ArticleBMJ open2022
Burnout and coping strategies among nurses in Malaysia: a national-level cross-sectional study.
Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Person-directed burnout intervention for nurses: A systematic review of psychoeducational approaches.PloS one · 2025Pooled it
- Burnout, associated factors and coping strategies among nursing professionals in Kerala, India: a cross-sectional study.BMJ open · 2026Article
- Quantifying and understanding the roles of diabetes educators in Malaysian primary health clinics: a mixed-methods study.BMC health services research · 2026Article
- Prevalence of stress, anxiety and depression and their association with coping mechanisms among primary healthcare doctors in Petaling District, Selangor, during the transition to the endemic phase of COVID-19: A cross-sectional study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2026Article
- The association between emotional intelligence and burnout among Chinese nurses: a cross-sectional study.Frontiers in public health · 2026Article
- Perception of patient safety culture among perioperative staff: exploring the roles of individual factors and organizational factors.BMC health services research · 2025Article
- Relationships between burnout and coping strategies among assistant medical officers in Malaysian public healthcare facilities.Scientific reports · 2025Article
- The relationship between job burnout and presenteeism among Chinese primary public health physicians: a moderated mediation model.BMC medical education · 2025Article
- Determining the influence of an intervention of stress management on medical students' levels of psychophysiological stress: the protocol of the PROMESS-Stress clinical trial.BMC medical education · 2025Article
- Burnout and anxiety among Chinese nurses: the mediating roles of positive coping strategies and interpersonal relationship problems: a cross-sectional study.Frontiers in psychiatry · 2025Article
- Article
- Psychoeducational Burnout Intervention for Nurses: Protocol for a Systematic Review.JMIR research protocols · 2024Article
- The independent and interactive effects of changes in overtime and night shifts during the COVID-19 pandemic on burnout among nurses: a longitudinal study.Scandinavian journal of work, environment & health · 2024Article
- Prevalence of burnout among healthcare professionals: a survey at fort portal regional referral hospital.Npj mental health research · 2024Article
- Burnout among Nurses and Doctors Working at a Tertiary Care Government Hospital: A Descriptive Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2024Article
- The relationship between sleep quality and occupational fatigue in endoscopy nurses: mediating role of positive coping style.Frontiers in public health · 2024Article
- Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey.BMC nursing · 2023Article
- Examining the Impact of Burnout on Hospital Nurses Engaged in Shift Work: Insights From a Nationwide Cross-Sectional Study in Malaysia.SAGE open nursingArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis national-level study aimed to determine the prevalence and risk factors of burnout, as well as the coping strategies among nurses in the Ministry of Health (MOH) Malaysia.
designUsing a complex sampling design, a two-stage stratified cluster sampling was performed to recruit MOH nurses between August and November 2019. SETTING AND
participantsA total of 2428 nurses from 32 hospitals and 28 district health offices answered the questionnaires based on Maslach Burnout Inventory for Human Services and Brief COPE. Complex sampling analysis was applied. OUTCOME MEASURES: The outcome of interest was the prevalence of burnout and its three domains of emotional exhaustion (EE), depersonalisation (DP) and low personal accomplishment. ORs using 95% CIs were calculated. Significant factors at the univariate level were entered into the multivariate logistic regression to identify independent predictors of burnout.
resultsOne in four (24.4%) nurses experienced burnout. Younger, single, and childless nurses had a higher prevalence of burnout. Shift working nurses were 1.6 times more likely to develop burnout. Those who performed >6 night shifts per month were 1.5 times more predisposed to burnout (95% CI 1.01 to 2.36; p<0.05). While encountering traumatic events at work led to 4.2 times (95% CI 2.31, 7.63; p<0.05) higher risk of burnout, those who received post-traumatic psychological support were better protected. The use of dysfunctional coping strategies was detrimental as it was positively correlated with EE and DP.
conclusionAddressing modifiable stressors of burnout at individual and institutional levels identified in this study can be potentially beneficial in reducing burnout and its undesirable effects among nurses. Interventions that promote positive coping strategies should be implemented. Organisational-driven efforts must target the improvement of work schedules for nurses and the establishment of a structured debriefing service for post-trauma counselling.
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