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"Burnout"

Original Articles

Effects of Clinical Nurses' Responses to Violence on Burnout: The Moderating Role of Positive Psychological Capital
Haejun Choi, Sujin Shin, Seungji Kim, Sungran Kim
Korean J Adult Nurs 2023;35(4):406-417.   Published online November 30, 2023
DOI: https://doi.org/10.7475/kjan.2023.35.4.406
Purpose
The purpose of this study was to investigate the moderating role of positive psychological capital on the effects of clinical nurses' responses to violence on burnout and to provide basic date for an intervention program that reduces nurse burnout.
Methods
The participants in this study were 172 nurses recruited through convenience sampling at one general hospital in Seoul. Data were collected from June 5 to 10, 2023 using structured questionnaires. The collected data were analyzed using SPSS/WIN 26.0.
Results
Burnout was positively correlated with violence responses and negatively correlated with positive psychological capital among clinical nurses. Verbal violence experience (β=.14, p=.014), job satisfaction (β=.31, p<.001), social violence response (β=.15, p=.035) and positive psychological capital (β=-.39, p<.001) were identified as factors significantly influencing clinical nurses' burnout. The interaction term between social violence response and positive psychological capital significantly influenced burnout (β=.18, p=.044).
Conclusion
Social violence response affected burnout among clinical nurses, and positive psychological capital was identified as a moderating factor in burnout. Therefore, hospital and nursing organizational efforts such as fostering an appropriate organizational atmosphere, providing social support that encourages trust and creativity among organizational members, and implementing various educational and mentoring programs are required to reduce nurses' social violence response and enhance positive psychological capital.
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Purpose
The purpose of this study was to provide the fundamental data for improving working environments for operating room nurses as well as the quality of surgical nursing.
Methods
Study participants were 95 operating room nurses with at least three months of work experience in general and tertiary hospitals in S and G provinces. Data were collected from October 2021 to November 2021 using a structured questionnaire. Results: Factors affecting the participants’ burnout were verbal violence (β=.23, p=.007), the self-perceived health status “not healthy” (β=.21, p=.009), and job satisfaction: “dissatisfied” (β=.34, p<.001) and “moderate” (β=.44, p<.001). Work-oriented nursing organizational culture (β=.26, p=.007) had a moderating effect on the relationship between verbal violence and burnout.
Conclusion
The results indicated that the verbal violence experienced by the participants affected their burnout, and work-oriented nursing organizational culture acted as a moderating variable.Therefore, a hospital’s organizational efforts to reduce verbal violence in the operating room and develop a well-balanced nursing organizational culture must be aimed at lowering nurse burnout.

Citations

Citations to this article as recorded by  
  • The Effects of Grit, Emergency Nursing Competency, and Positive Nursing Organisational Culture on Burnout Among Nurses in the Emergency Department
    Su-Young Moon, Hyung-Ran Park
    Behavioral Sciences.2025; 15(4): 486.     CrossRef
  • Effects of Verbal Abuse Experience and Communication Competence on Burnout among Operating Room Nurses
    Yesol Byon, Yoon Goo Noh
    Journal of Health Informatics and Statistics.2024; 49(2): 117.     CrossRef
  • Predictive modeling of burnout based on organizational culture perceptions among health systems employees: a comparative study using correlation, decision tree, and Bayesian analyses
    Teray Johnson, Sameh Shamroukh
    Scientific Reports.2024;[Epub]     CrossRef
  • The relationship between occupational burnout and moral courage in operating room personnel: A cross-sectional study
    Mahla Zakeriafshar, Camellia Torabizadeh, Zahra Jamshidi
    Perioperative Care and Operating Room Management.2023; 32: 100339.     CrossRef
  • Effects of Clinical Nurses' Responses to Violence on Burnout: The Moderating Role of Positive Psychological Capital
    Haejun Choi, Sujin Shin, Seungji Kim, Sungran Kim
    Korean Journal of Adult Nursing.2023; 35(4): 406.     CrossRef
  • 47 View
  • 1 Download
  • 5 Crossref
  • 4 Scopus
Factors Influencing Burnout of Nurses Working in a Hospital Nationally Designated for COVID-19 Patients
Hwasoon Kim, Doa Kim, Minsook Kim, Yiseul Kim, Soojin Bang, Gine Lee, Miso Won, Dajung Joo
Korean J Adult Nurs 2022;34(1):74-84.   Published online February 28, 2022
DOI: https://doi.org/10.7475/kjan.2022.34.1.74
Purpose
This study aimed to investigate nurses’ burnout working in a hospital for Coronavirus Disease 2019 (COVID-19) patients, and identify factors influencing nurses’ burnout. Methods We recruited 162 nurses working in a nationally designated hospital for COVID-19 patients. Data were collected on general characteristics, burnout, social support, healthcare safety climate, and job stress using a questionnaire. Data were analyzed using descriptive statistics, an independent t-test, a one-way ANOVA, the Scheffé test, Pearson correlation coefficient, multiple regression, and Cronbach’s α using IBM SPSS Statistics version 26.0 for Windows. Results The mean scores for burnout, social support, healthcare safety climate, and job stress were 2.96, 3.74, 4.08, and 2.69, respectively. Working department and job stress were significant factors affecting nurses’ burnout and these variables explained 26.0% of burnout variance. Conclusion To reduce burnout of nurses working in the COVID-19 frontline, efforts are needed to reduce nurses’ job stress. In nursing research, further study on what makes a difference in burnout between intensive care units and medical/surgical wards in current COVID-19 situation are needed. The results will be used as basic data to develop intervention and reduce nurses’ burnout during future infectious disease outbreaks.

