Relation Between Burnout Levels and Ruminative Thought Styles, as well as Organizational Forgiveness, in Psychiatric Nurses

Document Type : Original Article

Author

department of psychiatric and mental health nursin , faculty of nursing, zagazig university

Abstract

Background: Burnout among nurses may be influenced by organizational forgiveness, a common trait of forgiveness among nurses in the workplace that describes an organization's capacity to forgive perceived wrongdoing or infractions. A leadership style known as "organizational forgiveness" focuses on tactics that make it easier for people to forgive when misconduct occurs in the workplace. Aims: explore the relation between burnout levels and ruminative thought styles, as well as organizational forgiveness, in psychiatric nurses. Method: A descriptive correlational research design was conducted on a purposive sample of 128 psychiatric nurses at El-Azazi Mental Health, Hospital in Abo Hamad City, Elsharkia Governorate, Egypt. Demographic characteristics, Maslach burnout inventory, ruminative thought styles questionnaire, organizational forgiveness scale were the tools of the study. Results: 54.7% of the studied nurses exhibited extreme total burnout, with a mean (SD) of 58.6 (11.4). Specifically, 52.3%, 53.9%, and 57.1% of them experienced high burnout in the domains of emotional exhaustion, depersonalization, and reduced sense of personal achievement, respectively. Furthermore, 46.9% of the nurses demonstrated high levels of ruminative thought, with a mean score of 74.6 (16.5), while 48.4% showed moderate levels of organizational forgiveness, with a mean score of 49.3 (8.9). Conclusions: The significant positive correlation was observed between burnout levels and ruminative thoughts underscores the impact of psychological distress on cognitive processes among nurses. Conversely, the significant negative correlation between burnout, ruminative thought, and nurses' organizational forgiveness suggests that as burnout and rumination increase, forgiveness toward the organization decreases.
 

