Original Research

Predictors of burnout among HIV nurses in the Western Cape

Rizwana Roomaney, Jeanette Steenkamp, Ashraf Kagee
Curationis | Vol 40, No 1 | a1695 | DOI: https://doi.org/10.4102/curationis.v40i1.1695 | © 2017 Rizwana Roomaney, Jeanette Steenkamp, Ashraf Kagee | This work is licensed under CC Attribution 4.0
Submitted: 10 April 2016 | Published: 28 June 2017

About the author(s)

Rizwana Roomaney, Department of Psychology, Stellenbosch University, South Africa
Jeanette Steenkamp, Department of Psychology, Stellenbosch University, South Africa
Ashraf Kagee, Department of Psychology, Stellenbosch University, South Africa

Abstract

Background: Burnout has been implicated as one of the reasons for key healthcare personnel, such as nurses, leaving their profession, resulting in insufficient staff to attend to patients.
Objective: We investigated the predictors of three dimensions of burnout, namely emotional exhaustion, depersonalisation and personal accomplishment, among nurses in South Africa attending to patients living with HIV.
Method: Participants were recruited at a large tertiary hospital in the Western Cape region, with the help of the assistant director of nursing at the hospital. They completed the Maslach Burnout Inventory, the Quantitative Workload Inventory, the Interpersonal Conflict at Work Scale, the Organisational Constraints Scale, the Death and Dying subscale of the Nursing Stress Scale, and the HIV and AIDS Stigma Instrument – Nurse.
Results: We found elevated levels of burnout among the sample. Workload, job status and interpersonal conflict at work significantly explained more than one-third of the variance in emotional exhaustion (R² = 0.39, F(7, 102) = 9.28, p = 0.001). Interpersonal conflict, workload, organisational constraints and HIV stigma significantly explained depersonalisation (R² = 0.33, F(7, 102) = 7.22, p = 0.001). Job status and organisational constraints significantly predicted personal accomplishment (R² = 0.18, F(7, 102) = 3.12, p = 0.001).
Conclusion: Factors such as workload, job status and interpersonal conflict in the work context, organisational constraints and stigma associated with HIV were found to be predictors of burnout in the sample of nurses. Our recommendations include developing and testing interventions aimed at reducing burnout among nurses, including reducing workload and creating conditions for less interpersonal conflict at work.

Keywords

nurses; burnout; emotional exhaustion

Metrics

Total abstract views: 5345
Total article views: 5777

 

Crossref Citations

1. Stress and Coping in Nurses Taking Care of People Living with HIV in Hunan, China: A Descriptive Qualitative Study
Chen Pan, Honghong Wang, Minzhen Chen, Yu Cai, Peihuan Li, Changgen Xiao, Qiuping Tang, Deborah Koniak-Griffin
Neuropsychiatric Disease and Treatment  vol: Volume 18  first page: 303  year: 2022  
doi: 10.2147/NDT.S341151

2. Burnout in emergency department staff: The prevalence and barriers to intervention
Reshen Naidoo, Renata Schoeman
South African Journal of Psychiatry  vol: 29  year: 2023  
doi: 10.4102/sajpsychiatry.v29i0.2095

3. COVID-19 stigma associates with burnout among healthcare providers: Evidence from Taiwanese physicians and nurses
Chengshi Shiu, Wei-Ti Chen, Chia-Chun Hung, Edward Pei-Chuan Huang, Tony Szu-Hsien Lee
Journal of the Formosan Medical Association  vol: 121  issue: 8  first page: 1384  year: 2022  
doi: 10.1016/j.jfma.2021.09.022

4. Concept analysis of nurse burnout
Chun-Ming Yuan, Chun-Yi Xu
Frontiers of Nursing  vol: 7  issue: 3  first page: 227  year: 2020  
doi: 10.2478/fon-2020-0034

5. Healthcare worker burnout: exploring the experiences of doctors working in a maternity unit in Namibia
Tanya Y. Brückner, S. Heemelaar, T. Endjala, T. van den Akker
BMC Health Services Research  vol: 24  issue: 1  year: 2024  
doi: 10.1186/s12913-024-10845-z

