Efa Amelework Gonfa, Lombebo Afework Alemu, Nuriye Shemsu, Facha Wolde
School of Medicine, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
School of Public Health, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Sci Rep. 2024 Dec 28;14(1):31268. doi: 10.1038/s41598-024-82703-1.
Burnout is a global concern because of its potential to affect the health of nurses and the quality of service provided. However, less consideration has been given to research in the study setting. Therefore, the study aimed to assess the prevalence of burnout and associated factors among nurses working in public hospitals of Wolaita zone, Southern Ethiopia. Institution based embedded mixed method was employed on 374 nurses working in public hospitals of Wolaita zone from July to August, 2022. A systematic and criterion purposive sampling was employed. Burnout was assessed by the Maslach Burnout Inventory- Human Services Survey (MBI-HSS). Quantitative data were entered into Epi data version 4.6.2 and then exported to SPSS version 25 for analysis. Qualitative data was analyzed by open code version 4.3. Binary logistic regression followed by multivariable logistic regression was used and P-value of < 0.05 was considered statistically significant with confidence level of 95%. Thematic analysis was used for qualitative data. A total 360 nurses participated in this study with a response of 96.2%. The prevalence of burnout among nurses was 49.2% (95% CI: 43.9, 54.5). Nurses working in primary hospitals (AOR = 2.56, 95%CI:1.38,4.77), night shifts (AOR = 2.84, 95% CI:1.31, 6.16), poor work satisfaction (AOR = 2.54, 95% CI: 1.36,4.71), alcohol drinking (AOR = 3.81, 95% CI:1.19,12.16), poor social support (AOR = 1.79,95%CI:1.01,3.20), anxiety (AOR = 2.62,95%CI:1.37,5.00) and depression (AOR = 3.02, 95%CI:1.58,5.77) were significantly associated with burnout. Resource- reward disparities, poor social support and suboptimal work environments are the qualitative study findings which supplement the quantitative data. In this study about half of the nurses working in public hospitals of Wolaita zone had burnout. It is recommended to have a holistic approach towards nurses' mental and physical wellbeing.
职业倦怠是一个全球性问题，因为它有可能影响护士的健康和所提供服务的质量。然而，对研究环境中的研究关注较少。因此，本研究旨在评估埃塞俄比亚南部沃莱塔地区公立医院护士的职业倦怠患病率及相关因素。2022年7月至8月，对沃莱塔地区公立医院的374名护士采用了基于机构的嵌入式混合方法。采用了系统抽样和标准目的抽样。通过马氏职业倦怠量表-人类服务调查（MBI-HSS）评估职业倦怠。定量数据录入Epi data 4.6.2版本，然后导出到SPSS 25版本进行分析。定性数据采用开放编码4.3版本进行分析。采用二元逻辑回归，然后进行多变量逻辑回归，P值<0.05被认为具有统计学意义，置信水平为95%。定性数据采用主题分析。共有360名护士参与了本研究，回复率为96.2%。护士中职业倦怠的患病率为49.2%（95%CI：43.9，54.5）。在基层医院工作的护士（调整后比值比[AOR]=2.56，95%CI：1.38，4.77）、值夜班的护士（AOR=2.84，95%CI：1.31，6.16）、工作满意度低的护士（AOR=2.54，95%CI：1.36，4.71）、饮酒的护士（AOR=3.81，95%CI：1.19，12.16）、社会支持差的护士（AOR=1.79，95%CI：1.01，3.20）、焦虑的护士（AOR=2.62，95%CI：1.37，5.00）和抑郁的护士（AOR=3.02，95%CI：1.58，5.77）与职业倦怠显著相关。资源-奖励差距、社会支持差和工作环境欠佳是补充定量数据的定性研究结果。在本研究中，沃莱塔地区公立医院约一半的护士存在职业倦怠。建议对护士的身心健康采取整体方法。
