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Volume 25, Issue 3 (Autumn 2024)                   JHC 2024, 25(3): 234-244 | Back to browse issues page

Ethics code: IR.IAU.KERMAN.REC.1399.002

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Khandan M, Rostami M. Investigating the Correlation between Job Burnout and Ethical Decision Making among Nurses Working in Intensive Care Units. JHC 2024; 25 (3) :234-244
URL: http://hcjournal.arums.ac.ir/article-1-1479-en.html
Department of Nursing, School of Nursing and Midwifery, Kerman Branch, Islamic Azad University, Kerman, Iran
Abstract:   (299 Views)
Background & aim: Constant confront with critical situations intensifies the burnout of nurses in intensive care units and forces them to make numerous ethical decisions in their care. Therefore, this study aimed to determine the job burnout, ethical decision-making and their relationship among nurses working in intensive care units at Namazi Hospital, Shiraz.
Methods: This descriptive-correlational study was conducted in 2019-2020. The number of 120 nurses working in the intensive care units was selected using the convenience sampling method. Data were collected using Maslach's job burnout (1986) and ethical decision-making  questionnaires. Data were analyzed with SPSS-23 using descriptive (mean, standard deviation, frequency and percentage) and inferential (Pearson's test and multiple linear regression) statistics.
Results: The results showed that the nurses’ mean scores for job burnout and ethical decision-making scores were 68.13±23.62 and 56.33±12.23, respectively, and were at a moderate level. Additionally, the results indicated a negative and significant relationship between job burnout and ethical decision-making (p<0.001). The age variable also had a predictive role in job burnout and ethical decision-making (p<0.001).
Conclusion: Providing holistic care in the intensive care units requires a high level of ethical decision-making ability, so this level appears to be inadequate. Furthermore, the notable magnitude of job burnout, its significant and negative impact on ethical decision-making, and the predictive role of age in them, require policymakers to pay more attention. Therefore, they should investigate job burnout and ethical decision-making and recruit young nurses along with experienced nurses in intensive care units.

 
Full-Text [PDF 371 kb]   (208 Downloads)    
Type of Study: article | Subject: Nursing Ethics
Received: 2023/05/28 | Accepted: 2024/01/23 | Published: 2024/01/30

