Document Type : Research Paper
Authors
1
Department of Psychology, NT.C., Islamic Azad University, Tehran, Iran.
2
Department of Educational Sciences and Counseling, ST.C.,Islamic Azad University, Tehran, Iran
3
Department of Psychology, Ro.C.,Islamic Azad University, Roudhen, Iran.
Abstract
Nurse burnout is one of the major challenges of the health system that has wide-ranging consequences on individual performance, quality of patient care, and organizational productivity. Given the stressful nature of the nursing profession and continuous interaction with patients, it is essential to examine the process of formation of this phenomenon and the factors affecting it. The aim of the present study is to explain the causal pattern affecting nurses' dissatisfaction and burnout in Tehran hospitals. This study was conducted with a qualitative approach and based on Strauss and Corbin's data-based theory. Data were collected through semi-structured interviews with 25 nurses and head nurses and analyzed with MAXQDA software in three stages of open, axial, and selective coding. Continuous comparison, participant review, and peer review were used to increase the validity of the findings. The research findings showed that job dissatisfaction is a central category in the process of nurses' burnout, and a set of organizational, environmental, and individual factors play a role in its formation. High workload, inadequate salaries and benefits, job discrimination, physical problems, and lack of organizational support were identified as the most important causal factors. The consequences of this situation also appear in five main axes, including reduced productivity, job abandonment, migration, decreased quality of patient care, and family dissatisfaction. Accordingly, nurse burnout is a multidimensional phenomenon with extensive individual, organizational, and social effects, the management and prevention of which requires comprehensive planning and multilevel interventions.
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