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      Relationship of anxiety and burnout with extrasystoles in critical care nurses in Turkey

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          Abstract

          Objective:

          To determine the relationship between levels of anxiety and burnout and prevalence of atrial extrasystoles (AESs) and ventricular extrasystoles (VESs) among critical care nurses.

          Methods:

          The sample of study included 51 nurses who worked in the intensive care units of a university hospital located in western Turkey. Beck’s Anxiety Inventory and the Maslach Burnout Inventory were used in the study.

          Results:

          The mean emotional exhaustion score of the nurses was 14.68±6.10, the mean personal accomplishment score was 19.19±7.08, the mean depersonalization score was 5.31±3.84 and the mean anxiety score was 12.37±11.12. The rates of VESs and AESs detected in the critical care nurses were 21.6% and 35.3%, respectively. No relationship was found between levels of anxiety and burnout and the prevalence of AESs and VESs among the critical care nurses. A positive correlation was found between personal accomplishment scores and numbers of VESs (r= 0.693, p=0.001) and AESs (r= 0.700, p= 0.001).

          Conclusion:

          In the present study, there were low mean scores of burnout and anxiety among nurses working in intensive care units. No relationship was found between levels of anxiety and burnout and the prevalence of AESs and VESs among nurses who work in intensive care units. It was found that the people feeling more personal accomplishment have more VES or AES. The prevalence of AESs and VESs among the critical care nurses suffering from burnout and anxiety may be studied in the future studies.

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          Most cited references23

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          Burnout and risk factors for cardiovascular diseases.

          The burnout syndrome denotes a constellation of physical fatigue, emotional exhaustion, and cognitive weariness resulting from chronic stress. Although it overlaps considerably with chronic fatigue as defined in internal medicine, its links with physical illness have not been systematically investigated. This exploratory study, conducted among 104 male workers free from cardiovascular disease (CVD), tested the association between burnout and two of its common concomitants--tension and listlessness--and cardiovascular risk factors. After ruling out five possible confounders (age, relative weight, smoking, alcohol use, and sports activity), the authors found that scores on burnout plus tension (tense-burnout) were associated with somatic complaints, cholesterol, glucose, triglycerides, uric acid, and, marginally, with ECG abnormalities. Workers scoring high on tense-burnout also had a significantly higher low density lipoprotein (LDL) level. Conversely, scores on burnout plus listlessness were significantly associated with glucose and negatively with diastolic blood pressure. The findings warrant further study of burnout as a predictor of cardiovascular morbidity and mortality.
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            Burnout syndrome in critical care nursing staff.

            Burnout syndrome (BOS) associated with stress has been documented in health care professionals in many specialties. The intensive care unit (ICU) is a highly stressful environment. Little is known about BOS in critical care nursing staff. To identify determinants of BOS in critical care nurses. We conducted a questionnaire survey in France. Among 278 ICUs contacted for the study, 165 (59.4%) included 2,525 nursing staff members, of whom 2,392 returned questionnaires with complete Maslach Burnout Inventory data. Of the 2,392 respondents (82% female), 80% were nurses, 15% nursing assistants, and 5% head nurses. Severe BOS-related symptoms were identified in 790 (33%) respondents. By multivariate analysis, four domains were associated with severe BOS: (1) personal characteristics, such as age (odds ratio [OR], 0.97/yr; confidence interval [CI], 0.96-0.99; p=0.0008); (2) organizational factors, such as ability to choose days off (OR, 0.69; CI, 0.52-0.91; p=0.009) or participation in an ICU research group (OR, 0.74; CI, 0.56-0.97; p=0.03); (3) quality of working relations (1-10 scale), such as conflicts with patients (OR, 1.96; CI, 1.16-1.30; p=0.01), relationship with head nurse (OR, 0.92/point; CI, 0.86-0.98; p=0.02) or physicians (OR, 0.81; CI, 0.74-0.87; p=0.0001); and (4) end-of-life related factors, such as caring for a dying patient (OR, 1.39; CI, 1.04-1.85; p=0.02), and number of decisions to forego life-sustaining treatments in the last week (OR, 1.14; CI, 1.01-1.29; p=0.04). One-third of ICU nursing staff had severe BOS. Areas for improvement identified in our study include conflict prevention, participation in ICU research groups, and better management of end-of-life care. Interventional studies are needed to investigate these potentially preventive strategies.
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              Burnout and risk of coronary heart disease: a prospective study of 8838 employees.

              Burnout is a negative affective state consisting of emotional exhaustion, physical fatigue, and cognitive weariness symptoms. This study was designed to evaluate prospectively the association between burnout and coronary heart disease (CHD) incidence and to test the possibility that this association is nonlinear.
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                Author and article information

                Journal
                Pak J Med Sci
                Pak J Med Sci
                PJMS
                Pakistan Journal of Medical Sciences
                Professional Medical Publications (Pakistan )
                1682-024X
                1681-715X
                Jan-Feb 2016
                : 32
                : 1
                : 196-200
                Affiliations
                [1 ]Yildiz Denat, PhD, Assistant Professor, Adnan Menderes University, Aydin School of Health, 09100, Aydin, Turkey
                [2 ]Serap Gokce, PhD, Research Assistan, Adnan Menderes University, Aydin School of Health, 09100, Aydin, Turkey
                [3 ]Hasan Gungor, MD, Associate Professor of Cardiology, Adnan Menderes University Department of Cardiology, 09100, Aydin, Turkey
                [4 ]Cemil Zencir, MD, Assistant Professor of Cardiology, Adnan Menderes University Department of Cardiology, 09100, Aydin, Turkey
                [5 ]Cagdas Akgullu, MD, Associate Professor of Cardiology, Adnan Menderes University Department of Cardiology, 09100, Aydin, Turkey
                Author notes
                Correspondence: Yildiz Denat, E-mail: denat09@ 123456gmail.com
                Article
                PJMS-32-196
                10.12669/pjms.321.8407
                4795867
                27022374
                58054413-d53d-444f-b5ab-81e8a1ef8f51
                Copyright: © Pakistan Journal of Medical Sciences

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 25 June 2015
                : 24 October 2015
                : 05 November 2015
                Categories
                Original Article

                anxiety,burnout,critical care,extrasystoles,nursing
                anxiety, burnout, critical care, extrasystoles, nursing

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