References
1. Vandrevala T, Pavey L, Chelidoni O, Chang N-F, Creagh-Brown B, Cox A. Psychological rumination and recovery from work in intensive care professionals: associations with stress, burnout, depression, and health. Journal of Intensive Care. 2017;5(16):1-8. [DOI:10.1186/s40560-017-0209-0] [PMID] []
2. Freudenberger HJ. Staff burnout. Journal of Social Issues. 1974;30(1):159-65. [DOI:10.1111/j.1540-4560.1974.tb00706.x]
3. Maslach C, Jackson SE, Leiter MP. Maslach burnout inventory. Third edition. Lanham: Scarecrow Education; 1997.
4. Torre M, Popper MS, Bergesio A. Burnout prevalence in intensive care nurses in Argentina. Enferm Intensiva. 2019;30(3):108-15. https://doi.org/10.1016/j.enfi.2018.04.005 [DOI:10.1016/j.enfie.2018.04.005] [PMID]
5. Vermeir P, Blot S, Degroote S, Vandijck D, Mariman A, Vanacker T, et al. Communication satisfaction and job satisfaction among critical care nurses and their impact on burnout and intention to leave: a questionnaire study. Intensive and Critical Care Nursing. 2018;48:21-27. [DOI:10.1016/j.iccn.2018.07.001] [PMID]
6. Ensafdaran F, Naami A, Keraee A, Dastan N. The relationship between emotional acting and job burnout and life satisfaction due to the modifying role of supervisor support in nurses in Shiraz hospitals. Journal of Organizational Culture Management. 2018;16(3):569-89 [Persian].
7. Zarei E, Ahmadi F, Sial MS, Hwang J, Thu PA, Usman SM. Prevalence of burnout among primary health care staff and its predictors: a study in Iran. International Journal of Environmental Research Public Health. 2019;16(12):2249 [Persian]. [DOI:10.3390/ijerph16122249] [PMID] []
8. Sari D, Baysal E, Celik GG, Eser I. Ethical decision making levels of nursing students. Pakistan Journal of Medical Sciences. 2018;34(3):724-29. [DOI:10.12669/pjms.343.14922] [PMID] []
9. Benoit D, Jensen HI, Malmgren J, Metaxa V, Reyners AK, Darmon M, et al. Outcome in patients perceived as receiving excessive care across different ethical climates: a prospective study in 68 intensive care units in Europe and the USA. Intensive Care Medicine. 2018;44(7):1039-49. [DOI:10.1007/s00134-018-5231-8] [PMID] []
10. Moss M, Good VS, Gozal D, Kleinpell R, Sessler CN. An official critical care societies collaborative statement: burnout syndrome in critical care health care professionals: a call for action. American Journal of Critical Care. 2016;25(4):368-76. [DOI:10.4037/ajcc2016133] [PMID]
11. Teixeira C, Ribeiro O, Fonseca AM, Carvalho AS. Ethical decision making in intensive care units: a burnout risk factor? results from a multicentre study conducted with physicians and nurses. Journal of Medical Ethics. 2014;40(2):97-103. [DOI:10.1136/medethics-2012-100619] [PMID]
12. Farasatkish R, Shokrollahi N, Zahednezhad H. Critical care nurses' moral sensitivity in Shahid Rajaee heart center hospital. Iranian Journal of Cardiovascular Nursing. 2015;4(3):36-45 [Persian].
13. Ghorbani A, Etemadi R, Jafari G. Investigating the impact of responsibility (professional and human ethics) on nurses and its relationship with patients' recovery. Military Caring Science. 2014;1:57-62 [Persian]. [DOI:10.18869/acadpub.mcs.1.1.57]
14. Borhani F, Esmaeilie Abdar M, Razban F, Roshanzadeh M. Moral distress in nurses and its relationship with job burnout. Quarterly Journal of Medical Ethics. 2013;7(25):123-44 [Persian].
15. Khoshkbari Z, Rejeh N, Tadrisi SD. Relationship between moral distress and job burnout in nurses of critical care units of hospitals. Quarterly Journal of Medical Ethics. 2022;16(47):1-13 [Persian].
16. Motamed-Jahromi M, Abbaszadeh A, Jalali T. Correlation between burnout and role of patient advocacy in ICU nurses. Medical Ethics Journal. 2017;11(40):29-37 [Persian]. [DOI:10.21859/mej-114029]
17. Li Y, Guo B, Wang Y, Lv X, Li R, Guan X, et al. Serial-multiple mediation of job burnout and fatigue in the relationship between sickness presenteeism and productivity loss in nurses: a multicenter cross-sectional study. Frontiers in Public Health. 2022;9:812737. [DOI:10.3389/fpubh.2021.812737] [PMID] []
18. Maslach C, Jackson S, Leiter M. Maslach Burnout Inventory Manual Consulting Psychologists Press. 2nd ed. Palo Alto, CA: Consulting Psychologists Press; 1986.
19. Dehghani Y, Asghari F, Saeidpour F, Joukar E. Prediction of occupational burnout based on job satisfaction, personality traits and mental health. Iranian Journal of Nursing Research. 2017;12(5):61-70 [Persian]. [DOI:10.21859/ijnr-12059]
20. Asadi Y, Molazem Z, Mohebbi Z, Ghaemmaghami P. Investigating the relationship between resilience and professional ethics in nurses: a cross-sectional study in southern Iran. BMC nursing. 2023 Oct 30;22(1):409. [DOI:10.1186/s12912-023-01578-1] [PMID] []
21. Ghorbani M, Abdollahi MA. The role of professional ethics moderated in the relationship between psychological capital and organizational identity. Strategic Management Researches. 2017;23(64):99-118 [Persian].
