Burnout and its influencing factors between frontline nurses and nurses from other wards during the outbreak of Coronavirus Disease -COVID-19- in Iran

Abstract

Objective. To assess burnout level during an outbreak ofCOVID-19 and to identify influencing factors between frontlinenurses and nurses from other wards. Methods. This crosssectional study makes comparison between two groups of nursesincluding frontline (exposure group) and other nurses working inusual wards (non-exposure group) in Torbat Heydariyeh city, Iran.Oldenburg Burnout Inventory (OLBI), Job stress questionnaire(JSQ), and questionnaires of hospital resources, family support,and measuring the fear of COVID-19 were used as researchinstruments. Results. The scores of job stress and burnout inthe exposure group with COVID-19 infection were significantlyhigher than in the non-exposure group (p=0.006 and p=0.002,respectively). Although, in univariate linear regression, employmentstatus (p=0.047), experience in taking care of patient confirmed  or suspected with COVID-19 infection (p=0.006), hospital resources (p=0.047), and job stress(p<0.001) were considered as significant risk factors for COVID-19-related burnout. In multivariateregression analysis, job stress (p=0.031, β=0.308) was considered as an only factor that hasa significant relationship with COVID-19-related burnout. Conclusion. The burnout level infrontline nurses was higher than other nurses, the most important influencing factor was the jobstress. Regarding to negative effects of burnout on both physical and mental health nurses, it issuggested that a strong strategy be considered to reduce nurses’ burnout to be able to controlongoing and future outbreaks successfully.