Nurses' emotional exhaustion: Prevalence, psychosocial risk factors and association to sick leave depending on care setting—A quantitative secondary analysis
Aims To explore differences in the prevalence, psychosocial risk factors and the connection to annual sick leave of nurses' emotional exhaustion depending on the care setting. Design Quantitative study. Methods We conducted a secondary data analysis of a cross‐sectional, representative survey w...
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| Veröffentlicht in: | Journal of advanced nursing 2023-01, Vol.79 (1), p.182-193 |
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| creator | Petersen, Julia Wendsche, Johannes Melzer, Marlen |
| description | Aims
To explore differences in the prevalence, psychosocial risk factors and the connection to annual sick leave of nurses' emotional exhaustion depending on the care setting.
Design
Quantitative study.
Methods
We conducted a secondary data analysis of a cross‐sectional, representative survey with German nurses (BIBB/BAuA‐Employment Survey 2018). We analysed data from three groups of nurses (hospital care HC: n = 333, nursing homes NH: n = 143, home health care HHC: n = 109). We calculated prevalence estimates for all psychosocial risk factors and emotional exhaustion and utilized Χ2‐tests to explore differences relating to the care setting. We calculated risk estimates using logistic regression analyses.
Results
Forty‐four per cent of all nurses reported symptoms of emotional exhaustion. Care settings did not affect prevalence estimates (HC: 45.3%, NH: 37.8%, HHC: 50.5%). Weekend work was a risk factor for exhaustion. Being at the limit of efficiency was the only work‐related psychosocial risk factor being independent of the care setting. Emotional demands were a significant risk factor for nurses working in HC and NH, and low team cooperation was a risk factor for nurses working in NH. Nurses' emotional exhaustion is associated with more sick leave days.
Conclusions
The high prevalence of nurses' emotional exhaustion is independent of the care setting. This threatens nurses' health and negatively affects the organization and society due to the relation to sick leave. Weekend work and quantitative demands relate to exhaustion independently of the care context. Emotional demands and low team cooperation show context‐specific correlations.
Impact
Organizational interventions that limit quantitative demands are needed to prevent exhaustion among nurses. In HC and NH, measures are needed to improve coping with emotional demands and to strengthen team cooperation. Policymakers and nursing managers should take action to address nurses' emotional exhaustion.
No Patient or Public Contribution
Due to the study design. |
| doi_str_mv | 10.1111/jan.15471 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2728467243</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2754029312</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3881-e43297c05ec9414ea2fa38508b84fabf2f2b0c133b6fa4ed0128ebcdcd17681a3</originalsourceid><addsrcrecordid>eNp1kc9u1DAQxi1ERZfCgRdAljhAJdL6XxJvb6uKQlFVOMA5mjgT6m023nqShb31IXrn3XgSnG7hgMRcRqPvN5_G_hh7IcWRTHW8hP5I5qaUj9hM6iLPVGHsYzYTWswzZYTaZ0-JlkJIrZR6wvZ1oawURTFjPy_HSEivOa7C4EMPHccfVzDSNJzwzxE30GHv8C1f09ZdBQrOJyh6uuYtuCFE4tA3HOhemdb4EDh5d807hA3yBtfYN77_xpPkICInHIY0_7q9W_CbEfrBD2lxMwku9A3EbbKEbkuenrG9FjrC5w_9gH09e_fl9EN28en9-eniInPaWpmh0WpeOpGjmxtpEFQL2ubC1ta0ULeqVbVwUuu6aMFgI6SyWLvGNbIsrAR9wN7sfNcx3IxIQ7Xy5LDroMcwUqVKZU1RKqMT-uofdBnGmO6dqDz99lxLlajDHeViIIrYVuvoV-lplRTVlFqVUqvuU0vsywfHsV5h85f8E1MCjnfAd9_h9v9O1cfF5c7yN3iPpYo</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2754029312</pqid></control><display><type>article</type><title>Nurses' emotional exhaustion: Prevalence, psychosocial risk factors and association to sick leave depending on care setting—A quantitative secondary analysis</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Wiley Online Library - AutoHoldings Journals</source><source>MEDLINE</source><creator>Petersen, Julia ; Wendsche, Johannes ; Melzer, Marlen</creator><creatorcontrib>Petersen, Julia ; Wendsche, Johannes ; Melzer, Marlen</creatorcontrib><description>Aims
To explore differences in the prevalence, psychosocial risk factors and the connection to annual sick leave of nurses' emotional exhaustion depending on the care setting.
