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.

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.

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>

scholarly journals School-Related Stressors and the Intensity of Perceived Stress Experienced by Adolescents in Poland

2021 ◽  
Vol 18 (22) ◽  
pp. 11791
Author(s):  
Maria Kaczmarek ◽  
Sylwia Trambacz-Oleszak
Keyword(s):  
Interpersonal Relationships ◽  
Perceived Stress ◽  
School Environment ◽  
Weight Status ◽  
Stress Reactivity ◽  
Well Being ◽  
Parental Relationships ◽  
Cross Sectional ◽  
Stratified Sample ◽  
High Level

Higher stress reactivity during adolescence is a vulnerability marker of exposure to various environmental stressors. This study aimed to investigate the association between a high level of perceived stress experienced by adolescents and stressful stimuli induced from school environment, peer, and parental relationships. The data used were from a cross-sectional, observational study conducted in a stratified sample of 1846 adolescents (13–18 years) in the Wielkopolska province, Poland. Data were collected through self-administered questionnaires and anthropometric measurements. Perceived stress was assessed using the Perceived Stress Scale (PSS-10). The association of a high level of perceived stress with school-induced exposures was determined using multivariate logistic regression after adjusting for gender, age, height and weight status and interpersonal relationships (STATISTICA 13.1). It was found that girls were over three times more likely than boys to experience a high level of perceived stress. Moreover, girls appeared to be more vulnerable than boys to school-related stressors and weight status, while boys to stressors that can arise from interpersonal relationships. School environment was the only predictor factor of high perceived stress level with a large effect size in both boys (OR = 4.45; 95% CI: 3.11–6.36) and girls (OR = 6.22; 95% CI: 4.18–7.59). Given the findings of the present study, preventive programs are critical to mitigate the effect of stress from school on adolescents’ health and well-being.

Dental Psychological Stress or Phobia among Orthodontic Patients of Mardan

2021 ◽  
Vol 15 (12) ◽  
pp. 3442-3443
Author(s):  
Nazish Falak ◽  
Sadia Nisar Ahmed ◽  
Syed Shah Faisal Jan ◽  
Haris . ◽  
Alina Iqbal ◽  
...  
Keyword(s):  
Key Words ◽  
Psychological Stress ◽  
Orthodontic Treatment ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Dental Procedure ◽  
Cross Sectional ◽  
Orthodontic Patients ◽  
The Mean ◽  
High Level

Objective: To assess the psychological stress or phobia due to dental procedure among patients. Study Design: Descriptive cross-sectional study Place and Duration of Study: Department of Orthodontic, Bacha Khan College of Dentistry/Medical Teaching Institute, Mardan from 1st January 2020 to 31st August 2021. Methodology: One hundred and twenty patients coming for orthodontal treatment with age between 12-31 years were enrolled. The demographic and psychological stress information was recorded. Results: There were more females (65%) than males (35%). The mean age was 15.5±3.2 years. About 82.5% patients reported high level of psychological stress or phobias towards dental treatments while 19.1% were those who had moderate psychological stress or phobias. Majority of the patient’s fear of pain was between 12-17 years. Patients having highest anxiety also belonged to the same group Conclusion: Dental phobias and fears are widespread among patients seeking dental treatments. Orthodontists should recognize the dental phobias and fears so they efficiently interconnect with the patients. Key words: Orthodontic treatment, Pain, Dental phobia

Literature Review : Burnout pada Perawat Selama Pandemi COVID-19

2021 ◽  
Vol 1 ◽  
pp. 1300-1305
Author(s):  
Arti Ayuningtiyas ◽  
Benny Arief Sulistyanto
Keyword(s):  
Literature Review ◽  
Emotional Exhaustion ◽  
Mean Value ◽  
Moderate Level ◽  
Personal Accomplishment ◽  
Google Scholar ◽  
Inclusion Criteria ◽  
Nurse Burnout ◽  
The Mean ◽  
High Level

