The relationship between nurses’ clinical competence and burnout in neonatal intensive care units
Abstract
Background: Nurses’ clinical competency plays an important role in the care of preterm infants. On the other hand, burnout is one of the most important factors in reducing the nurses’ efficiency. With regard to the importance of the role of nurses, and the vulnerability of the infants, the purpose of this study was to investigate the relationship between nurses’ burnout and clinical competency in NICUs.
Materials and Methods: The descriptive cross-sectional study was conducted with the participation of 86 nurses working in the NICUs of hospitals in Isfahan, Iran. Census sampling method was used in the NICUs of educational hospitals in 2014. Data were collected by a questionnaire including demographic characteristics, Patricia clinical competency, and Maslach burnout scales. Data
were analyzed by the statistical tests of independent t-test and Pearson correlations test with the significance level of á < 0.05.
Results: Six dimensions of clinical competency and three dimensions of nurses’ burnout were assessed at three levels (weak, moderate, and strong levels). Statistical tests showed that clinical competency was at a moderate level in all fields. Of the dimensions of nurses’ burnout, emotional exhaustion was moderate, depersonalization was weak, and personal performance was strong. The results showed that nurses` burnout and clinical competency in the NICUs were at a moderate level and had a significant negative relationship (r = −0.322, P = 0.003).
Conclusions: Results showed that burnout had a negative relationship with competency. Therefore, managers are suggested to improve nurses’ competency and diminish their job burnout through better and more applicable planning.
Key words: Clinical competency, infant, job burnout, NICU, nurses, Iran
Keywords
Full Text:
PDFReferences
Malusky S, Donze A. Neutral head positioning in premature infants for intraventricular hemorrhage prevention: An evidence‑based review. Neonatal Netw 2011;30:381‑96.
Cowan DT, Norman I, Coopamah VP. Competence in nursing practice: A controversial concept‑a focused review of literature. Nurse Educ Today 2005;25:355‑62.
Memarian R, Salsali M, Vanaki Z, Ahmadi F, Hajizadeh E. Professional ethics as an important factor in clinical competency in nursing. Nurse Ethics 2007;14:203‑14.
Bahraini M, Moattari M, Akaberian SH, Mirzaie K. Determining nurses’ clinical competence in hospitals of Bushehr University of Medical Sciences by self‑assessment method. Iranian South Med J 2008;11:69‑75.
Abdi F, Kaviani H, Khaghanizadeh M, Momeni A. Relationship between burnout and mental health. Tehran Univ Med J 2007;65:65‑75.
Berkow S, Virkstis K, Stewart J, Conway L. Assessing new graduate nurse performance. Nurs Educ 2009;34:17‑22.
Ghomi R. Surveying the Nurses’ Clinical Competency, Working in Neonatal Intensive Care Unit (NICU) in Hospitals Affiliated to Tehran University of Medical Sciences. A Thesis Submitted to the Graguated Studies Office in Partial Fulfillment of the Requirement for the Degree in Neonatal Nursing. Tehran, Iran: Tehran University of Medical Sciences; 2013. p. 10‑25.
Parsayekta Z, Ahmadi F, Tabari R. The factors influencing the clinical competence of the nurses. J Guilan Uni Med Sci 2004;54:21‑9.
Jaarsma T. Keeping Cardiac nurses on the job. Eur J Cardiovasc Nurs 2003;2:93‑4.
Esfandiyari GH. Investigation of burnout among nurses working in hospitals in Sanandaj. J Kurdistan Uni Med Sci 2001;1:32.
Rahmani F, Rahmani D, Behshid M, Zamanzadeh V. The relationship between Public health communication, stress and burnout in nurses in Tabriz University of Medical Sciences. Iranian J Nur 2010;23:1‑2.
Nasti zaie N, Vaezi M, Molazehi A, Hezaremoghadam M. The relationship between burnout and psychological health of staff handle all communications Zahedan. J Heal Res Yazd 2008;7:49‑57.
Almasian A, Rahim Kia A. Study of the relationship between leadership style and burnout in university staff 1390. Quart Res J Lorestan Uni Med Sci Yafteh 2011;1:69‑70.
Maleaky N, Bahbode Mogadam Z. The Prevalence of Burnout and the Factors Related to the Midwives Hospitals to Tehran Medical Sciences. A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Nursing Midwifery. Tehran, Iran: Tehran Medical Sciences; 1391. p. 42.
Hosseini M, Sharifzadeh G, Khazaei T. Occupational burnout in Birjand dentists. J Dent Med Heal Serv 2011;24:113‑20.
Filian A. Evaluation of Burnout and its Relation to Coping Strategies used by Nurses in Teaching Hospitals in Tehran. Master’s Thesis. Tehran, Iran: University of Medical Sciences, Tarbiat Modarres Nursing; 2010.
Leiter MP, Maslach C. Burnout. Ency Men Heal 1998;1:347‑57.
Najafi M, Solati Dehkordy SK, Frvzbkhsh F. The relationship between job burnout and mental health among employees of Esfahan’s Center for research and production of nuclear fuel. J Shahrekord Univ Med Sci 2000;2:34‑41.
Shateri M. Evaluating Nurses Clinical Competency in Intensive Care Units on Tehran University Hospitals. Tehran University of Medical Sciences Faculty of Nursing and Midwifery: A Thesis Submitted in Partial Fulfillment of the Requirements for the Degree of Master of Nursing. Tehran, Iran: Tehran University of Medical Sciences; 2012. p. 22-6.
Aäri RL, Tarja S, Helena LK. Competence in intensive and critical care nursing: A literature review. Intensive Crit Care Nurs 2008;24:78‑89.
Sheikhi M, Fallahi KM, Mohammadi F, Oskouie F. Nurses experience of flourishing work environment in career advancement: A qualitative study. J Qazvin Univ Med Sci 2015;18:55‑62.
Istomina N, Suominen T, Razbadauskas A, Martinkėnas A, Meretoja R, Leino‑Kilpi H. Competence of nurses and factors associated with it. Medicina (Kaunas) 2011;47:230‑7.
Oerman MH. Developing a professional portfolio in nursing. Orthop Nurs 2002;21:73‑8.
Richard J, Peter E. Nursing and healthcare management and police. J Adv Nurs 2004;48:622‑30.
Bradham KM. Empathy and Burnout in Nurses. Chicago: Institute for Clinical Social Work; 2008. p. 78-102.
Maslach C, Schaufeli WB, Leiter MP. Job burnout. Annu Rev Psychol 2001;52:397‑422.
Brooks DM, Bradt J, Eyre L, Hunt A, Dileo C. Creative approaches for reducing burnout in medical personnel. The Arts in Psychotherapy 2010;37:255‑63.
Benner P. Using the Dreyfus model of skill acquisition to describe and interpret skill acquisition and clinical judgment in nursing practice and education. Bul Sci Tech and Soc 2004;24:188‑99.
Refbacks
- There are currently no refbacks.