Work-related stress has been linked to various negative outcomes among healthcare professionals. For nurses, stress can arise from numerous sources, including their interactions with patients. It is often perceived that nurses working in psychiatric hospitals experience greater stress and occupational burnout compared to nurses working in somatic hospitals. However, there is limited research addressing this specific issue. To bridge this gap, a study was conducted to compare the stress levels of nurses working in a psychiatric hospital and a somatic hospital within the same city. Background/Objectives: The aim of this paper was to report on the prevalence of stress and burnout among surveyed nurses employed in a somatic hospital and in a psychiatric hospital. Methods: The study group consisted of a total of 379 nurses-189 employed at a somatic hospital and 190 employed at a psychiatric hospital. The primary test used for statistical analyses was the nonparametric Mann-Whitney U test for assessing differences. Additionally, correlations between ordinal or quantitative variables were analyzed using Spearman's rho coefficient. Results: Among respondents working at a somatic hospital, the average levels of occupational burnout, emotional exhaustion, depersonalization, and sense of personal accomplishment were moderate. Similar results were observed among respondents employed at a psychiatric hospital. Conclusions: The workplace does not significantly differentiate professional burnout or coping strategies among the nurses surveyed. Among nurses working in hospitals for somatic patients, levels of depersonalization, turning to religion, and seeking support increase with age and seniority. In contrast, psychiatric nurses show higher levels of emotional exhaustion and overall MBI burnout as they age.

Department of Health Care Sciences Faculty of Humanities Tomas Bata University in Zlin 760 01 Zlín Czech Republic

Department of Integrated Medical Care Medical University of Białystok 15 222 Białystok Poland

Department of Nursing Faculty of Health Sciences Catholic University in Ružomberok 034 01 Ružomberok Slovakia

Department of Nursing Institute of Health Protection State Academy of Applied Sciences 37 700 Przemyśl Poland

Department of Nursing Institute of Health Protection The Bronisław Markiewicz Academy of Applied Sciences 37 500 Jarosław Poland

Faculty of Health Sciences University of Debrecen 4032 Debrecen Hungary

See more in PubMed

Abram M.D., Jacobowitz W. Resilience and burnout in healthcare students and inpatient psychiatric nurses: A between-groups study of two populations. Arch. Psychiatr. Nurs. 2021;35:1–8. doi: 10.1016/j.apnu.2020.10.008. PubMed DOI PMC

Michel O., Garcia Manjon A.J., Pasquier J., Ortoleva Bucher C. How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit. J. Adv. Nurs. 2021;77:4459–4470. doi: 10.1111/jan.14935. PubMed DOI PMC

Röhricht F., Green C., Filippidou M., Lowe S., Power N., Rassool S., Rothman K., Shah M., Papadopoulos N. Integrated care model for patients with functional somatic symptom disorder—A co-produced stakeholder exploration with recommendations for best practice. BMC Health Serv. Res. 2024;24:698. doi: 10.1186/s12913-024-11130-9. PubMed DOI PMC

Poloni N., Caselli I., Ielmini M., Mattia M., De Leo A., Di Sarno M., Isella C., Bellini A., Callegari C. Hospitalized Patients with Medically Unexplained Physical Symptoms: Clinical Context and Economic Costs of Healthcare Management. Behav. Sci. 2019;9:80. doi: 10.3390/bs9070080. PubMed DOI PMC

Cathébras P. Patient-Centered Medicine: A Necessary Condition for the Management of Functional Somatic Syndromes and Bodily Distress. Front. Med. 2021;8:585495. doi: 10.3389/fmed.2021.585495. PubMed DOI PMC

Henningsen P. Management of somatic symptom disorder. Dialogues Clin. Neurosci. 2018;20:23–31. doi: 10.31887/DCNS.2018.20.1/phenningsen. PubMed DOI PMC

