Hemodialysis nurse burnout from 31 provinces in mainland China: a cross-sectional survey (Preprint)

2020 ◽  
Author(s):  
Lifang Zhou ◽  
Weiai Guo ◽  
Li Song ◽  
Guanrong Zhang ◽  
Mi Zhong ◽  
...  
Keyword(s):  
Influencing Factors ◽  
Interpersonal Relationships ◽  
Mainland China ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
Equation Modeling ◽  
Nurse Training ◽  
Cross Sectional ◽  
Specialist Nurse ◽  
Nurse Burnout

BACKGROUND Job burnout is an occupational illness with high prevalence among nurses in China. The job burnout status among hemodialysis nurses should be given more attention because of they handle sophisticated machinery, and there is a high risk of infection in hemodialysis nursing. OBJECTIVE The level and influencing factors of job burnout among hemodialysis nurses in mainland China were investigated. METHODS This was a cross-sectional study conducted in all 31 provinces of mainland China in 2019. Data from nurses responsible for direct care in 2738 hemodialysis units were analyzed. An effective response rate of 99.00% (10570/10677) was achieved. Hemodialysis nurse burnout was measured by the Maslach Burnout Inventory. Working atmosphere and interpersonal relationships with colleagues were each measured by a single question. Multiple linear regression analysis was used to explore the factors related to nurse burnout. Structural equation modeling was used to explore the effect of the working environment, individual factors, and specialist nurse training on the HD nurse burnout and the intention to leave. RESULTS The total burnout score was 38.69 (SD17.47), indicating that the level of job burnout among hemodialysis nurses in mainland China was relatively low. Hemodialysis nurses experienced low-level burnout on the emotional exhaustion and depersonalization subscale and high-level burnout on the personal accomplishment subscale. Statistically significant differences in burnout levels were associated with working atmosphere, interpersonal relationships with colleagues, specialist nurse training, number of children, night shift, and marital status. CONCLUSIONS The burnout level of HD nurses in mainland China was relatively low. Working atmosphere, interpersonal relationships with colleagues, and training of specialist nurses are the most important influencing factors regarding job burnout in hemodialysis nurses. Therefore, it is suggested that improving the working atmosphere and interpersonal relationship processing ability and providing more training opportunities for nurses can alleviate job burnout in nurses.

Hemodialysis nurse burnout in 31 provinces in mainland China: a cross-sectional survey (Preprint)

2020 ◽  
Author(s):  
Xia Fu ◽  
Weiai Guo ◽  
Lifang Zhou ◽  
Li Song ◽  
Guanrong Zhang ◽  
...  
Keyword(s):  
Interpersonal Relationships ◽  
Mainland China ◽  
Intention To Leave ◽  
Job Burnout ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Nurse Burnout ◽  
The Mean ◽  
High Level ◽  
Fit Index

BACKGROUND Job burnout is an occupational psychological syndrome with a high prevalence among nurses in China. Hemodialysis (HD) nursing work has the characteristics of high intensity, high technical content, and high risk. However, few studies have investigated the nationwide prevalence of burnout among HD nurses in China. OBJECTIVE The main aims of this study were to investigate the prevalence and level of job burnout among HD nurses in China and explore the potential factors associated with burnout among HD nurses. METHODS This was a cross-sectional study in 2019. Survey data were collected from 2738 HD centers in mainland China. Job burnout was measured by the Chinese version of the Maslach Burnout Inventory. High levels of burnout were defined as emotional exhaustion (EE) scores ≥27, depersonalization (DP) scores ≥10, and personal accomplishment (PA) scores ≤33. The working atmosphere, interpersonal relationships with colleagues, and intention to leave were each assessed by a single question respectively. Multiple linear regression and structural equation modeling (SEM) were used for the analysis. RESULTS A total of 10570 surveys were collected from mainland China. The mean age was 33.36 (SD 7.46) years, the mean duration of working in an HD unit was 6.06 (SD 5.27) years, and 9973 (94.35%) were female. A total of 1199 (11.34%) HD nurses reported a high level of EE, 782 (7.40%) reported a high level of DP, and 2220 (21.00%) reported a low level of PA. Job burnout in the Northeastern region of mainland China was higher than that in other regions (P<.05). The working atmosphere, interpersonal relationships, region, hospital level, education level, career planning, age, and number of children were significantly associated with job burnout among HD nurses (P<.001, adjusted R2=0.313). The working environment, individual factors, and specialist nurse training were significantly associated with HD nurse burnout and intention to leave (comparative fit index=0.907; goodness of fit index=0.930; root mean square error of approximation=0.055). CONCLUSIONS There were notable regional differences in the burnout of HD nurses. This study contributes to the knowledge of the possible relationship of job burnout and intention to leave in HD nurses. It is suggested that improving the working atmosphere or interpersonal relationships and providing more training opportunities can alleviate job burnout in HD nurses. These findings provide a theoretical framework with which to manage HD nurses more effectively.

