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Job Satisfaction, Burnout, Work-Related Stress Among Nurses Working at Kibagabaga, Muhima, Masaka District Hospitals of Rwanda

 Graduate School of Public Health (보건대학원) 
 Graduate School of Public Health (보건대학원) 
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Abstract Background: Burnout is a stress-related condition that has been studied extensively in a variety of job settings and is a disorder associated with persistent stress that has been extensively examined in a variety of work situations and professions, including nursing. Increased worker turnover is a result of increased levels of burnout, but if health care administrators maintain their nursing staff employed, the team becomes exceptional in both physical and mental health. In another hand, as long as health care administrators keep their nursing staff employable, the team will be in excellent physical and mental health, which will reduce job satisfaction due to burnout. Purpose: The research aimed to find the link between job satisfaction, burnout, stress, and job satisfaction among nurses working at Kibagabaga, Muhima, and Masaka district hospitals of Rwanda specifically; to describe the levels of job satisfaction, burnout and work-related stress, among nurses, to assess the relationship between job satisfaction, burnout, stress, and to compare job satisfaction with working environment among the nurses. Method: A cluster random sampling strategy was utilized to recruit 172 nurses from Kibagabaga, Muhima, and Masaka district hospitals for this cross-sectional study. Statis-tical Package for SPSS version 26.0 was used to analyze the data. To define sample so-cio-demographic data, nurses' working-related characteristics, and explain levels of work-related stress, burnout, and job satisfaction, descriptive statistics were utilized. The Chi-square used to compare job satisfaction and the working environment. Pearson’s correlation was used to assess the positivity or negativity and significant of no signifi-cant associations of nurses between job satisfaction, burnout and work-related stress. Multiple regression tests were used to determine the hypothesis work-related stress with three dimensions of burnout (Emotional exhaustion, Depersonalization, Personal accom-plishment). Results: The study showed the mean score of job satisfaction (M=137.8, SD=21.16 which was ambivalent, the mean score of Work related-stress was M=26.87, SD=4.67 and was considered as Severe level of stress , The highest mean score of Burnout syn-drome was Exhaustion Emotion (M=37.72.SD=9.42 high level of burnout) and Burnout Depersonalization (M=16.45, SD=7.02 High-level of burnout and medium Burnout Per-sonal Accomplishment M=31.5523,SD=10.05.The results of this study showed a nega-tive non-significant correlation between personal accomplishment and emotional Ex-haustion R= -0.039, P=0.610, this shows that as increasing exhaustion, personal accom-plishment does not decrease; and the results also show week positive non-significant correlation between personal accomplishment and depersonalization R=0.079, P=0.306,this shows that ,the slow increase in depersonalization ,the less personal ac-complishment, the Pearson’s correlation coefficient showed a week positive significant correlation between personal accomplishment and work related stress R=0.149 P=0.051 which shows that the increase in work related stress ,may reduce personal accomplish-ment; and also person correlation coefficients show a significant correlation between personal accomplishment and job satisfaction R=0.297 P=0.00.This means that with in-creasing in personal accomplishment ,there is an increase in job satisfaction. This study also revealed that work-related stress is best associated with each dimension of burnout. All models were significantly different from zero (p<0.05). Work -related stress explaining the variance in depersonalization (37.9%), emotional (32.9%), exhaus-tion personal accomplishment (2.2%) and job satisfaction (32%) and the three dimen-sions of burnout were best statistically significantly with job satisfaction explaining the highest variance, Depersonalization (28.6%), Emotional Exhaustion (25.1%) and Person-al accomplishment (8.8%) and all were significantly different from (<0.05);and it also showed that there was associations of job satisfaction and working environment among the nurses at significancy (p<0.05). Conclusion: Nurses' mental health and well-being are harmed by burnout, which hurts productivity, performance, and patient care quality. Further research into stress manage-ment and job satisfaction in Rwandan nurses may help to reduce absenteeism and turno-ver while also reducing the impact of burnout on nurses' overall health. Stress-related problems are the most important markers in predicting burnout and job satisfaction among nurses and probably other health workers (working environment, inadequate staff management, insufficient resources).
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