Design
Quantitative study.
Methods
We conducted a secondary data analysis of a cross‐sectional, representative survey with German nurses (BIBB/BAuA‐Employment Survey 2018). We analysed data from three groups of nurses (hospital care HC: n = 333, nursing homes NH: n = 143, home health care HHC: n = 109). We calculated prevalence estimates for all psychosocial risk factors and emotional exhaustion and utilized Χ2‐tests to explore differences relating to the care setting. We calculated risk estimates using logistic regression analyses.
Results
Forty‐four per cent of all nurses reported symptoms of emotional exhaustion. Care settings did not affect prevalence estimates (HC: 45.3%, NH: 37.8%, HHC: 50.5%). Weekend work was a risk factor for exhaustion. Being at the limit of efficiency was the only work‐related psychosocial risk factor being independent of the care setting. Emotional demands were a significant risk factor for nurses working in HC and NH, and low team cooperation was a risk factor for nurses working in NH. Nurses' emotional exhaustion is associated with more sick leave days.
Conclusions
The high prevalence of nurses' emotional exhaustion is independent of the care setting. This threatens nurses' health and negatively affects the organization and society due to the relation to sick leave. Weekend work and quantitative demands relate to exhaustion independently of the care context. Emotional demands and low team cooperation show context‐specific correlations.
Impact
Organizational interventions that limit quantitative demands are needed to prevent exhaustion among nurses. In HC and NH, measures are needed to improve coping with emotional demands and to strengthen team cooperation. Policymakers and nursing managers should take action to address nurses' emotional exhaustion.
No Patient or Public Contribution
Due to the study design.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/jan.15471</identifier><identifier>PMID: 36281066</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Burnout ; Burnout, Professional - epidemiology ; Burnout, Professional - psychology ; Cooperation ; Coping ; Cross-Sectional Studies ; emotional exhaustion ; Employment ; Fatigue ; health ; Health risks ; Home health care ; Humans ; job demands‐resources model ; Job Satisfaction ; Nurses ; Nursing homes ; Nursing Staff, Hospital - psychology ; occupational ; Occupational health ; Occupational stress ; Policy making ; Polls & surveys ; Prevalence ; Psychosocial factors ; psychosocial risk factors ; representative ; Risk Factors ; Sick Leave ; sickness absence ; Surveys and Questionnaires ; Teams</subject><ispartof>Journal of advanced nursing, 2023-01, Vol.79 (1), p.182-193</ispartof><rights>2022 The Authors. published by John Wiley & Sons Ltd.</rights><rights>2022 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3881-e43297c05ec9414ea2fa38508b84fabf2f2b0c133b6fa4ed0128ebcdcd17681a3</citedby><cites>FETCH-LOGICAL-c3881-e43297c05ec9414ea2fa38508b84fabf2f2b0c133b6fa4ed0128ebcdcd17681a3</cites><orcidid>0000-0003-0672-0132 ; 0000-0003-4228-4016</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjan.15471$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjan.15471$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36281066$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Petersen, Julia</creatorcontrib><creatorcontrib>Wendsche, Johannes</creatorcontrib><creatorcontrib>Melzer, Marlen</creatorcontrib><title>Nurses' emotional exhaustion: Prevalence, psychosocial risk factors and association to sick leave depending on care setting—A quantitative secondary analysis</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Aims
To explore differences in the prevalence, psychosocial risk factors and the connection to annual sick leave of nurses' emotional exhaustion depending on the care setting.
Design
Quantitative study.
Methods
We conducted a secondary data analysis of a cross‐sectional, representative survey with German nurses (BIBB/BAuA‐Employment Survey 2018). We analysed data from three groups of nurses (hospital care HC: n = 333, nursing homes NH: n = 143, home health care HHC: n = 109). We calculated prevalence estimates for all psychosocial risk factors and emotional exhaustion and utilized Χ2‐tests to explore differences relating to the care setting. We calculated risk estimates using logistic regression analyses.
