Abstract

Nurses' continuous contribution to patient health makes them prone to occupational stress, which has been exacerbated during the COVID-19 pandemic. Occupational stress that lasts for a long time and is not resolved may cause burnout. Burnout experienced by nurses can impact patients, hospital services, and themselves. This study aimed to determine the effect of occupational stress on the incidence of nurse burnout during the COVID-19 pandemic. It used a quantitative approach with a cross-sectional design. The study sample was 235 nurses in six COVID-19 referral hospitals in West Sumatra from a proportional random sampling technique. Data were collected using a digital questionnaire distributed via a Google Forms link from February to April 2022. The results showed that the stress level of nurses was most commonly moderate (68.1%), and the burnout level was most commonly low (82.1%), with a significant effect of occupational stress on burnout. This study reveals the effect of occupational stress on the burnout of nurses treating COVID-19 patients.

References

1. Wu H, Liu L, Sun W, Zhao X, Wang J, Wang L. Factors Related to Burnout Among Chinese Female Hospital Nurses: Cross-Sectional Survey in Liaoning Province Of China. J Nurs Manag. 2014; 22 (5): 621–9.

2. Liu M, He P, Wang XJ, Li FJ, Chen S, Lin J, et al. [Clinical Characteristics of 30 Medical Workers Infected With New Coronavirus Pneumonia]. Zhonghua Jie He He Hu Xi Za Zhi. 2020; 43 (0): E016.

3. Cheng VCC, Wong SC, Chen JHK, Yip CCY, Chuang VWM, Tsang OTY, et al. Escalating Infection Control Response to The Rapidly Evolving Epidemiology of the Coronavirus Disease 2019 (COVID-19) Due to SARS-CoV-2 in Hongkong. Infect Control Hosp Epidemiol. 2020; 41 (5): 493-98.

4. Huang L, Lei W, Xu F, Liu H, Yu L. Emotional responses and coping strategies in nurses and nursing students during Covid-19 outbreak: A comparative study. PLoS One. 2020; 15 (8): e0237303.

5. Said RM, El-shafei DA. Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt. Environ Sci Pollut Res Int. 2021; 28 (7): 8791-8801.

6. Suhaya I, Sari H. Tingkat stres perawat dalam merawat pasien dengan penyakit menular di rumah sakit umum daerah dr. Zainoel Abidin Banda Aceh. Jim Fkep. 2019; 4 (1): 102– 6.

7. Suhartono F, Wetik S, Pondaag F. Hubungan Stres Kerja Dengan Burnout Syndrome Di Masa Pandemi COVID-19 Pada Perawat. J Ilmu Keperawatan Jiwa. 2021; 4 (4): 693–702.

8. Agustina TS, Rarastanti PD, Hidayat AF. Stress and Job Performance of Healthcare Workers amidst COVID-19 Pandemic: The Mediating Role of Burnout. Shirkah J Econ Bus. 2021; 6 (3): 315–35.

9. Almaghrabi RH, Alfaradi H, Hebshi WAA, Albaadani MM. Healthcare workers experience in dealing with Coronavirus (COVID19) pandemic. Saudi Med J. 2020; 41 (6): 657–60.

10. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID19 epidemic. J Nurs Manag. 2020; 28 (5): 1002–9.

11. Almaududi S. Pengaruh Kejenuhan Kerja (Burnout) Terhadap Kinerja Karyawan Bagian Operator Di PT PLN (Persero) Unit Pelaksana Pengendalian Pembangkit Jambi Unit Layanan Pusat Listrik Payo Selincah. Ekon J Econ Bus. 2019; 3 (2): 193-201.

12. Horn DJ, Jhonston CB. Burnout and Self Care for Palliative Care Practitioners. Med Clin North America. 2020; 104 (3): 561–72.

13. Arissani S, Arif Y, Wijaya ER. Analysis of factors related to burnout in nursing managers at hospitals in Batam City. Int J Curr Res. 2019; 11 (10): 7823–6.

14. Neely C. Physician Burnout in the Face of COVID-19. ICSI; 2020.

15. Wang H, Liu Y, Hu K, Zhang M, Du M, Huang H, et al. Healthcare workers’ stress when caring for COVID-19 patients: An altruistic perspective. Nurs Ethics. 2020; 27 (7): 1490–500.

16. Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. 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. 2020; 24: 100424.

17. Barello S, Palamenghi L, Graffigna G. Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Res J. 2020; 290: 113129.

18. Azoulay E, De Waele J, Ferrer R, Staudinger T, Borkowska M, Povoa P, et al. Symptoms of burnout in intensive care unit specialists facing the COVID-19 outbreak. Ann Intensive Care. 2020; 10: 110.

19. Lo WY, Chien LY, Hwang FM, Huang N, Chiou ST. From job stress to intention to leave among hospital nurses: A structural equation modelling approach. J Adv Nurs. 2018; 74 (3): 677-688.

20. Menteri Kesehatan Republik Indonesia. Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/169/2020 tentang Penetapan Rumah Sakit Rujukan Penanggulangan Penyakit Infeksi Emerging Tertentu. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020.

