Factors Contributing to Burnout and its Association with Depression among Intensive Care Nurses in Sarawak

Ho, Jeannie Sze Lee (2020) Factors Contributing to Burnout and its Association with Depression among Intensive Care Nurses in Sarawak. Masters thesis, Universiti Malaysia Sarawak (UNIMAS).

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Abstract

Intensive care nurses who are continuously influenced by stressful environment are more likely to develop burnout syndrome. Burnout was defined as three dimensions that consists of emotional exhaustion, cynicism and reduced personal accomplishment. There has been an extensive research that recognized the high prevalence of burnout has a significant association with depression syndrome among intensive care nurses. This study aimed to determine the prevalence of burnout and depression as well as analyze the existence of contributing factors to burnout among the intensive care nurses in four government hospitals in Sarawak. A descriptive, quantitative and cross sectional study was done among 319 nurses working in seven different types of intensive care units using validated self-administered questionnaires that consists of Maslach Burnout Inventory (MBI) for burnout syndrome and Center of Epidemiology of Study – Depression (CESD) for depression syndrome. The prevalence of burnout was 23.82% and 31.7% of the respondents had mild to severe depression. The association was significant between burnout and depression (p <0.001). Multivariate analysis using multiple logistic regression showed that nurses with post basic/ advanced diploma were two times more likely to develop burnout compared to those who did not have any relevant post basic or advanced diploma (OR: 2.144, 95% CI: 1.099-4.183, p=0.025). Another significant contributing factors to burnout was having conflict with patients seven days before the survey. They were three times more likely to develop burnout (OR:3.059, 95% CI:1.389-6.739, p=0.006) compared with those who did not have conflict with patients. In conclusion, the prevalence of burnout and depression is significant and nurses with relevant post graduate training and have conflict with patients seven days before the survey are two contributing factors to burnout syndrome. This finding indicate that iv Ministry of Health Malaysia and the hospital management need to develop a prevention program to address this situation. Further studies are needed to include more ICU in hospitals from Peninsular and Sabah so that the results can be generalized to entire Malaysia.

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