The Predictive Effect of Anxiety and Burnout Levels Related to the COVID-19 Pandemic and Organizational Commitment on their Intention to Leave the Organization of the Healthcare Professionals
Abstract views: 249 / PDF downloads: 212
DOI:
https://doi.org/10.58600/eurjther.20232902-1597.yKeywords:
Anxiety, Burnout, Covid-19 Pandemic, Healthcare Professionals, Organizational CommitmentAbstract
Objective: The study was conducted to determine predictive effect of anxiety and burnout levels related to the COVID-19 Pandemic and organizational commitment on their ıntention to leave the organization of the healthcare professionals.
Methods: The sample of study consisted of 251 healthcare professionals who actively worked during the pandemic process. Data were collected by applying the "Coronavirus Anxiety Scale", "COVID-19 Burnout Scale", "Organizational Commitment Scale", and "Intention to Leave the Organization Scale". The data was analysed in the SPSS 22 package program.
Results: 66.5% of all participants worked in the pandemic units during the pandemic process, 57.4% of them had COVID-19, 75.3% of them had COVID-19 vaccine, and 32.3% of them lost a relative due to COVID-19. 42.2% of the healthcare professionals had dysfunctional anxiety and they experienced a very high level of burnout, their continuance commitment, which is one of the subscales of organizational commitment, was high, their affective and normative commitment was moderate, and their intention to leave the organization was moderate. The anxiety level of healthcare professionals explained 7.7% of the change in their intention to leave the organization. The anxiety (p<0.05) and burnout levels (p>0.05) together explained 8.5% o the change in intention to leave the organization. The Anxiety and burnout levels and organizational commitment levels together explained 25.9% of the change in intention to leave the organization (p˂0.05).
Conclusions: The anxiety levels and the levels of affective organizational commitment of healthcare professionals during the pandemic process are significant predictors of intention to leave the organization.
Metrics
References
T.R. Ministry of Health General Directorate of Public Health. (2020). COVID-19 (SARSCoV-2 Infection) general ınformation, epidemiology and diagnosis. T.R. Ministry of Health. Available from: https://covid19.saglik.gov.tr/Eklenti/39551/0/covid19rehberigenelbilgilerepidemiyolojivetanipdf.pdf. Accessed 26 December 2021.
Çetintepe SP, İlhan MN (2020) Risk Reduction in Healthcare Workers in the Covid-19 Outbreak. J Biotechnol and Strategic Health Res. 1:50-54. https://doi.org/10.34084/bshr.712539
Çalışkan Pala S, Metintaş S (2020) Healthcare Professionals in the Covid-19 Pandemic Estüdam Halk Sağlığı Dergisi. 5(COVID-19 Special Issue):156-68. https://doi.org/10.35232/estudamhsd.789806
Enli Tuncay F, Koyuncu E, Özel Ş (2020) A Review of Protective and Risk Factors Affecting Psychosocial Health of Healthcare Workers in Pandemics. Ankara Med J. 2:488- 501. https://doi.org/10.5505/amj.2020.02418
Greenberg N, Docherty M, Gnanapragasam S, Wessely S (2020) Managing Mental Health Challenges Faced by Healthcare Workers During Covid-19 Pandemic. BMJ. 368:m1211. https://doi.org/10.1136/bmj.m1211
