The Relationship Between Burnout, Stress, And Resilience Among Vietnamese Health Care Workers
DOI:
https://doi.org/10.55489/njcm.150320243557Keywords:
burnout, stress, social support, healthcare workers, resilienceAbstract
Introduction: The COVID-19 pandemic has also caused significant damage in Vietnam, necessitating medical personnel to work tirelessly at different medical establishments to combat the epidemic. Healthcare professionals in Vietnam may experience stress and burnout, leading to adverse effects on their resilience, job performance, health, and overall quality of life.
Methodology: We carried out a cross-sectional investigation involving 147 healthcare professionals from various medical establishments in Ho Chi Minh City, Vietnam. The purpose was to evaluate the levels of stress, burnout, and resilience among these individuals.
Results: The study discovered that resilience acts as a mediator in the association between stress and burnout. Additionally, it revealed that gender traits have an impact on the interplay between stress and mental resilience. The study additionally discovered inequalities in stress, burnout, resilience, and social support based on demographic and professional factors.
Conclusion: Our study has enhanced our comprehension of mental health concerns among healthcare workers and facilitated the identification of a complex pattern that takes into account detrimental factors, protective factors, and existing support systems in mental healthcare, thus offering comprehensive and insightful perspectives for future research.
References
Hoang VT, et al. Seroprevalence of SARS‐CoV‐2 among high‐density communities and hyper‐endemicity of COVID‐19 in Vietnam. Trop Med Int Health. 2022;27(5):515-521. Doi: https://doi.org/10.1111/tmi.13744 PMid:35303386 PMCid:PMC9115418
Quach HL, Hoang NA. COVID-19 in Vietnam: A lesson of preparation. J Clin Virol. 2020;127:104379. Doi: https://doi.org/10.1016/j.jcv.2020.104379 PMid:32361325 PMCid:PMC7194790
Dao TL, Nguyen TD. Controlling the COVID-19 pandemic: Useful lessons from Vietnam. Travel Med Infect Dis. 2020;37:101822. Doi: https://doi.org/10.1016/j.tmaid.2020.101822 PMid:32653477 PMCid:PMC7347475
Ministry of Health. Information About Coronavirus Disease Outbreak COVID-19 [in Vietnamese]. 2021. [Online]. Available: https://ncov.moh.gov.vn/.
Nguyen NPT, Le DD, Colebunders R, Siewe Fodjo JN, Tran TD, Vo TV. Stress and Associated Factors among Frontline Healthcare Workers in the COVID-19 Epicenter of Da Nang City, Vietnam. Int J Environ Res Public Health. 2021;18(14). Doi: https://doi.org/10.3390/ijerph18147378 PMid:34299829 PMCid:PMC8303910
Huang JZ, Han MF, Luo TD, Ren AK, Zhou XP. [Mental health survey of medical staff in a tertiary infectious disease hospital for COVID-19]. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020;38(3):192-195. doi: 10.3760/cma.j.cn121094-20200219-00063.
Çelmeçe N, Menekay M. The Effect of Stress, Anxiety, and Burnout Levels of Healthcare Professionals Caring for COVID-19 Patients on Their Quality of Life. Front Psychol. 2020;11:597624. Doi: https://doi.org/10.3389/fpsyg.2020.597624 PMid:33329264 PMCid:PMC7719786
Xiang YT, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228-229. Doi: https://doi.org/10.1016/S2215-0366(20)30046-8 PMid:32032543
Dang AK, et al. Evidence of COVID-19 Impacts on Occupations During the First Vietnamese National Lockdown. Ann Glob Health. 2020;86(1):112. Doi: https://doi.org/10.5334/aogh.2976 PMid:32944509 PMCid:PMC7473180
Le XT, et al. Evaluating the Psychological Impacts Related to COVID-19 on Vietnamese People Under the First Nationwide Partial Lockdown in Vietnam. Front Psychiatry. 2020;11:824. Doi: https://doi.org/10.3389/fpsyt.2020.00824 PMid:32982807 PMCid:PMC7492529
Baskin RG, Bartlett R. Healthcare worker resilience during the COVID-19 pandemic: An integrative review. J Nurs Manag. 2021;29(8):2329-2342. Doi: https://doi.org/10.1111/jonm.13395 PMid:34182609 PMCid:PMC8420188
Nguyen PTL, et al. Psychological Stress Risk Factors, Concerns, and Mental Health Support Among Health Care Workers in Vietnam During the Coronavirus Disease 2019 (COVID-19) Outbreak. Front Public Health. 2021;9:628341. Doi: https://doi.org/10.3389/fpubh.2021.628341 PMid:33816419 PMCid:PMC8017279
