Burnout, stress and resilience of an Australian regional hospital during COVID-19: a longitudinal study
- Armstrong, Samantha, Porter, Joanne, Larkins, Jo-Ann, Mesagno, Christopher
- Authors: Armstrong, Samantha , Porter, Joanne , Larkins, Jo-Ann , Mesagno, Christopher
- Date: 2022
- Type: Text , Journal article
- Relation: BMC health services research Vol. 22, no. 1 (2022), p. 1-1115
- Full Text:
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- Description: Abstract Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic.
- Authors: Armstrong, Samantha , Porter, Joanne , Larkins, Jo-Ann , Mesagno, Christopher
- Date: 2022
- Type: Text , Journal article
- Relation: BMC health services research Vol. 22, no. 1 (2022), p. 1-1115
- Full Text:
- Reviewed:
- Description: Abstract Coronavirus disease 2019 (COVID-19) has placed huge strain on hospital staff around the world. The aim of the current longitudinal study was to investigate the resilience, stress and burnout of hospital staff located at a large, regional hospital in Victoria, Australia during the COVID-19 pandemic over time via cross-sectional surveys. The surveys were disseminated six times from August 2020 to March 2021, with the first three data collection points distributed during a state-wide lockdown. A total of 558 responses from various professional roles within the hospital over the survey period were included in the sample. Analysis of variance indicated significant main effects for the psychological variables across time, age, and workload. Hospital staff reported an increase in burnout levels throughout the eight-months. Significant negative relationships were observed between resilience and burnout, and between resilience and stress. A backward regression highlighted the contribution of resilience, stress, age, and nursing roles on burnout. Hierarchical regression analysis indicated that resilience contributed to the stress-burnout relationship. This study strengthens the evidence between resilience and burnout among healthcare workers and hospital staff and highlights the need for psychological wellbeing programs to be implemented for hospital staff impacted by a prolonged worldwide pandemic.
An investigative study of burnout among university nurse academics in Australia
- Authors: Singh, Charanjit
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: The overall aims of this study were to investigate the prevalence, extent and explore the experiences of Nurse Academics in Australia in relation to job satisfaction and burnout. Over the last three decades, university teaching has become increasingly challenging and stressful; this has affected the quality of life of academics. This is evidenced by the rapidly changing working conditions and stress experienced globally among university academics Consequently, the relationship between academics and their workplace are very demanding, more stressed, followed by lack of resources and eventually leading to burnout. Burnout is defined as a psychological syndrome emerging as a prolonged response to chronic interpersonal stressors on the job. Since, the move of nurse education into the university sector in Australia in the mid 1980’s, the stress and demands placed upon Nursing Academics has risen and intensified dramatically. Although the literature is replete about the work experiences among university academics very little research has been carried out to investigate the prevalence and explore the experiences among nurse academics, particularly within Australia (Bittner, & Bechtel, 2017) in relation to occupational stress and burnout. This research study utilized a mixed methods design, specifically, the sequential explanatory model A two phased approach was utilized. In phase one 234 nurse academics completed the survey comprised of the MBI, MSQ and demographics. In phase two, 19 participants were interviewed. The conceptual framework that underpins this study is influenced by the Job- Demands Resource Model (J-DR Model). In phase one, participants were drawn from a cross section from novice to experienced academics. 50% of participants reported low levels of burnout, whilst the other 50% reported either moderate or high levels of burnout. Out of these 50% who experienced burnout about 20% of respondents experienced a high-level of burnout. Similarly, 50% of the participants experienced low levels of job satisfaction and this correlated significantly with high levels of the total burnout scores (r = -0.56). Within the qualitative component, the main themes included a lack of work life balance, incivility towards staff, increasing workloads, challenging students, lack of recognition, negative workplace culture, lack of awareness of the importance of political astuteness, and lack of leadership skills and difficulty with retention of newly appointed staff. Many participants also expressed being threatened, felling intimidated, and unfairly treated coupled with facing personalities who were driven by power struggles. Overall, there appeared to be a sense of powerlessness, that participants were relatively powerless and unable to change their lot. Although personal resilience provided a buffering effect for some of the participants and acted as a protective factor against stress and burnout it is not well understood. This research study contributes to the ongoing body of work on the experiences of nurse academics globally and gives a further insight and understanding of the personal experiences of occupational stress and burnout among Australian nurse academics. However, a few potential limitations to this study should be noted. The study sample was only selected from within Australian universities which may limit the global generalisation of the findings and it was undertaken at an only one time point. Occupational stress leading to burnout is still considered an important factor and predictor of job satisfaction and intention to leave among Australian nurse academics. Effective mentoring and leadership styles that promote a nurturing work environment, a sense of belonging, being valued, heard, and recognised, are areas of priority. Strategies and policies should be revised for greater inclusiveness, academic freedom, institutional autonomy, and a better work-life balance. Further work is needed that examines the specific types of support systems that nurse leaders could initiate to reduce job stress leading to burnout. Ongoing evaluation is crucial to ensure the appropriateness, efficacy, and effectiveness of the support systems. The findings have important global implications in terms of recruitment and retention of nurse academic.
