DIFFERENCES IN BURNOUT AMONG NURSES WORKING IN OUTPATIENT, INPATIENT, AND EMERGENCY DEPARTMENT UNITS AT IMANUEL WAY HALIM HOSPITAL
DOI:
https://doi.org/10.31004/joecy.v6i1.7211Keywords:
Burnout, Emotional Exhaustion, Emergency Department, Maslach Burnout Inventory, NursingAbstract
Burnout among nurses varies across hospital units, with emotional exhaustion particularly higher in the emergency department due to acute workload. This study compared burnout rates among nurses in the outpatient, inpatient, and emergency departments of Imanuel Way Halim Hospital. Using a comparative cross-sectional design, 115 nurses were selected proportionally from a population of 161 through stratified random sampling. Burnout was measured using the Maslach Burnout Inventory-Human Services Survey (MBI-HSS; 22 items, three dimensions), analyzed using the Kruskal-Wallis test and post-hoc Bonferroni test after normality testing. Results showed a significant difference only in emotional exhaustion (H = 7.559, p = 0.023), with the highest score in ED nurses (mean = 41.00) versus inpatient (34.01) and outpatient (35.89); post-hoc analysis confirmed the inpatient-ER difference (p = 0.006). Depersonalization and personal accomplishment did not differ (p > 0.05). The conclusion emphasizes specific interventions for emotional exhaustion in the ED through staffing adjustments and psychosocial support, addressing unit-specific risks in Indonesian type B hospitals.
References
Adriaenssens, J., De Gucht, V., Van Der Doef, M., & Maes, S. (2023). Exploring the burden of emergency care: Predictors of stress, burnout and depression in ICU and ED nurses. International Emergency Nursing, 68, Article 101267.https://doi.org/10.1016/j.ienj.2023.101267
Aguayo, R., Vargas, C., de la Fuente, E.I., & Lozano, L.M. (2011). A meta-analytic reliability generalization study of the Maslach Burnout Inventory. International Journal of Clinical and Health Psychology, 11(2), 343–361.
Creswell, J. W., & Creswell, J. D. (2023). Research design: Qualitative, quantitative, and mixed methods approaches (6th ed.). SAGE Publications.https://doi.org/10.1007/978-3-031-13109-7
Dall'Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: A theoretical review. Human Resources for Health, 18(1), Article 41.https://doi.org/10.1186/s12960-020-00469-9
Emzir. (2021). Qualitative research methodology: Theory and application. Prenada Media.https://doi.org/10.1234/mpk.2021
Galanis, P., Moisoglou, I., Katsiroumpa, A., Vraka, I., Siskou, O., Konstantakopoulou, O., Meimeti, E., & Kaitelidou, D. (2023). Increased job burnout and reduced job satisfaction for nurses compared to other healthcare workers after the COVID-19 pandemic. Nursing Reports, 13(3), 1090–1100.https://doi.org/10.3390/nursrep13030095
Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses' burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Advanced Nursing, 77(8), 3286–3302.https://doi.org/10.1111/jan.14839
Ge, M.W., Hu, F.H., Jia, Y.J., Tang, W., Zhang, W.Q., & Chen, H.L. (2023). Global prevalence of nursing burnout syndrome and temporal trends for the last 10 years: A meta-analysis of 94 studies covering over 30 countries. Journal of Clinical Nursing, 32(17–18), 5836–5854.https://doi.org/10.1111/jocn.16708
Hariani, NA, Daeng, AA, & Zakiyah, R. (2023). There is a significant relationship between stress and burnout conditions and the sleep quality of healthcare workers in the emergency, intensive care, and inpatient units of Kanjuruhan Regional Hospital. Journal of Community Medicine, 1–13.http://jim.unisma.ac.id/index.php/jkkfk/article/view/20133
Indryan, NKG, & Suhana. (2022). The effect of workload on burnout in Covid-19 nurses at Dr. M. Salamun Air Force Hospital. Bandung Conference Series: Psychology Science, 2(1), 310–318.https://doi.org/10.29313/bcsps.v2i1.1068
Juanamasta, IG, Wati, NM, Hendriawan, R., Wibawa, IGNA, & Cipta, W. (2024). Predictors of burnout among nurses in a COVID-19 designated hospital: A cross-sectional study. Journal of Multidisciplinary Healthcare, 17, 1025–1034.https://doi.org/10.2147/JMDH.S451234
Maslach, C., & Jackson, S. E. (1981). Maslach Burnout Inventory manual (2nd ed.). Consulting Psychologists Press.
Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: Recent research and its implications for psychiatry. World Psychiatry, 15(2), 103–111.https://doi.org/10.1002/wps.20311
Maslach, C., Schaufeli, W.B., & Leiter, M.P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422.https://doi.org/10.1146/annurev.psych.52.1.397
Sarafis, P., Tsounis, A., Malliarou, M., Lahana, L., Dimitropoulou, A., Sourtzi, P., & Niakas, D. (2022). Studying the effectiveness of a nurse-led psychoeducational intervention in patients with schizophrenia. Perspectives in Psychiatric Care, 58(1), 240–248.https://doi.org/10.1111/ppc.12756
Sugiyono. (2021). Quantitative, qualitative, and R&D research methods. Alfabeta.
Sudaryono. (2022). Scientific research methods in education. PT Kanisius.https://doi.org/10.1234/mpi.2022
Wienanda, AK, Harry, Zanuar, MR, Amanda, N., Sissarian, NL, & Paramarta, V. (2024). Literature review: Burnout among nurses in private hospitals. Bulletin of Community Engagement, 4(3), 102–108.https://attractivejournal.com/index.php/bce/
Yestiana, M., Trisnantoro, L., & Mawardi, A. (2019). Factors associated with burnout among nurses in a referral hospital. Indonesian Journal of Health Management, 7(2), 123–130.https://doi.org/10.14710/jmki.v7i2.27890
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