Burnout Dimensions Among Emergency Nurses in Post-Pandemic East Kalimantan: A Cross-Sectional Study

Arsyawina Arsyawina; Hilda Hilda; Hesti Prawita Widiastuti; Joko Sapto Pramono; Rispiyandi Rispiyandi

doi:10.32419/jppni.v11i2.939

Burnout Dimensions Among Emergency Nurses in Post-Pandemic East Kalimantan: A Cross-Sectional Study

Arsyawina Arsyawina, Hilda Hilda, Hesti Prawita Widiastuti, Joko Sapto Pramono, Rispiyandi Rispiyandi

Abstract

Objective
This study examined burnout dimensions and their associations with demographic and professional characteristics among emergency nurses in East Kalimantan, Indonesia, during the post-pandemic transition period.

Methods
A quantitative descriptive-analytic cross-sectional study was conducted in December 2022 in the emergency department of a Coronavirus Disease 2019 (COVID-19) referral hospital in East Kalimantan. Seventy-one full-time emergency nurses were recruited through total population sampling. Burnout was measured using the Maslach Burnout Inventory–Human Services Survey, and demographic and professional data were collected using a structured questionnaire. Data were analyzed using descriptive statistics and Spearman’s rank correlation.

Results
Most participants reported low emotional exhaustion (83.10%), while high depersonalization was found in 45.07% and low personal accomplishment in 94.36%. Age showed weak negative correlations with emotional exhaustion (r = -0.257, p = 0.031), depersonalization (r = -0.324, p = 0.006), and reduced personal accomplishment (r = -0.320, p = 0.006). Length of employment showed weak negative correlations with depersonalization (r = -0.261, p = 0.028) and reduced personal accomplishment (r = -0.266, p = 0.025). Gender, marital status, and education level were not significantly correlated with burnout dimensions.

Conclusion
Routine multidimensional burnout monitoring and targeted professional support are recommended for emergency nurses.

Keywords:

Burnout, emergency nurses, post-pandemic

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References

Buran, F., & Altın, Z. (2021). Burnout among physicians working in a pandemic hospital during the COVID-19 pandemic. Legal Medicine, 51, 101881. https://doi.org/10.1016/j.legalmed.2021.101881

Cui, J., Ren, Y.-H., Zhao, F.-J., Chen, Y., Huang, Y.-F., Yang, L., & You, X.-M. (2021). Cross-sectional study of the effects of job burnout on immune function in 105 female oncology nurses at a tertiary oncology hospital. Medical Science Monitor, 27, e929711. https://doi.org/10.12659/MSM.929711

Daryanto, B., Putri, F. R., Kurniawan, J., Ilmawan, M., & Fajar, J. K. (2022). The prevalence and the associated sociodemographic-occupational factors of professional burnout among health professionals during COVID-19 pandemic in Malang, Indonesia: A cross-sectional study. Frontiers in Public Health, 10, 894946. https://doi.org/10.3389/fpubh.2022.894946

Dechasa, D.B., Worku, T., Baraki, N., Merga, B.T., & Asfaw, H. (2021). Burnout and associated factors among nurses working in public hospitals of Harari region and Dire Dawa administration, eastern Ethiopia: A cross-sectional study. PLOS ONE, 16(10), e0258224. https://doi.org/10.1371/journal.pone.0258224

Doherty, A.S., Mallett, J., Leiter, M.P., & McFadden, P. (2021). Measuring burnout in social work: Factorial validity of the Maslach Burnout Inventory–Human Services Survey. European Journal of Psychological Assessment, 37(1), 6–14. https://doi.org/10.1027/1015-5759/a000568

Edú-Valsania, S., Laguía, A., & Moriano, J.A. (2022). Burnout: A review of theory and measurement. International Journal of Environmental Research and Public Health, 19(3), 1780. https://doi.org/10.3390/ijerph19031780

Eskandari, S., Bazrafshan, M.R., Ziba, Z., Shakeri, Z., Sarvi, F., Sadeghi, Z., & Rahimpoor, R. (2023). Psychological symptoms among Iranian healthcare workers during COVID-19 pandemic. Iranian Journal of Psychiatry and Behavioral Sciences, 17(4), e137732. https://doi.org/10.5812/ijpbs-137732

