Emotional Exhaustion and Burnout in Nurses Providing Chronic Hemodialysis Care

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Emotional Exhaustion and Burnout in Nurses Providing Chronic Hemodialysis Care

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Co-author 1

Meriem Guizani meriemguizani97@gmail.com Sahloul University Hospital Nephrology, dialysis and kidney transplantation Sousse Tunisia *

Co-author 2

Rihem Dahmane dahmane.rihem@yahoo.fr Sahloul University Hospital Nephrology, dialysis and kidney transplantation Sousse Tunisia -

Co-author 3

Sonia Dziri dziri.sonia@yahoo.com Sahloul University Hospital Nephrology, dialysis and kidney transplantation Sousse Tunisia -

Co-author 4

Narjess Belhadj narjessbelhadj@gmail.com Sahloul University Hospital occupational medicine department Sousse Tunisia -

Co-author 5

Amani Touil touilameni3@gmail.com Ibn Jazzar University Hospital Nephrology, dialysis and kidney transplantation Kairouane Tunisia -

Co-author 6

Asma Fradi fradiasma77@yahoo.fr Sahloul University Hospital Nephrology, dialysis and kidney transplantation Sousse Tunisia -

Co-author 7

Mayssa Haj Brahim mayssa.hajbrahim@gmail.com Taher Sfar university hospital Nephrology, dialysis and kidney transplantation Mahdia Tunisia -

Co-author 8

Narjess Ben Aicha narjesbenaicha@hotmail.fr Sahloul University Hospital Nephrology, dialysis and kidney transplantation Sousse Tunisia -

Co-author 9

Wissal Sahtout sahtout.wissal@gmail.com Sahloul University Hospital Nephrology, dialysis and kidney transplantation Sousse Tunisia -

Co-author 10

Awatef Azzabi azzabiawatef@yahoo.fr Sahloul University Hospital Nephrology, dialysis and kidney transplantation Sousse Tunisia -

Co-author 11

Maher Maoua Maher.maoua@yahoo.fr Sahloul University Hospital occupational medicine department Sousse Tunisia -

Co-author 12

Yosra Guedri yosra_guedri@yahoo.fr Sahloul University Hospital Nephrology, dialysis and kidney transplantation sousse Tunisia -

Co-author 13

Dorsaf Zallema dorsafzallema@gmail.com Sahloul University Hospital Nephrology, dialysis and kidney transplantation Sousse Tunisia -

Co-author 14

Co-author 15

Introduction

Providing chronic hemodialysis care exposes nurses to substantial emotional, cognitive, and organizational challenges. The repetitive and technically demanding nature of dialysis procedures, the need to manage frequent medical emergencies, and interactions with anxious or uncooperative patients contribute to high occupational stress. Over time, these factors can lead to professional burnout, characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment. Despite the recognized burden of dialysis nursing, few studies have specifically explored burnout prevalence and its psychological correlates in this population.

Methods

This study aimed to assess the prevalence and severity of burnout among nurses working in chronic hemodialysis units and to evaluate associated levels of anxiety and depression.

A cross-sectional descriptive study was conducted among 39 nurses in hemodialysis units. An anonymous questionnaire collected socio-professional data and assessed burnout using the Maslach Burnout Inventory (MBI) and psychological distress using the Hospital Anxiety and Depression Scale (HADS).

Results

Participants had a mean age of 35.4 ± 7.3 years; 79.5% were female. Average nursing experience was 12.6 ± 9 years, including 9.4 ± 6 years in hemodialysis. Most worked daytime shifts (64.1%). MBI scores indicated high emotional exhaustion (median 34/54), high depersonalization (median 18/30), and low personal accomplishment (median 28/48), suggesting a substantial burnout risk. HADS results showed a median anxiety score of 8 (range 0–15), with 41% classified as normal, 28.2% as borderline, and 30.8% as probable cases. For depression, the median score was also 8 (range 0–16), with 38.5% normal, 43.6% borderline, and 17.9% probable cases.

Conclusion

Burnout and psychological distress are highly prevalent among nurses in chronic hemodialysis units, characterized by emotional fatigue, relational distancing, and reduced sense of efficacy. Targeted interventions are urgently needed, including psychological support, workload optimization, and workplace well-being programs.

Kewords