Bui THT, et al. Reassessing the most popularly suggested measurement models and measurement invariance of the Maslach Burnout Inventory: human service survey among Vietnamese healthcare professionals. Health Psychol Behav Med. 2022;10(1):104-120. Doi: https://doi.org/10.1080/21642850.2021.2019585 PMid:35003901 PMCid:PMC8741234
Zhang C, et al. Survey of Insomnia and Related Social Psychological Factors Among Medical Staff Involved in the 2019 Novel Coronavirus Disease Outbreak. Front Psychiatry. 2020;11:306. Doi: https://doi.org/10.3389/fpsyt.2020.00306 PMid:32346373 PMCid:PMC7171048
Arnetz JE, et al. Nurse Reports of Stressful Situations during the COVID-19 Pandemic: Qualitative Analysis of Survey Responses. Int J Environ Res Public Health. 2020;17(21):8126. Doi: https://doi.org/10.3390/ijerph17218126 PMid:33153198 PMCid:PMC7663126
Prasad K, et al. Prevalence and correlates of stress and burnout among US healthcare workers during the COVID-19 pandemic: a national cross-sectional survey study. EClinicalMedicine. 2021;35:100879. Doi: https://doi.org/10.1016/j.eclinm.2021.100879 PMid:34041456 PMCid:PMC8141518
Cocchiara RA, et al. The use of yoga to manage stress and burnout in healthcare workers: a systematic review. J Clin Med. 2019;8(3):284. Doi: https://doi.org/10.3390/jcm8030284 PMid:30813641 PMCid:PMC6462946
Murat M, Köse S, Savaşer S. Determination of stress, depression, and burnout levels of front-line nurses during the COVID-19 pandemic. Int J Ment Health Nurs. 2021;30(2):533-543. Doi: https://doi.org/10.1111/inm.12818 PMid:33222350 PMCid:PMC7753629
Zhang Y, Xiang D, Alejok N. Coping with COVID-19 in United Nations peacekeeping field hospitals: increased workload and mental stress for military healthcare providers. BMJ Mil Health. 2021 August;167(4):229-233. Doi: https://doi.org/10.1136/bmjmilitary-2020-001642 PMid:33177148
Mo PKH, et al. Resilience and intention of healthcare workers in China to receive a COVID-19 vaccination: The mediating role of life satisfaction and stigma. J Adv Nurs. 2022 August;78(8):2327-2338. Doi: https://doi.org/10.1111/jan.15143 PMid:35195300 PMCid:PMC9111598
Yang R, et al. A cross-sectional examination of the relationship between nurses' experiences of skin lesions and anxiety and depression during the COVID-19 pandemic: Exploring the mediating role of fear and resilience. J Nurse Manag. 2022 September;30(6):1903-1912. Doi: https://doi.org/10.1111/jonm.13638 PMid:35434883 PMCid:PMC9115287
Lara-Cabrera ML, et al. The Mediating Role of Resilience in the Relationship between Perceived Stress and Mental Health. Int J Environ Res Public Health. 2021 Sep 16;18(18). Doi: https://doi.org/10.3390/ijerph18189762 PMid:34574684 PMCid:PMC8465177
Serrão C, Duarte I, Castro L, Teixeira A. Burnout and Depression in Portuguese Healthcare Workers during the COVID-19 Pandemic The Mediating Role of Psychological Resilience. Int J Environ Res Public Health. 2021 Jan 13;18(2). Doi: https://doi.org/10.3390/ijerph18020636 PMid:33451083 PMCid:PMC7828555
West CP, et al. Resilience and Burnout Among Physicians and the General US Working Population. JAMA Netw Open. 2020 July 1;3(7):e209385. Doi: https://doi.org/10.1001/jamanetworkopen.2020.9385 PMid:32614425 PMCid:PMC7333021
Peel-Wainwright KM, et al. The interpersonal processes of non-suicidal self-injury: A systematic review and meta-synthesis. Psychol Psychother. 2021 December;94(4):1059-1082. Doi: https://doi.org/10.1111/papt.12352 PMid:34090311
Xiao H, Zhang Y, Kong D, Li S, Yang N. The Effects of Social Support on Sleep Quality of Medical Staff Treating Patients with Coronavirus Disease 2019 (COVID-19) in January and February 2020 in China. Med Sci Monit. 2020 Mar 5;26:e923549. Doi: https://doi.org/10.12659/MSM.923549
Roslan NS, Yusoff MSB, Razak AA, Morgan K. Burnout Prevalence and Its Associated Factors among Malaysian Healthcare Workers during the COVID-19 Pandemic: An Embedded Mixed-Method Study. Healthcare (Basel). 2021 Jan 17;9(1):90. Doi: https://doi.org/10.3390/healthcare9010090 PMid:33477380 PMCid:PMC7829836
Z. Izdebski, A. Kozakiewicz, M. Białorudzki, J. Dec-Pietrowska, and J. Mazur, "Occupational burnout in healthcare workers, stress, and other symptoms of work overload during the COVID-19 pandemic in Poland," International Journal of Environmental Research and Public Health, 2023;20(3):2428. Doi: https://doi.org/10.3390/ijerph20032428 PMid:36767797 PMCid:PMC9916221
D. A. Dillman, Mail and Internet surveys: The tailored design method, 2007Update on new Internet, visual, and mixed-mode guides. John Wiley & Sons, 2011.