Nair S.S., Kwan S.C., Ng C.W.M., Teo D.C.L. Approach to the patient with multiple somatic symptoms. Singap. Med. J. 2021;62:252–258. doi: 10.11622/smedj.2021059. PubMed DOI PMC

Kim S., Kweon Y. Psychological Capital Mediates the Association between Job Stress and Burnout of among Korean Psychiatric Nurses. Healthcare. 2020;8:199. doi: 10.3390/healthcare8030199. PubMed DOI PMC

Maharaj S., Lees T., Lal S. Negatywne stany psychiczne i ich związek z funkcją poznawczą pielęgniarek. J. Psychophysiol. 2019;33:207–218. doi: 10.1027/0269-8803/a000223. DOI

Weber C., Monero Flores V., Wheele T.P., Miedema E., White E.V. Patients’ Health & Well-Being in Inpatient Mental Health-Care Facilities: A Systematic Review. Front. Psychiatry. 2022;12:758039. doi: 10.3389/fpsyt.2021.758039. PubMed DOI PMC

Hurley J., Lakeman R., Linsley P., Ramsay M., Mckenna-Lawson S. Utilizing the mental health nursing workforce: A scoping review of mental health nursing clinical roles and identities. Int. J. Ment. Health Nurs. 2022;31:796–822. doi: 10.1111/inm.12983. PubMed DOI PMC

Abt M., Lequin P., Bobo M.L., Vispo Cid Perrottet T., Pasquier J., Ortoleva Bucher C. The scope of nursing practice in a psychiatric unit: A time and motion study. J. Psychiatr. Ment. Health Nurs. 2022;29:297–306. doi: 10.1111/jpm.12790. PubMed DOI PMC

Cranage K., Foster K. Mental health nurses’ experience of challenging workplace situations: A qualitative descriptive study. Int. J. Ment. Health Nurs. 2022;31:665–676. doi: 10.1111/inm.12986. PubMed DOI PMC

Ward-Miller S., Farley E.M., Espinosa L., Brous M.E., Giorgi-Cipriano J., Ferguson J. Psychiatric mental health nursing in the international year of the nurse and COVID-19: One hospital’s perspective on resilience and innovation—Past, present and future. Arch. Psychiatr. Nurs. 2021;35:303–310. doi: 10.1016/j.apnu.2020.11.002. PubMed DOI PMC

Ardıç M., Ünal Ö., Türktemiz H. The effect of stress levels of nurses on performance during the COVID-19 pandemic: The mediating role of motivation. J. Res. Nurs. 2022;27:330–340. doi: 10.1177/17449871211070982. PubMed DOI PMC

Babapour A.R., Gahassab-Mozaffari N., Fathnezhad-Kazemi A. Nurses’ job stress and its impact on quality of life and caring behaviors: A cross-sectional study. BMC Nurs. 2022;21:75. doi: 10.1186/s12912-022-00852-y. PubMed DOI PMC

Kobayashi Y., Oe M., Ishida T., Matsuoka M., Chiba H., Uchimura N. Workplace violence and its effects on burnout and secondary traumatic stress among mental healthcare nurses in Japan. Int. J. Environ. Res. Public Health. 2020;17:2747. doi: 10.3390/ijerph17082747. PubMed DOI PMC

Rafiei S., Souri S., Nejatifar Z., Amerzadeh M. The moderating role of self-efficacy in the relationship between occupational stress and mental health issues among nurses. Sci. Rep. 2024;14:15913. doi: 10.1038/s41598-024-66357-7. PubMed DOI PMC

Cilia Vincenti S., Grech P., Scerri J. Psychiatric hospital nurses’ attitudes towards trauma-informed care. J. Psychiatr. Ment. Health Nurs. 2022;29:75–85. doi: 10.1111/jpm.12747. PubMed DOI PMC

Lu H., Zhao Y., While A. Job satisfaction among hospital nurses: A literature review. Int. J. Nurs. Stud. 2019;94:21–31. doi: 10.1016/j.ijnurstu.2019.01.011. PubMed DOI

Suleiman-Martos N., Albendín-García L., Gómez-Urquiza J.L., Vargas-Román K., Ramirez-Baena L., Ortega-Campos E., De La Fuente-Solana E.I. Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health. 2020;17:641. doi: 10.3390/ijerph17020641. PubMed DOI PMC

Almalki A.E., Alghamdi H.S.N., Bakhadlag G.T.H. The relationship between burnout, depression and anxiety among nurses in a psychiatric unit. Int. J. Biosci. 2024;24:236–244.

