The Relationship Between Case Manager Competence and Nurse Burnout in Indonesia

Abstract

This study aims to identify the relationship between case manager competency and nurse burnout in Indonesia. A cross-sectional survey was conducted with 235 nurses in three hospitals located in Jakarta and Tangerang. The questionnaire used in this study comprise of: demographic data; General Self Efficacy Scale; Nurse Manager Competency Scale; and Oldenburg Burnout Inventory. Most respondents experienced emotional exhaustion and disengagement. The case manager’s competence reported low. Analysis showed that the case manager’s competence in actuating, communication, and problem-solving associated with nurse burnout. Direction, communication competency, and problem-solving competency of the case manager may reduce the burnout of nurse executor. Improving the competence of nurse manager is very important in order to reduce nurse burnout.


 


Keywords: burnout, case manager, managerial competencies, work environment

References
[1] Canadas, G., et al. (2014). Risk Factors and Prevalence of Burnout Syndrome in the Nursing Profession. International Journal of Nursing Studies., vol. 10, issue 7, https://doi.org/10.1016/j.ijnurstu.2014.07.001{.}


[2] Lheureux, F., Borteyrou, X. and Truchot, D. (2017). The Maslach Burnout Inventory – Human Services Survey (MBI-HSS): Factor Structure, Wording Effect and Psychometric., p. 41. Le Travail Humain 80(2):161- 186. DOI: 10.3917/th.802.0161


[3] Wang, Liu, Y. and Wang, L. (2013). Nurse Burnout: Personal and Environmental Factors as Predictors. Int J Nurs Pract., vol. 5, p. 9.


[4] Tawale, E. N. (2011). Hubungan Antara Motivasi Kerja Perawat Dengan Kecenderungan Mengalami Burnout Pada Perawat di RSUD Serui – Papua. Universitas Hang-Tuah Surabaya.


[5] Zhang, L., et al. (2014). The Association of Chinese Hospital Work Environment with Nurse Burnout, Job Satisfaction, and Intention to Leave. Nurs Outlook, vol. 62, issue 2, pp. 128–137, https://doi.org/10. 1016/j.outlook.2013.10.010.


[6] Nantsupawat, A., Nantsupawat, R. and Kunaviktikul, W. (2016). Nurse Burnout, Nurse-Reported Quality of Care, and Patient. J Nurs Scholarsh., vol. 48, issue 1, pp. 83–90.


[7] Ribeiro, V. F., et al. (2014). Prevalence of Burnout Syndrome in Clinical Nurses at a Hospital of Excellence. Int Arch Med., vol. 7, issue 1, pp. 1–7, https://doi.org/10.1186/1755-7682-7-22.


[8] Ramdan, I. M. and Fadly, O. N. (2016). Analisis Faktor Yang Berhubungan Dengan Burnout Pada Perawat Kesehatan Jiwa. Jurnal Keperawatan Padjadjaran v4(n2):170-178. Universitas Mulawarman. DOI: 10.24198/jkp.v4n2.7


[9] Maharani, P. A. (2016). Kejenuhan Kerja Dengan Kinerja Perawat Dalam Pemberian Asuhan. Jurnal STIKES, vol. 5, issue 2, pp. 167–178.


[10] Maharani, P. A. (2016). Kejenuhan Kerja Dengan Kinerja Perawat Dalam Pemberian Asuhan. Jurnal STIKES, vol. 5, issue 2, pp. 167–178.


[11] Sulistyowati, P. (2007). Hubungan Antara Burnout Dengan Self Efikasi Pada Perawat Di Ruang Rawat Inap Prof. Dr. Margono Soekarjo, Purwokerto. Jurnal Keperawatan Sudirman, vol. 2, issue 3, pp. 162–167.


[12] Konstantinou, A. K., et al. (2018). Burnout Evaluation and Potential Predictors in a Greek Cohort of Mental Health Nurses. Arch Psychiatr Nurs., issue 1, https://doi.org/10.1016/j.apnu.2018.01.002{.}


[13] Lin, Q.-H., Jiang, C.-Q. and Lam, T. H. (2013). The Relationship between Occupational Stress, Burnout, and Turnover Intention among Managerial Staff from a Sino-Japanese Joint Venture in Guangzhou, China. J Occup Health., vol. 55, issue 6, pp. 458–467.


[14] Ntantana, A., et al. (2017). Burnout and Job Satisfaction of Intensive Care Personnel and the Relationship with Personality and Religious Traits: An Observational, Multicenter, Cross-Sectional Study. Intensive and Critical Care Nursing., https://doi.org/10.1016/j.iccn.2017.02.009.


[15] Demerouti, E., Mostert, K. and Bakker, A. B. (2010). Burnout and Work Engagement: A Thorough Investigation of the Independency of Both Constructs. J Occup Health Psychol., vol. 15, issue 3, pp. 209–222, https://doi.org/10.1037/a0019408.


