Analyzing the Lived Experiences of Nurses in the Corona Department of Kermanshah Hospitals on Coping with Job Burnout

Shah Moradi, Behnaz; Golmohammadian, Mohsen; Hojatkah, Mohsen

doi:10.30473/hpj.2024.66762.5725

Document Type : Scientific Research

Authors

¹ M.A in Vocational Counseling, Razi University, Kermanshah, Iran.

² Associate Professor, Department of Counseling, Razi University, Kermanshah, Iran

³ Assistant Professor, Department of Counseling, Razi University, Kermanshah, Iran .

https://doi.org/10.30473/hpj.2024.66762.5725

Abstract

Objective: The aim of the current research is to understand the lived experience of nurses in the corona ward and to determine the strategies they use when facing burnout. The population of this research includes nurses from the corona department of hospitals affiliated to Kermanshah University of Medical Sciences. Method: The present qualitative research was conducted in the first half of 1401. The research sample was selected by non-random sampling method (purposive sampling) and after identifying nurses with moderate to high burnout, 10 people were finally selected according to the saturation of opinions. First, through semi-structured interviews, the data about nurses' experiences were collected. Job burnout and coping strategies were collected and converted into textual data after recording each interview. These data were analyzed with Claysey's seven-stage content analysis method. Results: In the open coding stage, 46 codes were extracted, which were reduced to 15 codes in the axial coding stage. Finally, 4 main themes include strategies based on on the family, including the sub-themes of emotional support of the family, emotional support of friends and social groups, and accepting help from the family, individual-based strategies, including creating a positive attitude, work-life balance, healthy sports and recreation, changing majors and departments, empowerment and collaborative experiences and referring to psychologists and psychiatrists, spirituality-based strategies including faith and heart belief and values governing the profession and organization-based strategies including instrumental support, reducing work density, providing preventive and therapeutic counseling services, paying attention to Welfare facilities and encouragement of employees were identified. Conclusion: Nurses' strategies are different when facing burnout. Emotional support from close family plays an important role in controlling job burnout components and they are a strong source of support in critical situations. Individual strategies of nurses are highly effective in controlling stressful factors caused by job burnout. Strategies based on spirituality by targeting nursing actions can make it easier for nurses to bear problems, and strategies based on organization are also effective in reducing job burnout by motivating nurses. Coping strategies identified as effective strategies can be effective in the process of adapting nurses to the consequences of job burnout and improving the quality of their lives.

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Main Subjects

References

Abdelsadig Mohammed, H., Elamin, S. A., El-Awaisi, A., & El Hajj, M. S. (2022). Use of the job demands-resource model to understand community pharmacists' burnout during the COVID-19 pandemic. Research in social & administrative pharmacy : RSAP, 18(9), 3568–3579. https://doi.org/10.1016/j.sapharm.2022.03.011

AlJhani, S., AlHarbi, H., AlJameli, S., Hameed, L., AlAql, K., & Alsulaimi, M. (2021). Burnout and coping among healthcare providers working in Saudi Arabia during the COVID-19 pandemic. Middle East Current Psychiatry, Ain Shams University, 28(1), 29. https://doi.org/10.1186/s43045-021-00108-6

Amiri F, Asadi Noghbi F, Yousefi H, Makkizade V, Madani A, Aghamolaei T et al .(2021). Post-traumatic stress and its relationship with burnout in workers during COVID-19 pandemic. J Prevent Med; 8 (2) :58-48.(in Persian) URL: http://jpm.hums.ac.ir/article-1-542-fa.html

Bahmani, A.(2020) Investigating the effect of work shifts in coronary conditions on burnout of employees with the mediating role of coronary stress.Nursing Management.9(4);20-26.(in Persian) URL: http://ijnv.ir/article-1-736-fa.html

Bastami ,E. Sayehmiri ,K. Bastami ,T.Cheraghizadegan ,B.(2020) Prevalence of Burnout in Iran: A Systematic Review and Meta-Analysis. J Health Saf Work, 10 (3) :301-315 .(in Persian) URL: http://jhsw.tums.ac.ir/article-1-6376-fa.html

Cumbe, V. F. J., Pala, A. N., Palha, A. J. P., Gaio, A. R. P., Esteves, M. F., de Jesus Mari, J., & Wainberg, M. (2017). Burnout syndrome and coping strategies in Portuguese oncology health care providers. Revista de psiquiatria clinica, 44(5), 122–126.

https://doi.org/10.1590/0101-60830000000135

Dehroyeh ,S.& Naderi ,H.(2021). The Effectiveness of Positivity Training on Reducing Burnout and Improving the Quality of Life of Nurses. Irtiqa Imini Pishgiri Masdumiyat .9(4):284 -274 .(in Persian) Available from: https://journals.sbmu.ac.ir/spip/article/view/34879

