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Relationship among Nurses Role Overload, Burnout and Managerial Coping Strategies at Intensive Care Units

Authors:
  • Faculty of Nursing- Assiut University

Abstract

Work life takes up an important place in human life, and an employee faces many stimuli from internal and external environments and is affected by them in a positive or negative way. Aim: was to investigate relationship among nurses role overload , burnout and managerial coping strategies at Intensive Care Units in Assiut University Hospital. Design: A descriptive design was used. Setting: Four Intensive Care Units in Assiut University Hospital. Subjects: Included all nurses working in Causality, General, & Postoperative Intensive Care Units and Coronary Care Unit in Assiut University Hospital. Tools: Four tools which includes Socio-demographic data sheet, role overload questionnaire, managerial coping strategies & burnout questionnaires. Results: Showed that role overload had highest mean score in General and Casuality ICUs. In addition, coping strategies highest mean scores of rational problem solving , resigned distancing, and seeking support/ventilation were in Casuality and post operative ICUs respectively except passive wishful thinking had highest mean scores in General and Casuality ICUs respectively. Also, burnout had highest mean scores in post operative and general ICU respectively. Conclusions: Nurses employed at ICUs in Assiut University Hospital reported high burnout and use managerial coping strategies as rational problem solving, resigned distancing, seeking support/ ventilation and passive wishful thinking to handle burnout and role overload except passive wishful thinking not used with role overload. Four tools were used to collect data for this study as follows: 1st tool : Socio-demographic data sheet: This part includes socio-demographic characteristics data as: age, sex , unit name, marital status, educational qualification, and years of experience. 2nd tool : Role overload questionnaire which developed by [11], it included five items. The Scoring system of this tool was five-point Likert-scale ranging from “strongly disagree” (1) to “strongly agree” (5). 3rd tool : Managerial coping strategies questionnaire which developed by [12] , it included twenty nine items classified into four factors. Rational problem solving, resigned distancing, seeking support/ventilation and passive wishful thinking. The Scoring system of the this study tool was four-point scale in the following sequence (0 = not used, 1= used somewhat, 2 = used quite a bit, 3 = used a great deal), and 4th tool: Burnout questionnaire which developed by [13], it included twenty two items. The Scoring system of this study tool was five-point Likert-scale ranging from “Not important” (1) to “More important” (5). Their reliability was assessed in a pilot study by measuring their internal consistency using Cronbach's alpha coefficient method. This turned to be 0.88 for coping strategies, 0.90 for burnout, and 0.96 for role overload, thus indicating a high degree of reliability .The validity was measured by five experts in the field of nursing administration.
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... Moreover, various studies have also related the positive link between role overload and occupational burnout (Shupe, Wambaugh and Bramble, 2015;Kilroy et al., 2016;Mohamed, 2016;Vullinghs et al., 2018). Maslach (1982) defined burnout as an occurrence of a stressful working environment that eventually drained the employees psychologically. ...
... This positive relationship between job stress and burnout has an overall damaging effect on both the mental and physical aspects of the employees. This study has also reported a positive and significant relationship between role overload and occupational burnout which confirms the studies of Kilroy et al. (2016), Mohamed (2016) and Vullinghs et al. (2018). Again, by accepting role overload, the employees undergo so much stress which ultimately results in occupational burnout. ...
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... Coping involves a set of behavioral and cognitive strategies, used to relieve the circumstances nerve-wracking flight of work (Da Costa & Pinto, 2017). It is a constantly changing cognitive and behavioral effort to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person affecting well-being and adaptation (Fatma, 2016). Folkman and Moskowitz (2006) identified coping strategies into problemfocused coping and emotion-focused coping characterized into adaptive and maladaptive coping respectively. ...
... In addition, despite the negative impacts of burnout, this can be easily remedied by adopting adequate coping mechanisms as coping behavior affects wellbeing and adaptation (Fatma, 2016, Ibikunle et al, 2012. Burnout does not only affect work performance but also physical and mental health. ...
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... Coping involves a set of behavioural and cognitive strategies, used to relieve the circumstances nerve-wracking flight of work (Da Costa & Pinto, 2017). It is a constantly changing cognitive and behavioural effort to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person affecting well-being and adaptation (Fatma, 2016). Folkman and Moskowitz (2006) identified coping strategies into problemfocused coping and emotion-focused coping characterized into adaptive and maladaptive coping respectively. ...
... Besides, despite the negative impacts of burnout, this could be easily remedied by adopting adequate coping mechanisms as coping behaviour affects wellbeing and adaptation (Fatma, 2016, Ibikunle et al, 2012. Burnout does not only affect work performance but also physical and mental health. ...
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... Fewer of the strategies employed by nurses focused on emotions and the least common were exit strategies. Mohamed (2016) also points to the tendency of nurses to use active strategies (active problem solving), as well as using the strategy of social support, positive reframing, and expression of emotions. Other studies reveal the relationship between active coping, health, and the working environment (Schreuder et al., 2012). ...
... The search for social support in the case of coping strategies was a finding which conforms with our results. Mohamed (2016) also attained a similar result to Makie (2006). A comprehensive finding in the use of coping strategies compared to the results of other studies is the relatively frequent use of an effective social support strategy. ...
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