“A STUDY TO FIND THE EFFECT OF IMPULSIVE BEHAVIOR ON BURN

OUT AMONG NURSES WORKING IN SELECTED HOSPITAL IN BHILAI,

C.G”

By:
NITIN KUMAR HIRWANI
M.Sc. Nursing Final Year
Mental Health Nursing

P.G. COLLEGE OF NURSING

HOSPITAL SECTOR, BHILAI, CHHATTISGARH
(Affiliated to Pt. Deendayal Upadhyay Memorial Health Sciences and AYUSH
University of Chhattisgarh, Raipur)
2023-2024

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 “A STUDY TO FIND THE EFFECT OF IMPULSIVE BEHAVIOR ON BURN
OUT AMONG NURSES WORKING IN SELECTED HOSPITAL IN BHILAI,
C.G”

ADVISOR GUIDE

Dr. (Prof) Mrs. ABHILEKHA BISWAL Dr. (Prof) Mrs. ROJA PRINCY
PRINCIPAL HOD
P.G COLLEGE OF NURSING MENTAL HEALTH NURSING
BHILAI, CHHATTISGARH P.G COLLEGE OF NURSING
BHILAI, CHHATTISGARH
CO-GUIDE

Miss TANUJA SAHU

LECTURER

P.G COLLEGE OF NURSING

BHILAI, CHHATTISGARH

VIVA VOICE DATE

1. External Examiner……………………………………….
2. Internal Examiner………………………………………..

DISSERTATION SUBMITTED IN PARTIAL FULFILMENT OF THE

REQUIRMENT FOR THE DEGREE OF MASTER OF SCIENCE (NURSING)
IN MENTAL HEALTH NURSING TO PT. DEENDAYAL UPADHYAY
MEMORIAL HEALTH SCIENCES AND AYUSH UNIVERSITY OF
CHHATTISGARH, RAIPUR

2022-2024

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 CERTIFICATE

This is to certify that this dissertation “A study to find the effect of impulsive
behavior on burn out among nurses working in selected hospital in bhilai, C.G.”
is submitted by Mr. Nitin kumar hirwani the P.G College of nursing, Hospital Sector,
Bhilai, C.G. in partial fulfillment of the requirement for the degree of Master of
Science (Nursing) in Mental Health Nursing from Pt. Deendayal Upadhyay Memorial
Health Sciences and AYUSH University of Chhattisgarh, Raipur. This thesis or any
part has not been previously submitted for any other degree or diploma.

Dr. (Prof) Mrs. ABHILEKHA BISWAL

Principal
P.G College of Nursing
Bhilai, Chhattisgarh

DECLARATION
iii
I hereby declare that thesis entitled “A study to find the effect of impulsive behavior on
burn out among nurses working in selected hospital in bhilai,(C.G)”
is a bonafide and genuine research carried out by me under the guidance of Dr. Mrs.

Roja Pricy, HOD (Mental Health Nursing) P.G. College of Nursing, Bhilai,

Chhattisgarh, is approved by the institutional research committee.

I further declare that to the best of my knowledge this dissertation does not contain any

part or any work which has been submitted for award either in this university or any

other university/ deemed university without proper citation.

GUIDE: SUBMITTED BY:

DR. (Prof) Mrs. ROJA PRINCY NITIN KUMAR HIRWANI
HOD (Mental Health Nursing) M.Sc. Nursing, Final Year
P.G College of Nursing Mental Health Nursing
Bhilai, Chhattisgarh

FORWARDED BY:
Dr. (Prof) Mrs. ABHILEKHA BISWAL
Principal
P.G. College of Nursing, Bhilai

(Pandit Deendayal Upadhyay Memorial Health Sciences and AYUSH University of

Chhattisgarh, Raipur)

iv
 COPY RIGHT
DECLARATION BY THE CANDIDATE

I hereby declare that the Pt. Deendayal Upadhyay Memorial Health Sciences and

Ayush University of Chhattisgarh shall have the right to preserve, use and

disseminate the dissertation in print or electronic for academic/ research purpose.