Spaan P., van den Boogert F., Bouman Y.H.A., Hoogendijk W.J.G., Roza S.J. How are you coping? Stress, coping, burnout, and aggression in forensic mental healthcare workers. Front. Psychol. 2024;14:1301878. doi: 10.3389/fpsyg.2023.1301878. PubMed DOI PMC

De Looff P., Nijman H., Didden R., Embregts P. Burnout symptoms in forensic mental health nurses: Results from a longitudinal study. J. Psychiatr. Ment. Health Nurs. 2018;25:506–516. doi: 10.1111/jpm.12496. PubMed DOI

Gómez-Urquiza J.L., Velando-Soriano A., Membrive-Jiménez M.J., Ramírez-Baena L., Aguayo-Estremera R., Ortega-Campos E., Cañadas-De la Fuente G.E. Prevalence and levels of burnout in nursing students: A systematic review with meta-analysis. Nurse Educ. Pract. 2023;72:103753. doi: 10.1016/j.nepr.2023.103753. PubMed DOI

Freudenberger H.J. Burnout Inventory. J. Soc. Issues. 1974;30:159–165. doi: 10.1111/j.1540-4560.1974.tb00706.x. DOI

Maslach C., Jackson S.E., Leiter M.P. Maslach Burnout Inventory Manual. 3rd ed. Consulting Psychologists Press; Palo Alto, CA, USA: 1996. pp. 191–217.

Vargas-Benítez M.Á., Izquierdo-Espín F.J., Castro-Martínez N., Gómez-Urquiza J.L., Albendín-García L., Velando-Soriano A., Cañadas-De la Fuente G.A. Burnout syndrome and work engagement in nursing staff: A systematic review and meta-analysis. Front. Med. 2023;10:1125133. doi: 10.3389/fmed.2023.1125133. PubMed DOI PMC

Ramírez-Elvira S., Romero-Béjar J.L., Suleiman-Martos N., Gómez-Urquiza J.L., Monsalve-Reyes C., Cañadas-De la Fuente G.A., Albendín-García L. Prevalence, Risk Factors and Burnout Levels in Intensive Care Unit Nurses: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health. 2021;18:11432. doi: 10.3390/ijerph182111432. PubMed DOI PMC

Yang Z., Zhang M., Guo Y., Wang R., Xie F. Burnout among Nurses: A Bibliometric Analysis of the Global Publications. Psychol. Res. Behav. Manag. 2024;17:1727–1739. doi: 10.2147/PRBM.S458199. PubMed DOI PMC

Juczyński Z., Ogińska-Bulik N. Narzędzia Pomiaru Stresu i Radzenia Sobie ze Stresem. Pracownia Testów Psychologicznych Polskiego Towarzystwa Psychologicznego; Warsaw, Poland: 2012.

Pasikowski T. In: Polska Adaptacja Kwestionariusza Maslach Burnout Inventory. Sęk H., editor. PWN; Warsaw, Poland: 2004. Wypalenie zawodowe—Przyczyny, mechanizmy, zapobieganie.

Maslach C., Leiter M. Prawda o Wypaleniu Zawodowym, co Robić ze Stresem w Organizacji. PWN; Warsaw, Poland: 2011.