21. Hair Jr. JF, Hult GTM, Ringle CM, Sarstedt M, Danks NP, Ray S. Partial Least Squares Structural Equation Modeling (PLS-SEM) using R: A workbook. Berlin: Springer Nature; 2021.

22. Oktari T, Nauli FA, Deli H. Gambaran Tingkat Stres Kerja Perawat Rumah Sakit pada Era New Normal. Heal Care J Kesehat. 2021; 10 (1): 115–24.

23. Lintong TFF. Tingkat Kecemasan dan Stress Kerja Perawat di Ruang Isolasi RSUD Kota Dumai Pada Masa Pandemi COVID-19 [Undergraduate Thesis]. Medan: Univeritas Sumatera Utara; 2021.

24. Rupang ER, Derang I. BURNOUT PERAWAT PELAKSANA DI RUANG ISOLASI COVID-19 RUMAH SAKIT SANTA ELISABETH MEDAN. J Perawat Indones. 2021; 5 (2): 712–23.

25. Yenti M. Hubungan beban kerja dengan stres kerja perawat di ruangan isolasi COVID-19 RSUP DR M. Djamil Padang tahun 2020 [Undergraduate Thesis]. Padang: Universitas Andalas; 2021.

26. Zhang J, Wang X, Jia X, Li J, Hu K, Chen G, et al. Risk factors for disease severity, unimprovement, and mortality in COVID-19 patients in Wuhan, China. Clin Microbiol Infect. 2020; 26 (6): 767–72.

27. García-Fernández L, Romero-Ferreiro V, Padilla S, David LópezRoldán P, Monzó-García M, Rodriguez-Jimenez R. Gender differences in emotional response to the COVID-19 outbreak in Spain. Brain Behav. 2021; 11 (1): e01934.

28. Spagnolo PA, Manson JE, Joffe H. Sex and Gender Differences in Health: What the COVID-19 Pandemic Can Teach Us. Ann Intern Med. 2020; 173 (5): 385–6.

29. Dall’Ora C, Ball J, Reinius M, Griffiths P. Burnout in nursing: A theoretical review. Hum Resour Health. 2020; 18 (1): 1–17.

30. Holmes EA, O’Connor RC, Perry VH, Tracey I, Wessely S, Arseneault L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. The Lancet Psychiatry. 2020; 7 (6): 547–60.

31. Schlak AE, Aiken LH, Chittams J, Poghosyan L, McHugh M. Leveraging the work environment to minimize the negative impact of nurse burnout on patient outcomes. Int J Environ Res Public Health. 2021; 18 (2): 1–15.

32. Octara M, Setyorini RH, Triani E, Sari PS. Korelasi Kondisi Burnout Dengan Risiko Penularan COVID-19 pada Tenaga Kesehatan di Kota Mataram, Nusa Tenggara. In: Prosiding SAINTEK. Matarm: LPPM Universitas Mataram; 2022. p. 23–4.

33. Rizky N, Suhariadi F. Pengaruh Workload dan Social Support terhadap Burnout pada Tenaga Kesehatan di Masa Pandemi COVID19. Bul Ris Psikol dan Kesehat Ment. 2021; 1 (2): 1199–206.

34. Galanis P, Vraka I, Fragkou D, Bilali A, Kaitelidou D. Nurses’ Burnout and Associated Risk Factors During the COVID-19 pandemic: A systematic review and meta-analysis. J Adv Nurs. 2021; 77 (8): 3286–302.

35. Fatmawati Sefri RD. Tingkat Burnout Staf Perpustakaan Badan Perpustakaan Dan Arsip Daerah (BPAD) Provinsi Dki Jakarta. Shaut Al-Maktabah J Perpustakaan, Arsip dan Dokumentasi. 2018; 10 (2): 165–76.

36. Matsuo T, Kobayashi D, Taki F, Sakamoto F, Uehara Y, Mori N, et al. Prevalence of health care worker burnout during the Coronavirus Disease 2019 (COVID-19) pandemic in Japan. JAMA Netw open. 2020; 3 (8): e2017271.

37. Duarte I, Teixeira A, Castro L, Marina S, Ribeiro C, Jácome C, et al. Burnout among Portuguese healthcare workers during the COVID-19 pandemic. BMC Public Health. BMC Public Health; 2020; 20 (1): 1– 10.

38. Jalili M, Niroomand M, Hadavand F, Zeinali K, Fotouhi A. Burnout among healthcare professionals during COVID-19 pandemic: A crosssectional study. Int Arch Occup Environ Health. 2021; 94 (6): 1345– 52.

39. Sunjaya DK, Herawati DMD, Siregar AY. Depressive, anxiety, and burnout symptoms on health care personnel at a month after COVID19 outbreak in Indonesia: A documentary research using rasch model analysis. BMC Public Health. BMC Public Health; 2021; 21 (227): 1– 8.

40. Tawfik DS, Sexton JB, Kan P, Sharek PJ, Nisbet CC, Rigdon J, et al. Burnout in The Neonatal Intensive Care Unit and Its Relation To Healthcare-Associated Infections. J Perinatol. 2017; 37 (3): 315–20.

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