6. The job burnout of tuberculosis healthcare workers and associated factors under integrated tuberculosis control model: a mixed-method study based on the two-factor theory
Geng Wang, Quan Yuan, Xinyu Feng, Ting Zhang, Qingya Wang, Qingning Huang, Shili Liu, Yong Chen, Jiani Zhou, Wen Zhang, Ying Li
BMC Health Services Research  vol: 24  issue: 1  year: 2024  
doi: 10.1186/s12913-024-11472-4

7. Factors Associated With HIV-Related Stigma Toward People Living With HIV Among Nurses in Liangshan Yi Autonomous Prefecture, China: A Cross-Sectional Study
Yao Yin, Angela Chia-Chen Chen, Shaoping Wan, Hong Chen
Frontiers in Psychiatry  vol: 12  year: 2021  
doi: 10.3389/fpsyt.2021.714597

8. Factors contributing to burnout among nurses at a district hospital in Namibia: A qualitative perspective of nurses
Daniel Opotamutale Ashipala, Tuyenikelao Muudikange Nghole
Journal of Nursing Management  vol: 30  issue: 7  first page: 2982  year: 2022  
doi: 10.1111/jonm.13693

9. Self-evaluation and professional status as predictors of burnout among nurses in Jordan
Othman A. Alfuqaha, Mahmoud Y. Alkawareek, Hussein S. Alsharah, Nikolaos Georgantzis
PLOS ONE  vol: 14  issue: 3  first page: e0213935  year: 2019  
doi: 10.1371/journal.pone.0213935

10. Systematic review of burnout among healthcare providers in sub-Saharan Africa
Benyam W. Dubale, Lauren E. Friedman, Zeina Chemali, John W. Denninger, Darshan H. Mehta, Atalay Alem, Gregory L. Fricchione, Michelle L. Dossett, Bizu Gelaye
BMC Public Health  vol: 19  issue: 1  year: 2019  
doi: 10.1186/s12889-019-7566-7

11. Helping the Helpers: A Photovoice Study Examining Burnout and Self-Care among HIV Providers and Managers
Rahbel Rahman, Angela Ghesquiere, Anya Y. Spector, Rebecca Goldberg, Olga M. Gonzalez
Human Service Organizations: Management, Leadership & Governance  vol: 44  issue: 3  first page: 244  year: 2020  
doi: 10.1080/23303131.2020.1737293

12. Job Demands, Resources and Burnout Among Polish Nurses During the Late Wave of COVID-19 Pandemic: The Mediating Role of Emotional Labor
Grzegorz Wójcik, Antoni Wontorczyk, Ilona Barańska
Frontiers in Psychiatry  vol: 13  year: 2022  
doi: 10.3389/fpsyt.2022.931391

13. Bio-Psycho-Socio-Spirito-Cultural Factors of Burnout: A Systematic Narrative Review of the Literature
Ian W. Listopad, Maren M. Michaelsen, Lena Werdecker, Tobias Esch
Frontiers in Psychology  vol: 12  year: 2021  
doi: 10.3389/fpsyg.2021.722862

14. Challenges Experienced By Primary Health Care Nurses Rendering 24 Hours Service at Designated Clinics in Musina Local Area, Limpopo Province
Takalani E. Mutshatshi, Vhutshilo Munyai
The Open Public Health Journal  vol: 15  issue: 1  year: 2022  
doi: 10.2174/18749445-v15-e2202241

15. Emotion regulation as a mediator between stress and burnout in dental postgraduate students: a South China cross-sectional study
Xuguang Gao, Sujuan Zeng, Yuhang Huang, Changhua Hao, Xi Xiang, Si Meng, Lijing Wang, Xuesong Yang, Lal Pathak Janak, Yarui Liu, Wenyan Huang
BMC Medical Education  vol: 25  issue: 1  year: 2025  
doi: 10.1186/s12909-025-08262-9

16. Burnout Among Service Providers for People Living with HIV: Factors Related to Coping and Resilience
Rachelle Reid, Aarti Madhu, Stephanie Gonzalez, Hannah Crosby, Michelle Stjuste, Sannisha K. Dale
Journal of Racial and Ethnic Health Disparities  vol: 11  issue: 6  first page: 3294  year: 2024  
doi: 10.1007/s40615-023-01784-2

17. Unmasking Distress: An Analysis of COVID-19’s Mental Health Impact on Nurses in South Africa
Phillipa Haine, Ashraf Kagee, Bronwyne Coetzee, Marnus Janse Van Vuuren, Lindokuhle Shongwe
Western Journal of Nursing Research  vol: 47  issue: 4  first page: 241  year: 2025  
doi: 10.1177/01939459251316049

