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Journals / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi / 2025 / Cilt: 5 Sayı: 3

Levels of Burnout Among Nurses and Related Factors

Hemşirelerde Tükenmişlik ve İlişkili Faktörlerin İncelenmesi

Cennet Kara Özçalık(İSTANBUL KÜLTÜR ÜNİVERSİTESİ)0000-0003-2394-2634
Ahmet Babat(ISTANBUL KULTUR UNIVERSITY, FACULTY OF HEALTH SCIENCES)0009-0006-2424-3922
Pages
312–328
Publication Date
2025-12-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Our findings suggest that nurses may experience more emotional exhaustion and depersonalisation when they do not choose the profession willingly and when their professional experience and weekly working hours increase.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Nurses frequently experience challenging emotional situations such as severe illness, poor prognosis, patient death, and work in complex and high-stress work environments.
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Key Findings & Data:The data of this cross-sectional descriptive study were obtained with the Nurse Information Form and Maslach Burnout Scale between March-April 2023.
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Conclusion & Impact:Our findings suggest that nurses may experience more emotional exhaustion and depersonalisation when they do not choose the profession willingly and when their professional experience and weekly working hours increase.
🔬Design:Araştırma Makalesi
📍Scope:2023 Verileri
⚙️Variables:Hemşirelik · hemşirelik bakımı · tükenmişlik

Abstract

Nurses frequently experience challenging emotional situations such as severe illness, poor prognosis, patient death, and work in complex and high-stress work environments. The aim of this study was to examine the burnout levels and related factors of nurses working in a public hospital. The data of this cross-sectional descriptive study were obtained with the Nurse Information Form and Maslach Burnout Scale between March-April 2023. The comparison of burnout scores was analysed with independent sample t-test for gender, marital status and voluntary choice of profession; one-way analysis of variance for educational status, total working time in the profession, weekly working time and working order. Analyses included 121 participants (≥18 years); the majority were female (66.1%), married (52.1%), and had a bachelor's degree (61.2%). The depersonalisation and emotional exhaustion scores of nurses working in specialised units were significantly higher than those of nurses working in inpatient services. The emotional exhaustion and depersonalisation scores of nurses with 6-10 years of professional experience were significantly higher than those with 1-5 years of experience. Our findings suggest that nurses may experience more emotional exhaustion and depersonalisation when they do not choose the profession willingly and when their professional experience and weekly working hours increase.

Özet

Hemşireler sıklıkla ağır hastalık, kötü prognoz, hasta ölümü gibi zorlu duygusal durumlar yaşamakta, karmaşık ve yüksek stresli iş ortamlarında çalışmaktadırlar. Bu çalışmanın amacı, bir kamu hastanesinde çalışan hemşirelerin tükenmişlik düzeylerini ve ilişkili faktörleri incelemektir. Kesitsel tanımlayıcı tipteki bu araştırmanın verileri Mart-Nisan 2023 tarihleri arasında Hemşire Bilgi Formu ve Maslach Tükenmişlik Ölçeği ile elde edilmiştir. Tükenmişlik puanlarının karşılaştırılması cinsiyet, medeni durum ve mesleği isteyerek seçme durumları için bağımsız örneklem t-testi; eğitim durumu, meslekte toplam çalışma süresi, haftalık çalışma süresi ve çalışma düzeni için tek yönlü varyans analizi ile analiz edilmiştir. Analizlere 121 katılımcı (≥18 yaş) dahil edilmiştir; çoğunluğu kadın (%66,1), evli (%52,1) ve lisans derecesine sahiptir (%61,2). Uzmanlaşmış birimlerde çalışan hemşirelerin duyarsızlaşma ve duygusal tükenme puanları, yataklı servislerde çalışan hemşirelerden anlamlı olarak daha yüksektir. Mesleki deneyimi 6-10 yıl arasında olan hemşirelerin duygusal tükenme ve duyarsızlaşma puanları, deneyimi 1-5 yıl arasında olanlara göre anlamlı düzeyde daha yüksektir. Bulgularımız, hemşirelerin mesleği isteyerek seçmediklerinde, mesleki deneyimleri ve haftalık çalışma saatleri arttığında daha fazla duygusal tükenme ve duyarsızlaşma yaşayabileceklerini göstermektedir.

