The relationship between burnout, depression and anxiety among nurses in a psychiatric unit

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Research Paper 13/01/2024
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The relationship between burnout, depression and anxiety among nurses in a psychiatric unit

Ahmed Eidhah Almalki, Hanin Saeed N. Alghamdi, Ghroob Talal Hassan Bakhadlag
Int. J. Biosci.24( 1), 236-244, January 2024.
Certificate: IJB 2024 [Generate Certificate]

Abstract

The study was to assess the relationships between burnout, depression, and anxiety among nurses in a psychiatric unit at Erada mental health and complex hospital using a convenient sampling method. Out of 172 participants, primarily female (52.3%), over 30 years old (52.9%), holding a Baccalaureate degree (45.9%), and married (56.4%). The participants’ experience predominantly ranged between 6-10 years (39.5%), with fewer participants having more than 10 years of experience (33.1%). With regards to stress, the majority of participants fell in the mild (36.6%) and moderate (19.8%) categories. In terms of burnout, the majority of participants (58.1%) reported high levels of personal accomplishment, while 43.6% reported low levels of emotional exhaustion, and 49.4% reported low levels of depersonalization. Pearson correlation coefficients showed that all domains of the DASS-21 were positively correlated with emotional exhaustion and depersonalization, with the strength of the correlation ranging from moderate to strong. For depression, the correlation coefficient with emotional exhaustion was 0.68 (p<.01) and with depersonalization was 0.54 (p<.01). For anxiety, the correlation coefficient with emotional exhaustion was 0.52 (p<.01) and with depersonalization was 0.46 (p<.01). For stress, the correlation coefficient with emotional exhaustion was 0.45 (p<.01) and with depersonalization was 0.35 (p<.01). On the other hand, all domains of the DASS-21 were negatively correlated with personal accomplishment, with the strength of the correlation ranging from weak to moderate. For depression, the correlation coefficient with personal accomplishment was -0.32 (p<.05). For anxiety, the correlation coefficient with personal accomplishment was -0.28 (p<.05). For stress, the correlation coefficient with personal accomplishment was -0.21 (p=.07), which was not statistically significant. In conclusion, there is a significant positive correlation between burnout, depression, and anxiety among nurses working in a psychiatric unit whereas personal accomplishment is negatively correlated with depression, anxiety and stress.

VIEWS 49

Labrague LJ, McEnroePetitte DM, Leocadio MC, Van Bogaert P, Cummings GG. 2018. Stress and ways of coping among nurse managers: An integrative review. Journal of Clinical Nursing 27(7-8), 1346-1359.

Morse G, Salyers MP, Rollins AL, Monroe-DeVita M, Pfahler C. 2012. Burnout in mental health services: A review of the problem and its remediation. Administration and Policy in Mental Health and Mental Health Services Research 39(5), 341-352.

Bridgeman PJ, Bridgeman MB, Barone J. 2018. Burnout syndrome among healthcare professionals. American Journal of Health-System Pharmacy 75(3), 147-152.

Khamisa N, Oldenburg B, Peltzer K, Ilic D. 2015. Work related stress, burnout, job satisfaction and general health of nurses. International Journal of Environmental Research and Public Health 12(1), 652-666.

Labrague LJ, McEnroePetitte DM, Leocadio MC, Van Bogaert P, Cummings GG. 2018. Stress and ways of coping among nurse managers: An integrative review. Journal of Clinical Nursing 27(7-8), 1346-1359.

Depression WHO. 2017. Other common mental disorders: global health estimates. Geneva: World Health Organization, 24. https://apps.who.int/iris/handle/10665/259610

Henry JD, Crawford JR. 2005. The 21-item version of the Depression Anxiety Stress Scales (DASS–21): Normative data and psychometric evaluation in a large non-clinical sample. British Journal of Clinical Psychology 44(2), 227-239. https://doi.org/10.1348/014466505X29657

Hussien R, Shahin MAH. 2020. Coronavirus disease-19 quarantine experience in the Middle East region: Emotional status, health patterns and self-efficacy survey. Open Access Macedonian Journal of Medical Sciences 8(T1), 330-345. https://doi.org/10.3889/oamjms.2020.5256

Krejcie RV, Morgan DW. 1970. Determining sample size for research activities. Educational and Psychological Measurement 30(3), 607-610. https://doi.org/10.1177/001316447003000308

Lovibond PF, Lovibond SH. 1995. The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav. Res. Ther. 33(3), 335-343. https://doi.org/10.1016/0005-7967(94)00075-u

Lovibond P, Lovibond S. 2018. DASS FAQ (Frequently Asked Questions), UNSW Psychology 2018, How do I get permission to use the DASS. Retrieved December 19, 2022, from http://www2.psy.unsw.edu.au/dass/dassfaq.htm

Moussa MT, Lovibond P, Laube R, Megahead HA. 2017. Psychometric properties of an Arabic version of the depression anxiety stress scale (DASS). Research on Social Work Practice 27(3), 375-386. https://doi.org/10.1177/1049731516662916

Norton PJ. 2007. Depression anxiety and stress scales (DASS-21): Psychometric analysis across four racial groups. Anxiety, Stress & Coping 20(3), 253-265. https://doi.org/10.1080/10615800701309279

Opoku Agyemang S, Ninnoni JP, Enyan NIE. 2022. Prevalence and determinants of depression, anxiety and stress among psychiatric nurses in Ghana: A cross-sectional study. BMC Nursing 21(1), 1-11. https://doi.org/10.1186/s12912-021-00719-9

Pachi A, Sikaras C, Ilias I, Panagiotou A, Zyga S, Tsironi M, Tselebis A. 2022. Burnout, depression and sense of coherence in nurses during the pandemic crisis. Healthcare 10(1), 134. https://doi.org/10.3390/healthcare10010134

Ruitenburg MM, Frings-Dresen MH, Sluiter JK. 2018. The prevalence of common mental disorders among hospital physicians and their association with self-reported work ability: a cross-sectional study. BMC Health Services Research 18(1), 1-10. https://doi.org/10.1186/s12913-017-2783-4

Shanafelt TD, Hasan O, Dyrbye LN, Sinsky C, Satele D, Sloan J, West CP. 2016. Intensive care unit physician staffing and the risk of patient mortality. Critical Care Medicine 44(12), 2267-2274. https://doi.org/10.1097/CCM.0000000000001978

Melinda Smith MA, Segal S, Robinson L. 2023. Burnout Prevention and Treatment. https://www.helpguide.org/articles/stress/burnout-prevention-and-recovery.htm

Tabur A, Elkefi S, Emhan A, Mengenci C, Bez Y, Asan O. 2022. Anxiety, Burnout and Depression, Psychological Well-Being as Predictor of Healthcare Professionals’ Turnover during the COVID-19 Pandemic: Study in a Pandemic Hospital. Healthcare 10(3), e424. https://doi.org/10.3390/healthcare10030424

Maslach C, Jackson SE, Leiter MP. 1997. Maslach Burnout Inventory: Third edition. In C. P. Zalaquett & R. J. Wood (Eds.), Evaluating stress: A book of resources (pp. 191-218). Scarecrow Education.