22. Cishahayo E, Nankundwa E, Sego R, Bhengu B. Burnout among nurses working in critical care settings: a case of a selected tertiary hospital in Rwanda. International Journal of Research in Medical Sciences. 2017;5(12):5121-28. [DOI:10.18203/2320-6012.ijrms20175430]
23. Gómez-Urquiza JL, De la Fuente-Solana EI, Albendin-Garcia L, Vargas-Pecino C, Ortega-Campos EM, Canadas-De la Fuente GA. Prevalence of burnout syndrome in emergency nurses: a meta-analysis. Critical Care Nurse. 2017;37(5):e1-e9. [DOI:10.4037/ccn2017508] [PMID]
24. Ramirez-Baena L, Ortega-Campos E, Gomez-Urquiza JL, Cañadas-De la Fuente GR, De la Fuente-Solana EI, Cañadas-De la Fuente GA. A multicentre study of burnout prevalence and related psychological variables in medical area hospital nurses. Journal of Clinical Medicine. 2019;8(1):92. [DOI:10.3390/jcm8010092] [PMID] []
25. Sadeghi M, Ebrahimi H, Abbasi M. The relationship between moral distress and burnout in clinical nurses in the Shahroud city. Iranian Journal of Nursing Research. 2016;11(2):78-87 [Persian].
26. Filho FA, Rodrigues MCS, Cimiotti JP. Burnout in Brazilian intensive care units: a comparison of nurses and nurse technicians. Advanced Critical Care. 2019;30(1):16-21. [DOI:10.4037/aacnacc2019222] [PMID]
27. Biganeh J, Abolghasemi J, Alimohammadi I, Ebrahimi H, Torabi Z, Ashtarinezhad A. Survey of occupational stress effects on burnout among nurses. Knowledge and Health in Basic Medical Sciences. 2018;11(4):10-18 [Persian].
28. Ranjbar H, Mojalli M, Namdar Areshtanab H. Job burnout among nurses working in ICUs affiliated to the educational and therapeutic centers of Mashhad University of Medical Sciences. Journal of Torbat Heydariyeh University of Medical Sciences. 2017;5(2):56-61 [Persian].
29. Isfahani P. The prevalence of burnout among nurses in hospitals of Iran: a systematic review and meta-analysis. Journal of Health. 2019;10(2):240-50 [Persian]. [DOI:10.29252/j.health.10.2.240]
30. Jensen HI, Hebsgaard S, Hansen TCB, Johnsen RFA, Hartog CS, Soultati I, et al. Perceptions of ethical decision-making climate among clinicians working in European and US ICUs: differences between nurses and physicians. Critical Care Medicine. 2019;47(12):1716-23. [DOI:10.1097/CCM.0000000000004017] [PMID]
31. Baloochi Beydokhti T, Tolide-ie H, Fathi A, Hoseini M, Gohari Bahari S, Medicine Ho. Relationship between religious orientation and moral sensitivity in the decision making process among nurses. Iranian Journal of Medical Ethics and History of Medicine. 2014;7(3):48-57 [Persian].
32. Jamshidian F, Shahriari M, Aderyani MR. Effects of an ethical empowerment program on critical care nurses' ethical decision-making. Nursing Ethics. 2019;26(4):1256-64. [DOI:10.1177/0969733018759830] [PMID]
33. Robinson EM, Lee SM, Zollfrank A, Jurchak M, Frost D, Grace PJHCR. Enhancing moral agency: clinical ethics residency for nurses. Hastings Center Report. 2014;44(5):12-20. [DOI:10.1002/hast.353] [PMID]
34. Palazoğlu CA, Koç Z. Ethical sensitivity, burnout, and job satisfaction in emergency nurses. Nursing Ethics. 2019;26(3):809-22. [DOI:10.1177/0969733017720846] [PMID]
35. Hernandez-Marrero P, Pereira SM, Carvalho AS, Medicine P. Ethical decisions in palliative care: Interprofessional relations as a burnout protective factor? results from a mixed-methods multicenter study in Portugal. American Journal of Hospice and Palliative Medicine. 2016;33(8):723-32. [DOI:10.1177/1049909115583486] [PMID]
36. Salamat A, Mohammad Aliha J, Mardani Hamooleh M, Mohammadnejad E, Haghani S. Patient safety culture in intensive care units in the viewpoint of nurses in Tehran, Iran. Iran Journal of Nursing. 2019;32(119):52-63 [Persian]. [DOI:10.29252/ijn.32.119.48]
37. Cañadas-De la Fuente GA, Vargas C, San Luis C, García I, Cañadas GR, Emilia I. Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies. 2015;52(1):240-49. [DOI:10.1016/j.ijnurstu.2014.07.001] [PMID]
38. Cockerham W, Dingwall R, Quah SR. The Wiley Blackwell Encyclopedia of Health, Illness, Behavior and Society Oxford: Wiley-Blackwell; 2014. [DOI:10.1002/9781118410868]
39. Sadeghi Jeghe S. A study of the social factors influencing electoral behaviors of the Iranians. Strategic Studies Quarterly. 2016;18(69):89-118 [Persian].
40. Nikbakht Nasrabadi AR, Joolaee S, Navab E, Esmaeilie M. The relationship between moral sensitivity in decision making and using white lies in patient care. Iranian Journal of Nursing Research. 2020;15(3):56-67 [Persian].
41. Dalvand S, Khodadadi B, Niksima SH, Ghanei-Gheshlagh R, Shirzadegan R. The relationship between moral sensitivity in decision and its dimensions with demographic characteristics of nurses in Shahid Madani hospital of Khorramabad in 2017. Journal of North Khorasan University of Medical Sciences. 2019;10(4):9-15 [Persian]. [DOI:10.52547/nkums.10.4.9]

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