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Burnout in Relation to Specific Contributing Factors and Health Outcomes among Nurses: A Systematic Review

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  • Natasha Khamisa

    (School of Health Sciences, Department of Public Health, Monash South Africa, 144 Peter Road, Roodepoort, Johannesburg 1725, South Africa
    Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Melbourne 3800, Australia)

  • Karl Peltzer

    (Human Science Research Council, 134 Pretorius Street, Pretoria 0002, South Africa
    University of Limpopo, University Street, Turfloop, Sovenga, Polokwane 0727, South Africa
    ASEAN Institute for Health Development, Mahidol University, Salaya 73170, Thailand)

  • Brian Oldenburg

    (Faculty of Medicine, Nursing and Health Sciences, Monash University, Victoria, Melbourne 3800, Australia
    Monash Alfred Hospital Campus, Level 3 Burnet Tower, 89 Commercial Road, Melbourne 3004, Australia)

Abstract

Nurses have been found to experience higher levels of stress-related burnout compared to other health care professionals. Despite studies showing that both job satisfaction and burnout are effects of exposure to stressful working environments, leading to poor health among nurses, little is known about the causal nature and direction of these relationships. The aim of this systematic review is to identify published research that has formally investigated relationships between these variables. Six databases (including CINAHL, COCHRANE, EMBASE, MEDLINE, PROQUEST and PsyINFO) were searched for combinations of keywords, a manual search was conducted and an independent reviewer was asked to cross validate all the electronically identified articles. Of the eighty five articles that were identified from these databases, twenty one articles were excluded based on exclusion criteria; hence, a total of seventy articles were included in the study sample. The majority of identified studies exploring two and three way relationships (n = 63) were conducted in developed countries. Existing research includes predominantly cross-sectional studies (n = 68) with only a few longitudinal studies (n = 2); hence, the evidence base for causality is still very limited. Despite minimal availability of research concerning the small number of studies to investigate the relationships between work-related stress, burnout, job satisfaction and the general health of nurses, this review has identified some contradictory evidence for the role of job satisfaction. This emphasizes the need for further research towards understanding causality.

Suggested Citation

  • Natasha Khamisa & Karl Peltzer & Brian Oldenburg, 2013. "Burnout in Relation to Specific Contributing Factors and Health Outcomes among Nurses: A Systematic Review," IJERPH, MDPI, vol. 10(6), pages 1-27, May.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:6:p:2214-2240:d:26169
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    References listed on IDEAS