Place: Bhilai, C.G.

Date:

Signature of the Candidate

NITIN KUMAR HIRWANI

M.Sc. Nursing Final Year

Mental Health Nursing

(Pandit Deendayal Upadhyay Memorial Health Sciences and AYUSH University of

Chhattisgarh, Raipur)

v
 ACKNOWLEDGEMENT

“Acknowledge all of your small victories, will eventually add up to something great”

Nothing concrete can be achieved without an optimal inspiration during the

course of work. There are several hands and hearts behind this work to bring it to this
final shape for which I would like to express my gratitude. I wish to acknowledge my
sincere and heartfelt gratitude to the ALMIGHTY OF GOD for this marvelous grace
shown from the beginning to the end of the study and given me immense strength and
courage to complete this study.

The encouragement is a booster of the human life with this anyone can achieve their
goal easily. I thank everyone who encouraged me to achieve and complete this task
effectively. I would like to express my deep and sincere gratitude to my advisor, Dr.
(Prof) Mrs. Abhilekha Biswal, Principal, P.G. college of nursing, Bhilai, (C.G.)for
giving me permission to conduct my main study. Under her constructive suggestion,
guidance and support the present study has been completed.

I extend my heartfelt and faithful thanks to Dr. (Prof.)Mrs. Sreelata Pillai,

Vice Principal and class coordinator, for her valuable advice, constructive criticism and
extensive discussion around my work which provided good and smooth basis for my
M. Sc. nursing tenure.

I would like to express my warmest gratitude toDr. (Prof) Mrs. Seema

Santosh, class coordinator, for her useful guidance and support, advice which provided
necessary force to complete the study.

I express my heartfelt gratitude to my guide Dr. (Prof.) Mrs. Roja Princy who
guided and supported me patiently all throughout this research work. Getting an
opportunity to learn and grow under you was an exhilarating experience. Thank you,
mam, for all the love you have bestowed upon me all throughout, whose valuable
support has been incorporated throughout my study.

I express my heartfelt thanks to my co-guide Miss Tanuja Sahu, for giving

their valuable support throughout my study.
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 I take this opportunity to sincerely acknowledge the Management of Bhilai
Educational Trust for furthering my study and their cooperation and support for the
present study.

I would like to extend my warm thanks to the administrative department, and

non-teaching staff for their co-operation.

I am extremely thankful to Mr. Sreeni E Nair, for the statistical expertise and
valuable suggestion provided by him during the whole research process and for
enriching the coherence of statistics. I extend my deepest gratitude to the entire expert
who has contribution their valuable time and suggestion in validating the tool.

I extend my thanks to Mrs. Shivani, Librarian, P.G. College of Nursing, Bhilai,

for her co-operation and assistance which built the sound knowledge for this study.

I extend my whole hearted thanks to Ms, Annu biswas Mittal Hospital Bhilai (C.G.)
for giving me permission to conduct pilot study.
I render my deep sense of sincere gratitude to Mrs. Rajni Saji Hitek Hospital
Bhilai(C.G.), for giving permissions and also for the valuable suggestions and guidance
to complete my main study.
Above all, I would like to express my deepest gratitude to all the staff nurse in
Mittal Hospital Bhilai(C.G.) and Hitek Hospital Bhilai(C.G.)who had enthusiastically
participated in this study without whom it was not possible for me to complete this
study.

I take this opportunity to express my profound and everlasting sense of gratitude to my

parents Mr. Narayan singh, Mrs.Devantin sahu, and my uncle Mr. Santosh Sahu,
and my aunt Mrs. Shanti Sahuand my sister Mrs. Pushplata Sahu, Ms.Vinita Sahu
and my brother-in-law Mr. Bhupendra Sahuand my brother Mr. Amit Sahu, Mr.
Nikhil Sahu, for motivating and inspiring me to undertaken higher studies and for their
love, immense support, encouragement and valuable prayers toward the
accomplishment of this luminous task.