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Cite This Article

Özçalık, C. K., Babat, A. (2025). Levels of Burnout Among Nurses and Related Factors. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 5 Sayı: 3, 312–328. https://doi.org/10.56061/fbujohs.1411967

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References (58)

  1. Adriaenssens, J., De Gucht, V., & Maes, S. (2015). Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research. Int J Nurs Stud, 52(2), 649–661. 10.1016/j.ijnurstu.2014.11.004
  2. Aksoy, G. (2021). The relationship between levels of burnout and commitment to work in nurs caring for COVID-19 patients [Unpublished master's thesis]. Haliç University.
  3. Almeida, C., & Poeira, A. F. (2023). Burnout in Nurses of an Intensive Care Unit during COVID-19: A Pilot Study in Portugal. Healthcare, 11(9), 1233. 10.3390/healthcare11091233
  4. Baldonedo-Mosteiro, M., Almeida, MCDS., Baptista, PCP., Sánchez-Zaballos, M., Rodriguez-Diaz, F. J., Mosteiro-Diaz, M. P. (2019). Burnout syndrome in Brazilian and Spanish nursing workers. Rev Lat Am Enfermagem, 27, e3192. 10.1590/1518-8345.2818.3192
  5. Baran Camci, G., & Kavuran, E. (2021). Determination of The Correlation of Job Stress and Burnout Levels of Nurses with Their Job and Life Satisfaction Levels. Journal of Anatolia Nursing and Health Sciences, 24(2), 274-283. 10.17049/ataunihem.930846
  6. Baruah, A., Das, S., Dutta, A., Das, B., Sharma, T., & Hazarika, M. (2019). Degree and Factors of Burnout Among Emergency Healthcare Workers in India. Int J Sci Res (Ahmedabad), 8(4), 41-45. 10.15373/22778179
  7. Caliskan, A., & Akbal Ergun, E. (2012). Examining job satisfaction burnout and reality shock amongst newly graduated nurses. Procedia - Social and Behavioral Sciences, 47, 1392 – 1397. 10.1016/j.sbspro.2012.06.831
  8. Can, R., & Hisar, K. M. (2019). Nurses' Professional Behaviors and Burnout Levels. Journal of Hacettepe University Faculty of Nursing, 6(1), 1-9. 10.31125/hunhemsire.544096
  9. Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. Int J Nurs Stud, 52(1), 240-249. 10.1016/j.ijnurstu.2014.07.001
  10. Cetinkaya, S., & Gunes, NEO. (2022). Examining the relation between self-realization and burnout levels of nurses. Medicine, 101(40), e30592. 10.1097/MD.0000000000030592
  11. Chen, C., & Meier, S. T. (2021). Burnout and depression in nurses: A systematic review and meta-analysis. Int J Nurs Stud, 124, 104099. 10.1016/j.ijnurstu.2021.104099
  12. Cybulska, A. M., Starczewska, M., Stanisławska, M., Trembecka, J., & Grochans, E. (2019). Job Burnout of Nursıng Staff in Intensıve Care Unıts and Operatıng Blocks. Polish Nursing, 71(1), 29-34.
  13. Dall'Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Hum Resour Health, 18(1), 41. 10.1186/s12960-020-00469-9
  14. Doleman, G., Nosaka, K., & De Leo, A. (2025). Senior Registered Nurses’ Organisational Communication Satisfaction, Job Satisfaction, Burnout, and Intention to Stay: A Cross‐Sectional Study of Two Healthcare Groups. Journal of Advanced Nursing, 81(5), 2687–2700. 10.1111/jan.16687
  15. Durmus, M., Gercek, A., & Ciftci, N. A. (2018). A Research on the Evaluation of Life Quality and Burnout Levels of Nurses'. Journal of Social Sciences of Mus Alparslan University, 6(2), 279-286. 10.18506/anemon.325977