A. Campo-Arias, M. J. Pedrozo-Cortés, and J. C. Pedrozo-Pupo, "Pandemic-Related Perceived Stress Scale of COVID-19: An exploration of online psychometric performance," Revista Colombiana de psiquiatria (English, ed.), 2020;49(4):229. Doi: https://doi.org/10.1016/j.rcpeng.2020.05.001 PMid:33328014 PMCid:PMC7680058
S. Cohen, T. Kamarck, and R. Mermelstein, "A global measure of perceived stress," Journal of Health and Social Behavior, 1983;24(4):385-396. Doi: https://doi.org/10.2307/2136404 PMid:6668417
T. H. Dao-Tran, D. Anderson, and C. Seib, "The Vietnamese version of the Perceived Stress Scale (PSS-10): Translation equivalence and psychometric properties among older women" (in English), BMC Psychiatry, 2017;17(1):53. Doi: https://doi.org/10.1186/s12888-017-1221-6 PMid:28166754 PMCid:PMC5295219
E. H. Lee, "Review of the psychometric evidence of the perceived stress scale" (in English), Asian Nurs Res (Korean Soc Nurse Sci), 2012;6(4):121-7. Doi: https://doi.org/10.1016/j.anr.2012.08.004 PMid:25031113
T. T. Thai, P. T. V. Le, Q. H. N. Huynh, P. T. T. Pham, and H. T. H. Bui, "Perceived Stress and Coping Strategies During the COVID-19 Pandemic Among Public Health and Preventive Medicine Students in Vietnam" (in English), Psychol Res Behav Manag, 2021;14:795-804. Doi: https://doi.org/10.2147/PRBM.S317059 PMid:34177277 PMCid:PMC8219298
B. W. Smith, J. Dalen, K. Wiggins, E. Tooley, P. Christopher, and J. Bernard, "The brief resilience scale: assessing the ability to bounce back," International journal of behavioral medicine, 2008;15(3):194-200. Doi: https://doi.org/10.1080/10705500802222972 PMid:18696313
Y. Hong et al., "Resilience and Work-Related Stress May Affect Depressive Symptoms in Nursing Professionals during the COVID-19 Pandemic Era," (in English), Psychiatry Investig, 2021;18(4):357-363. Doi: https://doi.org/10.30773/pi.2021.0019 PMid:33951781 PMCid:PMC8103016
L. Luceño-Moreno, B. Talavera-Velasco, Y. García-Albuerne, and J. Martín-García, "Symptoms of Posttraumatic Stress, Anxiety, Depression, Levels of Resilience, and Burnout in Spanish Health Personnel During the COVID-19 Pandemic" (in English), Int J Environ Res Public Health, 2020;17(15):5514. Doi: https://doi.org/10.3390/ijerph17155514 PMid:32751624 PMCid:PMC7432016
G. D. Zimet, N. W. Dahlem, S. G. Zimet, and G. K. Farley, "The multidimensional scale of perceived social support," Journal of Personality Assessment, 1988;52(1):30-41. Doi: https://doi.org/10.1207/s15327752jpa5201_2
J. M. Dambi, L. Corten, M. Chiwaridzo, H. Jack, T. Mlambo, and J. Jelsma, "A systematic review of the psychometric properties of the cross-cultural translations and adaptations of the Multidimensional Perceived Social Support Scale (MSPSS)," (in English), Health Qual Life Outcomes, 2018;16(1):80. Doi: https://doi.org/10.1186/s12955-018-0912-0 PMid:29716589 PMCid:PMC5930820
O. D. Laksmita, M. H. Chung, Y. M. Liao, and P. C. Chang, "Multidimensional Scale of Perceived Social Support in Indonesian Adolescent Disaster Survivors: A Psychometric Evaluation," (in English), PLoS One, 2020;15(3):e0229958. Doi: https://doi.org/10.1371/journal.pone.0229958 PMid:32168332 PMCid:PMC7069614