Citations

Citations to this article as recorded by  
  • Long COVID symptoms and associated factors in registered nurses with COVID-19
    Ga Eun Park, Yeon-Hwan Park
    The Journal of Korean Academic Society of Nursing Education.2024; 30(1): 49.     CrossRef
  • Effects of stress on burnout among infection control nurses during the COVID-19 pandemic: the mediating effects of social support and self-efficacy
    Su-jin Lee, Ju-Young Park, Seo-Hyeon Kim
    BMC Nursing.2024;[Epub]     CrossRef
  • Influence of Job Stress and Resilience on Burnout of Clinical Nurses Working in Small and Medium-Sized Hospital: Focusing on Comparing National Safety Hospital and COVID-19 Dedicated Hospital
    Su-Young Jang, Young Ko
    Korean Journal of Health Promotion.2023; 23(2): 65.     CrossRef
  • The Influence of Infection Control Knowledge, Emergency Nursing Competency, and Infection Prevention Environment on Burnout among Psychiatric Nurses Caring for Patients with COVID-19
    Hyeran Cho, Suyon Baek
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(4): 482.     CrossRef
  • Burnout in healthcare workers in COVID-19-dedicated hospitals
    Young E Choi, Seung H Lee, Yun J Kim, Jeong G Lee, Yu H Yi, Young J Tak, Gyu L Kim, Young J Ra, Sang Y Lee, Young H Cho, Eun J Park, Young I Lee, Jung I Choi, Sae R Lee, Ryuk J Kwon, Soo M Son, Yea J Lee, Min J Kang
    Journal of Public Health.2023; 45(3): e510.     CrossRef
  • Awareness of the epidemiological investigation tasks of the nurse in charge of COVID-19 epidemiological investigations
    Haeng-Mi Son, Won-Hee Choi, Hye-Ryun Yang, Young-Hui Hwang
    The Journal of Korean Academic Society of Nursing Education.2022; 28(4): 433.     CrossRef
  • Tuberculosis Education for Nurse Practitioner Students: Where We Are and Where We Need to Go
    Ramona Benkert, Barbara Resnick, Margaret Brackley, Terri Simpson, Betty Fair, Trudy Esch, Kim Field
    Journal of Nursing Education.2009; 48(5): 255.     CrossRef
  • 65 View
  • 2 Download
  • 7 Crossref
  • 4 Scopus
Purpose
This study aims to explore the mediating effect of burnout and the moderating effect of nursing work environment in the relationship between nursing competence and patient-centered care among nurses caring for patients with chronic disease. Methods: This study uses a cross-sectional descriptive research design. The participants were 150 nurses at a general hospital. The data were collected from February 10 to May 10, 2020. The questionnaire consisted of measuring tools for general characteristics, patient-centered care, nursing competency, nursing work environment, and burnout. The SPSS/25.0 program was used to analyze the data using descriptive statistics, Pearson's correlation coefficient, independent t-test, one-way ANOVA, Scheffé test, and hierarchical multiple regression. Results: The average score of patient-centered care was found to be 3.75±0.44. Nursing competency had a mean score of 3.64±0.44, nursing work environment of 3.04±0.43, and burnout of 2.91±0.68. Patient-centered care was significantly associated with nursing competency, nursing work environment, and burnout. In the relationship between nursing competency and patient-centered care, burnout had a partial mediating effect. The relationship between nursing competency and patient-centered care showed that nursing work environment had no moderating effect. Conclusion: The results revealed that patient-centered care was performed well if nursing competency was high. It is necessary to lower burnout and increase nursing competency such that patient-centered care can be performed better. In addition, since nursing work environment has a significant effect on nursing competency and patient-centered care, it is necessary to improve nursing work environment to improve nursing competency and patient-centered care performance.

