Emergency Service Calella, Regional Hospital Sant Jaume de Calella, Barcelona, Spain.
Department of Nursing, Faculty of Health Sciences, University of Granada, Granada, Spain.
Int J Ment Health Nurs. 2019 Oct;28(5):1032-1041. doi: 10.1111/inm.12606. Epub 2019 May 27.
The aim of this study was to determine the prevalence of burnout in mental health nurses and to identify its predictors. A systematic review was conducted of studies published in the following databases: CINAHL, Dialnet, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus. The search equation used was "Nurs * AND Burnout AND mental health". Subsequently, three fixed-effects meta-analyses were performed, one for each dimension of burnout, to calculate its prevalence and the corresponding confidence intervals. The data were analysed using StatsDirect meta-analysis software. Eleven studies were finally included (n = 11). In most cases, the literature informs about moderate levels of emotional exhaustion, depersonalization, and personal accomplishment. The studies inform that variables such as work overload, work-related stress, professional seniority, male gender, being single, and aggression at work, among other factors, contribute to burnout development. The meta-analytic prevalence estimations of burnout with a sample of n = 868 mental health nurses are 25% for high emotional exhaustion, 15% for depersonalization, and 22% for low personal accomplishment. From a workforce development and safety perspective, it is important for managers to address the emotional exhaustion and low personal accomplishment aspects of burnout reported in the workplace by mental health nurses.
本研究旨在确定心理健康护士的倦怠发生率，并确定其预测因素。对以下数据库中发表的研究进行了系统评价：CINAHL、Dialnet、LILACS、ProQuest、PsycINFO、PubMed、SciELO 和 Scopus。使用的搜索方程是“Nurs * AND Burnout AND mental health”。随后，对每个倦怠维度进行了三次固定效应荟萃分析，以计算其发生率和相应的置信区间。使用 StatsDirect 荟萃分析软件对数据进行分析。最终纳入了 11 项研究（n=11）。在大多数情况下，文献报告了中等程度的情绪耗竭、去人性化和个人成就感。这些研究表明，工作负荷过重、与工作相关的压力、专业资历、男性、单身和工作中的攻击等变量，以及其他因素，都会导致倦怠的发展。使用 n=868 名心理健康护士的样本进行荟萃分析的倦怠发生率估计为：情绪耗竭高为 25%，去人性化 15%，个人成就感低为 22%。从劳动力发展和安全的角度来看，管理者必须重视心理健康护士在工作场所报告的情绪耗竭和个人成就感低等倦怠方面的问题。