AbstractDuring the Covid-19 pandemic, nurses are at the forefront. Many nurses experience stress and fatigue due to increased workload. Stress and fatigue that is obtained at work, both physical and psychological fatigue, is known as Burnout. This study aimed to describe the incidence of Burnout experienced by nurses during the Covid 19 Pandemic. This research is a literature review. This study was looking for some articles from PubMed,Garuda, and Google Scholar, with keyword. There were 5 articles that matched the research inclusion criteria. Critical analysis of 5 articles used the JBI instrument. These articles used the mean calculation. In the Emotional Exhaustion category, the mean value was 22.75 and SD was 8.828. it meant that the burnout level in the Emotional Exhaustion category was at a moderate level. In the depersonalization category, the mean value was 7.54 with SD 4.248. it meant that the burnout level in the depersonalization category was at a moderate level. In the personal accomplishment category, the mean was 19.676 with SD of 6.7. it mean that the burnout level in this category was a high level. The nurses experience burnout during the Covid-19 pandemic. The Emotional exhaustion category is a moderate level, depersonalization is at a moderate level, and personal accomplishment is at a high level.Keywords: Nurse, Burnout, Covid-19 pandemic AbstrakDimasa pandemi Covid-19 perawat berada pada garda terdepan, banyak perawat mengalami stress dan kelelahan dikarenakan beban kerja meningkat. Stress dan Kelelahan yang didapat saat kerja baik itu kelelahan fisik maupun psikis dikenal dengan nama Burnout penelitian ini bertujuan untuk mendeskripsikan kejadian Burnout yang dialami Perawat selama Pandemi Covid 19. Penelitian ini adalah literatur review. Hasil pencarian artikel dari database online yaitu Pubmed,Garuda dan Google Scholar, dengan kata kunci di dapatkan 5 artikel yang sesuai dengan kriteria inklusi penelitian. Analisa telaah kritis terhadap 5 artikel menggunakan instrument JBI. Terdapat 5 Artikel yang menggunakan perhitungan mean di dapatkan hasil kategori Emotional Exhaustion nilai mean sebanyak 22.75 dan SD 8.828 dimana hasil menunjukkan level burnout pada level sedang. Kategori depersonalization dengan nilai mean 7.54 dengan SD 4.248 dimana hasil burnout pada level sedang. Kategori personal accomplishment hasil mean 19.676 dengan SD 6.7 dimana hasil burnout menunjukkan level tinggi. Dari 5 Artikel yang di telaah di dapatkan Perawat mengalami Burnout selama pandemic Covid-19, kategori Emotional Exhaustion berada pada level sedang, depersonalization berada pada level sedang, dan personal accomplishment pada level tinggi.Kata Kunci : Perawat, Burnout, pandemi Covid-19

scholarly journals Prevalence and Predictors of Stress among Bankers in Enugu State South-East Nigeria

2020 ◽  
Vol 32 (2) ◽  
pp. 68-79
Author(s):  
T.J. Okwor ◽  
A.C. Ndu ◽  
S.U. Arinze-Onyia ◽  
I.J. Ogugua ◽  
I.M. Obionu ◽  
...  
Keyword(s):  
Sampling Method ◽  
Statistical Significance ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Eastern State ◽  
Management Standards ◽  
The Mean ◽  
Enugu State ◽  
Multistage Sampling ◽  
High Level

Background: The work environment is rapidly changing and in recent times, occupational stress poses a threat to the health, morale and productivity of workers and the organization. This study sought to determine the prevalence and predictors of stress among bankers in a south-eastern state of Nigeria. Methods: A descriptive cross-sectional study was carried out among 370 bankers in Enugu State, Nigeria using the Health, Safety, Executive (HSE) management standards indicator tool. Multistage sampling method was used to select participants. Statistical analysis was done using SPSS 22.0. Level of statistical significance was set at p< 0.05.Results: The mean age of the participants was 34.54±6.3 years while the mean years of work was 6.01±4.7years. One hundred and seventy-four (47%) reported high level of stress due to relationship at work while 318 (85.9%) reported low level of stress due to roles. Being 35 years or less was found to a predictor of high (AOR 0.55, CI 0.30-1.02) level of stress due to control.Work experience of 5 years or less was found to be a predictor of both high (AOR 0.74, CI 0.40--1.37) and low (AOR 0.99, CI 0.40-1.37) levels of stress due to control.Conclusion: This study has shown that the prevalence of stress was high among bankers in Enugu State, South-East Nigeria. There is, therefore, the need for routine stress assessment and interventions in the banking industry especially for those at high risk. Keywords: Bankers; HSE Stress Questionnaire; Stress; Workplace; Southeast Nigeria

