Κυριάκος Σουλιώτης, Αναπληρωτής Καθηγητής, Τμήμα Κοινωνικής και Εκπαιδευτικής Πολιτικής, Πανεπιστήμιο Πελοποννήσου, Επιβλέπων
Ιωάννης Τούντας, Καθηγητής, Τμήμα Ιατρικής, ΕΚΠΑ
Μαρία Καντζανού, Επίκουρη Καθηγήτρια, Τμήμα Ιατρικής, ΕΚΠΑ
High levels of work stress, physical and mental stress, exhaustion, dissatisfaction and frequent health problems are common experiences for those who practice nursing. A comprehensive understanding of the psychosocial professional environment of nurses is essential to provide better care and greater patient satisfaction. The purpose of the study was to investigate the degree of burnout and professional satisfaction of nurses working at the University General Hospital of Patras "Panagia the Help" (U.G. H. P ) to determine the factors affecting them, to study the relationship between Burnout (B) and Job Satisfaction (JS) as well as the correlations of their aspects with demographic, occupational and social characteristics of nurses.
The study population consisted of nurses of all levels, higher and secondary education, with an average age of 46.6 years working in different nursing departments of the U.G.H.P. and were randomly selected. 460 questionnaires were distributed and 212 (46%) were returned filled. In order to collect the survey data, the following questionnaires were completed: the Maslach Burnout Inventory with Cronbach's a reliability for emotional exhaustion 0.89, for depersonalization 0.76 and for personal achievement 0.70, the Job Satisfaction Survey (Spector) scale with Cronbach's a 0.85 reliability, as well as questions (16) on nurses' demographics, social characteristics and working conditions.
Descriptive statistical analysis was performed for description of the characteristics of the population under study, check normal distribution of quantitative variables, Student's t-test analysis, application of Pearson or Spearman correlation coefficient for the Bivariate analysis of the correlation of socio-demographic data and working conditions through the levels of Job Satisfaction and Burnout.
Multiple linear regression analysis was used to identify the factors responsible for burnout, job satisfaction, and to investigate the relationship between job satisfaction and burnout aspects. Data analysis was performed with IBM SPSS 21.0. The results showed that several nurses show high emotional exhaustion (43.9%), high depersonalization (39.2%) and high personal achievements (40.6%). Overall Job Satisfaction is moderate (AVG = 113.8). Results: Statistically significant correlations were observed between JS and B factors. Increased emotional exhaustion was associated with lower overall satisfaction, while increased personal achievement was associated with higher overall satisfaction.
Nurses who have increased previous service in this department and those who do not have a postgraduate or doctoral degree, are associated with increased depersonalization and experience greater emotional exhaustion. Those who work increased afternoon shifts per month are also associated with greater depersonalization. Employees who are parents experience more personal achievement as opposed to nurses working increased night shifts per month. Satisfaction was found to be lower among nurses with increased number of patients per shift care regarding pay, rewards, operating conditions, and supervision. It was also found lower in those nurses who have an increased number of night shifts per month and in those who hold a postgraduate or doctoral degree regarding promotion and supervision, in those who have increased years of service in the field and in this hospital in terms of additional earnings. Higher satisfaction was found in contractors compared to permanent full-time nurses, while those with higher monthly individual incomes had lower satisfaction with additional benefits.
Conclusions: Working conditions affect the health and quality of life of nurses and consequently their job satisfaction. Taking measures to support nurses and improve working conditions at the organizational level is an urgent need. The development of Consultation/Liaison Nursing will support the health of employees, reduce the time and cost of care and will contribute to the improvement of the health care provided.
Nurses, Burnout, Job satisfaction, Consultation / Liaison Nursing