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    1. Margot van der Doef & Femke Bannink Mbazzi & Chris Verhoeven, 2012. "Job conditions, job satisfaction, somatic complaints and burnout among East African nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(11‐12), pages 1763-1775, June.
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    1. Chen-Yin Tung & Chia-Chen Chang & Jin-Lain Ming & Keh-Ping Chao, 2014. "Occupational Hazards Education for Nursing Staff through Web-Based Learning," IJERPH, MDPI, vol. 11(12), pages 1-12, December.
    2. Simona Karpavičiūtė & Jūratė Macijauskienė, 2016. "The Impact of Arts Activity on Nursing Staff Well-Being: An Intervention in the Workplace," IJERPH, MDPI, vol. 13(4), pages 1-17, April.
    3. Maria Carmen Malagón-Aguilera & Rosa Suñer-Soler & Anna Bonmatí-Tomas & Cristina Bosch-Farré & Sandra Gelabert-Viella & Aurora Fontova-Almató & Armand Grau-Martín & Dolors Juvinyà-Canal, 2020. "Dispositional Optimism, Burnout and Their Relationship with Self-Reported Health Status among Nurses Working in Long-Term Healthcare Centers," IJERPH, MDPI, vol. 17(14), pages 1-12, July.
    4. Natasha Khamisa & Brian Oldenburg & Karl Peltzer & Dragan Ilic, 2015. "Work Related Stress, Burnout, Job Satisfaction and General Health of Nurses," IJERPH, MDPI, vol. 12(1), pages 1-15, January.
    5. Anna Larysz & Anna Prokopowicz & Michał Zakliczyński & Izabella Uchmanowicz, 2021. "Occurrence of Professional Burnout and Severity of Depressive Symptoms among Cardiac Nurses: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(22), pages 1-11, November.
    6. Khalid Al-Mansour & Abdullatif Alfuzan & Danya Alsarheed & Munwer Alenezi & Fouad Abogazalah, 2021. "Work-Related Challenges among Primary Health Centers Workers during COVID-19 in Saudi Arabia," IJERPH, MDPI, vol. 18(4), pages 1-13, February.
    7. Xirui Li & Dan Kan & Li Liu & Meng Shi & Yang Wang & Xiaoshi Yang & Jiana Wang & Lie Wang & Hui Wu, 2015. "The Mediating Role of Psychological Capital on the Association between Occupational Stress and Job Burnout among Bank Employees in China," IJERPH, MDPI, vol. 12(3), pages 1-18, March.
    8. Sho Nishiguchi & Nagisa Sugaya & Yusuke Saigusa & Michinori Mayama & Takuhiro Moromizato & Masahiko Inamori & Yasuharu Tokuda & Takashi Watari, 2022. "Effects of Electrocardiographic Monitoring Education on Nurses’ Confidence and Psychological Stress: An Online Cross-Sectional Survey in Japan," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    9. Seongkwan Cho & Hunhyuk Choi & Youngsook Kim, 2019. "The Relationship between Perceived Coaching Behaviors, Competitive Trait Anxiety, and Athlete Burnout: A Cross-Sectional Study," IJERPH, MDPI, vol. 16(8), pages 1-11, April.
    10. Francesco Bellanti & Aurelio Lo Buglio & Erika Capuano & Michał Dobrakowski & Aleksandra Kasperczyk & Sławomir Kasperczyk & Antonio Ventriglio & Gianluigi Vendemiale, 2021. "Factors Related to Nurses’ Burnout during the First Wave of Coronavirus Disease-19 in a University Hospital in Italy," IJERPH, MDPI, vol. 18(10), pages 1-14, May.
    11. Ann Marie Dale & Diane S. Rohlman & Lisa Hayibor & Bradley A. Evanoff, 2021. "Work Organization Factors Associated with Health and Work Outcomes among Apprentice Construction Workers: Comparison between the Residential and Commercial Sectors," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    12. Ma. Janice J. Gumasing & Charles Kristian K. Ilo, 2023. "The Impact of Job Satisfaction on Creating a Sustainable Workplace: An Empirical Analysis of Organizational Commitment and Lifestyle Behavior," Sustainability, MDPI, vol. 15(13), pages 1-20, June.
    13. Daria Schneider-Matyka & Natalia Świątoniowska-Lonc & Jacek Polański & Małgorzata Szkup & Elżbieta Grochans & Beata Jankowska-Polańska, 2023. "Assessment of The Effect of Stress, Sociodemographic Variables and Work-Related Factors on Rationing of Nursing Care," IJERPH, MDPI, vol. 20(3), pages 1-14, January.
    14. Cristina Lázaro-Pérez & Jose Ángel Martínez-López & José Gómez-Galán & Eloy López-Meneses, 2020. "Anxiety About the Risk of Death of Their Patients in Health Professionals in Spain: Analysis at the Peak of the COVID-19 Pandemic," IJERPH, MDPI, vol. 17(16), pages 1-16, August.
    15. Cicilia Nagel & Kerstin Nilsson, 2022. "Nurses’ Work-Related Mental Health in 2017 and 2020—A Comparative Follow-Up Study before and during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(23), pages 1-20, November.
    16. Kornél Mák & Krisztián Kapus & Gábor Tóth & Dávid Hesszenberger & Marietta Pohl & Gabriella Pusch & Éva Fejes & Gergely Fehér & Antal Tibold, 2021. "Neuropathic Low Back Pain and Burnout among Hungarian Workers," IJERPH, MDPI, vol. 18(5), pages 1-10, March.

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