- Description: Doctor of Philosophy
- Authors: Singh, Charanjit
- Date: 2021
- Type: Text , Thesis , PhD
- Full Text:
- Description: The overall aims of this study were to investigate the prevalence, extent and explore the experiences of Nurse Academics in Australia in relation to job satisfaction and burnout. Over the last three decades, university teaching has become increasingly challenging and stressful; this has affected the quality of life of academics. This is evidenced by the rapidly changing working conditions and stress experienced globally among university academics Consequently, the relationship between academics and their workplace are very demanding, more stressed, followed by lack of resources and eventually leading to burnout. Burnout is defined as a psychological syndrome emerging as a prolonged response to chronic interpersonal stressors on the job. Since, the move of nurse education into the university sector in Australia in the mid 1980’s, the stress and demands placed upon Nursing Academics has risen and intensified dramatically. Although the literature is replete about the work experiences among university academics very little research has been carried out to investigate the prevalence and explore the experiences among nurse academics, particularly within Australia (Bittner, & Bechtel, 2017) in relation to occupational stress and burnout. This research study utilized a mixed methods design, specifically, the sequential explanatory model A two phased approach was utilized. In phase one 234 nurse academics completed the survey comprised of the MBI, MSQ and demographics. In phase two, 19 participants were interviewed. The conceptual framework that underpins this study is influenced by the Job- Demands Resource Model (J-DR Model). In phase one, participants were drawn from a cross section from novice to experienced academics. 50% of participants reported low levels of burnout, whilst the other 50% reported either moderate or high levels of burnout. Out of these 50% who experienced burnout about 20% of respondents experienced a high-level of burnout. Similarly, 50% of the participants experienced low levels of job satisfaction and this correlated significantly with high levels of the total burnout scores (r = -0.56). Within the qualitative component, the main themes included a lack of work life balance, incivility towards staff, increasing workloads, challenging students, lack of recognition, negative workplace culture, lack of awareness of the importance of political astuteness, and lack of leadership skills and difficulty with retention of newly appointed staff. Many participants also expressed being threatened, felling intimidated, and unfairly treated coupled with facing personalities who were driven by power struggles. Overall, there appeared to be a sense of powerlessness, that participants were relatively powerless and unable to change their lot. Although personal resilience provided a buffering effect for some of the participants and acted as a protective factor against stress and burnout it is not well understood. This research study contributes to the ongoing body of work on the experiences of nurse academics globally and gives a further insight and understanding of the personal experiences of occupational stress and burnout among Australian nurse academics. However, a few potential limitations to this study should be noted. The study sample was only selected from within Australian universities which may limit the global generalisation of the findings and it was undertaken at an only one time point. Occupational stress leading to burnout is still considered an important factor and predictor of job satisfaction and intention to leave among Australian nurse academics. Effective mentoring and leadership styles that promote a nurturing work environment, a sense of belonging, being valued, heard, and recognised, are areas of priority. Strategies and policies should be revised for greater inclusiveness, academic freedom, institutional autonomy, and a better work-life balance. Further work is needed that examines the specific types of support systems that nurse leaders could initiate to reduce job stress leading to burnout. Ongoing evaluation is crucial to ensure the appropriateness, efficacy, and effectiveness of the support systems. The findings have important global implications in terms of recruitment and retention of nurse academic.