Foo, C.Y.S., Tay, A.K., Yang, Y., & Verdeli, H. (2023). Psychosocial model of burnout among humanitarian aid workers in Bangladesh: Role of workplace stressors and emotion coping. Conflict and Health, 17, 17. https://doi.org/10.1186/s13031-023-00512-1

Kakemam, E., Chegini, Z., Rouhi, A., Ahmadi, F., & Majidi, S. (2021). Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: A cross-sectional online survey among nurses. Journal of Nursing Management, 29(7), 1974–1982. https://doi.org/10.1111/jonm.13359

Kendrick, M., Kendrick, K., Morton, P., Taylor, N.F., & Leggat, S.G. (2020). Hospital staff report it is not burnout, but a normal stress reaction to an uncongenial work environment: Findings from a qualitative study. International Journal of Environmental Research and Public Health, 17(11), 4107. https://doi.org/10.3390/ijerph17114107

Lee, H.-F., Hsu, H.-C., Efendi, F., Ramoo, V., & Susanti, I.A. (2023). Burnout, resilience, and empowerment among COVID-19 survivor nurses in Indonesia. PLOS ONE, 18(10), e0291073. https://doi.org/10.1371/journal.pone.0291073

Maslach, C., & Jackson, S.E. (1981). The measurement of experienced burnout. Journal of Occupational Behaviour, 2(2), 99–113. https://doi.org/10.1002/job.4030020205

Maslach, C., Jackson, S.E., & Leiter, M.P. (1996). Maslach burnout inventory manual (3rd ed.). Consulting Psychologists Press.

Membrive-Jiménez, M.J., Velando-Soriano, A., Pradas-Hernandez, L., Gómez Urquiza, J.L., Romero-Béjar, J.L., Cañadas-de la Fuente, G.A., & de la Fuente-Solana, E.I. (2022). Prevalence, levels and related factors of burnout in nurse managers: A multi-centre cross-sectional study. Journal of Nursing Management, 30(4), 954–961. https://doi.org/10.1111/jonm.13575

Paiva, B.S.R., Mingardi, M., Valentino, T.C.O., de Oliveira, M.A., & Paiva, C.E. (2021). Prevalence of burnout and predictive factors among oncology nursing professionals: A cross-sectional study. São Paulo Medical Journal, 139(4), 341–350. https://doi.org/10.1590/1516-3180.2020.0606.R1.1202021

Pang, Y., He, Y., Chen, Z., Han, X., Leng, J., & Tang, L. (2021). The perceptions of burnout and related influencing factors in Chinese physicians and nurses working in a cancer hospital. Psycho-Oncology, 30(9), 1525–1534. https://doi.org/10.1002/pon.5709

Park, S.Y., Kim, B., Jung, D.S., Jung, S.I., Oh, W.S., Kim, S.-W., Peck, K.R., & Chang, H.H. (2020). Psychological distress among infectious disease physicians during the response to the COVID-19 outbreak in the Republic of Korea. BMC Public Health, 20, 1811. https://doi.org/10.1186/s12889-020-09886-w

Petrino, R., Riesgo, L.G.-C., & Yilmaz, B. (2022). Burnout in emergency medicine professionals after 2 years of the COVID-19 pandemic: A threat to the healthcare system? European Journal of Emergency Medicine, 29(4), 279–284. https://doi.org/10.1097/MEJ.0000000000000952

Soemarko, D.S., & Khoe, L.C. (2022). Health workers burnout during COVID-19 pandemic in Indonesia: Prevalence and consequences. Asia Pacific Environmental and Occupational Health Journal, 8(1), 22–29. https://doi.org/10.1016/j.shaw.2021.12.1411

Yamane, T. (1967). Statistics: An introductory analysis (2nd ed.). Harper & Row.

Yulianto, H. (2020). Maslach Burnout Inventory-Human Services Survey (MBI-HSS) versi bahasa Indonesia: Studi validasi konstruk pada anggota polisi. JP3I (Jurnal Pengukuran Psikologi dan Pendidikan Indonesia), 9(1), 19–29. https://doi.org/10.15408/jp3i.v9i1.13329

DOI: http://dx.doi.org/10.32419/jppni.v11i2.939