WELCOME Dr. D. Manivannan Principal Chithirai College of Nursing Madurai, Tamilnadu, India

INTRODUCTION z “Stress is an ignorant state. It believes that everything is an

emergency.” - Natalie Goldberg z "Stress is not what happens to us.

It's our response TO what happens. And RESPONSE is something we can choose.“

BACKGROUND OF THE STUDY

• The nurses are exposed to constant stress and work pressure in a clinical setting which may lead to burnout. • Nurses are continuously working in a environment where the human souls faces suffering and agony in a life which may cause displeasure in their work.

STATEMENT OF THE PROBLEM

A study to assess the level of burnout and factors contributing burnout among

nursing personnel working at selected hospitals of Tamilnadu.

Objectives z To study the profile of the nursing personnel. z To assess the level of burnout among nursing

personnel. z To assess the factors contributing to burnout among

nursing personnel. z To find out the relationship between level of burnout

and factors contributing to burnout among nursing personnel.

z To associate the level of burnout with selected demographic variables of nursing personnel.

NULL HYPOTHESIS

z There will be no significant correlation between level of burnout and factors contributing burnout among nursing personnel working in selected hospitals of Tamilnadu state.

z There will be no significant association of level of burnout with selected demographic variables of nursing personnel.

Conceptual Framework

RESEARCH METHODOLOGY

Research Design Expost Facto Design, otherwise known as

Correlational Design which comes under Non-Experimental Design.

Variables under study Independent Variables Factors contributing burnout which includes; Personal Factors Peer Group Relation Job Factors Other Factors. Dependent Variable Level of burnout.

SETTING OF THE STUDY

z The reputed hospitals which consists of bed strength varies from 100-1100 were selected for data collection.

z Totally the investigator has selected 18 hospitals from 10 districts for data collection.

POPULATION The total numbers of nursing personnel

working in 18 hospitals were 3519. The investigator has planned to collect data from 2 hospitals in each of the 10 districts with the total of 20 hospitals. Due to the problem of getting permission in 2 hospitals, these hospitals were excluded from data collection.

SAMPLE SIZE

z The sample size for the study was 900.

SAMPLING TECHNIQUE

The sampling technique adopted by the investigator was Multi stage sampling method which comes under the probability sampling techniques.

DEVELOPMENT AND DESCRIPTION OF THE TOOL

z Section I : Questionnaire regarding personal profile of the nursing personnel.

z Section II : Semantic Differential Scale to assess contributing factors of burnout among nursing personnel.

z Section III : Burnout Inventory Scale to assess the level of burnout among nursing personnel.

z CONTENT VALIDITY

z RELIABILITY OF THE TOOL

z PILOT STUDY

z ETHICAL CLEARANCE

Percentage distribution of level of burnout among nursing personnel

21.9%

46.2%

23.1%

8.8%

Percentage distribution of overall factors contributing to burnout among nursing personnel

19.9%

45.9%

23.9%

10.3%

Relationship between factors contributing burnout and level of burnout.

S. No Variable Burnout

Factors contributing burnout

Personal Factors

Family Factors

Peer Group

Relations

Job Factors

Other Factors

1 Emotional Exhaustion 0.657** 0.687** 0.746** 0.764** 0.662**

2 Cynicism 0.689* 0.728** 0.778** 0.798** 0.679** 3 Professional

Efficacy 0.654** 0.715** 0.762** 0.778** 0.632**

4 Interpersonal Stressor 0.633** 0.711** 0.731** 0.754** 0.617**

5 Physical Fatigue 0.573** 0.643** 0.600** 0.628** 0.528**

Other findings of the study z Most of the nurses agreed for the statements,

¾ I feel easily irritated by small problems or by co-workers and team.

¾ There is no enough time to complete my task satisfactory. ¾ In my work I don’t deal with emotional problems very calmly. ¾ The job is hardening me emotionally. ¾ I have no job security. ¾ Working with patients all day is really a strain for me. ¾ Lack of financial resources for training courses/workshop. ¾ I feel inadequately skilled for dealing with emotional needs of

the patients.

¾ Family support is poor. ¾ I experience excessive work load. ¾ There is not enough co-operation from peers and good

companionship. ¾ Poor job satisfaction. ¾ Excessive working hours. ¾ Personal values and organizational values are unlike. ¾ Not enough constructive criticism from superior. ¾ Not having enough time for personal care and use relaxation

techniques.

z SUMMARY

z CONCLUSION

IMPLICATIONS

z NURSING PRACTICE z Periodical appraisals of work pressure and job

satisfaction of nursing personnel need to be done. zA full time appointment of counselor for the hospital

staff to discuss all personal and professional matters needs to be made.

zAppointment of human resource management manager or human relation officer should be done.

NURSING EDUCATION

z Ensure that nursing students learn and practice

handling different stress producing situation.

z Encourage interested students to participate in

conference on stress reduction programme which

enhances the knowledge to live a balanced life.

z Educational institutions can arrange and conduct workshops, conferences and seminars on yoga and meditation as an intervention to reduce stress and burnout for the students.

z Make available literatures related to stress reduction and peaceful living in the library for nursing students reference.

z Educators can encourage budding nursing personnel to bring out innovative and creative ideas for leading a peaceful life.

NURSING RESEARCH • Nurse researcher can promote more researches in

various non-pharmacological interventions for reduction of stress and promotion of healthy environment.

• More research needs to be conducted on safe job climate to enhance the workforce cohesiveness in the hospital.

• Disseminate the findings through conferences, seminars, publications in professional, national, and international journals and worldwide websites.

NURSING ADMINISTRATION z Nurse administrators should collaborate with

governing bodies/statutory bodies in formulating policies to empower the successful nursing practice and meet their demands.

z Continuing education programme and in-service education programme should be conducted on the topics of stress management and how to overcome personal and professional problems.

• Nurse administrators should appoint one counselor in the hospital and facilitate a mutual understanding between top-level management and nursing personnel.

• Periodical meeting or get together program need to be organized by the nurse administrator for getting the direct feedback from nursing personnel regarding their problems and inconvenience.

RECOMMENDATIONS z The study can be conducted with larger samples

for better generalization. z The study can be conducted as experimental

design comparing job climate of one hospital with another hospital.

z A study can be conducted by checking many other factors like economic factors, social factors, cultural factors and hereditary factors that contribute to the burnout.

z A comparative study can be conducted by adopting non-pharmacological interventions in reduction of stress and burnout.

z A study can be conducted to assess the knowledge and practice of staff nurse regarding various stress management programme.

z The same study can be replicated in various settings and in various ethnic groups.

LIMITATIONS z The investigator planned to collect the samples from

20 hospitals in 10 districts of Tamilnadu state. He planned to collect the data from two hospitals of each district. Since, the permission was denied from two hospitals of Madurai and Thanjavur district the investigator collected the data from one hospital of each above said districts. Therefore the investigator collected the samples from 18 hospitals only.

z The study is limited to the nurses working in private, trust and missionary hospitals of Tamilnadu only.

Thank you