Original Articles
20 January 2015
Vol. 37 No. 1 (2015)
https://doi.org/10.4081/gimle.677

Investigating burnout situations, nurses’ stress perception and effect of a post-graduate education program in health care organizations of northern Italy: a multicenter study

[Indagine sulle situazioni di burnout, percezione dello stress da parte degli infermieri ed effetti di un programma di formazione post-laurea nelle organizzazioni sanitarie del nord Italia: uno studio multicentrico]

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Cristina Arrigoni
cristina.arrigoni@unipv.it
Dipartimento di Sanità Pubblica, Medicina Sperimentale e Forense, Sezione di Igiene, Università degli Studi di Pavia, Italy.
Rosario Caruso
Dipartimento di Biomedicina e Prevenzione, Università di Roma Tor Vergata e Policlinico San Donato (MI), Italy.
Francesca Campanella
Dipartimento di Sanità Pubblica, Medicina Sperimentale e Forense, Unità di Medicina del Lavoro “Salvatore Maugeri”, Università degli Studi di Pavia, Italy.
Francesca Gigli Berzolari
Dipartimento di Sanità Pubblica, Medicina Sperimentale e Forense, Unità di Medicina del Lavoro “Salvatore Maugeri”, Università degli Studi di Pavia, Italy.
Daniela Miazza
Dipartimento di Sanità Pubblica, Medicina Sperimentale e Forense, Unità di Medicina del Lavoro “Salvatore Maugeri”, Università degli Studi di Pavia, Italy.
Gabriele Pelissero
Dipartimento di Sanità Pubblica, Medicina Sperimentale e Forense, Sezione di Igiene, Università degli Studi di Pavia, Italy.

Background. Burnout (BO) is increasingly considered a public health problem: it is not only harmful to the individual, but also for the organization. Therefore, in recent years, research has given particular attention to the study of the phenomenon and its antecedents among the nursing profession. In the last ten years, the literature shows the prevalence of BO in different clinical settings, but there are few recent data describing the phenomenon and its relationship with educational preventive programs. Objectives. The aims of this study are: a) to describe the prevalence of nurses' risk of BO in the northern Italy area b) to describe nurses' coping and their perception of the BO antecedents c) to describe the effects of education on the nurses' coping and their recognition of BO antecedents Methods. The study is structured into two main parts. The first was cross-sectional, the second was prospective. Burnout Potential Inventory (BPI) questionnaire was used in the cross-sectional part to survey risk of BO in three big hospitals in Northern Italy. The Health Profession Stress and Coping Scale (HPSCS) was used in the prospective part to survey the nurses' stress perception and their coping mechanisms in a post-graduate educational program.
Results. Nurses' BO risk is within the normal range, although the BP| highlighted three borderline subscales: poor team work, work overload and poor feedback. Post-graduate education had a positive effect on the stress perception, but it is not sufficient to improve coping mechanisms.
Conclusions. The study revealed the more stressful work situations and the effect of post-graduate education to prevent the effects of stress. This topic needs further investigation in the light of the result of this study.