Demerouti ,E. (2015). Strategies used by individuals to prevent burnout. European journal of clinical investigation, 45(10), 1106–1112. https://doi.org/10.1111/eci.12494

Wood, R. E., Brown, R. E., & Kinser, P. A. (2022). The connection between loneliness and burnout in nurses: An integrative review. Applied nursing research : ANR, 66, 151609.https://doi.org/10.1016/j.apnr.2022.151609

Feleke, D. G., Chanie, E. S., Hagos, M. G., Derseh, B. T., & Tassew, S. F. (2022). Levels of Burnout and Its Determinant Factors Among Nurses in Private Hospitals of Addis Ababa, Ethiopia, Ethiopia, 2020. A Multi Central Institutional Based Cross Sectional Study. Frontiers in public health, 10, 766461.https://doi.org/10.3389/fpubh.2022.766461

Finstad, G. L., Giorgi, G., Lulli, L. G., Pandolfi, C., Foti, G., León-Perez, J. M., Cantero-Sánchez, F. J., & Mucci, N. (2021). Resilience, Coping Strategies and Posttraumatic Growth in the Workplace Following COVID-19: A Narrative Review on the Positive Aspects of Trauma. International journal of environmental research and public health, 18(18), 9453. https://doi.org/10.3390/ijerph18189453

Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses' burnout and associated risk factors during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of advanced nursing, 77(8), 3286–3302. https://doi.org/10.1111/jan.14839

Gholamali Lavasani,M. Afzali,l.& Davoodi,M (2016). Nurses’ job burnout: The role of emotional intelligence, spiritual intelligence and hardiness. Psychological Research Quarterly, 7(2), 1-16. (in Persian) https://sid.ir/paper/250169/fa

Golparvar,M. Aghaei,A.& Hoseinzadeh,K.(2013). The Structural Model of the Relationships of Person-Job Fit, with Emotional Exhaustion and Job Attitudes. Knowledge & Research in Applied Psychology. (in Persian)14(1(55):23-33

Gómez-Urquiza, J. L., De la Fuente-Solana, E. I., Albendín-García, L., Vargas-Pecino, C., Ortega-Campos, E. M., & Cañadas-De la Fuente, G. A. (2017). Prevalence of Burnout Syndrome in Emergency Nurses: A Meta-Analysis. Critical care nurse, 37(5), e1–e9. https://doi.org/10.4037/ccn2017508

Hu, D., Kong, Y., Li, W., Han, Q., Zhang, X., Zhu, L. X., Wan, S. W., Liu, Z., Shen, Q., Yang, J., He, H. G., & Zhu, J. (2020). Frontline nurses' burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross-sectional study. EClinicalMedicine, 24, 100424. https://doi.org/10.1016/j.eclinm.2020.100424

Isfahani P.(2019). The Prevalence of Burnout among Nurses in Hospitals of Iran: A Systematic Review and Meta-Analysis . j.health; 10 (2) :240-250.(in Persian) URL: http://healthjournal.arums.ac.ir/article-1-1859-fa.html.

Khazaei, K.& Khazaei ,S.(2021).Providing a Model of Predictors of Job Burnout for Nurses in Epidemic CoVID-19: Social Support and Nursing Self-Efficacy. 10 (14) :1-8.(in Persian) URL: http://jnip.ir/article-1-635-fa.html

Mathew, J. & Padden, Adrienne. Institution of a mindfulness program to improve nurse anesthesia students' self-efficacy, coping skills, and stress management. Retrieved from https://doi.org/doi:10.7282/t3-h1bc-zz31

Manafzadeh, A. (2014) Job burnout and solutions to deal with it, Social, Economic, Scientific and Cultural work and Society monthly, 187, 47-54

Mohammadi, R., & Khorsandi Yamchi, A. (2020). Evaluating the Employees’ Job Burnout Ratio and Identifying the Factors Influencing Them (Case Study: National Education Testing Organization (NETO)). Educational Measurement and Evaluation Studies, 10(31), 125-176. (in Persian). https://civilica.com/doc/1216139

Moradi, A., Karimi, S., Hessami, E., & Mozafari, S. (2023). The Mediating Role of Five Personality Factors in the Relationship between Perceived Vulnerability to Infectious Disease and the Experience of Post-Traumatic Stress Disorder Symptoms among Health-Care Providers for Patient with Covid-19. Health Psychology, 12(45), 43-62(in Persian). https://doi.org/10.30473/hpj.2023.62798.5473.

