The analysis of nursing’s work systems in relation to burnout syndrome (A case study: nurses in RSUDZA, BLUD RSIA, and RSUD Meuraxa, Banda Aceh, Indonesia)

Abstract

A fluctuate working demands of nurses encourage the occurrence of burnout and musculoskeletal problems. This study aims to identify and to analyze the occurrence of burnout syndrome in nursing work systems in hospitals. Variables of this study consist of work factors related to work demands and work stimuli (motivation) which can minimize the burnout’s level, and musculoskeletal problems. The variables of work factors related to work demands and work stimuli are assessed through Work Characteristic Survey, while the variable of musculoskeletal problems is assessed through Nordic Musculoskeletal Symptom survey. This study involved 100 nurses in three public hospitals in Banda Aceh, Indonesia, which were RSUDZA (Rumah Sakit Umum Daerah Zainoel Abidin or Regional Public Hospital of Zainoel Abidin), BLUD-RSIA (Balai Layanan Umum Daerah - Rumah Sakit Ibu dan Anak or Regional Public Health Services - Mother and Child Hospital), and RSUD Meuraxa (Rumah Sakit Umum Daerah Meuraxa or Regional Public Hospital of Meuraxa). Data obtained from the survey was analyzed by using Statistical Package for the Social Science (SPSS) and provided three results which were (1) eight dominant factors of work demands and twelve dominant factors of work stimuli in nursing work systems which need to be managed to minimize the occurrence of burnout syndrome and (2) musculoskeletal problems occurred within twelve months of working period, particularly in wrists/hand, lower back, elbows, ankles/feet, and knees. Moreover, the dominant factors are mapped by using fishbone diagram to provide cause and effect relationships between burnout and the work related factors.