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Europe PMC
1) Arrigoni C, Miazza D, Gerra MT, Pelissero G. Prevention in the workplace and training of personnel: new methological approaches. Journal of Preventive Medicine and Hygiene 2012: 14-19 ISSN: 1121-2233. 2) Balducci C, Avanzi L, Fraccaroli F. Emotional demands as a risk factor for mental distress among nurses. Med Lav 2014; 105(2): 100-8. 3) Bernardi M, Catania G, Marcecasa F: Il mondo del burn-out infermieristico. Una revisione della letteratura. Professioni Infermieristiche 2005; 58: 2.
4) Brewer EW, Shapard L. Employee burn-out: a meta-analysis of the relationship between age or years of experience. Journal of Human Resource Development Review 2004; 3 (2), 9-16.
5) Bussing A, Glaser J. Work stressors in nursing in the corse of redesign: implications for burn-out and interactional stress. European Journal of Work and Organizational Psychology, 1999; 8: 401-426. 6) Cherniss C: Professional Burn-out in Human Service Organizations. New York: Praeger, 1999.
7) Di Mattei V, Prunas A, Sarno L. Il burnout negli operatori della salute mentale: quali interventi? Psicologia e Salute 2004 (2): 113-122. 8) Duquette A, Keruac S, Sandhu BK, Ducharme F. Psychosocial determinants of burn-out in geriatric nursing. International Journal of Nursing Studies 1995; 32 (5): 443-456.
9) Fenlason KJ, Beehr TA. Social support and occupational stress: effects of talking to others. Journal of Organizational Behavior 1994; (15): 157-175.
10) Freudenberger HJ: 'Staff'. Journal of Social Issues 1974; 30 (1): 159-165.
11) Garman AN, Corrigan PW, Morris S. Staff burn-out and patient satisfaction: evidence of relationship at the care unit level. J Occup Health Psychology 2002; (7): 235-241.
12) Gil-Monte PR. El síndrome de quemarse por el trabajo (burn-out): una enfermedad laboral en la sociedad del bienestar [Bumout: An occupational illness in the wellbeing society). Pirámide: Madrid, 2005. 13) Gil-Monte PR. Algunas razones para considerar los riesgos psicosociales en el trabajo y sus consecuencias en la salud pública. Revista Española de Salud Ptiblica 2009; (83): 169-173.
14) Giuliani S, Bernardi M, Assanelli A, Matozzo V, Vicini M, Gavezzotti M, Sarno L, Ciceri F. Stress level assessment and intervention in a bone marrow transplantation inpatient nurse group. 38th Annual Meeting of the European Group for Blood and Marrow Transplantation, 2012, Nurses Session 9: Standards of care 2.
15) Houkes I, Janssen PPM, Jonge J, Bakker AB. Specific determinants of intrinsic work motivation, emotional exhaustion and turnover intention: a multi-sample longitudinal study". Journal of Occupational and Organizational Psychology 2003; (76): 427-450.
16) Karanikola NMK, Kleanthous E. Exploration of burn-out risk factors among mental health nurses. Nosileftiki, 2011; 50(2), 163-176. 17) Leiter MP, Harvie PL, Frizzel C. The correspondence of patient satisfaction and nurse burn-out. Soc Sci Med 1998; (47): 1611-1617. 18) Mahony C. 2013 was a horrible year for nursing - nurses are "burnt out," says chief. BMJ 2014; (348): g126.
19) Maslach C, Jackson SE. The measurement of experienced burn-out. Journal of Organizational Behavior, 1981; 2 (Issue 2): 99-113.
20) Maslach C, Jackson SE. Maslach Burnout Inventory Manual. Consulting Psychologists Press, Inc, Palo Alto, CA. 1986.
21) Maslach C, Schaufeli WB, Leiter MP. Job burn-out. Annu Rev Psychol 2001; (52): 397-422.
22) Murgia C, Sansoni J. Stress and nursing: study to evaluation the level of satisfaction in nurses. Prof Inferm 2011; 64(1): 33-44.
23) Pedrabissi L, Santinello M. Professione infermieristica e sindrome del burn-out: un contributo alla taratura del Maslach Burn-out Inventory. Bollettino di Psicologa Applicata 1988; (187-188): 41-46. 24) Pisanti R, Van der Doef M, Maes S, Lazzari D, Bertini M. Job characteristics, organizational conditions, and distress/wellbeing among Italian and Dutch nurses: A cross-national comparison. International Journal or Nursing Study 2011; (48): 829-837.
25) Pompili M, Rinaldi G, Lester D, Girardi P, Ruberto A, Tatarelli R: Hopelessness and suicide risk emerge in psychiatric nurses suffering from burn-out and using specific defense mechanisms. Archives of Psychiatric Nursing 2006; (20): 135-143.
26) Potter B. Beating Job Burn-out. How to transform work pressure into productivity. Ronin Publishing, Berkeley, California, 1994.
27) Potter B. Overcoming Job Burnout: How to Renew Enthusiasm for Work, Ronin Publishing, 2005.
28) Rabin S et al. Stress intervention strategies in mental health professions. British Journal of Medical Psychology 1999; (72): 159-169. 29) Rafferty A, Clarke S, Coles S, Ball J, James P, Mckee M, Aiken L. Outcomes of variation in hospital nurse staffing in English hospitals: cross-sectional analysis of survey data and discharge records. Int J Nurs Stud, 2007; (44): 175-182.
30) Riolli L, Savicki V. Impact of fairness, leadership, and coping on strain, burn-out, and turnover in organizational change. International Journal of Stress Management; 2006; (13): 351-377.
31) Ripamonti C. Health Professions Stress and Coping Scale, Giunti OS. Firenze, 2007.
32) Schaufeli WB, Greenglass E. Introduction to special issue on burnout and health. Psychology and Health 2001; (16): 501-510.
33) Schaufeli WB, Buunk BP. Burn-out: An overview of 25 years of research in theorizing. In Schabracq MJ, Winnubst JAM, Cooper CL (Eds.), The handbook of work and health psychology (pp. 383-425). Chichester: John Wiley & Sons, 2003.
34) Sili A, Fida R, Vellone E, Alvaro R. La salute organizzativa degli infermieri, la salute organizzativa e lo stile di leadership dei coordinatori: un modello di equazioni strutturali. 2011, Rome, 10th ENDA Congress. Health care changes in Europe with nursing leadership. 35) Turci C et al. La salute organizzativa degli infermieri in alcune strutture sanitarie di Roma e della provincia, L'Infermiere, Notiziario Aggiornamenti Professionali, 2013, Anno LVII, 6.
36) Zenobi C, Sansoni J. Burn-out e cure intensive. Prof Inferm 2007; 60 (3): 148-54.

How to Cite



Investigating burnout situations, nurses’ stress perception and effect of a post-graduate education program in health care organizations of northern Italy: a multicenter study: [Indagine sulle situazioni di burnout, percezione dello stress da parte degli infermieri ed effetti di un programma di formazione post-laurea nelle organizzazioni sanitarie del nord Italia: uno studio multicentrico]. (2015). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 37(1), 39-45. https://doi.org/10.4081/gimle.677
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