scholarly journals Organizational Commitment and Job Burnout among Psychaitric Nurses in Punjab Pakistan

2015 ◽  
Vol 6 (2) ◽  
pp. 138 ◽  
Author(s):  
Kashifa Yasmin ◽  
Prof. Dr. Najib Ahmad Marzuki
Keyword(s):  
Organizational Commitment ◽  
Work Environment ◽  
Structural Equation ◽  
Affective Commitment ◽  
Psychiatric Hospitals ◽  
Job Burnout ◽  
Equation Modeling ◽  
Asian Countries ◽  
Cross Sectional ◽  
The Impact

<p><em>Job burnout issue is an increasingly important phenomenon in Asian countries. </em><em>Based on the model of casual turnover this study assessed the direct effect of organizational commitment on job burnout. The cross sectional data was collected from three hundred five nurses of psychiatric hospitals in Punjab, Pakistan. Structural equation modeling was applied to achieve the objectives. The results revealed that only and normative commitment have significant impact while affective commitment and continuous commitment has not significant effect on nurse’s job burnout.  So, the commitment of nurse to hospital goals, missions, and values is not enough to predict her job burnout in the hospital. This study recommends that future researchers should examine the impact of work environment on job burnout as a </em><em>unidimensional</em><em>. This study contributes socially and economically.</em></p>

Effects of Job Burnout and Emotional Labor on Objective Structured Clinical Examination Performance Among Interns and Residents in Taiwan

2017 ◽  
Vol 42 (2) ◽  
pp. 233-257 ◽  
Author(s):  
Chen-Yu Wang ◽  
Jen-De Chen ◽  
Chih-Hung Wang ◽  
Jong-Yi Wang ◽  
Chih-Jaan Tai ◽  
...  
Keyword(s):  
Clinical Examination ◽  
Emotional Labor ◽  
Clinical Performance ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
Objective Structured Clinical Examination ◽  
Measurement Instruments ◽  
Potential Threat ◽  
Cross Sectional ◽  
Interns And Residents

Medical education faces challenges concerning job burnout and emotional labor among junior physicians, which poses a potential threat to the quality of medical care. Although studies have investigated job burnout and emotional labor among physicians, empirical research on the association between job burnout, emotional labor, and clinical performance is lacking. This study investigated the effects of job burnout and emotional labor on clinical performance by using the objective structured clinical examination (OSCE) scores of interns and residents. Specifically, this cross-sectional study utilized the Maslach Burnout Inventory and the Emotional Labor Questionnaire as measurement instruments. A total of 225 interns and residents in central Taiwan answered structured questionnaires before beginning their OSCE. The major statistical analysis method employed was logistic regression. After adjustment for covariates, first-year residents were less likely than other residents to obtain high OSCE scores. The odds of high OSCE performance among interns and residents with high interaction component scores in emotional labor were significantly higher than those with low interaction scores. A high score in the interaction dimension of emotional labor was associated with strong clinical performance. The findings suggest that interventions which motivate positive attitudes and increase interpersonal interaction skills among physicians should receive higher priority.

scholarly journals Job Burnout Status andAnd its Relationship with Resilience Level of Healthcare Workers during Covid-19 Pandemic: A Case of Southern Iran

2021 ◽  
Author(s):  
Ali Reza Yusefi ◽  
Reza Faryabi ◽  
Shima Bordbar ◽  
Salman Daneshi ◽  
Parnian Nikmanesh
Keyword(s):  
Healthcare Workers ◽  
Census Data ◽  
Pearson Correlation ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
Moderate Level ◽  
Cross Sectional ◽  
Significance Level ◽  
Southern Iran ◽  
And Gender

