الفهرس 
BURNOUT AMONG NURSESOnly 14 pages are availabe for public view
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Abstract
Nurses routinely engage in activities that impact the lives
of others at times when they are vulnerable and in need of
caring professional. As a result, they become too busy and too
tired, stress increases, and burnout can occur. Burnout is the
total loss of physical and mental resources caused by excessive
striving to reach an unrealistic work-related goal. Clearly,
nurses, organizations, and patients pay a high price for nurse
burnout since nurses with high level of burnout have negative
perception of the quality of care that they were able to provide.
Patients notice too and report increased dissatisfaction when
nurses seem cynical, exhausted and frustrated with working
conditions, i.e. having burnout. Meanwhile, patient satisfaction
is a very effective indicator to measure the success of hospitals.
The aim of this study was to investigate the relationship
between staff nurses’ burnout and patient satisfaction at Shebin
El-kom Teaching Hospital. This analytic cross-sectional study
was carried out at Shebin El-Kom Teaching Hospital. The
study subjects consisted of 103 nurses with minimal experience
of one year in the current department, and a similar number of
adult patients hospitalized for at least 3 days in the selecteddepartment. Data were collected using a self-administered
questionnaire for nurses and an interview questionnaire form
for patients, which were face and content validated by experts
and pilot-tested for reliability. Data collection lasted from
December 2014 to February 2015.
The main study findings were as following.
o Nurses‟ age ranged between 21 to 48 years, with more
females (68%), and a majority having diploma degree
(98.1%).
o Patients‟ age ranged between 21 to 79 years, with slightly
more females (59.6%), and 57.8% having a diploma level of
education. Their length of hospital stay ranged between 1
and 30 days.
o Overall, 68.9% of the nurses had high level of burnout, with
the highest domain being that of emotional exhaustion
(81.6%).
o There were generally low percentages of patients‟
satisfaction with infection control services, ranging between
27.1% and 43%, and with medication administration,
ranging between 34.6% and 46.7% o Similarly, patients‟ satisfaction with other direct nursing
care items was low, ranging between 26.2% 43%, as well as
with physical nursing care, ranging between 23.4% and
42.1%.
o Patients‟ satisfaction with psychological nursing care and
with health education items was also low, ranging between
17.8% and 43.9%, and between 17.8% and 43%,
respectively.
o In total, only 29.4% of the patients were satisfied with the
nursing care services; the highest satisfaction was with
medication administration (34.9%), while the lowest was
with physical nursing care (23.9%).
o Married nurses and those of ten or more years of current
experience had significantly higher percentages of high
burnout, p=0.03 and p=0.01 respectively.
o The highest percentages of satisfied patients were in special
medicine departments (p=0.02), and among those aged 40
years or older (p<0.001), and with no previous
hospitalization (p=0.006). A statistically significant negative correlation (r=-0.359)
was revealed between the scores of patients‟ satisfaction
and of nurses‟ burnout.
o There was a statistically significant positive correlation
between patients‟ satisfaction and their age (r=0.280).
o In multivariate analysis, nurses‟ burnout score and the
history of previous hospitalization were the statistically
significant independent negative predictors of patients‟
satisfaction, while patient‟s age was a positive predictor.
In conclusion, nurses‟ burnout is high in the study
settings, particularly in the domain of exhaustion and among
married and more experience nurses. It has a negative
association with patients‟ satisfaction, which is considerably
low.
It is recommended that the administration of the
hospitals should alleviate this burnout through work redesign
plans, revision of workload, periodic assessment for job
burnout, with early intervention, and training programs for
nurses to improve their assertiveness, decision-making
competencies, and conflict management strategies. They also
must set fair and clear reward systems. Regular monitoring ofpatient satisfaction should be done, with corrective actions for
the areas with lowest patient satisfaction. Nursing curricula
should give more emphasis to the problem of burnout. Further
research is needed to identify the factors underlying burnout
among nurses, with further testing of corrective interventions.