A. Karagöl and Z. Törenli Kaya, "Healthcare workers' burn-out, hopelessness, fear of COVID-19, and perceived social support levels" (in English), Eur J Psychiatry, 2022;36(3):200-206. Doi: https://doi.org/10.1016/j.ejpsy.2022.01.001 PMid:35039704 PMCid:PMC8755422
M. Yıldırım and F. Solmaz, "COVID-19 burnout, COVID-19 stress, and resilience: Initial psychometric properties of the COVID-19 Burnout Scale," Death Studies, 2022;46(3):524-532. Doi: https://doi.org/10.1080/07481187.2020.1818885 PMid:32915702
A. Malach-Pines, "The burnout measure, short version," International Journal of Stress Management, 2005;12(1):78. Doi: https://doi.org/10.1037/1072-5245.12.1.78
S. Ayaz-Alkaya, Ş. Yaman-Sözbir, and B. Bayrak-Kahraman, "The effect of nursing internship programs on burnout and professional commitment" (in English), Nurse Educ Today, 2018;68:19-22. Doi: https://doi.org/10.1016/j.nedt.2018.05.020 PMid:29870870
H. M. Alrawashdeh et al., "Occupational burnout and job satisfaction among physicians in times of COVID-19 crisis: a convergent parallel mixed-method study," BMC Public Health, 2021;21:1-18. Doi: https://doi.org/10.1186/s12889-021-10897-4 PMid:33906619 PMCid:PMC8079229
B. Joseph and M. Joseph, "The health of the healthcare workers" (in English), Indian J Occup Environ Med, 2016;20(2):71-72. Doi: https://doi.org/10.4103/0019-5278.197518 PMid:28194078 PMCid:PMC5299814
E. E. Rigdon, M. Sarstedt, and C. M. Ringle, "On comparing results from CB-SEM and PLS-SEM: Five perspectives and five recommendations," Marketing: ZFP-Journal of Research and Management, 2017;39(3):4-16. Doi: https://doi.org/10.15358/0344-1369-2017-3-4
G. E. Dallal and L. Wilkinson, "An analytic approximation to the distribution of Lilliefors's test statistic for normality," The American Statistician, 1986;40(4):294-296. Doi: https://doi.org/10.1080/00031305.1986.10475419
J. F. Hair, J. J. Risher, M. Sarstedt, and C. M. Ringle, "When to use and how to report the results of PLS-SEM," European Business Review, 2019;31(1):2-24. Doi: https://doi.org/10.1108/EBR-11-2018-0203
J. F. Hair Jr., G. T. M. Hult, C. M. Ringle, M. Sarstedt, N. P. Danks, and S. Ray, Partial least squares structural equation modeling (PLS-SEM) using R: A Workbook. Springer Nature, 2021.
C. Fornell and D. F. Larcker, "Evaluating structural equation models with unobservable variables and measurement error," Journal of Marketing Research, 1981;18(1):39-50. Doi: https://doi.org/10.1177/002224378101800104
T. K. Dijkstra and J. Henseler, "Consistent partial least squares path modeling," MIS quarterly, 2015;39(2):297-316. Doi: https://doi.org/10.25300/MISQ/2015/39.2.02
J. F. Hair Jr., M. Sarstedt, C. M. Ringle, and S. P. Gudergan, Advanced Issues in Partial Least Squares Structural Equation Modeling. saGe publications, 2017.
W. W. Chin, "The partial least squares approach to structural equation modeling," Modern Methods for Business Research, 1998;295(2):295-336.