Ghavidel F., Fallahi-Khoshknab M., Molavynejad S., Zarea K. The role of organizational factors in nurse burnout: Experiences from Iranian nurses working in psychiatric wards. J. Fam. Med. Prim. Care. 2019;8:3893–3899. doi: 10.4103/jfmpc.jfmpc_615_19. PubMed DOI PMC

Newman C.R., Jackson J., Macleod S., Eason M. A Survey of Stress and Burnout in Forensic Mental Health Nursing. J. Forensic. Nurs. 2020;16:161–168. doi: 10.1097/JFN.0000000000000271. PubMed DOI

Hsieh H.F., Liu Y., Hsu H.-T., Ma S.C., Wang H.H., Ko C.-H. Relations between Stress and Depressive Symptoms in Psychiatric Nurses: The Mediating Effects of Sleep Quality and Occupational Burnout. Int. J. Environ. Res. Public Health. 2021;18:7327. doi: 10.3390/ijerph18147327. PubMed DOI PMC

Jin R. Job satisfaction and burnout of psychiatric nurses during the COVID-19 pandemic in China-the moderation of family support. Front. Psychol. 2022;13:1006518. doi: 10.3389/fpsyg.2022.1006518. PubMed DOI PMC

Tununu A.F., Martin P. Prevalence of burnout among nurses working at a psychiatric hospital in the Western Cape. Curationis. 2020;43:e1–e7. doi: 10.4102/curationis.v43i1.2117. PubMed DOI PMC

Alenezi A., McAndrew S., Fallon P. Burning out physical and emotional fatigue: Evaluating the effects of a programme aimed at reducing burnout among mental health nurses. Int. J. Ment. Health Nurs. 2019;28:1045–1055. doi: 10.1111/inm.12608. PubMed DOI

Konstantinou A.K., Bonotis K., Sokratous M., Siokas V., Dardiotis E. Burnout evaluation and potential predictors in a Greek cohort of mental health nurses. Arch. Psychiatr. Nurs. 2018;32:449–456. doi: 10.1016/j.apnu.2018.01.002. PubMed DOI

Tang Y., Wang Y., Zhou H., Wang J., Zhang R., Lu Q. The relationship between psychiatric nurses’ perceived organizational support and job burnout: Mediating role of psychological capital. Front. Psychol. 2023;14:1099687. doi: 10.3389/fpsyg.2023.1099687. PubMed DOI PMC

Karanikola M.N., Papathanassoglou E.E. Exploration of the burnout syndrome occurrence among mental health nurses in Cyprus. Arch. Psychiatr. Nurs. 2013;27:319–326. doi: 10.1016/j.apnu.2013.08.004. PubMed DOI

Khatatbeh H., Pakai A., Al-Dwaikat T., Onchonga D., Amer F., Prémusz V., Oláh A. Nurses’ burnout and quality of life: A systematic review and critical analysis of measures used. Nurs. Open. 2022;9:1564–1574. doi: 10.1002/nop2.936. PubMed DOI PMC

Villarante D.M., O’Donoghue S.C., Medeiros M., Milton E., Walsh K., O’Donoghue A.L., Celi L.A., Hayes M.M., Dilibero J. A National Survey of Stress and Burnout in Critical Care Nurses: A Prepandemic Study. Dimens. Crit. Care Nurs. 2023;42:248–254. doi: 10.1097/DCC.0000000000000598. PubMed DOI PMC

Piotrowska A., Lisowska A., Twardak I., Włostowska K., Uchmanowicz I., Mess E. Determinants Affecting the Rationing of Nursing Care and Professional Burnout among Oncology Nurses. Int. J. Environ. Res. Public Health. 2022;19:7180. doi: 10.3390/ijerph19127180. PubMed DOI PMC

Jun J., Ojemeni M.M., Kalamani R., Tong J., Crecelius M.L. Relationship between nurse burnout, patient and organizational outcomes: Systematic review. Int. J. Nurs. Stud. 2021;119:103933. doi: 10.1016/j.ijnurstu.2021.103933. PubMed DOI