Tabriz University of Medical Sciences Faculty of Nursing and Midwifery, Tabriz, Iran (the Islamic Republic of).
Tabriz University of Medical Sciences Faculty of Nursing and Midwifery, Tabriz, Iran (the Islamic Republic of)
BMJ Open. 2024 Aug 25;14(8):e084522. doi: 10.1136/bmjopen-2024-084522.
To examine the relationship between burnout and occupational fatigue exhaustion and recovery among orthopaedic nurses in Tabriz, Iran.
Descriptive, cross-sectional survey and correlational analysis.
Two hospitals associated with Tabriz University of Medical Sciences, Iran, from August to September 2022.
92 bedside nurses in orthopaedic wards, each with >1 year of clinical experience.
Burnout was assessed using the Copenhagen Burnout Inventory, and occupational fatigue exhaustion/recovery was measured with the Occupational Fatigue Exhaustion/Recovery Scale. Pearson's correlation, independent t-test, one-way analysis of variance and multivariable linear regression analyses determined statistical significance.
The mean burnout score was 63.65 (±15.88) out of 100 and the recovery rate was 35.43 (±15.60) out of 100. There were significant correlations between total burnout and each of the exhaustion recovery dimensions: chronic fatigue (r=0.70), acute fatigue (r=0.65) and intershift recovery (r=0.56). Nurses exceeding 44 weekly work hours reported higher burnout (66.52±14.77, p=0.005) than those working fewer hours (56.25±16.12, p=0.005). Rotational shift status was associated with increased burnout (64.97±15.32) compared with fixed shifts (55.54±17.42, p=0.04). Chronic fatigue (B=0.39, 95% CI 0.21, 0.57; t=4.29, p<0.001) and intershift recovery (B=-0.241, 95% CI -0.46, -0.02; t=-2.16, p=0.035) were significant predictors of burnout.
Burnout is a critical concern among orthopaedic nurses and is significantly linked to occupational fatigue/recovery. Addressing chronic fatigue and enhancing intershift energy recovery could mitigate burnout risk. Therefore, optimising work conditions and schedules and developing tailored recovery protocols are vital to safeguarding orthopaedic nurses' well-being.
探讨伊朗大不里士骨科护士的倦怠与职业疲劳衰竭和恢复之间的关系。
描述性、横断面调查和相关性分析。
2022 年 8 月至 9 月，伊朗大不里士医科大学附属的两家医院。
骨科病房的 92 名床边护士，每位护士的临床经验均超过 1 年。
使用哥本哈根倦怠量表评估倦怠，使用职业疲劳衰竭/恢复量表评估职业疲劳衰竭/恢复。使用 Pearson 相关、独立 t 检验、单因素方差分析和多变量线性回归分析确定统计学意义。
倦怠总分为 100 分的 63.65（±15.88）分，恢复率为 100 分的 35.43（±15.60）分。倦怠总分与衰竭/恢复各维度均呈显著相关性：慢性疲劳（r=0.70）、急性疲劳（r=0.65）和班次间恢复（r=0.56）。每周工作超过 44 小时的护士报告倦怠程度更高（66.52±14.77，p=0.005），而工作时间较少的护士报告倦怠程度更低（56.25±16.12，p=0.005）。轮班状态与倦怠程度增加相关（64.97±15.32），与固定班次相比（55.54±17.42，p=0.04）。慢性疲劳（B=0.39，95%CI 0.21，0.57；t=4.29，p<0.001）和班次间恢复（B=-0.241，95%CI -0.46，-0.02；t=-2.16，p=0.035）是倦怠的显著预测因子。
倦怠是骨科护士面临的一个重大问题，与职业疲劳/恢复显著相关。解决慢性疲劳和增强班次间能量恢复可以降低倦怠风险。因此，优化工作条件和时间表，制定针对性的恢复方案对于保障骨科护士的健康至关重要。
