The role of organizational factors in nurse burnout: Experiences from Iranian nurses working in psychiatric wards

J Family Med Prim Care. 2019 Dec 10;8(12):3893-3899. doi: 10.4103/jfmpc.jfmpc_615_19. eCollection 2019 Dec.

Abstract

Introduction: The optimal performance of a healthcare organization is one of the effective factors in increasing the efficiency and productivity of nurses and thus reducing their burnout. The aim of this study was to investigate the role of organizational management on nurse burnout based on experiences from Iranian nurses working in psychiatric wards.

Materials and methods: This qualitative study was conducted on 15 nurses working in psychiatric wards selected through purposive sampling. Data collection was done through in-depth semi-structured interviews in psychiatric wards in Ahvaz (southwest of Iran) and Tehran. Data analysis was done through conventional content analysis.

Results: The findings included one main category and three subcategories. The main category was "Providing care at an inadequate organization," and the three sub-classes namely "Shortages of human resources," "Shortage of physical resources," and "Impact of management approaches to care provision" were extracted.

Conclusion: The results of this study showed that inadequate supply of equipment and human resources along with ineffective managerial approaches in the organization could lead to mental and emotional exhaustion, negative attitudes toward the profession, decreased and poor service quality, employee turnover, and early retirement of nurses in psychiatric wards. Therefore, by adopting appropriate policies in their programs, paying special attention to the physical and mental health of nurses, and addressing their problems, managers of healthcare organizations can motivate and sustain the human resources within the organization.

Keywords: Burnout; hospital; mental health; nurses; organizational factors.