Though nursing burnout is a global problem, research on nurse burnout in Haiti is scarce. Haitian nurses operate in a resource-poor work environment in the context of multiple personal and social challenges. This study assessed burnout (emotional exhaustion, depersonalization, and personal accomplishment) and identified its influencing factors among a sample of Haitian nurses. A cross-sectional survey in French and Haitian Creole was conducted in five Haitian hospitals using forward and back translated scales measuring burnout (i.e., emotional exhaustion, depersonalization, personal accomplishment), self-efficacy, nursing work environment, resilience, and demographic factors. Haitian nurses (N = 179) self-reported moderate emotional exhaustion (M = 21, SD = 11.18), and a high level of personal achievement (Mdn = 41.0, range = 33). The influencing factors of burnout were their dissatisfaction with their salary, lack of autonomy, and insufficient staff. The nurses indicated a high level of self-efficacy and resilience, and an overall moderately positive perception of their work environment which likely mitigated a higher level of burnout. This study examined burnout among Haitian nurses, a novel and important contribution to the literature. These nurses may benefit from interventions to protect them from further emotional exhaustion and build on their strengths, thus reducing the risk of burnout syndrome. However, it is noteworthy that burnout symptoms were lower than expected xvi given the low resource, difficult socio-politico-economic environment. It seems these nurses have adapted, to some degree, to manage their critical conditions and may inspire hope among nurses in similar contexts. This study adds to the currently limited literature on burnout syndrome and perceptions of Haitian nurses pertaining to burnout, self-efficiency, and resilience. Furthermore, the Haitian Creole version of the Maslach-Burnout Inventory Health Service Survey for Medical Professionals (MBI-HSS-MP) is available online for future studies at https://www.mindgarden.com. The caring mission of the nurses remains an important aspect of the profession aligning well with the Watson’s Caritas processes.

LLU Discipline





School of Nursing

First Advisor

Lisa R. Roberts

Second Advisor

Salem Dehom

Third Advisor

Jan Nick

Fourth Advisor

Elizabeth Johnston Taylor

Degree Name

Doctor of Philosophy (PhD)

Degree Level


Year Degree Awarded


Date (Title Page)




Library of Congress/MESH Subject Headings

Haiti; Burnout, Professional; Nurses



Page Count

xvi, 176 p.

Digital Format


Digital Publisher

Loma Linda University Libraries

Usage Rights

This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.


Loma Linda University Electronic Theses and Dissertations

Collection Website



Loma Linda University. Del E. Webb Memorial Library. University Archives

Included in

Nursing Commons