Results
Forty‐four per cent of all nurses reported symptoms of emotional exhaustion. Care settings did not affect prevalence estimates (HC: 45.3%, NH: 37.8%, HHC: 50.5%). Weekend work was a risk factor for exhaustion. Being at the limit of efficiency was the only work‐related psychosocial risk factor being independent of the care setting. Emotional demands were a significant risk factor for nurses working in HC and NH, and low team cooperation was a risk factor for nurses working in NH. Nurses' emotional exhaustion is associated with more sick leave days.
Conclusions
The high prevalence of nurses' emotional exhaustion is independent of the care setting. This threatens nurses' health and negatively affects the organization and society due to the relation to sick leave. Weekend work and quantitative demands relate to exhaustion independently of the care context. Emotional demands and low team cooperation show context‐specific correlations.
Impact
Organizational interventions that limit quantitative demands are needed to prevent exhaustion among nurses. In HC and NH, measures are needed to improve coping with emotional demands and to strengthen team cooperation. Policymakers and nursing managers should take action to address nurses' emotional exhaustion.
No Patient or Public Contribution
Due to the study design.</description><subject>Burnout</subject><subject>Burnout, Professional - epidemiology</subject><subject>Burnout, Professional - psychology</subject><subject>Cooperation</subject><subject>Coping</subject><subject>Cross-Sectional Studies</subject><subject>emotional exhaustion</subject><subject>Employment</subject><subject>Fatigue</subject><subject>health</subject><subject>Health risks</subject><subject>Home health care</subject><subject>Humans</subject><subject>job demands‐resources model</subject><subject>Job Satisfaction</subject><subject>Nurses</subject><subject>Nursing homes</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>occupational</subject><subject>Occupational health</subject><subject>Occupational stress</subject><subject>Policy making</subject><subject>Polls & surveys</subject><subject>Prevalence</subject><subject>Psychosocial factors</subject><subject>psychosocial risk factors</subject><subject>representative</subject><subject>Risk Factors</subject><subject>Sick Leave</subject><subject>sickness absence</subject><subject>Surveys and Questionnaires</subject><subject>Teams</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kc9u1DAQxi1ERZfCgRdAljhAJdL6XxJvb6uKQlFVOMA5mjgT6m023nqShb31IXrn3XgSnG7hgMRcRqPvN5_G_hh7IcWRTHW8hP5I5qaUj9hM6iLPVGHsYzYTWswzZYTaZ0-JlkJIrZR6wvZ1oawURTFjPy_HSEivOa7C4EMPHccfVzDSNJzwzxE30GHv8C1f09ZdBQrOJyh6uuYtuCFE4tA3HOhemdb4EDh5d807hA3yBtfYN77_xpPkICInHIY0_7q9W_CbEfrBD2lxMwku9A3EbbKEbkuenrG9FjrC5w_9gH09e_fl9EN28en9-eniInPaWpmh0WpeOpGjmxtpEFQL2ubC1ta0ULeqVbVwUuu6aMFgI6SyWLvGNbIsrAR9wN7sfNcx3IxIQ7Xy5LDroMcwUqVKZU1RKqMT-uofdBnGmO6dqDz99lxLlajDHeViIIrYVuvoV-lplRTVlFqVUqvuU0vsywfHsV5h85f8E1MCjnfAd9_h9v9O1cfF5c7yN3iPpYo</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Petersen, Julia</creator><creator>Wendsche, Johannes</creator><creator>Melzer, Marlen</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-0672-0132</orcidid><orcidid>https://orcid.org/0000-0003-4228-4016</orcidid></search><sort><creationdate>202301</creationdate><title>Nurses' emotional exhaustion: Prevalence, psychosocial risk factors and association to sick leave depending on care setting—A quantitative secondary analysis</title><author>Petersen, Julia ; Wendsche, Johannes ; Melzer, Marlen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3881-e43297c05ec9414ea2fa38508b84fabf2f2b0c133b6fa4ed0128ebcdcd17681a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Burnout</topic><topic>Burnout, Professional - epidemiology</topic><topic>Burnout, Professional - psychology</topic><topic>Cooperation</topic><topic>Coping</topic><topic>Cross-Sectional Studies</topic><topic>emotional exhaustion</topic><topic>Employment</topic><topic>Fatigue</topic><topic>health</topic><topic>Health risks</topic><topic>Home health care</topic><topic>Humans</topic><topic>job demands‐resources model</topic><topic>Job Satisfaction</topic><topic>Nurses</topic><topic>Nursing homes</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>occupational</topic><topic>Occupational