- Description: Doctor of Philosophy
Occupational stress facing nurse academics—A mixed-methods systematic review
- Singh, Charanjit, Cross, Wendy, Munro, Ian, Jackson, Debra
- Authors: Singh, Charanjit , Cross, Wendy , Munro, Ian , Jackson, Debra
- Date: 2020
- Type: Text , Journal article , Review
- Relation: Journal of Clinical Nursing Vol. 29, no. 5-6 (2020), p. 720-735
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- Description: Aim: To better understand occupational stress faced by nurse academics. Methods: A mixed-methods systematic review, following the Joanna Briggs Institute [JBI], (Joanna Briggs Institute Reviewers’ Manual: 2014 edition, 2014) process. Studies were assessed for quality and risk of bias by using standardised critical appraisal instruments from the Joanna Briggs Institute. In addition, processes and reporting were checked against the Equator guidelines. See Appendix S1. Results: The review revealed that nursing academics do experience occupational stress, including burnout. Occupational stress for academic nurses is associated with various factors including work–life balance, workload issues, resources and support, and adapting to change. However, much of the literature focuses on nurses during the initial transition from clinical to academic environment, with rather less focus on established mid-to-late career nurse academics. Discussion: Occupational stress and burnout are evident in the university academic workforce, adversely affecting the well-being of academic nurses, and the long-term sustainability of the academic nursing workforce. While there is considerable literature focusing on the novice academic nurse, particularly during the transition period, rather less is known about occupational stress among academic nurses across the career trajectory. Various strategies to deal with the negative consequences of occupational stress are identified, including (a) quality mentors for novice and younger nursing academics; (b) training in resilience building for novice academics; (c) supporting collegial relationships and reducing bullying; (d) assistance for professional development and research; (e) better support and resources to overcome increasing workloads; and (f) greater work-related empowerment to enhance job satisfaction. Conclusion: There is a need for a broader whole-of-career research focus to more fully identify, explore and mitigate the occupational stressors that negatively affect the academic nurse workforce. Relevance to clinical practice: A strong and resilient academic nurse workforce is essential for the sustainability of the profession. Organisations should review their work practices and provide greater work-related empowerment to reduce occupational stressors among nursing academics. © 2019 John Wiley & Sons Ltd
- Authors: Singh, Charanjit , Cross, Wendy , Munro, Ian , Jackson, Debra
- Date: 2020
- Type: Text , Journal article , Review
- Relation: Journal of Clinical Nursing Vol. 29, no. 5-6 (2020), p. 720-735
- Full Text:
- Reviewed:
- Description: Aim: To better understand occupational stress faced by nurse academics. Methods: A mixed-methods systematic review, following the Joanna Briggs Institute [JBI], (Joanna Briggs Institute Reviewers’ Manual: 2014 edition, 2014) process. Studies were assessed for quality and risk of bias by using standardised critical appraisal instruments from the Joanna Briggs Institute. In addition, processes and reporting were checked against the Equator guidelines. See Appendix S1. Results: The review revealed that nursing academics do experience occupational stress, including burnout. Occupational stress for academic nurses is associated with various factors including work–life balance, workload issues, resources and support, and adapting to change. However, much of the literature focuses on nurses during the initial transition from clinical to academic environment, with rather less focus on established mid-to-late career nurse academics. Discussion: Occupational stress and burnout are evident in the university academic workforce, adversely affecting the well-being of academic nurses, and the long-term sustainability of the academic nursing workforce. While there is considerable literature focusing on the novice academic nurse, particularly during the transition period, rather less is known about occupational stress among academic nurses across the career trajectory. Various strategies to deal with the negative consequences of occupational stress are identified, including (a) quality mentors for novice and younger nursing academics; (b) training in resilience building for novice academics; (c) supporting collegial relationships and reducing bullying; (d) assistance for professional development and research; (e) better support and resources to overcome increasing workloads; and (f) greater work-related empowerment to enhance job satisfaction. Conclusion: There is a need for a broader whole-of-career research focus to more fully identify, explore and mitigate the occupational stressors that negatively affect the academic nurse workforce. Relevance to clinical practice: A strong and resilient academic nurse workforce is essential for the sustainability of the profession. Organisations should review their work practices and provide greater work-related empowerment to reduce occupational stressors among nursing academics. © 2019 John Wiley & Sons Ltd