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I wish to express my special gratitude towards my dearest friends Ms. Sarita Thakur
Ms.Priyanka Yadav, Ms.Parwati Diwan Mrs. Rukhmani YadavAnd Seniors Ms.
Neelam Yadav, Ms. Taruna Dadsena and all my M.Sc. nursing classmates for their
continuous support, strength and inspiration without which the study would have been
impossible.

Last but not the least my heartfelt thanks to all and my near and dear duty
partner Ms. Anamika Tirkey those who directly and indirectly helped me in the
successful completion of the study.

Thank you for encouraging me to reach high volume of education, I appreciate

all you do for me and I knew that you would treat me always like a winner. Thanks for
being so supportive.

Place: Bhilai, C.G. Signature of the researcher

Date: NITIN KUMAR HIRWANI

M.Sc. Nursing Final Year

(Mental Health Nursing)

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 ABSTRACT

INTRODUCTION

“Our impulses are too strong for our judgment sometimes.”

The word Nurse comes from Latin word "NUTRICIUS"which means nourishes fosters

and protects. In theWebster's New World Dictionary (1975), the word 'Nursing'has a

wide range of meanings which, however, fall into thefollowing three categories

according to the basic ideasexpressed. Nursing means to nourish, to protect, to support,

to train, to educate and to supply with whatever promotes growth, development or

progress; and to give curative care and treatment to the sick and infirm. Mental and

physical states of exhaustion have been known for a long time, but it was Freuden

Berger in 1974 who first coined the term “burnout” for the mental and physical

exhaustion of voluntary workers in various social fields. The term “burnout”, mainly

applied to the caring professions, defines the breakdown of energy resources and

adaptability as a reaction to chronic stress.

The objectives of study are:

 To assess the impulsive behavior among nurses.

 To evaluate burnout among nurses.

 To find the effect of the Impulsive behavior on burn out among Nurses

 To find association between impulsive behavior and selected socio demographic

variables among nurses.

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 To find association between burn out and selected socio demographic variables

among nurses.

 HYPOTHESES

 H1: There is significant effect of The Impulsive behavior on burn out among Nurses

at the level of p≤0.05.

 H2: There is significant association between impulsive behavior and selected socio-

demographic variable at the level of p≤0.05.

 H3: There is significant association between burnout and selected socio-

demographic variable at the level of p≤0.05.

The conceptual framework adopted for the present study was based on ROY’S

ADAPTATION MODEL

The review of literature helped the investigator to formulate and to adopt methodology

for the study.

Methods:

A non-experimental research approach was adopted where 60 staff nurse were

selected using self structured rating scale and standard rating scale technique for the

convenient study and from that sample till the point of saturation for qualitative analysis

was taken using purposive sampling. A self-structured tool to assess socio demographic

variables and self-structured rating scale to find the effect of impulsive behavior on

burnout among nurses working in selected hospital. Were used qualitative data was

collected by case qualitative with 60 staff nurse and the responses were recorded.

Collected data was analyzed using descriptive analysis.

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Result:

Qualitative findings suggest aneffect of impulsive behavior on burnout among staff

nurse participating in mental health services. Total mean score for response of effect of

impulsive behavior on burnout among staff nurse 41.32 ± 1.67. Association between

impulsive behaviors on burnout in staff nurse and their selected socio-demographic

variables like age, gender, religion, marital status, area of current residency, educational

qualification, monthly income in rupee, total work experience, area of current

workingeffect of impulsive behavior on burnout. Mean and percentage analysis shows

that overall mean score of impulsivity as25.75±6.23whereas that of burn out is 6.23 The

difference in mean was analyzed using paired t-test and existence of significant

relationship between these two variables was proved “t” value calculated that is 9.11 is

higher than table value (2.05) at p> 0.05 level of significant. Hence H2 that is there is a

significant effect of impulsive behavior on burnout at the level of p> 0.05 significance is

accepted.

