Cultura

Nurse Burnout Syndrome: A Comprehensive Review of Prevalence, Contributing Factors, Consequences, and Evidence-Based Interventions in Contemporary Healthcare Systems

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Sharifa Mashi Al-Anzi, Hadu Sayed Ali Alshammari, Hanan Safaq Ghannam Alanazi, Reem Ajaj Alanazi, Salimah Baqi Shuwaihit Al-Ruwaili, Amjad Sharidah Mohammed Alenezi, Salimah Masafeq Mohammad Al-Anazi, Maryam Sufuq Alanazi
Hanan Wanis Nayir Alanazi, Sultan Muhayl F Alenazi, Mohammed Moufadhi R ALenezi, Fayez Musafiq Mohammed Alanazi, Saud Lafi Alshammari, Dhahyah Muzil Al Shammari

Abstract

Nurse burnout syndrome represents a critical occupational phenomenon characterized by emotional exhaustion, depersonalization, and reduced personal accomplishment, with profound implications for healthcare quality, patient safety, and workforce sustainability. This comprehensive review synthesizes current evidence from systematic reviews and meta-analyses published between 2020 and 2025, examining the global prevalence, multifactorial determinants, and far-reaching consequences of burnout among nursing professionals. The review demonstrates that nurse burnout affects approximately 30-33% of the global nursing workforce, with significant regional variations and alarming increases following the COVID-19 pandemic. Key contributing factors identified include organizational elements such as inadequate staffing ratios, excessive workloads, poor leadership practices, and unsupportive work environments, alongside individual factors including insufficient resilience, limited coping strategies, and work-life imbalance. The consequences of nurse burnout extend beyond individual well-being to encompass compromised patient safety outcomes, including increased mortality rates, nosocomial infections, medication errors, and adverse events, as well as reduced patient satisfaction and quality of care. Evidence-based interventions, particularly mindfulness-based interventions and cognitive-behavioral therapy, demonstrate moderate to strong effectiveness in reducing burnout symptoms when implemented systematically. Organizational-level strategies, including transformational leadership, adequate staffing ratios, enhanced professional development opportunities, and supportive workplace cultures, show promise in retention and burnout prevention. This review underscores the urgent need for multi-level, coordinated interventions addressing both individual resilience and systemic organizational factors to mitigate nurse burnout and ensure sustainable, high-quality healthcare delivery.

Keywords : Nurse burnout syndrome, emotional exhaustion, depersonalization, patient safety, healthcare quality, mindfulness-based interventions, nurse retention, organizational factors, workforce shortage, Maslach Burnout Inventory.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty