0.01	2.65(1.48-4.75)	<0.01
Nurse	1.96(1.07-3.89)	0.04	1.95(1.08-3.88)	0.04
Sedentariness	1.74(1.09-3.15)	0.04	1.80(1.00-3.25)	0.05
Satisfied with financial resources	0.53(0.22-0.89)	0.01	0.64(0.46-0.88)	<0.01
Dissatisfied with sleep	1.76(1.04-3.02)	0.03	1.88(1.11-3.17)	0.01
Low Professional Realization^*†
Social support (low)	2.30(1.35-3.93)	<0.01	2.41(1.42-4.09)	<0.01
Sedentariness	1.90(1.09-3.34)	<0.01	2.10(1.22-3.62)	<0.01
Satisfied with financial resources	0.38(0.17-0.83)	0.01	0.38(0.17-0.82)	0.01

Variables	Odds ratioraw (confidence interval 95%)	p-value	Odds ratioadjusted (confidence interval 95%)	p-value
Emotional exhaustion^*†
Dissatisfaction with sleep	2.58(1.44-4.63)	<0.01	2.35(1.30-4.25)	<0.01
Social support (low)	2.30(1.27-4.17)	<0.01	2.62(1.47-4.67)	<0.01
No children	0.33(0.18-0.62)	<0.01	0.33(0.18-0.61)	<0.01
Depersonalization^*†
Time working in the facility	4.56(2.43-8.57)	<0.01	4.80(2.52-9.16)	<0.01
Social support (low)	3.44(1.85-6.38)	<0.01	3.45(1.86-6.50)	<0.01
Satisfied with leisure	2.79(1.47-5.29)	<0.01	3.02(1.56-5.84)	<0.01
Low professional realization^*†
Social support (low)	4.04(2.29-7.14)	<0.01	4.09(2.33-7.20)	<0.01
Having a religion	0.34(0.12-0.96)	0.04	0.33(0.12-0.93)	0.04
Nursing technicians and aids	2.18(1.21-3.91)	<0.01	2.17(1.21-3.89)	<0.01

Brasil

Brasil

Burnout Syndrome and shift work among the nursing staff1 1 Paper extracted from master’s thesis “Stress, burnout and quality of life in the nursing team”, presented to Universidade Estadual de Londrina, Londrina, PR, Brazil.

ABSTRACT

Objective:

Method:

Results:

Conclusion:

Burnout Syndrome and shift work among the nursing staff¹ 1 Paper extracted from master’s thesis “Stress, burnout and quality of life in the nursing team”, presented to Universidade Estadual de Londrina, Londrina, PR, Brazil.