Stuijfzand S, Deforges C, Sandoz V, Sajin CT, Jaques C, Elmers J, et al (2020) Psychological Impact of an Epidemic/Pandemic on the Mental Health of Healthcare Professionals: A Rapid Review. BMC Public Health. 20:1230. https://doi.org/10.1186/s12889- 020-09322-z
Yılmaz Karaman İG, Yastıbaş C (2021) The Relationship of Depression, Anxiety and Posttraumatic Stress Symptoms with Sociodemographic and Vocational Variables in Healthcare Professionals Who Work in COVID-19 Pandemia. Van Tıp Derg. 28(2):249-257. https://dx.doi.org/10.5505/vtd.2021.55453
Ataç Ö, Sezerol MA, Taşçı Y, Hayran O (2020) Anxiety and İnsomnia Among Healthcare Workers During the COVID-19 Pandemic. Turk J Public Health. 18:47-57. https://doi.org/10.20518/tjph.767187
Gomez Salgado J, Domínguez-Salas S, Romero-Martín M, Ortega-Moreno M, García- Iglesias JJ, Ruiz-Frutos J (2020) Sense of Coherence and Psychological Distress Among Healthcare Workers During the COVID-19 Pandemic in Spain. Sustainability. 12:6855. https://doi.org/10.3390/su12176855
Yumru M (2020) COVID-19 and Burnout in Health Workers. Klin Psikiyatr. 23(Ek 1):5-6. https://doi.org/10.5505/kpd.2020.18942
Restubog SLD, Ocampo ACG, Wang L (2020) Taking Control Amidst the Chaos: Emotion Regulation During the COVID-19 Pandemic. J Vocat Behav. 119:Article 103440. https://doi.org/10.1016/j.jvb.2020.103440
Arpacıoğlu MS, Baltacı S, Ünübol B (2021) Burnout, Fear of Covid, Depression, Occupationalsatisfaction Levels and Related Factors in Healthcare Professionals in the COVID-19 Pandemic. Cukurova Med J. 46(1):88-100. https://doi.org/10.17826/cumj.785609.
Aytaç S, Çetin Aydın G. (2020) The Relationship Between Psychological Health, Burnout and Intention to Leave: A Study on Health Workers. In: Akar S (ed). Health with its socio-economic dimension. [Uluslararası Farklı Boyutlarıyla Sağlık Konferansı]. Select papers. E-book, pp. 79-94.
Özata M (2015) The Determination of Organizational Commitment Levels of Health Staffs in Hospitals. Sosyal Bilimler Meslek Yüksekokulu Dergisi. 18(1):155-166.
Eren H, Demirgöz Bal M (2015) Organizational Commitment in Nursing. SHYD. 1(2):44-50. https://doi.org/10.5222/SHYD.2015.044
Alper Ay F, İçen BT (2021) Evaluation of Covid-19 Anxiety and Burnout Levels of Health Workers in the 3rd Peak Period of the Covid-19 Pandemic in Turkey. J Int Soc Res. 14(80):1-17.
Denning M, Goh ET, Tan B, Kanneganti A, Almonte M, Scott A, et al (2021) Determinants of Burnout and Other Aspects of Psychological Well-Being in Healthcare Workers During the COVID-19 Pandemic: A Multinational Cross-Sectional Study. Plos One. 16(4):e0238666. https://doi.org/10.1371/journal.pone.0238666
Orrù G, Marzetti F, Conversano C, Vagheggini G, Miccoli M, Ciacchini R, et al (2021) Secondary Traumatic Stress and Burnout in Healthcare Workers During COVID-19 Outbreak. Int J Environ Res Public Health. 18(1):337. https://doi.org/10.3390/ijerph18010337
Pappa S, Ntella V, Giannakas T, Giannakoulis VG, Papoutsi E, Katsaounou P (2020) Prevalence of Depression, Anxiety, and Insomnia Among Healthcare Workers During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. Brain Behav Immun. 88:901-907. https://doi.org/10.1016/j.bbi.2020.05.026
Yeşil Bayülgen M, Bayülgen A, Yeşil FH, Türksever HA (2021) Determination of Anxiety and Hopelessness Levels of Nurses Working During the COVID-19 Pandemic Process. SBÜ Hemşirelik Dergisi, 3(1):1-6. https://doi.org/10.48071/sbuhemsirelik.839229.