Background and Purpose: COVID-19 could be a threat to healthcare workers' mental health. This study was conducted to investigate job burnout and its relationship with the resilience level of the personnel in the COVID-19 treatment hospital in southern Iran. Methods: This descriptive-analytical cross-sectional study was conducted in 2021 on 496 personnel of Hazrat Ali Asghar (AS) Hospital selected as the center of COVID-19 in southern Iran. The participants of the study were selected using the census. Data collection tools were the standard Maslach Burnout Inventory (MBI) and Connor-Davidson Resilience Scale (CD-RISC). Data analysis was performed using t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression in SPSS23 at a significance level of 0.05. Results: The mean scores of job burnout and resilience were 76.95 ± 14.36 (of 132) and 71.21 ± 8.24 (of 125), respectively which indicated the moderate level of these two variables. There was a significant inverse correlation between job burnout and resilience (P<0.001, r= - 0.514). Spiritual influences (P<0.001), perception of competence (P=0.001), positive acceptance of change and secure relationships (P= 0.001), trust in individual instincts (P= 0.02), and control (P= 0.03) of resilience aspects were identified as predictors of job burnout. Additionally, there was a statistically significant relationship between job burnout and gender (P=0.001) and occupational group (P= 0.04); and between resilience and gender (P= 0.02) and with marital status (P= 0.03). Conclusion: Job burnout status and personnel resilience were at a moderate level. It was recommended to train employees with resilience-enhancing skills employees according to each of their dimensions.

scholarly journals Job Burnout and Occupational Stressors among Chinese Healthcare Professionals at County-Level Health Alliances

2020 ◽  
Vol 17 (6) ◽  
pp. 1848 ◽  
Author(s):  
Yan Liu ◽  
Li Lu ◽  
Wen-Xin Wang ◽  
Shou Liu ◽  
Hong-Ru Chen ◽  
...  
Keyword(s):  
Healthcare Professionals ◽  
Interpersonal Relationship ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
Job Burnout ◽  
Tibet Plateau ◽  
County Level ◽  
Occupational Stressors ◽  
Cross Sectional ◽  
Qinghai Province

Background: This study aimed to examine the degrees of job burnout and occupational stressors and their associations among healthcare professionals from county-level health alliances in Qinghai–Tibet Plateau, China. Methods: A cross-sectional study was conducted in county-level health alliances in Qinghai Province, China, in November 2018. The Maslach Burnout Inventory—General Survey and the 38-item Chinese version of the “Scale for occupational stressors on clinicians” were used. Medical staff in four health alliances from two counties were invited to complete the questionnaire. Results: A total of 1052 (age: 34.06 ± 9.22 years, 79.1% females) healthcare professionals were included, 68.2% (95% CI: 65.2–71.0%) of the participants had job burnout symptoms. Occupational stressors had positive associations with moderate (OR = 1.06, 95% CI: 1.05–1.07) and serious (OR = 1.15, 95% CI: 1.13–1.19) level of job burnout. Stressors from vocational interest produced the greatest magnitude of odds ratio (OR = 1.76, 95% CI: 1.62–1.92) for serious degree of burnout, followed by doctor–patient relationship, interpersonal relationship as well as other domains of occupational stressors. Conclusions: Job burnout was very common among healthcare professionals working in Chinese county-level health alliances, different occupational stressors had associations with job burnout. Appropriate and effective policies and measures should be developed and implemented.

