Burnout contagion among intensive care nurses.

AIM This paper reports a study investigating whether burnout is contagious. BACKGROUND Burnout has been recognized as a problem in intensive care units for a long time. Previous research has focused primarily on its organizational antecedents, such as excessive workload or high patient care demands, time pressure and intensive use of sophisticated technology. The present study took a totally different perspective by hypothesizing that--in intensive care units--burnout is communicated from one nurse to another. METHODS A questionnaire on work and well-being was completed by 1849 intensive care unit nurses working in one of 80 intensive care units in 12 different European countries in 1994. The results are being reported now because they formed part of a larger study that was only finally analysed recently. The questionnaire was translated from English to the language of each of these countries, and then back-translated to English. Respondents indicated the prevalence of burnout among their colleagues, and completed scales to assess working conditions and job burnout. RESULTS Analysis of variance indicated that the between-unit variance on a measure of perceived burnout complaints among colleagues was statistically significant and substantially larger than the within-unit variance. This implies that there is considerable agreement (consensus) within intensive care units regarding the prevalence of burnout. In addition, the results of multilevel analyses showed that burnout complaints among colleagues in intensive care units made a statistically significant and unique contribution to explaining variance in individual nurses' and whole units' experiences of burnout, i.e. emotional exhaustion, depersonalization and reduced personal accomplishment. Moreover, for both emotional exhaustion and depersonalization, perceived burnout complaints among colleagues was the most important predictor of burnout at the individual and unit levels, even after controlling for the impact of well-known organizational stressors as conceptualized in the demand-control model. CONCLUSION Burnout is contagious: it may cross over from one nurse to another.

[1]  Toon W. Taris,et al.  A multigroup analysis of the job demands-resources model in four home care organizations , 2003 .

[2]  Arie Shirom,et al.  Job-related burnout: A review. , 2003 .

[3]  J. Landeweerd,et al.  The diversity of work: differences, similarities and relationships concerning characteristics of the organisation, the work and psychological work reactions in intensive care and non-intensive care nursing. , 2002, International journal of nursing studies.

[4]  Theo F. Meijman,et al.  Specific relationships between psychosocial job conditions and job-related stress: A three-level analytic approach , 2002 .

[5]  A. Bakker,et al.  The job demands-resources model of burnout. , 2001, The Journal of applied psychology.

[6]  A. Bakker,et al.  Burnout Contagion Among General Practitioners , 2001 .

[7]  A. Bakker,et al.  Burnout Contagion Processes Among Teachers1 , 2000 .

[8]  A. Bakker,et al.  A model of burnout and life satisfaction amongst nurses. , 2000, Journal of advanced nursing.

[9]  Wilmar B. Schaufeli,et al.  The factorial validity of the Maslach Burnout Inventory‐General Survey (MBI‐GS) across occupational groups and nations , 2000 .

[10]  M. Doef,et al.  The Job Demand-Control (-Support) Model and psychological well-being: A review of 20 years of empirical research , 1999 .

[11]  M. Vézina,et al.  Job strain and evolution of mental health among nurses. , 1999, Journal of occupational health psychology.

[12]  Wilmar B. Schaufeli,et al.  The Burnout Companion to Study and Practice: A Critical Analysis , 1998 .

[13]  Wilmar B. Schaufeli,et al.  Active coping and need for control as moderators of the job demand-control model : effects on burnout , 1998 .

[14]  S. Sereika,et al.  Critical care nurses, ethical decision-making and stress. , 1997, Journal of advanced nursing.

[15]  D. Miranda.  Organisation and management of intensive care : a prospective study in 12 European countries , 1997 .

[16]  J. Sawatzky.  Stress in critical care nurses: actual and perceived. , 1996, Heart & lung : the journal of critical care.

[17]  Blake E. Ashforth,et al.  A meta-analytic examination of the correlates of the three dimensions of job burnout. , 1996, The Journal of applied psychology.

[18]  Wilmar B. Schaufeli,et al.  Burnout, technology use, and ICU performance. , 1995 .

[19]  T. Joiner,et al.  Contagious depression: existence, specificity to depressed symptoms, and the role of reassurance seeking. , 1994, Journal of personality and social psychology.

[20]  D. Druckman,et al.  Socially induced affect , 1994 .

[21]  Cynthia L. Cordes,et al.  A Review and an Integration of Research on Job Burnout , 1993 .

[22]  J. Sinacore.  Multiple regression: Testing and interpreting interactions , 1993 .

[23]  H. Valdimarsdottir,et al.  Depression, burnout, and perceptions of control in hospital nurses. , 1993, Journal of consulting and clinical psychology.

[24]  B. Buunk,et al.  Burnout: a Perspective From Social Comparison Theory , 1993 .

[25]  S. Jurs,et al.  Relationships among Burnout, Death Anxiety, and Social Support in Hospice and Critical Care Nurses , 1991, Psychological reports.

[26]  John G. Carlson,et al.  The effect of power on susceptibility to emotional contagion , 1990 .

[27]  Frank J. Bernieri,et al.  Synchrony, pseudosynchrony, and dissynchrony: Measuring the entrainment process in mother-infant interactions. , 1988 .

[28]  Alex Black,et al.  Motor mimicry as primitive empathy. , 1987 .

[29]  John T. Cacioppo,et al.  The Elaboration Likelihood Model of Persuasion , 1986, Advances in Experimental Social Psychology.

[30]  M J Howes,et al.  Induction of depressive affect after prolonged exposure to a mildly depressed individual. , 1985, Journal of personality and social psychology.

[31]  J. Laird.  The real role of facial response in the experience of emotion: A reply to Tourangeau and Ellsworth, and others. , 1984 .

[32]  L. Lewandowski,et al.  Research priorities for critical care nursing: a study by the American Association of Critical-Care Nurses. , 1983, Heart & lung : the journal of critical care.

[33]  S. Sarason,et al.  Professional burnout in human service organizations , 1980 .

[34]  Robert Karasek,et al.  Job decision latitude and mental strain: Implications for job redesign , 1979 .

[35]  L. Ross,et al.  The “false consensus effect”: An egocentric bias in social perception and attribution processes , 1977 .