'Great lifestyle, pity about the job stress': Occupational stress in rural human service practice
- Green, Rosemary, Lonne, Robert
- Authors: Green, Rosemary , Lonne, Robert
- Date: 2005
- Type: Text , Journal article
- Relation: Rural Society: the journal of research into rural & regional social issues in Australia Vol. 15, no. 2 (2005), p. 252-266
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- Reviewed:
- Description: Social workers, welfare workers and others living and working in small rural communities report that they are generally highly satisfied with their work and lifestyle. Paradoxically, high levels of occupational stress are also reported
- Description: C1
- Description: 2003001252
- Authors: Green, Rosemary , Lonne, Robert
- Date: 2005
- Type: Text , Journal article
- Relation: Rural Society: the journal of research into rural & regional social issues in Australia Vol. 15, no. 2 (2005), p. 252-266
- Full Text:
- Reviewed:
- Description: Social workers, welfare workers and others living and working in small rural communities report that they are generally highly satisfied with their work and lifestyle. Paradoxically, high levels of occupational stress are also reported
- Description: C1
- Description: 2003001252
Psychological impact of COVID-19 on healthcare workers : cross-sectional analyses from 14 countries
- Ghozy, Sherief, Cross, Wendy, Islam, Shariful, Al-Mawali, Adhra Hilal, Alqurashi, Alaa, Hamza, Amr, Joseph, Bindu, Banik, Biswajit, Elsori, Deena, Sultana, Farhana, Yasmin, Farhana, Mahmud, Ilias, Lam, Louisa, Hammoud, Majeda, Salehin, Masudus, Keblawi, Mohammed Ali, Eltewacy, Nael Kamel, Al Laham, Nahed, El-Khazragy, Nashwa, Oli, Natalia, Tungpunkom, Patraporn, Almustanyir, Sami, Chair, Sek, Alif, Sheikh, Al-Madhoun, Sondos, Chien, Wai Tong, Rahman, Muhammad Aziz
- Authors: Ghozy, Sherief , Cross, Wendy , Islam, Shariful , Al-Mawali, Adhra Hilal , Alqurashi, Alaa , Hamza, Amr , Joseph, Bindu , Banik, Biswajit , Elsori, Deena , Sultana, Farhana , Yasmin, Farhana , Mahmud, Ilias , Lam, Louisa , Hammoud, Majeda , Salehin, Masudus , Keblawi, Mohammed Ali , Eltewacy, Nael Kamel , Al Laham, Nahed , El-Khazragy, Nashwa , Oli, Natalia , Tungpunkom, Patraporn , Almustanyir, Sami , Chair, Sek , Alif, Sheikh , Al-Madhoun, Sondos , Chien, Wai Tong , Rahman, Muhammad Aziz
- Date: 2022
- Type: Text , Journal article
- Relation: Glob. Ment. Health Vol. 9, no. (2022), p. 328-338
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- Reviewed:
- Description: Healthcare workers (HCWs) have been impacted psychologically due to their professional responsibilities over the prolonged era of the coronavirus disease 2019 (COVID-19) pandemic. The study aimed to identify the predictors of psychological distress, fear, and coping during the COVID-19 pandemic among HCWs. A cross-sectional online survey was conducted among self-identified HCWs across 14 countries (12 from Asia and two from Africa). The Kessler Psychological Distress Scale, the Fear of COVID-19 Scale, and the Brief Resilient Coping Scale were used to assess the psychological distress, fear, and coping of HCWs, respectively. A total of 2447 HCWs participated 36% were doctors, and 42% were nurses, with a mean age of 36 (±12) years, and 70% were females. Moderate to very-high psychological distress was prevalent in 67% of the HCWs the lowest rate was reported in the United Arab Emirates (1%) and the highest in Indonesia (16%). The prevalence of high levels of fear was 20% the lowest rate was reported in Libya (9%) and the highest in Egypt (32%). The prevalence of medium-to-high resilient coping was 63% the lowest rate was reported in Libya (28%) and the highest in Syria (76%). COVID-19 has augmented the psychological distress among HCWs. Factors identified in this study should be considered in managing the wellbeing of HCWs, who had been serving as the frontline drivers in managing the crisis successfully across all participating countries. Furthermore, interventions to address their psychological distress should be considered.