health</topic><topic>Occupational stress</topic><topic>Policy making</topic><topic>Polls & surveys</topic><topic>Prevalence</topic><topic>Psychosocial factors</topic><topic>psychosocial risk factors</topic><topic>representative</topic><topic>Risk Factors</topic><topic>Sick Leave</topic><topic>sickness absence</topic><topic>Surveys and Questionnaires</topic><topic>Teams</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Petersen, Julia</creatorcontrib><creatorcontrib>Wendsche, Johannes</creatorcontrib><creatorcontrib>Melzer, Marlen</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Petersen, Julia</au><au>Wendsche, Johannes</au><au>Melzer, Marlen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nurses' emotional exhaustion: Prevalence, psychosocial risk factors and association to sick leave depending on care setting—A quantitative secondary analysis</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2023-01</date><risdate>2023</risdate><volume>79</volume><issue>1</issue><spage>182</spage><epage>193</epage><pages>182-193</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>Aims
To explore differences in the prevalence, psychosocial risk factors and the connection to annual sick leave of nurses' emotional exhaustion depending on the care setting.
Design
Quantitative study.
Methods
We conducted a secondary data analysis of a cross‐sectional, representative survey with German nurses (BIBB/BAuA‐Employment Survey 2018). We analysed data from three groups of nurses (hospital care HC: n = 333, nursing homes NH: n = 143, home health care HHC: n = 109). We calculated prevalence estimates for all psychosocial risk factors and emotional exhaustion and utilized Χ2‐tests to explore differences relating to the care setting. We calculated risk estimates using logistic regression analyses.
Results
Forty‐four per cent of all nurses reported symptoms of emotional exhaustion. Care settings did not affect prevalence estimates (HC: 45.3%, NH: 37.8%, HHC: 50.5%). Weekend work was a risk factor for exhaustion. Being at the limit of efficiency was the only work‐related psychosocial risk factor being independent of the care setting. Emotional demands were a significant risk factor for nurses working in HC and NH, and low team cooperation was a risk factor for nurses working in NH. Nurses' emotional exhaustion is associated with more sick leave days.
Conclusions
The high prevalence of nurses' emotional exhaustion is independent of the care setting. This threatens nurses' health and negatively affects the organization and society due to the relation to sick leave. Weekend work and quantitative demands relate to exhaustion independently of the care context. Emotional demands and low team cooperation show context‐specific correlations.
Impact
Organizational interventions that limit quantitative demands are needed to prevent exhaustion among nurses. In HC and NH, measures are needed to improve coping with emotional demands and to strengthen team cooperation. Policymakers and nursing managers should take action to address nurses' emotional exhaustion.
No Patient or Public Contribution
Due to the study design.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36281066</pmid><doi>10.1111/jan.15471</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0003-0672-0132</orcidid><orcidid>https://orcid.org/0000-0003-4228-4016</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of advanced nursing, 2023-01, Vol.79 (1), p.182-193 |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Burnout Burnout, Professional - epidemiology Burnout, Professional - psychology Cooperation Coping Cross-Sectional Studies emotional exhaustion Employment Fatigue health Health risks Home health care Humans job demands‐resources model Job Satisfaction Nurses Nursing homes Nursing Staff, Hospital - psychology occupational Occupational health Occupational stress Policy making Polls & surveys Prevalence Psychosocial factors psychosocial risk factors representative Risk Factors Sick Leave sickness absence Surveys and Questionnaires Teams |
| title | Nurses' emotional exhaustion: Prevalence, psychosocial risk factors and association to sick leave depending on care setting—A quantitative secondary analysis |
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