Citations

Citations to this article as recorded by  
  • How the nursing work environment moderates the relationship between clinical judgment and person-centered care among intensive care unit nurses
    Mi Hwa Seo, Eun A. Kim, Hae Ran Kim, Mohammad Jamil Rababa
    PLOS ONE.2025; 20(1): e0316654.     CrossRef
  • Influence of Clinical Nursing Competency and Nursing Working Environment of Psychiatric Nurses on Person-Centered Care
    Pan Heui Kim
    Journal of Korean Academy of psychiatric and Mental Health Nursing.2024; 33(3): 229.     CrossRef
  • Effects of ageism on burnout among clinical nurses
    Sukjae Park, Hyunmin Lee, Minsook Seo, Hee Kyung Kim, Eunhee Shin, Antony Bayer
    PLOS ONE.2024; 19(11): e0313043.     CrossRef
  • Effects of Nursing Competence on Job Satisfaction across Career Stages
    Eun Young Oh, Mi Won Kim, Heon Ju Yoo, Seung Hee Choi, Sa Rang Lee, Chung Sook Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(3): 258.     CrossRef
  • The impacts of nurses' attitudes towards dementia, critical reflection competency, and nursing work environment on person-centered nursing in acute care hospitals: A descriptive study
    Minkyung Kim, Sujin Shin
    Journal of Korean Gerontological Nursing.2023; 25(4): 346.     CrossRef
  • Development and Validation of the Job Competency Scale for Insurance Review Nurses Working in Hospital
    Song Hwa Nam, Eun A Kim
    Journal of Korean Academy of Nursing Administration.2023; 29(5): 588.     CrossRef
  • Structural Equation Modeling of Person-Centered Nursing in Hospital Nurses
    Yeon Hee Bae, Hye-Ah Yeom
    Healthcare.2022; 10(3): 514.     CrossRef
  • Effects of Compassionate Competence, Communication Skills, and Nursing Work Environment on Person-centered Care in General Hospital Nurses who Care for Cancer Patients
    Mi Jin Han, Seonho Kim
    The Korean Journal of Rehabilitation Nursing.2022; 25(1): 11.     CrossRef
  • Factors Influencing the Performance of Person-centered Care Among Nurses in Designated COVID-19 Hospitals
    Hyun-Joung Yun, Jaehee Jeon
    Korean Journal of Adult Nursing.2022; 34(4): 413.     CrossRef
  • The Effects of Communication Ability and Nursing Work Environment on Geriatric Nursing Practices of Nurses in Comprehensive Nursing Care Service Wards: A Cross-Sectional Study
    Kum-Ock Kwon, Hye-Young Jang
    Journal of Korean Gerontological Nursing.2022; 24(2): 123.     CrossRef
  • Factors Affecting Psychological Burnout in Nurses Caring for Terminal Cancer Patients
    Na-Ri Seo, Hyun-E Yeom
    The Korean Journal of Hospice and Palliative Care.2022; 25(4): 159.     CrossRef
  • Factors associated with the person-centered care competence of nursing students
    Ju Young Park, Chung Hee Woo
    The Journal of Korean Academic Society of Nursing Education.2022; 28(1): 48.     CrossRef
  • 121 View
  • 14 Download
  • 12 Crossref
  • 11 Scopus