The Role of Organizational Justice and Stress in Predicting Job Burnout

2017 ◽  
Vol 45 (5) ◽  
pp. 411-424 ◽  
Author(s):  
Miriam Dishon-Berkovits
Keyword(s):  
Structural Equation ◽  
Defense Mechanism ◽  
Sense Of Self ◽  
Job Burnout ◽  
Personal Accomplishment ◽  
Equation Modeling ◽  
Information Technology Professionals ◽  
Cross Sectional ◽  
Self Worth ◽  
Low Levels

This study explores how job-burnout dimensions—emotional exhaustion, cynicism, and personal accomplishment—relate to distributive justice and stress. Questionnaire data were collected in a cross-sectional design from 90 information technology professionals. Structural equation modeling analysis indicated that low levels of perceived justice are associated with higher exhaustion. Next, a parallel mechanism unfolds: High levels of exhaustion are directly related to low levels of personal accomplishment. At the same time, high levels of exhaustion are associated with high levels of cynicism, which are associated with higher levels of self-accomplishment. These findings are consistent with theories, suggesting that employees may utilize cynicism as a defense mechanism in an attempt to protect the self. Cynicism also mediated the relationship between stress and personal accomplishment. Cynicism may help employees cope with exhaustion and stress and thus may protect their sense of self-worth. Theoretical and applied implications for organizations, career development, and counseling are discussed.

scholarly journals Prevalence of burnout among intensivists in mainland China: a nationwide cross-sectional survey

Critical Care ◽  
2021 ◽  
Vol 25 (1) ◽  
Author(s):  
Jing Wang ◽  
Bo Hu ◽  
Zhiyong Peng ◽  
Huimin Song ◽  
Shuhan Cai ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Intensive Care ◽  
Mainland China ◽  
Maslach Burnout Inventory ◽  
Treatment Decisions ◽  
Burnout Syndrome ◽  
Cross Sectional ◽  
Number Of Children ◽  
Icu Physicians ◽  
Income Satisfaction

Abstract Background Burnout has gained increasing attention worldwide; however, there is a lack of relevant research in China. This study investigated the prevalence and factors associated with burnout in physicians of the intensive care unit (ICU) in mainland China. Methods This cross-sectional multicenter study included critical care physicians from all provinces in mainland China (except Tibet). A self-administered survey questionnaire was conducted. It included three parts: demographic information, lifestyle and work information, and the Maslach Burnout Inventory. The levels of burnout were calculated. The factors independently associated with burnout were analyzed by logistic regression. Results Finally, 1813 intensivists participated in the survey. The participation rate was 90.7%. The prevalence of burnout and severe burnout was 82.1% (1489/1813) and 38.8% (704/1813), respectively. According to the logistic regression analysis, “difficulty in making treatment decisions” was independently associated with burnout [OR = 1.365, CI (1.060, 1.757)]. “Higher number of children” [OR = 0.714, CI (0.519, 0.981)] and higher “income satisfaction” [OR = 0.771, CI (0.619, 0.959)] were independent protective factors against severe burnout. Conclusions The burnout rate in ICU physicians in China is high. Difficult treatment decisions, the number of children, and income satisfaction are independently associated with burnout rates among ICU physicians in China. Trial registration: Burnout syndrome of the Chinese personnel working in intensive care units: a survey in China, ChiCTR-EOC-17013044, registered October 19, 2017. http://www.chictr.org.cn/showproj.aspx?proj=22329.

scholarly journals Burnout Among Health Care Providers During COVID-19 Outbreak

2021 ◽  
Author(s):  
Benyamin Mousavi-Asl ◽  
Mohammadreza Firouzifar ◽  
Leyla Noury ◽  
Parnian Khamushian ◽  
Dina Mousavi-Asl ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Maslach Burnout Inventory ◽  
Cross Sectional Study ◽  
General Information ◽  
Job Burnout ◽  
Personal Accomplishment ◽  
Three Dimensions ◽  
Care Providers ◽  
Cross Sectional

COVID-19, which quickly became a global problem, in addition to its effects on public health, is very important in terms of the effect on mental health and anxiety in health care providers. Job burnout should be considered during such health crises. The study design is a cross-sectional study. A total of 87 health care providers (nurses and physicians) were included in the study. Their general information such as age, gender, years of experience, and hours working in COVID-19 was asked. They all filled Maslach burnout inventory, a questionnaire measuring job burnout with three dimensions: Emotional exhaustion (EE), Depersonalization (DP), and personal accomplishment (PA). We found that in physicians, EE (r:0.54, P<0.001) and DP were correlated with hours working in the COVID-19 ward, but no such correlation was found in nurses. Physicians had a higher DP score (mean 12.66 vs. 8.28, P<0.001) and lower PA score (mean 22.71 vs. 25.62, P:0.004) both of them represent higher burnout levels in physicians. Comparing our results with previous studies show that during the COVID-19 breakout higher level of job burnout could be found in health care workers, especially in physicians. Hours working in COVID-19 special wards can increase the level of burnout.