Key words: impulsive behavior, burnout, urgency, interpersonal relationship,

violence/aggression, emotional exhaustion, depersonalization, personal
accomplishment.

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 TABLE OF CONTENT

CHAPTER TITLE PAGE NO.

I. INTRODUCTION
 Background of the study
 Need for the study
 Problem statement
 Objective
 Hypothesis
 Operational definition
 Delimitation
 Conceptual framework
 Summary
II. REVIEW OF LITERATURE

III. METHODOLGY
 Research approach
 Research design
 Variables
 Setting of the study
 Population
 Target population
 Accessible population
 Sample and sampling technique
 Sample size
 Sample selection criteria
 Development and description of tool
 Content validity
 Administration of tool for data collection

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  Pilot study
 Reliability
 Plan for data analysis
 Ethical consideration
 Summary
IV. Data analysis and interpretation
V. Discussion
VI. Summary, conclusion, implication limitation and
recommendation
VII. Bibliography
VIII. Appendixes (A-K)

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 LIST OF TABLES

TABL TITLE PAGE

E NO. NO.
4.1 Distribution of subjects according to age in years
4.2 Distribution of subjects according to type of gender
4.3 Distribution of subjects according to religion of nurses

4.4 Distribution of marital status of nurses

4.5 Distribution of subjects according to area of current residence

4.6 Distribution of subjects according to highest education

qualification
4.7 Distribution of subjects according to monthly income of staff

4.8 Distribution of subjects based on total work experience

4.9 Distribution of subjects according to the current area of work
4.10 Distribution of Impulsive behavior among staff nurse
4.11 Item wise analysis of impulsive behavior in terms of urgency
based on frequency and percentage
4.12 Item wise analysis of impulsive behavior in terms of
interpersonal relationship
4.13 Item wise analysis to severity of impulsive behavior in terms of
Violence / aggressive behavior

4.14 Distribution of subjects based on severity of impulsive behavior

among nurses
4.15 Distribution of subjects based on severity of Burnout.
4.16 Item wise analysis of burnout among nurses

4.17 Analysis of Burnout among nurses

4.18 T-test to find effect of impulsive behavior on burnout among
Nurses
4.19 Association between impulsive behavior and selected socio-
demographic variables
4.20 Association between burnout and selected socio-demographic
variables

LIST OF FIGURES
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FIGURE TITLE PAGE
NO. NO.
1.1 Conceptual framework
3.1 Schematic representation of research design
4.1 Column diagram showing distribution of subjects
according to age in year
4.2 Column diagram showing percentage distribution of
subject according to gender
4.3 Pie graph showing the percentage distribution of
subjects according to the religion
4.4 Cylindrical graph showing the percentage distribution of
subjects according to the marital status
4.5 Colum graph showing the percentage distribution of
subjects according to the area of current residency
4.6 Cone diagram showing the percentage distribution of
subjects according to the education Qualification
4.7 Pie graph showing the percentage distribution of
subjects show the monthly income
4.8 Bar diagram showing the percentage distribution of
subjects show the total working experience of staff
4.9 Pie diagram showing the percentage distribution of
subjects show the area of current working of staff
4.10 Bar diagram representing analysis to assess of Impulsive
behavior among staff nurse
4.11 Pie diagram representing analysis to assess the
effectiveness of Burnout among staff nurse
4.12 X Y (scatter) diagram show the t-test to find effect of
impulsive behavior on burnout among nurses

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 LIST OF APPENDIXES

S. NO TITLE
A Letter seeking expert opinion on content validity of tool
B Certificate of content validity
C List of experts
D Consent from the respondents
E Letter seeking permission to conduct the pilot study
F Letter seeking permission to conduct the main study
G Tools for data collection
H Scoring key for self-structured checklist
I Statistician report
J English editor’s report

K List of statical formulas used in study

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