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Performance and burnout in intensive care units
Authors:Ger J Keijsers  Wilmar B Schaufeli  Pascale M Le Blanc  Carmen Zwerts  Dinis Reis Miranda
Institution:1. Netherlands Institute of Care and Welfare , PO Box 19152, 3501 DD, Utrecht, The Netherlands;2. Department of Psychology , Utrecht University , PO Box 80.140, 3508 TC, Utrecht, The Netherlands;3. Department of Psychology , University of Nijmegen , The Netherlands;4. Department of Surgery , University Hospital , Groningen, The Netherlands
Abstract:Abstract

The relationship between three different performance measures and burnout was explored in 20 Dutch Intensive Care Units (ICUs). Burnout (i.e. emotional exhaustion and depersonalization) proved to be significantly related to nurses' perceptions of performance as well as to objectively assessed unit performance. Subjective performance measures relate negatively to burnout levels of nurses, whereas an objective performance measure relates positively to burnout. Furthermore, subjectively assessed personal performance (i.e. personal accomplishment) is more strongly related to burnout than subjectively assessed unit performance. A model test of the relationship between both types of subjective performance and burnout reveals that nurses' perception of unit performance is indirectly related to burnout through perception of personal performance. This model holds similarly for objectively well- and poor-performing ICUs.
Keywords:Performance measures  Intensive Care  Nurses  Burnout
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