Title The relationship between self-esteem and burnout among operating room nurses
Authors Žalpytė, Viktorija ; Čergelytė-Podgrušienė, Indrė
DOI 10.3390/nursrep16060193
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Is Part of Nursing reports.. Basel : MDPI. 2026, vol. 16, iss. 6, art. no. 193, p. [1-10].. eISSN 2039-4403
Keywords [eng] operating room nurses ; perioperative nurse ; scrub nurse ; nurse anesthetist ; burnout ; moral exhaustion ; self-esteem ; self-worth
Abstract [eng] Background: Operating room nurses are exposed to high levels of occupational stress, making them particularly vulnerable to burnout. Psychological resources such as self-esteem may play a protective role; however, evidence in perioperative settings remains limited. Objective: This study aimed to examine the relationship between self-esteem and burnout among operating room nurses. Methods: A quantitative cross-sectional study was conducted among 261 operating room nurses working in public healthcare institutions in Vilnius, Lithuania. Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES), and burnout was assessed using the Burnout Assessment Tool (BAT-23). Data were analyzed using non-parametric tests, Spearman’s correlation, hierarchical regression analysis, and Bonferroni correction for multiple comparisons. Results: A statistically significant negative association was found between self-esteem and burnout (p < 0.001). Higher self-esteem was associated with lower levels of exhaustion (r = −0.326), emotional distress (r = −0.357), cognitive impairment (r = −0.398), and psychological disengagement (r = −0.331). The strongest associations were observed for secondary symptoms (r = −0.420) and overall burnout (r = −0.410). In regression analysis, self-esteem remained a significant predictor of burnout (β = −0.438, p < 0.001), explaining a substantial proportion of variance. Conclusions: Self-esteem is a significant protective factor against burnout among operating room nurses. Interventions aimed at strengthening psychological resources may contribute to reducing burnout in high-intensity clinical environments.
Published Basel : MDPI
Type Journal article
Language English
Publication date 2026
CC license CC license description