  16. Efil, S., Turen, S., Yildiz Ayvaz, M., Bulbul, E., & Yeni, T. (2022). Burnout levels and care behaviours in intensive care nurses: A cross-sectional, multicentre study. Intensive Crit Care Nurs, 71, 103246. 10.1016/j.iccn.2022.103246
  17. Ergin, C. (1993). Burnout in Doctors and Nurses and Adaptation of Maslach Burnout Scale. In R. Bayraktar & I. Dag (Eds.), VII. National Psychology Congress Scientific Studies. Ankara VII. National Psychology Congress Organizing Committee and Turkish Psychologists Association Publication.
  18. Friganović, A., Kovačević, I., Ilić, B., Žulec, M., Krikšić, V., & Grgas Bile, C. (2017). Healthy Settings in Hospital - How to Prevent Burnout Syndrome in Nurses: Literature Review. Acta Clin Croat, 56(2), 292-298. 10.20471/acc.2017.56.02.13
  19. Gallagher, R., & Gormley, D. K. (2009). Perceptions of Stress, Burnout, and Support Systems in Pediatric Bone Marrow Transplantation Nursing. Clinical Journal of Oncology Nursing,13(6), 681-685. 10.1188/09.CJON.681-685
  20. Garrosa, E., Rainho, C., Moreno-Jiménez, B., & Monteiro, M. J. (2010). The relationship between job stressors, hardy personality, coping resources and burnout in a sample of nurses: a correlational study at two time points. Int J Nurs Stud, 47(2), 205-215. 10.1016/j.ijnurstu.2009.05.014
  21. Gómez-Urquiza, J. L., De la Fuente-Solana, E. I., Albendín-García, L., Vargas-Pecino, C., Ortega-Campos, E. M., Cañadas-De la Fuente, G. A. (2017). Prevalence of Burnout Syndrome in Emergency Nurses: A Meta-Analysis. Crit Care Nurse, 37(5), e1-e9. 10.4037/ccn2017508
  22. Grochowska, A., Gawron, A., & Bodys-Cupak, I. (2022). Stress-Inducing Factors vs. the Risk of Occupational Burnout in the Work of Nurses and Paramedics. Int J Environ Res Public Health, 19(9), 5539. 10.3390/ijerph19095539
  23. Hailay, A., Aberhe, W., Mebrahtom, G., Zereabruk, K., Gebreayezgi, G., & Haile, T. (2020). Burnout among Nurses Working in Ethiopia. Behavioural Neurology, 2020, 1-9. 10.1155/2020/8814557
  24. Hayes, B., Douglas, C., & Bonner, A. (2015). Work environment, job satisfaction, stress and burnout among haemodialysis nurses. Journal of Nursing Management, 23(5), 588-598. 10.1111/jonm.12184
  25. Howlett, M., Doody, K., Murray, J., LeBlanc-Duchin, D., Fraser, J., & Atkinson, P. R. (2015). Burnout in emergency department healthcare professionals is associated with coping style: a cross-sectional survey. Emerg Med J, 32(9), 722-727. 10.1136/emermed-2014-203750
  26. Jeong, Y. J., & Shin, S. (2023). The relationship between secondary traumatic stress and burnout in critical care nurses: The mediating effect of resilience. Intensive & Critical Care Nursing, 74. 10.1016/j.iccn.2022.103327
  27. Johnson, E., & Rainbow, J. (2023). Exploration of Lived Experiences and Measurement of Burnout Among US Clinical Research Nurses. J Nurs Adm, 53(5), 251-258. 10.1097/NNA.0000000000001280
  28. Kebapcı, A., & Akyolcu, N. (2011). The Effects of the Work Environment on Nurse Burnout in Emergency Department. Turkish Journal of Emergency Medicine, 11(2), 59-67. 10.5505/1304.7361.2011.43827
  29. Kilic Barmanpek, N., Sahin, A., Demirel, C., & Parlar Kilic, S. (2022). The relationship between nurses' job satisfaction levels and quality of life. Perspect Psychiatr Care, 58(4), 2310-2320. 10.1111/ppc.13062