18. Concurrent use of herbal and prescribed medicine by patients in primary health care clinics, South Africa
Tebogo Tsele-Tebakang, Heather Morris-Eyton, Erica Pretorius
African Journal of Primary Health Care & Family Medicine  vol: 15  issue: 1  year: 2023  
doi: 10.4102/phcfm.v15i1.3829

19. Not a “first world problem”—Care of the anesthetist in East and Southern Africa
Rediet Shimeles Workneh, Eugene Tuyishime, Mbangu Mumbwe, Elizabeth Namugaya Igaga, M. Dylan Bould, Francis Veyckemans
Pediatric Anesthesia  vol: 31  issue: 1  first page: 39  year: 2021  
doi: 10.1111/pan.14054

20. Unfair labour practice on staff in primary health care facilities, North West province, South Africa: A qualitative study
Maserapelo G. Serapelwane, Eva M. Manyedi
Curationis  vol: 45  issue: 1  year: 2022  
doi: 10.4102/curationis.v45i1.2171

21. Impact of COVID-19 on nurse outcomes in the private sector of South Africa: a cross-sectional study
Granny Solofelang Gohentsemang, Siedine Knobloch Coetzee, Stephani Botha, Erika Fourie
BMC Nursing  vol: 23  issue: 1  year: 2024  
doi: 10.1186/s12912-024-02559-8

22. Two years after lockdown: reviewing the effects of COVID‐19 on health services and support for adolescents living with HIV in South Africa
Quintin van Staden, Christina A. Laurenzi, Elona Toska
Journal of the International AIDS Society  vol: 25  issue: 4  year: 2022  
doi: 10.1002/jia2.25904

23. Prediction of nursing burnout—a scoping review of the literature from 1970 to 2021
Carolina Carvalho Manhães Leite, Abigail R. Wooldridge
IISE Transactions on Healthcare Systems Engineering  vol: 13  issue: 4  first page: 294  year: 2023  
doi: 10.1080/24725579.2022.2149638

24. Effects of Patient Safety Culture on Nurse Burnout in the Operating Room
Ye Sol Lee, Chin Kang Koh
Stress  vol: 28  issue: 3  first page: 118  year: 2020  
doi: 10.17547/kjsr.2020.28.3.118

25. Emotional well‐being and work engagement of nurses who moonlight (dual employment) in private hospitals
Michelle Engelbrecht, Asta Rau, Petrus Nel, Marisa Wilke
International Journal of Nursing Practice  vol: 26  issue: 1  year: 2020  
doi: 10.1111/ijn.12783

26. Coping in crisis: The role of sense of coherence, life satisfaction, and resilience in the relationship between depression, social support, fear of COVID-19, and perceived vulnerability to disease among nurses in South Africa
Bronwyne Coetzee, Phillipa Haine, Martin Kidd, Lindokuhle Shongwe, Marnus Janse Van Vuuren, Ashraf Kagee
Journal of Health Psychology  vol: 30  issue: 10  first page: 2542  year: 2025  
doi: 10.1177/13591053241279000

27. Prevalence and risk of burnout among HIV service providers in South Africa and Zambia: findings from the HPTN 071 (PopART) trial
Mara C. Steinhaus, Tamaryn J. Nicholson, Triantafyllos Pliakas, Abigail Harper, Pamela Lilleston, Tila Mainga, Deborah Milimo, Karen Jennings, Nelis Grobbelaar, Francoise Louis, Handri Liebenberg, Richard J. Hayes, Sarah Fidler, Helen Ayles, Peter Bock, Graeme Hoddinott, James R. Hargreaves, Virginia Bond, Anne L. Stangl
Human Resources for Health  vol: 22  issue: 1  year: 2024  
doi: 10.1186/s12960-024-00934-9

28. Prevalence of burnout in mental health nurses and related factors: a systematic review and meta‐analysis
Isabel María López‐López, José Luis Gómez‐Urquiza, Gustavo Raúl Cañadas, Emilia Inmaculada De la Fuente, Luis Albendín‐García, Guillermo Arturo Cañadas‐De la Fuente
International Journal of Mental Health Nursing  vol: 28  issue: 5  first page: 1035  year: 2019  
doi: 10.1111/inm.12606