Factors involved in nurses' responses to burnout: a grounded theory study
Repository Posting Date2017-06-08T15:13:16Z
Lead Author Sigma AffliationNon-member
Level of EvidenceQualitative Study, Grounded Theory
Research ApproachPilot/Exploratory Study
CINAHL HeadingsBurnout, Professional; Burnout, Professional--Psychosocial Factors; Nurse Attitudes; Nurse Attitudes--Iran; Perception; Perception--Evaluation; Nursing Staff, Hospital; Nursing Staff, Hospital--Iran; Burns--Nursing
Background: Intense and long-standing problems in burn centers in Tehran have led nurses to burnout. This phenomenon has provoked serious responses and has put the nurses, patients and the organization under pressure. The challenge for managers and nurse executives is to understand the factors which would reduce or increase the nurses' responses to burnout and develop delivery systems that promote positive adaptation and facilitate quality care. This study, as a part of more extensive research, aims to explore and describe the nurses' perceptions of the factors affecting their responses to burnout.
Methods: Grounded theory was used as the method. Thirty- eight participants were recruited. Data were generated by unstructured interviews and 21 sessions of participant observations. Constant comparison was used for data analysis.
Results: Nurses' and patients' personal characteristics and social support influenced nurses' responses to burnout. Personal characteristics of the nurses and patients, especially when interacting, had a more powerful effect. They altered emotional, attitudinal, behavioral and organizational responses to burnout and determined the kind of caring behavior. Social support had a palliative effect and altered emotional responses and some aspects of attitudinal responses.
Conclusions: The powerful effect of positive personal characteristics and its sensitivity to long standing and intense organizational pressures suggests approaches to executing stress reduction programs and refreshing the nurses' morale by giving more importance to ethical aspects of caring. Moreover, regarding palliative effect of social support and its importance for the nurses' wellbeing, nurse executives are responsible for promoting a work environment that supports nurses and motivates them.
DescriptionFR initiated and designed the research, collected and analyzed the data and wrote the paper. FO was the main supervisor, helped in analysis, and revised and edited the drafts. MN was co- supervisor and revised the drafts. The authors thank Iran University of Medical Sciences for its financial support and Mrs. Minoo Maasoumi- the nursing administrator of Los Angeles Unified School District- for copy editing of this paper.
Date of Publication2004-11-13
Citation of Original PublicationRafii, F., Oskouie, F., & Nikravesh, M. (2004). Factors involved in nurses' responses to burnout: a grounded theory study. BMC Nursing, 3 (1) DOI: 10.1186/1472-6955-3-6. Retrieved from http://www.nursinglibrary.org/vhl/handle/10755/621465.
ISSN: BMC Nursing
Version of PublicationPublisher's version
NotesThis item appears in the Virginia Henderson Global Nursing e-Repository by way of the author’s decision to publish with BMC Nursing, an open access journal, under a Creative Commons Attribution License 4.0. The license allows users to freely share and adapt the author’s material for any purpose, even commercially. Please refer to the attached license (the icon at the bottom of this entry) for further information and terms. All terms of the license have been followed. There are no changes in this article from the original posting. Neither STTI nor the Henderson Repository has any affiliation with BMC Nursing. Each shares only a mutual desire to distribute nursing research in an open access venue.
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