  30. Kim, H. S., & Yeom, H. A. (2018). The association between spiritual well-being and burnout in intensive care unit nurses: A descriptive study. Intensive Crit Care Nurs, 46, 92-97. 10.1016/j.iccn.2017.11.005
  31. Lahana, E., Papadopoulou, K., Roumeliotou, O., Tsounis, A., Sarafis, P., & Niakas, D. (2017). Burnout among nurses working in social welfare centers for the disabled. BMC Nurs, 16, 15. 10.1186/s12912-017-0209-3
  32. Leiter, M. P., & Maslach, C. (2009). Nurse turnover: the mediating role of burnout. Journal of Nursing Management, 17(3), 331-339. 10.1111/j.1365-2834.2009.01004.x
  33. Lucas, P., Jesus, É., Almeida, S., Costa, P., Cruchinho, P., Teixeira, G., & Araújo, B. (2025). The Nursing Practice Environment and Job Satisfaction, Intention to Leave, and Burnout Among Primary Healthcare Nurses: A Cross-Sectional Study. Nursing Reports, 15(7), 224. 10.3390/nursrep15070224
  34. Maslach, C., & Leiter, M. P. (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, 15(2), 103-111. 10.1002/wps.20311
  35. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annu Rev Psychol, 52(1), 397-422. 10.1146/annurev.psych.52.1.397
  36. Matsuishi, Y., Mathis, B. J., Masuzawa, Y., Okubo, N., Shimojo, N., Hoshino, H., Enomoto, Y., & Inoue, Y. (2021). Severity and prevalence of burnout syndrome in paediatric intensive care nurses: A systematic review. Intensive Crit Care Nurs, 67, 103082. 10.1016/j.iccn.2021.103082
  37. Omidi, Z., Khanjari, S., Salehi, T., & Haghani, S. (2023). Association between burnout and nurses' quality of life in neonatal intensive care units: During the COVID-19 pandemic. J Neonatal Nurs, 29(1), 144-148. 10.1016/j.jnn.2022.04.005
  38. Oyira, E. J., Obute, P., Binang, A. E. O., Obeten, J. N., & Ada, R. A. (2022). Stress & Burnout Among Nurses in University of UYO Teaching Hospital: Pervasiveness and Related Causes. J Pharm Negat Results, 13(8), 935-941.
  39. Papazian, L., Hraiech, S., Loundou, A., Herridge, M. S., & Boyer, L. (2023). High-level burnout in physicians and nurses working in adult ICUs: a systematic review and meta-analysis. Intensive Care Med, 49(4), 387-400. 10.1007/s00134-023-07025-8
  40. Pekince, H., & Aslan, H. (2020). Determining the work-related strain levels of nurses and influencing factors. International Journal of Caring Sciences, 13(1), 135-142.
  41. Ramírez-Elvira, S., Romero-Béjar, J. L., Suleiman-Martos, N., Gómez-Urquiza, J. L., Monsalve-Reyes, C., Cañadas-De la Fuente, G. A., & Albendín-García, L. (2021). Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 18(21), 11432. 10.3390/ijerph182111432
  42. Rehman, M. (2022). Role of Spiritual Health and Psychological Capital on Job Burnout among Nurses. Indian Journal of Positive Psychology, 13(3), 279-283.
  43. Sabanciogullari, S., & Dogan, S. (2017). Nurses’ Views on Their Profession in Turkey and Influencing Factors. Arch Nurs Pract Care, 3(1), 016-025. 10.17352/anpc.000020
  44. Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and Factors Associated With Nurse Burnout in the US. JAMA Network Open, 4(2), e2036469. 10.1001/jamanetworkopen.2020.36469