R. F. Falk and N. B. Miller, A primer for soft modeling. University of Akron Press, 1992.
J. Cohen Statistical power analysis for the behavioral sciences Academic Press, 2013. Doi: https://doi.org/10.4324/9780203771587
Broche-Pérez Y, Fernández-Fleites Z, Jiménez-Puig E, Fernández-Castillo E, Rodríguez-Martin BC. Gender and Fear of COVID-19 in a Cuban Population Sample. Int J Ment Health Addict. 2022;20(1):83-91. Doi: https://doi.org/10.1007/s11469-020-00343-8 PMid:32837428 PMCid:PMC7292241
D'Ettorre G, Pellicani V, Ceccarelli G. Post-traumatic stress disorder symptoms in healthcare workers: a ten-year systematic review. Acta Biomed. 2020 Nov 30;91(12-s):e2020009. Doi: 10.23750/abm.v91i12-S.9459.
Ahn MH, et al. High Work-Related Stress and Anxiety as a Response to COVID-19 Among Health Care Workers in South Korea: Cross-sectional Online Survey Study. JMIR Public Health Surveill. 2021 Oct 22;7(10):e25489. Doi: https://doi.org/10.2196/25489 PMid:34478401 PMCid:PMC8544732
Chan AO, Huak CY. Psychological impact of the 2003 severe acute respiratory syndrome outbreak on health care workers in a medium-sized regional general hospital in Singapore. Occup Med (Lond). 2004 May;54(3):190-6. Doi: https://doi.org/10.1093/occmed/kqh027 PMid:15133143 PMCid:PMC7107861
Chen YH, Lou SZ, Yang CW, Tang HM, Lee CH, Jong GP. Effect of Marriage on Burnout among Healthcare Workers during the COVID-19 Pandemic. Int J Environ Res Public Health. 2022 Nov 28;19(23). Doi: https://doi.org/10.3390/ijerph192315811 PMid:36497885 PMCid:PMC9737389
Gama G, Barbosa F, Vieira M. Personal determinants of nurses' burnout in end-of-life care. Eur J Oncol Nurs. 2014 Oct;18(5):527-33. Doi: https://doi.org/10.1016/j.ejon.2014.04.005 PMid:24888265
Kiekkas P, Spyratos F, Lampa E, Aretha D, Sakellaropoulos GC. Level and correlates of burnout among orthopaedic nurses in Greece. Orthop Nurs. 2010 May-Jun;29(3):203-9. Doi: https://doi.org/10.1097/NOR.0b013e3181db53ff PMid:20505491
Koh D, et al. Risk perception and impact of Severe Acute Respiratory Syndrome (SARS) on the work and personal lives of healthcare workers in Singapore: what can we learn? Med Care. 2005 Jul;43(7):676-82. Doi: https://doi.org/10.1097/01.mlr.0000167181.36730.cc PMid:15970782
Bayram N, Gursakal S, Bilgel N. Burnout, vigor, and job satisfaction among academic staff. European Journal of Social Sciences. 2010;17(1):41-53.
Farshi SS, Omranzadeh F. The effect of gender, education level, and marital status on Iranian EFL teachers' burnout level. International Journal of Applied Linguistics and English Literature. 2014;3(5):128-133. Doi: https://doi.org/10.7575/aiac.ijalel.v.3n.5p.128
Afshari D, Nourollahi-Darabad M, Chinisaz N. Demographic predictors of resilience among nurses during the COVID-19 pandemic. Work. 2021;68(2):297-303. Doi: https://doi.org/10.3233/WOR-203376 PMid:33492260
Di Trani M, Mariani R, Ferri R, De Berardinis D, Frigo MG. From Resilience to Burnout in Healthcare Workers During the COVID-19 Emergency: The Role of the Ability to Tolerate Uncertainty. Front Psychol. 2021;12:646435. Doi: https://doi.org/10.3389/fpsyg.2021.646435 PMid:33935905 PMCid:PMC8085585
Liu Y, et al. Mental state, biological rhythm, and social support among healthcare workers during the early stages of the COVID-19 epidemic in Wuhan. Heliyon. 2022 Jul;8(7):e09439. Doi: https://doi.org/10.1016/j.heliyon.2022.e09439 PMid:35601229 PMCid:PMC9107281
Torrente M, et al. To burn-out or not to burn-out: a cross-sectional study in healthcare professionals in Spain during the COVID-19 pandemic. BMJ Open. 2021 Feb 24;11(2):e044945. Doi: https://doi.org/10.1136/bmjopen-2020-044945 PMid:33627353 PMCid:PMC7907836
Labarda C, Labarda MDP, Lamberte EE. Hospital resilience in the aftermath of Typhoon Haiyan in the Philippines. Disaster Prevention Management: An International Journal. 2017;26(4):424-436. Doi: https://doi.org/10.1108/DPM-02-2017-0025
Othman N, Nasurdin AM. Work engagement of Malaysian nurses: Exploring the impact of hope and resilience. World Academy of Science, Engineering, and Technology, International Journal of Social, Behavioral, Educational, Economic, Business, and Industrial Engineering. 2011;5(12):1990-1994. Doi: 10.5281/zenodo.1334395.
