Relationship Between Working Environment Factors, Burnout Syndrome and Turnover Intentions Among Nurses – A Cross-Sectional Study in Bulgaria

  • Rumyana StoyanovaEmail author
Conference paper
Part of the Advances in Intelligent Systems and Computing book series (AISC, volume 818)


The aim of this study was to establish the relationship between working environment factors, burnout syndrome and turnover intentions among Bulgarian nurses. An anonymous survey was carried out among 391 nurses working in outpatient or hospital medical health care in the South Central Region of the Republic of Bulgaria in the period October 2013–January 2014. The questionnaire contained several panels: socio-demographics; personal self-assessment and satisfaction with organizational, socio-economic and psychological working conditions, Maslach Burnout Inventory and question related to turnover intentions. Results were analyzed by descriptive statistics of the data, non-parametric and factor analysis, using the SPSS 17.0. The study revealed that lower level of satisfaction with key areas of the work environment, such as: remuneration (including equity); relationship among staff, working conditions and safety; opportunities for career development and workload leaded to a higher probability of developing burnout syndrome. On the other hand the results found correlation between the number of burnout’s dimensions with high score and turnover intentions among respondents (P < 0.05). The present study noted that work environment factors influence the development of burnout syndrome and turnover intentions of nurses.


Factors of work environment Burnout Turnover intention Nurses 


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© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Medical University-PlovdivPlovdivBulgaria

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