  45. Shi, H., Shan, B., Chen, Q., Guo, F., Zhou, X., Shi, M., & Liu, Y. (2023). Prevalence and predictors of compassion satisfaction, secondary traumatic stress, and burnout among Chinese hospice nurses: A cross-sectional study. Applied Nursing Research, 69, 151648. 10.1016/j.apnr.2022.151648
  46. Stimpfel, A. W., Sloane, D. M., & Aiken, L. H. (2012). The longer the shifts for hospital nurses, the higher the levels of burnout and patient dissatisfaction. Health Aff (Millwood), 31(11), 2501-2509. 10.1377/hlthaff.2011.1377
  47. Tabachnick, B. G., & Fidell, L. S. (2013). Using Multivariate Statistics (6th ed.). Boston, MA: Pearson. Tekindal, B., Tekindal, M. A., Pinar, G., Ozturk, F., & Alan, S. (2012). Nurses' burnout and unmet nursing care needs of patients' relatives in a Turkish State Hospital. Int J Nurs Pract, 18(1), 68-76. 10.1111/j.1440-172X.2011.01989.x
  48. Topçu, I., Türkmen, E., Badır, A., Göktepe, N., Miral, M., Albayrak, S., Kebapçı, A., Serbest, Ş., & Özcan, D. (2016). Relationship between nurses' practice environments and nursing outcomes in Turkey. International Nursing Review, 63(2), 242–249. 10.1111/inr.12247
  49. Tuncel, Y. I., Kaya, M., Kuru, R. N., Mentes, S., & Suheyla, Ü. (2014). Nurses’ Burnout in Oncology Hospital Critical Care Unit. Journal of the Turkish Society of Intensive Care, 12(2), 57-62. 10.4274/tybdd.96168
  50. Xie, Z., Wang, A., & Chen, B. (2011). Nurse burnout and its association with occupational stress in a cross-sectional study in Shanghai. J Adv Nurs, 67(7), 1537-1546. 10.1111/j.1365-2648.2010.05576.x
  51. Vargas, C., Cañadas, G. A., Aguayo, R., Fernández, R., & de la Fuente, E. I. (2014). Which occupational risk factors are associated with burnout in nursing? A meta-analytic study. International Journal of Clinical and Health Psychology, 14(1), 28-38. 10.1016/S1697-2600(14)70034-1
  52. Velando-Soriano, A., Ortega-Campos, E., Gómez-Urquiza, J. L., Ramírez-Baena, L., De La Fuente, E. I., Cañadas-De La Fuente, G. A. (2020). Impact of social support in preventing burnout syndrome in nurses: A systematic review. Jpn J Nurs Sci, 17(1), e12269. 10.1111/jjns.12269
  53. Wang, Q., Lv, W., Qian, R., & Zhang, Y. (2019). Job burnout and quality of working life among Chinese nurses: A cross‐sectional study. Journal of Nursing Management, 27(8), 1835–1844. 10.1111/jonm.12884
  54. Woo, T., Ho, R., Tang, A., & Tam, W. (2020). Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. J Psychiatr Res, 123, 9-20. 10.1016/j.jpsychires.2019.12.015
  55. World Health Organization. (2019). Burn-out an "occupational phenomenon": International Classification of Diseases. Accessed July 19, 2023 https://www.who.int/news/item.
  56. Yilmaz, E., & Arslan, S. (2017). Relation of the Nurses of Internal Clinics with Level of Burnout and Behavior of Emotional Labor. Turkiye Klinikleri J Nurs Sci, 9(4), 289-298. 10.5336/nurses.2017-55509
  57. Zengin, C. (2021). Investigation of burnout level in terms of ruminative thought and organizational forgiveness in nurses [Unpublished master's thesis]. Ondokuz Mayıs University.
  58. Zhang, X. J., Song, Y., Jiang, T., Ding, N., & Shi, T. Y. (2020). Interventions to reduce burnout of physicians and nurses: An overview of systematic reviews and meta-analyses. Medicine, 99(26), e20992. 10.1097/MD.0000000000020992