J Korean Clin Nurs Res.  2017 Apr;23(1):9-19. 10.22650/JKCNR.2017.23.1.9.

Multidimensional Factors Influencing Burnout in Intensive Care Unit Nurses

Affiliations
  • 1Unit Manager, Department of Nursing, Asan Medical Center, Seoul, Korea.
  • 2Assistant Professor, College of Nursing, Eulji University, Daejeon, Korea. jmk@eulji.ac.kr
  • 3RN, Department of Nursing, Asan Medical Center, Seoul, Korea.
  • 4Team Manager, PI Team, Asan Medical Center, Seoul, Korea.

Abstract

PURPOSE
This study aimed to identify multidimensional factors influencing burnout in intensive care unit(ICU) nurses.
METHODS
A descriptive cross-sectional design was used. Data were collected during February 2016 from a convenience sample of 222 tertiary hospital ICU nurses and analyzed using t-test, ANOVA, correlation analysis, and multiple regression analysis.
RESULTS
Burnout correlated positively with compassion fatigue (CF)(r=.37, p < .001), and negatively with compassion satisfaction (CS)(r=-.66, p < .001). The regression model explained 57% of the variance in burnout. For individual characteristics in the model, perceived health status (β=-.27, p < .001) and gender (β=.14, p=.028) were the most influential factors for ICU nurses' burnout. In the model with added work-related characteristics, nursing environment (β=-.22, p=.001), perceived health status (β=-.20, p=.001), and satisfaction with department (β=-.19, p=.007) were the most influential factors. Finally, for the model with psychological characteristics added, CS (β=-.56, p < .001) and CF (β=.35, p < .001) were the most influential factors.
CONCLUSION
Results reveal that most ICU nurses have a moderate level of CF and a moderate to high level of CS and burnout, and that individual, work-related and psychological factors are relevant in ICU nurses' burnout. Programs or interventions to reduce burnout should be developed taking into account these multidimensional factors.

Keyword

Compassion Fatigue; Burnout; Professional; Personal Satisfaction; Intensive Care Units

MeSH Terms

Compassion Fatigue
Critical Care*
Empathy
Intensive Care Units*
Nursing
Personal Satisfaction
Psychology
Tertiary Care Centers
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