- Authors: Ghozy, Sherief , Cross, Wendy , Islam, Shariful , Al-Mawali, Adhra Hilal , Alqurashi, Alaa , Hamza, Amr , Joseph, Bindu , Banik, Biswajit , Elsori, Deena , Sultana, Farhana , Yasmin, Farhana , Mahmud, Ilias , Lam, Louisa , Hammoud, Majeda , Salehin, Masudus , Keblawi, Mohammed Ali , Eltewacy, Nael Kamel , Al Laham, Nahed , El-Khazragy, Nashwa , Oli, Natalia , Tungpunkom, Patraporn , Almustanyir, Sami , Chair, Sek , Alif, Sheikh , Al-Madhoun, Sondos , Chien, Wai Tong , Rahman, Muhammad Aziz
- Date: 2022
- Type: Text , Journal article
- Relation: Glob. Ment. Health Vol. 9, no. (2022), p. 328-338
- Full Text:
- Reviewed:
- Description: Healthcare workers (HCWs) have been impacted psychologically due to their professional responsibilities over the prolonged era of the coronavirus disease 2019 (COVID-19) pandemic. The study aimed to identify the predictors of psychological distress, fear, and coping during the COVID-19 pandemic among HCWs. A cross-sectional online survey was conducted among self-identified HCWs across 14 countries (12 from Asia and two from Africa). The Kessler Psychological Distress Scale, the Fear of COVID-19 Scale, and the Brief Resilient Coping Scale were used to assess the psychological distress, fear, and coping of HCWs, respectively. A total of 2447 HCWs participated 36% were doctors, and 42% were nurses, with a mean age of 36 (±12) years, and 70% were females. Moderate to very-high psychological distress was prevalent in 67% of the HCWs the lowest rate was reported in the United Arab Emirates (1%) and the highest in Indonesia (16%). The prevalence of high levels of fear was 20% the lowest rate was reported in Libya (9%) and the highest in Egypt (32%). The prevalence of medium-to-high resilient coping was 63% the lowest rate was reported in Libya (28%) and the highest in Syria (76%). COVID-19 has augmented the psychological distress among HCWs. Factors identified in this study should be considered in managing the wellbeing of HCWs, who had been serving as the frontline drivers in managing the crisis successfully across all participating countries. Furthermore, interventions to address their psychological distress should be considered.
Relationships between stressors, work supports, and burnout among cancer nurses
- Barnard, Debbie, Street, Annette, Love, Anthony
- Authors: Barnard, Debbie , Street, Annette , Love, Anthony
- Date: 2006
- Type: Text , Journal article
- Relation: Cancer Nursing Vol. 29, no. 4 (2006), p. 338-345
- Full Text: false
- Reviewed:
- Description: This pilot study investigated the relationships between stressors, work supports, and burnout among cancer nurses. One hundred and one registered nurses, employed at a major specialist oncology, metropolitan Australian hospital, completed self-report questionnaires measuring these constructs and provided responses to open-ended questions. The 50 listed stressors were experienced as sources of stress by more than 50% of the sample; most work support came from peers, rather than supervisor and organizational supports; and the overall level of burnout for the sample was moderate to low. Significant positive correlations were found between Stressors and the Emotional Exhaustion and Depersonalization subscales of the Maslach Burnout Inventory and a significant weak positive correlation between Peer Support and Personal Accomplishment (intensity). Findings are discussed in relation to developing strategies for reducing stress and burnout among cancer nurses, and directions for further study are suggested.
- Description: 2003007265
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