Şahin MK, Aker S, Şahin G, Karabekiroğlu A (2020) Prevalence of Depression, Anxiety, Distress and Insomnia and Related Factors in Healthcare Workers During COVID-19 Pandemic in Turkey. J Community Health. 45(6):1168-1177. https://doi.org/10.1007/s10900-020-00921-w
Chanana N (2021) The Impact of COVID-19 Pandemic on Employees Organizational Commitment and Job Satisfaction in Reference to Gender Differences. J Public Affairs. e2695:1. https://doi.org/10.1002/pa.2695
Sharif Nia H, Arslan G, Naghavi N, Sivarajan Froelicher E, Kaveh O, Pahlevan Sharif S, et al (2021) A Model of Nurses’ Intention to Care of Patients with COVID-19: Mediating Roles of Job Satisfaction and Organisational Commitment. J Clin Nurs. 30(11- 12):1684-1693. https://doi.org/10.1111/jocn.15723
Aminizadeh M, Saberinia A, Salahi S, Sarhadi M, Jangipour Afshar P, et al (2021) Quality of Working Life and Organizational Commitment of Iranian Pre-Hospital Paramedic Employees During the 2019 Novel Coronavirus Outbreak. Int J Healthc Manag. 1-9. https://doi.org/10.1080/20479700.2020.1836734
Gürcüoğlu S, Hürmet Çetinel M, Karagöz A (2020) Job Satisfaction Organizational Commitment Relationship: A Research on Airline Employees. J Hum Sci. 17(4):1204-21. https://doi.org/10.14687/jhs.v17i4.6096
Çini MA, Erdirençelebi M, Ertürk E (2021) The Effect of Work Stress with Mediation Effect of Job Satisfaction on Intention to Stay at Work in the Covıd-19 Pandemic Period. İAD. 13(3):2356-2375. https://doi.org/10.20491/isarder.2021.1266
Yiğitol B, Büyükmumcu S (2021) Analysis of the Relationships Between Fear of Covid-19, Personality Traits, Job Performance and Turnover Intention. OPUS Int J Soc Res (Pandemic Special Issue). 17:3414-3447. https://doi.org/10.26466/opus.890502
Irshad M, Khattak SA, Hassan MM, Majeed M, Bashir S (2020) How Perceived Threat of Covid-19 Causes Turnover Intention Among Pakistani Nurses: A Moderation and Mediation Analysis. Int J Ment Health Nurs. 30(1):350. https://dx.doi.org/10.1111%2Finm.12775.
Lee SA (2020) Coronavirus Anxiety Scale: A Brief Mental Health Screener for COVID-19 Related Anxiety. Death Stud. 44(7):393-401. https://doi.org/10.1080/07481187.2020.1748481
Evren C, Evren B, Dalbudak E, Topcu M, Kutlu N (2020) Measuring Anxiety Related to COVID-19: A Turkish Validation Study of the Coronavirus Anxiety Scale. Death Stud. 3:1-7. https://doi.org/10.1080/07481187.2020.1774969
Yıldırım M, Solmaz F (2022) COVID-19 Burnout, COVID-19 Stress and Resilience: Initial Psychometric Properties of COVID-19 Burnout Scale. Death Stud. 46(3):524- 532. https://doi.org/10.1080/07481187.2020.1818885
Malach Pines A (2005) The Burnout Measure Short Version (BMS). Int J Stress Manag. 12(1):78-88. https://psycnet.apa.org/doi/10.1037/1072-5245.12.1.78
Meyer JP, Allen NJ (1991) A Three Component Conceptualization of Organizational Commitment. Hum Resour Manag Rev. 1:61-89. https://doi.org/10.1016/1053-4822(91)90011-Z
Özkan S (2010) The Organizational Commitment And Work Values of Primary School Teachers. Mersin University, Social Sciences Enstitüte, Master Thesis.
Tanrıöver U (2005) The Effects of Learning Organization Climate and Self Directed Learning on Job Satisfaction, Affective Commitment and Intention to Turnover. Marmara University, Social Sciences Enstitüte, Master Thesis.
Scott CR, Connaughton SL, Diaz-Saenz HR, Maguire K, Ramirez R, Richardson B, et al (1999) The İmpacts of Communication and Multiple Identifications on Intent to Leave: A Multimethodological Exploration. Manag Commun Q. 12(3):400-435. https://doi.org/10.1177%2F0893318999123002
Özışık L. (2020). Burnout Among Healthcare Professionals During COVID-19 Pandemic. In: Sain Güven G, Uyaroğlu OA (ed). İç Hastalıkları ve COVID-19. 1st Edn. Ankara: Türkiye Klinikleri. pp.103-8.
