A good answer to this has been the type of personality of the individual.
The commencement of search for evidence for the concerned PICO question was done after determining important terms which can be used for the search and the inclusion and exclusion criteria. Initial search was done in PubMed using the MeSH terms "burnout" "nurses" "type A personality" "management positions". The limits set for the search was "English language article only" because lack of understanding of the reviewer of other languages. The search yielded 8 results. After this, google scholar was used for the search. The key terms used for the search were the same as PubMed. The search yielded 130 articles. Abstracts from the articles in the first 2 pages of the search were reviewed for selection of pertinent and useful articles. From these databases, 3 articles were selected to answer the PICO question and facilitate evidence-based practice. The gold standard for any evidence based practice are randomized controlled trials which when performed with optimized research designs that can answer pertinent questions. However, meta-analysis and systematic review have topped the hierarchy list and when present, they are preferred to randomized controlled trials (Evans, 2003).
According to a study by Buhler and Land (2004), those with type-A personality are at increased risk of burn out because of lack of increased motivation and engagement in work that prevents them from taking part in leisure activities and other health related meaningful life activities. This study identified several studies which related type-A behaviour to burnout.
In yet another study by Shimizutani et al (2008), it was evident that burnout was associated with low neuroticism and high extroversion, both of which are related to type-A personality. Such attributes contributed to client-related burnout and behavioural disengagement, resulting in conflict with ...