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Kelly, L. A., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and position turnover. Nursing Outlook, 69(1), 96–102. https://doi.org/10.1016/j.outlook.2020.06.008
Hillert, A., Albrecht, A., & Voderholzer, U. (2020). The Burnout Phenomenon: A Résumé After More Than 15,000 Scientific Publications. Frontiers in Psychiatry, 11(December), 1–11. https://doi.org/10.3389/fpsyt.2020.519237
Jun, J., Ojemeni, M. M., Kalamani, R., Tong, J., & Crecelius, M. L. (2021). Relationship between nurse burnout, patient and organizational outcomes: Systematic review. International Journal of Nursing Studies, 119, 103933. https://doi.org/https://doi.org/10.1016/j.ijnurstu.2021.103933
Ashipala, D. O., & Nghole, T. M. (2022). Factors contributing to burnout among nurses at a district hospital in Namibia: A qualitative perspective of nurses. Journal of Nursing Management, 30(7), 2982–2991. https://doi.org/10.1111/jonm.13693
Yildirim, D., Şenyuva, E., & Kaya, E. (2024). Turkish nurses' psychological resilience and burnout levels during the COVID‐19 pandemic: A correlational study. International Journal of Nursing Practice, e13239.
Dyrbye, L. N., Shanafelt, T. D., Johnson, P. O., Johnson, L. A., Satele, D., & West, C. P. (2019). A cross-sectional study exploring the relationship between burnout, absenteeism, and job performance among American nurses. BMC Nursing, 18(1), 1–8. https://doi.org/10.1186/s12912-019-0382-7
Feliciano, A. Z., Feliciano, E. E., Feliciano, J. R. D., Gonzales, F. M., Cajigal, J. V., Tolentino, C. G., Lozano, D. A. A., Magtubo, D. J. D., Monieno, C. L. S., & Nacpil, A. G. (2023). Impact of nurses’ burnout on safety culture. International Journal of Advanced and Applied Sciences, 10(1), 175–181. https://doi.org/10.21833/ijaas.2023.01.022
Ham, E. M., & You, M. J. (2018). Role of irrational beliefs and anger rumination on nurses’ anger expression styles. Workplace Health & Safety66(5), 223-232. https://doi.org/10.1177/2165079917737090
Joubert, A. E., Moulds, M. L., Werner-Seidler, A., Sharrock, M., Popovic, B., & Newby, J. M. (2022). Understanding the experience of rumination and worry: A descriptive qualitative survey study. The British Journal of Clinical Psychology, 61(4), 929–946. https://doi.org/10.1111/bjc.12367
Nolen-Hoeksema, S., Wisco, B. E., & Lyubomirsky, S. (2008). Rethinking Rumination. Perspectives on Psychological Science, 3(5), 400–424. https://doi.org/10.1111/j.1745-6924.2008.00088.x
Sun, J. W., Lin, P. Z., Zhang, H. H., Li, J. H., & Cao, F. L. (2018). A non-linear relationship between the cumulative exposure to occupational stressors and nurses’ burnout and the potentially emotion regulation factors. Journal of Mental Health27(5), 409-415.
Zarei, S., & Fooladvand, K. (2022). Mediating effect of sleep disturbance and rumination on work-related burnout of nurses treating patients with coronavirus disease. BMC psychology10(1), 197. https://doi.org/10.1186/s40359-022-00905-6
Liu, J., Wei, S., Qiu, G., Li, N., Wang, D., Wu, X., Gan, X., & Yi, H. (2023). Relationship between rumination and post-traumatic growth in mobile cabin hospital nurses: The mediating role of psychological resilience. Preventive Medicine Reports, 34(March). https://doi.org/10.1016/j.pmedr.
Zengin, Ç., & Orak, O. S. (2023). The relationship between burnout level and ruminative thought styles and organizational forgiveness in nurses. Journal of Psychiatric Nursing, 14(4), 287–297. https://doi.org/10.14744/phd.2023.79058
Thompson, L. Y., Snyder, C. R., Hoffman, L., Michael, S. T., Rasmussen, H. N., Billings, L. S., Heinze, L., Neufeld, J. E., Shorey, H. S., Roberts, J. C., & Roberts, D. E. (2005). Dispositionol forgiveness of self, others, and situations. Journal of Personality, 73(2), 313–360. https://doi.org/10.1111/j.1467-6494.2005.00311.x
Rahmati, A., & Poormirzaei, M. (2018). Predicting nurses' psychological safety based on the forgiveness skill. Iranian journal of nursing and midwifery research23(1), 40-44.
Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of organizational behavior2(2), 99-113.
Ergin, C. (1992). Doktor ve hemsirelerde tukenmislik ve Maslach tukenmislik olceginin uyarlanmasi. VII. Ulusal Psikoloji Kongresi, 22th September 1992 Ankara (Turkey).
Brinker, J. K., & Dozois, D. J. (2009). Ruminative thought style and depressed mood. Journal of clinical psychology65(1), 1-19.