scholarly journals Burnout syndrome in nurses and psychiatric staff

2020 ◽  
Vol 4 (7) ◽  
pp. 12-18
Author(s):  
Katarina Milošević ◽  
Zvonko Dimoski ◽  
Gora Miljanović ◽  
Goran Stojanović ◽  
Dragana Terzić-Marković ◽  
...  
Keyword(s):  
Mental Health ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Correlation Study ◽  
Social Consequences ◽  
Job Burnout ◽  
Three Dimensions ◽  
Burnout Syndrome ◽  
Cross Sectional ◽  
Psychiatric Staff

Introduction: Burnout is a complex psychoemotional construct defined by three dimensions: emotional exhaustion, depersonalization, and feeling of diminished personal achievement. It occurs in professionals who work in direct contact with other people. Healthcare professions are classified as the most endangered, with employees in psychiatric institutions being at the top of the pyramid of risk for the development of professional burnout. The aim of this study was to assess the prevalence of job burnout among psychiatric nurses, as well as to examine the correlation of sociodemographic factors with burnout syndrome. Methodology: A non-experimental cross-sectional correlation study was conducted on a sample of 70 nurses employed at the Institute of Mental Health in Belgrade. The study instruments were the Maslach Burnout Inventory - Human Services Survey (MBI-HSS), and the sociodemographic data questionnaire specially designed for this research. Results and discussion: The results show that 34.3% of in the ob-served sample show moderate or severe symptoms of burnout in the domain of emotional exhaustion, in 14.3% of them was registered moderate or severe burnout manifestations in the domain of depersonalization, and 68.6% show of study participants showed moderate or high level of burnout in the personal achievement domain. Correlation analysis of respondents' sociodemographic characteristics with burnout manifestations confirms that depersonalization is statistically significantly associated with mar-ital status (p=0.036). In addition, there is a correlation between emotional exhaustion and education level (ch2-9,431; p=0.051), age of respondents (ch2 =17,802; p=0.023) and length of service (ch2=17,213; p=0.028). Conclusion: Considering the individual and social consequences of job burnout, it is important to identify risk groups among nurses employed in psychiatry institutions, in order to preserve and improve mental health, as well as improve the quality of provided health services.

scholarly journals Influence of Existential Fulfillment on Job Burnout among Kenya Universities Professional Counsellors

2019 ◽  
Vol 1 (1) ◽  
pp. 1-9
Author(s):  
James Kay
Keyword(s):  
Psychological Health ◽  
Research Output ◽  
Survey Design ◽  
Final Analysis ◽  
Maslach Burnout Inventory ◽  
Job Burnout ◽  
Higher Learning ◽  
Health Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional

The debate on the centrality of professional counsellors in the institutions of higher learning has been on the rise in Kenya. This has been partly because of psychological health providers being actively involved in capacity building in the profession through counselling, training, consultancy and supervision of other counsellors and trainees, and because of their role in student behaviour management on campus. In spite of this pivotal role in the mental health of universities, few scholars have exerted discretionary effort to studying the work and wellness of the professional counsellors in higher learning. This paper presents research output on the influence of existential fulfilment on job burnout among professional counsellors in universities in Kenya, with the view to adding on the existing literature on helping the helper. The study was descriptive and utilized a cross-sectional survey design. The target population 193 professional counsellors in 75 universities in Kenya and a census was conducted in data collection. Data were obtained using the Existential Fulfilment Scale (EFS) and the Maslach Burnout Inventory (MBI-HSS). Data collected was quantitative, therefore descriptive and inferential statistics were used in analysis with the aid of SPSS - 24. The response rate was 180 (94%). Existential fulfilment was moderate (EFS = 2.57; sd = 1.08) and job burnout was moderate (MBI = 2.2; sd = 1.77). In the final analysis, the findings of the study were that professional counsellors faced considerable burnout and in respect Human Resource Departments should strengthen staff psychological support programmes to militate against job burnout.

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