Musavi Asl, . A., & Parooie, S. (2021). The Effectiveness of Positive Psychotherapyon Self-Efficacy, Resilience, Psychological Wellbeing and Sens of Coherence of Nurses in Social Security Hospitals. Health Psychology, 10(39), 171-190. (in Persian) https://doi.org/10.30473/hpj.2021.56968.5073

Nwafer,.C.E., Immanel ,.F.U., Obi-Nwosu.,H.,(2015). Dose nurses self-concept mediate the relationship between job satisfaction and burnout among Nigeria nurses?.Int Africa Nurse Sci. 3:5-71. https://doi.org/10.1016/j.ijans.2015.08.003

Omidi, Z., Khanjari, S., Salehi, T., & Haghani, S. (2023). Association between burnout and nurses' quality of life in neonatal intensive care units: During the COVID-19 pandemic. Journal of neonatal nursing : JNN, 29(1), 144–148. https://doi.org/10.1016/j.jnn.2022.04.00

Pejušković, B., Lečić-Toševski, D., Priebe, S., & Tošković, O. (2011). Burnout syndrome among physicians - the role of personality dimensions and coping strategies. Psychiatria Danubina, 23(4), 389–395.

Rahmani ,A. Radfar, M. Alinejad ,V.Azarabadi, A.(2022) The Relationship Between Work-life Balance With Job Burnout and The Family Function of The Nurses Working in Teaching Hospitals of Urmia University of Medical Sciences 2020. Nursing and Midwifery Journal, 19 (10) :801-809.(in Persian) URL: http://unmf.umsu.ac.ir/article-1-4432-fa.html

Rezaei Ronagh,j. Paravar ,M. Rezaei ,M. Ebrahimi,H.(2017) Relationship between Burnout and Social Support in Emergency Medical Personnel in Kashan City. Journal of Knowledge & Health.11(4):63-72.(in Persian) https://civilica.com/doc/685905.

Salaree, M. M., Nehrir, B., & Sirati Nir, M. (2022). Spiritual Coping Strategies to Deal with Job Burnout among Military Nurses: A Qualitative Study. Journal of Military Medicine, 23(6), 472-481 .(in Persian) https://doi.org/10.30491/JMM.23.6.472.

Soltaniyan,M.A& Aminbeidokhti, A.A.(2009).The role of sport on job burnout of employees. Koomesh, 10 (4) :281-286.(in Persian) https://sid.ir/paper/37469/fa.

Sheykhi ,M. Naderifar, M. Firouzkohi ,M. Abdollahimohammad ,A. Akbarizadeh ,M .R.(2020). The Effect of Group Logo therapy on Burnout of Nurses in Special Wards. Journal of Psychiatric Nursing,8 (2) :57-65. (in Persian) https://sid.ir/paper/392593/fa.

Talebi ,M.(2022). The role of psychological resilience and spiritual health in predicting covid 19 anxiety in nurses. Journal of Rehabilitation Research in Nursing, 8 (2) :12-20. (in Persian) http://dx.doi.org/DOI:%2010.22034/IJRN.8.2.2

Wahlster, S., Sharma, M., Lewis, A. K., Patel, P. V., Hartog, C. S., Jannotta, G., Blissitt, P., Kross, E. K., Kassebaum, N. J., Greer, D. M., Curtis, J. R., & Creutzfeldt, C. J. (2021). The Coronavirus Disease 2019 Pandemic's Effect on Critical Care Resources and Health-Care Providers: A Global Survey. Chest, 159(2), 619–633. https://doi.org/10.1016/j.chest.2020.09.070

Wekenborg, M. K., von Dawans, B., Hill, L. K., Thayer, J. F., Penz, M., & Kirschbaum, C. (2019). Examining reactivity patterns in burnout and other indicators of chronic stress. Psychoneuroendocrinology, 106, 195–205. https://doi.org/10.1016/j.psyneuen.2019.04.002

Weight, C. J., Sellon, J. L., Lessard-Anderson, C. R., Shanafelt, T. D., Olsen, K. D., & Laskowski, E. R. (2013). Physical activity, quality of life, and burnout among physician trainees: the effect of a team-based, incentivized exercise program. Mayo Clinic proceedings, 88(12), 1435–1442. https://doi.org/10.1016/j.mayocp.2013.09.010

Zhang, C. Q., Zhang, R., Lu, Y., Liu, H., Kong, S., Baker, J. S., & Zhang, H. (2021). Occupational stressors, mental health, and sleep difficulty among nurses during the COVID-19 pandemic: The mediating roles of cognitive fusion and cognitive reappraisal. Journal of contextual behavioral science, 19, 64–71. https://doi.org/10.1016/j.jcb

Ziaei ,M. Ghiasi,Z. Abdolrazaghnejad,A. , Bahmani,A.(2022). Evaluation of Anxiety and Job Burnout among Nurses Working in Emergency Departments Affiliated with Zahedan University of Medical Sciences During COVID-19 Epidemic; A Cross-sectional Study.Journal of Emergency medicine,9(1):17. (in Persian).

Analyzing the Lived Experiences of Nurses in the Corona Department of Kermanshah Hospitals on Coping with Job Burnout

References

References

Volume 13, Issue 49August 2024Pages 7-20

Volume 13, Issue 49
August 2024
Pages 7-20