Çakır Kardeş V. (2020). Anxiety Disorders and Depression During Pandemics with the Updates on COVID-19. In: Coşar B (ed) Psikiyatri ve COVID-19. 1st Edn. Ankara: Türkiye Klinikleri. pp. 23-9.
Demir F, Yıldırım G (2020) The Role of Internal Communication on Institutional Commitment in the Context of the System Theory in Public Relations: Comparative Analysis in the Transportation Sector. SBAD. 3(2):170-194. https://doi.org/10.38004/sobad.773966
Yáñez-Araque B, Gómez-Cantarino S, Gutiérrez-Broncano S, López-Ruiz VR (2021) Examining the Determinants of Healthcare Workers’ Performance: A Configurational Analysis During COVID-19 Times. IJERPH. 18(11):5671. https://doi.org/10.3390/ijerph18115671
Altaş SS (2021) The Relationships Between Health Workers’ Organizational Identification, Organizational Commitment, Organizational Trust and Perceived Organizational Support. İAD. 13(1):875-891. https://doi.org/10.20491/isarder.2021.1171
Uçar MZ, Akbolat M, Özer A (2021) Transformation of Business Management in the Covid-19 Pandemic. In: Akbolat M, Ünal Ö (ed) Investigation of the Relationship Between Alturistic Leadership and Intention to Leave the Work in Health Care Workers in the Covid-19 Period. Ankara. pp. 1-12.
Yáñez JA, Jahanshahi AA, Alvarez-Risco A, Li J, Zhang SX (2020) Anxiety, Distress, and Turnover Intention of Healthcare Workers in Peru by Their Distance to the Epicenter During the COVID-19 Crisis. ASTMH. 103(4):1614. https://dx.doi.org/10.4269%2Fajtmh.20-0800
Aydın AU, Akgemci T (2020) The Effects of Burnout Syndrome on The Intention of Quitting Job: The Case of Banking Sector Employees. SPMJ. 6(11):103-114. https://doi.org/10.25069/spmj.634829.
Esen M (2019) The Relationship Between Job Stress, Burnout and Organizational Commitment: A Research on Health Employees. Ekonomik ve Sosyal Araştırmalar Dergisi. 15(1):1-13.
Özkaya MO, Kocakoç İD, Karaa E (2016) Examining the Relations Between Demographic Factors and Managers’ Organizational Commitment: A Field Study. CBÜ İİBF Yönetim ve Ekonomi Dergisi. 13(2):77-96.
Meyer JP, Stanley DJ, Herscovitch L, Topolnytsky L (2002) Affective, Continuance, and Normative Commitment to the Organization: A Meta-Analysis of Antecedents, Correlates, and Consequences. J Vocat Behav. 61:20–52. https://doi.org/10.1006/jvbe.2001.1842
Brimeyer TM, Perrucci R, Wadsworth SM (2010) Age, Tenure, Resources for Control, and Organizational Commitment. Soc Sci Q. 91(2):511-530.
Örs M, Acuner AM, Sarp N, Önder ÖR (2003) Evaluation of the Views of the Medical Doctors and Nurses Working in the Hospitals Concerning Their Loyalties to Their Organizations. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 56(4).
Arnetz J, Goetz CM, Sudan S, Arble E, Janisse J, Arnetz BB (2020) Personal Protective Equipment and Mental Health Symptoms Among Nurses During the COVID-19 Pandemic. JOEM. 62(11):892-897. https://doi.org/10.1097/JOM.0000000000001999
Naushad VA, Bierens JJ, Nishan KP, Firjeeth CP, Mohammad UH, Maliyakkal AM, et al (2019) A Systematic Review of the Impact of Disaster on the Mental Health of Medical Responders. PMD. 34(6):632-643. https://doi.org/10.1017/s1049023x19004874
Downloads
Published
How to Cite
License
Copyright (c) 2023 European Journal of Therapeutics
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.