[16] Nur Santoso, P. and Hartono, B. (2016). Pengaruh job demands-resources terhadap burnout pada manajer proyek di Indonesia. In Frontier in Industrial Engineering. Yogyakarta: Departemen Teknik Mesin dan Industri Fakultas Teknik Universitas Gadjah Mada.


[17] Brislöv, M. and Nordström, E. A. (2012). Subdivision of Burnout Based on Level of Performance-Based Self-Esteem A Cross Sectional Study Among Nurses. Institutionen För Klinisk Neurovetenskap.


[18] Bothma, C. F. C. and Roodt, G. (2013). The Validation of the Turnover Intention Scale. Journal of Human Resource Management, vol. 11, issue 1, pp. 1–12, https://doi.org/10.4102/sajhrm.v11i1.507.


[19] Giffen, R. (2015). Organizational Culture and Personality Type: Relationship with Person-Organization Fit and Turnover Intention. Iowa State University.


[20] Gray, F. C. and White, A. (2012). Concept Analysis: Case Management. Nurs Forum., vol. 47, issue 1, pp. 2008–2013.


[21] Sunaringtyas, W. and Sulisno, M. (2015). Strategi Case Manager dalam Mengelola Kasus Pasien Rawat Inap di RS B Kediri. The Indonesian Journal of Health Science., vol. 6, issue 1, pp. 26–33.


[22] Balcom, J. H., Rattner, D. W. and Warshaw, A. L. (2001). Ten-Year Experience with 733 Pancreatic Resections. P. 136.


[23] Bender, M., Connelly, C. D. and Brown, C. (2013). Interdisciplinary Collaboration: The Role of the Clinical Nurse Leader. J Nurs Manag., pp. 165–174.


[24] Munyewende, P. O., Levin, J. and Rispel, L. C. (2016). An Evaluation of the Competencies of Primary Health Care Clinic Nursing Managers in two South African Provinces. Glob Health Action,. vol. 9, issue 1, p. 32486.


[25] Duprez, V., et al. (2016). The Development and Psychometric Validation of the Self-Efficacy and Performance in Self-Management Support (SEPSS) Instrument. Journal of Advanced Nursing., vol. 72, issue 6, pp. 1381–1395, https://doi.org/10.1111/jan.12918.


[26] Demerouti, E. and Bekker, A. B. (2008). The Oldenburg Burnout Inventory: A Good Alternative to Measure Burnout and Engagement.


[27] Yurumezoglu, H. A. and Kocaman, G. (2016). Predictors of nurses ’ intentions to leave the organisation and the profession in Turkey. J Nurs Manag., issue 1, pp. 235–243.


[28] CMSA. (2010). Standards of Practice for Case Management. Case Management Society of America.


[29] KARS. (2016). Panduan Praktik Manajer Pelayanan Pasien - MPP Di Rumah Sakit (Case Manager).


[30] Alidosti, M., et al. (2016). Relationship between Self-Efficacy and Burnout among Nurses in Behbahan City, Iran. Women’s Health Bull., vol. 3, issue 4, pp. 0–4, https://doi.org/10.17795/whb-30445.


[31] Fida, R., Laschinger, H. K. S. and Leiter, M. P. (2018). The Protective Role of Self-Efficacy against Workplace Incivility and Burnout in Nursing: A Time-Lagged Study. Health Care Management Review., vol. 43, issue 1, pp. 21–29.


[32] Irawan, H., Soleman, S. R. and Jamil, N. A. (2017). Faktor-Faktor Yang Mempengaruhi Kejenuhan Kerja (Burnout) Pada Perawat Di RSUD Dr. Soedirman Kabupaten Kebumen. Universitas Islam Indonesia., pp. 2–3.


[33] Miyata, C., Arai, H. and Suga, S. (2015). Characteristics of the Nurse Manager’s Recognition Behavior and its Relation to Sense of Coherence of Staff Nurses in Japan. Collegian, vol. 22, issue 1, pp. 9–17.


[34] Dnsc, J. P. C., et al. (2012). Nurse Staffing, Burnout, and Health Care Associated Infection. American Journal of Infection Control., vol. 40, issue 6, pp. 486–490.


[35] Koy, V., et al. (2015). Relationship between Nursing Care Quality, Nurse Staffing, Nurse Job Satisfaction, Nurse Practice Environment, and Burnout: Literature Review. Int J Res Med Sci., vol. 3, issue 8, pp. 1825–1831.


[36] Campagna, V. and Stanton, M. P. (2010). Case Managers can Improve Hospital Resource Management. Nurs Leader., vol. 8, issue 5, pp. 40–43, https://doi.org/10.1016/j.mnl.2009.08.003.


[37] Kustriyani, M. (2016). Pelaksanaan Manajemen Konflik Interdisiplin Oleh Case Manager Di Ruang Rawat Inap Rsud Tugurejo Semarang. University of Diponegoro. Semarang


[38] Jannah, N., Handiyani, H. and Pujasari, H. (2013). Strategi Pemberdayaan Meningkatkan Iklim Organisasi Perawat Pelaksana di Rumah Saki. Jurnal Keperawatan Indonesia., vol. 16, issue 1, pp. 60–66.