Relationship Between Burnout and Quality of Care in Nurses in Banten, Indonesia: A Cross-Sectional Study


Nurses are legally liable and morally responsible for the quality of the care they provide to patients. Nursing is considered to be a high-risk working group, that is high pressure and involves constantly having to handle the needs and emergency conditions of patients. This puts them in conditions with a higher risk of burnout. This cross-sectional study was carried out with nurses at general public hospitals in Banten, Indonesia. Data were collected from January to March 2021. All participants were staff nurses in either the medical, surgical, obstetric, or pediatric care units working in direct care. The total sample was 180. Convenience sampling was used. Burnout was measured using the Maslach Burnout Inventory Human Service Survey. The patient’s perception of nursing care quality was measured using a modified instrument. Linear regression analyses were used to investigate the factors associated with quality of care. Most of the nurses (58.33%) had a nursing diploma, and 7% had been married. Approximately 70% were nurses at the level 1 to 3 range. The mean score was 3.56 (SD = 1.33). The highest domains score was comfort (4.24, SD = 1.44), and the lowest score was physical environment (2.89, SD = 0.81). Burnout and quality of care showed a significant correlation with r ranging from 0.37 to 0.65, with p < 0.05. Nurses are the largest segment of healthcare professionals and so measuring the quality of nursing care is critical for improving practice. Interventions to improve nursing care quality by considering nurse burnout are needed.

Keywords: burnout, quality of care, nurse, Indonesia

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