Hegde A, Mitra R. Environment and early life: Decisive factors for stress resilience and vulnerability. International review of neurobiology. 2020;150:155-185. Doi: https://doi.org/10.1016/bs.irn.2019.12.002 PMid:32204830
Weitzel EC, et al. What builds resilience? Sociodemographic and social correlates in the population-based LIFE-adult study. International Journal of Environmental Research and Public Health. 2022;19(15):9601. Doi: https://doi.org/10.3390/ijerph19159601 PMid:35954965 PMCid:PMC9368156
Noh JW, Kim KB, Park J, Hong J, Kwon YD. Relationship between the number of family members and stress by gender: Cross-sectional analysis of the fifth Korea National Health and Nutrition Examination Survey. PLoS One. 2017;12(9):e0184235. Doi: https://doi.org/10.1371/journal.pone.0184235 PMid:28886136 PMCid:PMC5590891
Lahelma E, Arber S, Kivelä K, Roos E. Multiple roles and health among British and Finnish women: the influence of socioeconomic circumstances. Soc Sci Med. 2002;54(5):727-40. Doi: https://doi.org/10.1016/S0277-9536(01)00105-8 PMid:11999489
Wang H, et al. Healthcare workers' stress when caring for COVID-19 patients: An altruistic perspective. Nurse Ethics. 2020;27(7):1490-1500. Doi: https://doi.org/10.1177/0969733020934146 PMid:32662326
Zhu Z, et al. COVID-19 in Wuhan: Sociodemographic characteristics and hospital support measures associated with the immediate psychological impact on healthcare workers. EClinical Medicine. 2020;24:100443. Doi: https://doi.org/10.1016/j.eclinm.2020.100443 PMid:32766545 PMCid:PMC7311903
Robertson HD, et al. Resilience of primary healthcare professionals: a systematic review. British Journal of General Practice. 2016;66(647):e423-e433. Doi: https://doi.org/10.3399/bjgp16X685261 PMid:27162208 PMCid:PMC4871308
Marey‐Sarwan I, et al. "It's like we're at war": Nurses' resilience and coping strategies during the COVID‐19 pandemic. Nursing Inquiry. 2022;29(3):e12472. Doi: https://doi.org/10.1111/nin.12472 PMid:34724283 PMCid:PMC8646746
Ugwu F, Ugwu C, Njemanze V, Nwosu I. Family cohesion and family size moderating burnout and recovery connection. Occupational Medicine. 2019;69(1):28-34. Doi: https://doi.org/10.1093/occmed/kqy155 PMid:30476256
Somboonviboon D, Wittayawisawasakul Y, Wacharasint P. Prevalence and Risk Factors of Burnout Syndrome during the COVID-19 Pandemic among Healthcare Providers in Thailand. J Environ Public Health. 2023;2023:5719241. Doi: https://doi.org/10.1155/2023/5719241 PMid:37288116 PMCid:PMC10243951
Rudman A, Gustavsson JP. Early-career burnout among new graduate nurses: a prospective observational study of intra-individual change trajectories. Int J Nurs Stud. 2011;48(3):292-306. Doi: https://doi.org/10.1016/j.ijnurstu.2010.07.012 PMid:20696427
Yörük S, Güler D. The relationship between psychological resilience, burnout, stress, and sociodemographic factors with depression in nurses and midwives during the COVID-19 pandemic: A cross-sectional study in Turkey. Perspectives in Psychiatric Care. 2021;57(1):390-398. Doi: https://doi.org/10.1111/ppc.12659 PMid:33103773
Safiye T, Vukčević B, Čabarkapa M. Resilience as a moderator in the relationship between burnout and subjective well-being among medical workers in Serbia during the COVID-19 pandemic. Vojnosanitetski pregled. 2021;78(11). Doi: https://doi.org/10.2298/VSP210517070S
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