Khezri, P. (2021). Developing and Validating an Organizational Forgiveness Measure: An Exploratory Factor Analysis Approach. International Journal of Business and Management14(9), 150-150.
Zengin, Ç., & Orak, O. S. (2023). The relationship between burnout level and ruminative thought styles and organizational forgiveness in nurses. Journal of Psychiatric Nursing, 14(4), 287–297. https://doi.org/10.14744/phd.2023.79058
Li, L., Yao, C., Zhang, Y., & Chen, G. (2020). Trait Forgiveness Moderated the Relationship Between Work Stress and Psychological Distress Among Final-Year Nursing Students: A Pilot Study. Frontiers in psychology11, 1674. https://doi.org/10.3389/fpsyg.2020.01674
Çelik, Y., & Kılıç, İ. (2019). The relationships between job satisfaction, professional burnout, and quality of life in nurses. Kocatepe Medical Journal20, 230-238.
Uzun, L. N., & Mayda, A. S. (2020). Investigation of burnout levels in nurses according to different variables: Example of a universty hospital. Konuralp Med J12(1), 137-43.
Prasad, K., McLoughlin, C., Stillman, M., Poplau, S., Goelz, E., Taylor, S., ... & Sinsky, C. A. (2021). Prevalence and correlates of stress and burnout among US healthcare workers during the COVID-19 pandemic: a national cross-sectional survey study. EClinicalMedicine35.
Zare, S., Kazemi, R., Izadi, A., & Smith, A. (2021). Beyond the Outbreak of COVID-19: Factors Affecting Burnout in Nurses in Iran. Annals of global health87(1), 51. https://doi.org/10.5334/aogh.3190
Toussaint, L. L., Worthington, E. L. J., & Williams, D. R. (2015). Forgiveness and health. Springer Netherlands.
Yi, H., Wei, S., Xiao, M., Zhao, Q., Chen, L., Zhai, J., & Song, J. (2023). Contribution of rumination and psychological resilience to post-traumatic growth of front-line healthcare workers in mobile cabin hospitals under Normalized epidemic Prevention and Control Requirements. Preventive medicine reports37, 102554. https://doi.org/10.1016/j.pmedr.2023.102554
Zborowska, A., Gurowiec, P. J., Młynarska, A., & Uchmanowicz, I. (2021). Factors affecting occupational Burnout Among nurses including job satisfaction, life satisfaction, and life orientation: a cross-sectional study. Psychology research and behavior management, 1761-1777.
Xie, J., Li, J., Wang, S., Li, L., Wang, K., Duan, Y., ... & Cheng, A. S. (2021). Job burnout and its influencing factors among newly graduated nurses: A cross‐sectional study. Journal of Clinical Nursing30(3-4), 508-517.
Toussaint, L., Worthington Jr, E. L., Van Tongeren, D. R., Hook, J., Berry, J. W., Shivy, V. A., ... & Davis, D. E. (2018). Forgiveness working: Forgiveness, health, and productivity in the workplace. American Journal of Health Promotion32(1), 59-67.
Quesada-Puga, C., Izquierdo-Espin, F. J., Membrive-Jiménez, M. J., Aguayo-Estremera, R., Cañadas-De La Fuente, G. A., Romero-Béjar, J. L., & Gómez-Urquiza, J. L. (2024). Job satisfaction and burnout syndrome among intensive-care unit nurses: A systematic review and meta-analysis. Intensive and Critical Care Nursing82, 103660.
Norful, A. A., Brewer, K. C., Cahir, K. M., & Dierkes, A. (2024). Individual and organizational factors influencing well-being or burnout among healthcare assistants: A systematic review. International Journal of Nursing Studies Advances, 100187.
Ke, H. T. M., Lerik, D. C., Berek, N. C., Ratu, J. M., & Ruliati, L. P. (2024). Analysis of Factors Affecting the Occurrence of Burnout Syndrome among Healthcare Workers in Batakte Health Center, Kupang Regency, 13(9), 77-81.
ŞİMŞEK, N. (2021). Metacognition and Ruminative thinking as Predictors of burnout: A structural equation modelling. Black Sea Journal of Health Science4(2), 69-76.
Steven K. Thompson., (2012): Sampling' 3rd ed, John Wiley & Sons, p59-60.
Syed, S. M. H., Chethiyar, S. D. M., & Ibrahim, N. B. (2021). Mediating role of rumination between neuroticism and depression among the married and unmarried nurses of Multan. Annals of Social Sciences and Perspective2(2), 299-310.
Li, L., & Yao, C. (2020). Trait forgiveness moderated the relationship between work stress and psychological distress among final-year nursing students: a pilot study. Frontiers in psychology11, 497401.
Duru, P., Örsal, Ö., & Parlak, L. (2022). Evaluation of the relationships between nurses' forgiveness, compassion, and professional commitment. Perspectives in Psychiatric Care58(2).