Randomized Controlled Trial

Effects of Telephone Counseling on Burnout, Depression, Life Satisfaction, and Perceived Health in Caregivers of Older Adults with Dementia
Hae Jung Lee, Ki Ryeon Kim, Ji Min Seo
J Korean Acad Adult Nurs 2003;15(3):452-462.   Published online September 30, 2003
PURPOSE
The purpose of this study is to identify the effects of telephonic counseling on burnout, depression, life satisfaction, and perceived physical health among family caregivers of older adults with dementia.
METHOD
Subjects were randomly assigned into telephonic counseling group (n=21) and the comparison group (n=32). A weekly telephone counseling was conducted by research assistants for 12 weeks. T-test were used to answer the research questions.
RESULT
1) There were no significant differences between the two groups on the level of burnout, depression, life satisfaction, and perceived physical health after telephone counseling. 2) Spouse caregivers under the telephone counseling tended to report higher perceived physical health than comparison group at the post-test (t=-1.88, p=.08). Spouse caregivers under the telephone counseling tended to report higher emotional exhaustion and lower feeling of self achievement. 3) Daughter-in-law caregivers under telephone counseling showed increased feeling of self achievement, improved physical health condition, and decreased depression.
CONCLUSION
This study showed potential effects of the problem-solving telephone counseling to improve perceived physical health and to reduce the level of burnout and depression. The findings suggest the necessity of screening most vulnerable subgroups of caregivers to increase the effectiveness of nursing intervention such as telephone counseling.
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Original Articles
A Study of Factors Predicting Burnout in Hospital Staff Nurses
Young Ock Kim
J Korean Acad Adult Nurs 2002;14(4):591-601.   Published online December 31, 2002
PURPOSE
This study was conducted to investigate the relationship of hardiness, job stress, and burnout in nurses, and to identify predictors of burnout.
METHOD
Empirical data were collected from 154 staff nurses at one university hospital in Gwangju city. Self- reported questionnaires were composed of the Personal Views Survey(PVS), job stress scale, Tedium scale, and 7 items asking nurse's general characteristics. Data analysis was done with a SAS package.
RESULT
In correlation analysis, hardiness, job stress, and nursing satisfaction had significant correlation with burnout. In stepwise multiple regression, 28.7% of the variance in burnout was accounted for by nursing satisfaction(19.9%), job stress(6.0%), and hardiness(2.8%). Among subscales of hardiness, only commitment was a significant predictor, so nursing satisfaction, job stress, and commitment explained 28.9% of variance in burnout.
CONCLUSION
Based on the findings of this study, the development of program for nurses to increase nursing satisfaction is needed, and more studies to examine causal relationship between nursing satisfaction and burnout is also highly recommended.
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Relationships between Job Satisfaction and Burnout Experience among Nephrology Nurses
Myung Sook Song, Kyung Ja Kang, Myung Hwa Lee
J Korean Acad Adult Nurs 1998;10(1):32-47.   Published online April 30, 1998
The purpose of this study was to determine relationships between job satisfaction and burnout experience. The subjects were 225 nephrology nurses in Pusan, and Kyung Sang Namdo and Kyung Sang Bukdo. The data were collected from Nov. 20 to Dec. 3, 1996 using questionnaires method. Job satisfaction measured job satisfaction tool by Slavitt et al, and burnout experience measured burnout experience scale by Pines et al. The questionnaire consisted of question regarding job satisfaction scale(44 items 5 point scale) and burnout experience scale(21 items 7 point scale). The reliability of this instrument was that the hob satisfaction was Cronbach's alpha=0.8298 and the burnout experience was Cronbach's alpha=0.8960. The data were analyzed with the SPSS program using mean, standard deviation, frequency and percentage, t-test, ANOVA and Pearson's Correlation Coefficient. The results of this study were as follows : 1. In the demosociographic characteristics showed the highest level was as follows : 26-30 years old group(40.2%), married(56.4%), graduated junior college of nursing(87.6%), non the religious(35.6%), the effect of religion upon life is not effected(35.6%). In the characteristics related to nursing profession showed the highest level was as follows : Hospital style is secondary hospital(that have above 450 beds) (53.3%), staff nurse(72.9%), the length of clinical experience at hemodialysis room is less than 2 years(39.1%), number of patient was assigned a nephrology nurses is 5(40.4%), work in two shift(55.6%), the nurses professional motivation is family recommended(33.8%), the nurses intention to stay is until for needed(58.2%), the chance for professional growth is not enough(44.9%), degree of satisfaction with nursing is moderate(43.2%). 2. The mean score of the total hob satisfaction is 3.06 of 5 point Likert-type scale. Task requirements(3.51) among the component factors of the job satisfaction was the highest value and then the interaction among fellow nurses(3.34), job prestige/status(3.33), autonomy(3.27), organizational requirement(2.55), and pay(2.39) was the lowest 3. The mean score of the total burnout experience is 3.20 of 7 point Likert-type scale. Physical exhaustion(3.36) among the component factors of the burnout experience was the highest value and then emotional exhaustion(3.20), and mental exhaustion(2.95) was the lowest. 4. Job satisfaction according to demosociographic characteristics of the subjects showed significant differences in the effect of religion upon one's life(F=3.268, p=0.013). Job satisfaction according to characteristics related to nursing profession of the subjects showed significant differences in the hospital type(F=3.479, p=0.033), position(F=3.165, p=0.044), number of patient was assigned a nephrology nurses(F=2.552, p=0.040), nurses intention to stay(F=7.153, p=0.001), the chance for professional nursing growth(F=3.735, p=0.006), the degree of satisfaction with nursing(F=12.680,p=0.000). Burnout experience according to characteristics related to nursing profession of the subjects showed significant differences in the position(F=3.247, p=0.041), number of patient was assigned nephrology nurses(F=4.220, p=0.003), shift(F=3.148, p=0.045), nurses intention to stay(F=9.911, p=0.000), the degree of satisfaction with nursing(F=13.234, p=0.000). 5. Job satisfaction and burnout experience was signigicant negative correlation(r=-.5466, p<.001).
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