The influence of selection and plane of nutrition on the components of fleece weight in Merino sheep

1958 ◽  
Vol 9 (6) ◽  
pp. 802 ◽  
Author(s):  
RB Dun
Keyword(s):  
Fibre Diameter ◽  
Fibre Length ◽  
Small Contribution ◽  
Cross Sectional ◽  
Single Character ◽  
The Mean ◽  
Low Levels ◽  
The Difference ◽  
Fleece Weight ◽  
High Level

The components of clean fleece weight were examined in five experimental flocks of medium-wool Peppin Merinos. Four single-character selection groups – clean fleece weight plus, clean fleece weight minus, crimps per inch plus, and crimps per inch minus – were examined by measuring fleece production in 18-month-old ewe progeny. Measurements were also made on progeny from the "nucleus" flock, which was selected for clean fleece weight with subsidiary selection for crimps per inch and against fold score. Data were collected in 1952 and 1954. The 1954 figures were obtained from a nutrition experiment in which sheep mere grown from weaning to 18 months on a high and on a low plane of nutrition. The mean measurements of the components of clean fleece weight (W) were compared between flocks using the "percentage deviation" technique. Four comparisons were made: (1) Nucleus/Fleece minus; (2) Fleece plus/Fleece minus; (3) Crimps minus/Crimps plus; (4) high nutritional plane/low nutritional plane. In comparisons (1) , (2), and (3), difference in weight of wool per unit area of skin (w) accounted for nearly all the difference in W. Body weight (S) made a small contribution while difference in fold score (R) was negligible. Fibre density (N) accounted for +86 per cent., and fibre cross-sectional area (A) for –28 per cent., of the difference in W in comparison (1). In comparison (2) the figures were N +47 per cent., A +21 per cent., while the figures for comparison (3) were N –26 per cent., A +121 per cent. The increase in fleece weight was invariably accompanied by a decrease in crimps per inch. In all three comparisons primary density (P) was the major cause of change in N. Fibre length (L) made a uniform contribution of approximately +15 per cent. in the three comparisons.The relative importance of the components of fleece weight was similar at both high and low levels of nutrition.The effect of a high level of nutrition was to produce large increases in A, L, and S. The increase in S was compensated by an equal decrease in P. The increase in fibre diameter was not associated with any change in crimps per inch.

scholarly journals Multimorbidity and Polypharmacy in Family Medicine Residency Practices

2017 ◽  
Vol 33 (6) ◽  
pp. 219-224
Author(s):  
Kenya Ie ◽  
Maria Felton ◽  
Sydney Springer ◽  
Stephen A. Wilson ◽  
Steven M. Albert
Keyword(s):  
Older Adults ◽  
Family Medicine ◽  
Chronic Conditions ◽  
Interdisciplinary Collaboration ◽  
Potentially Inappropriate Medications ◽  
Cross Sectional ◽  
Family Medicine Residency ◽  
The Mean ◽  
Few Data ◽  
High Level

Background: Prescription-related problems among older adults have been of great interest. However, few data are available regarding the prevalence of these problems in US family medicine residency practices (FMRPs). Objective: The aim of this research was to examine the prevalence of multimorbidity, polypharmacy, and potentially inappropriate medications (PIMs) use among older adults who visited 5 FMRPs more than once a year. Methods: A cross-sectional hospital record review for patients 65 years or older who visited 1 of the 5 university-affiliated FMRPs at least twice during January 1 to December 31, 2014, was conducted. The prevalence of multimorbidity (24 chronic index conditions), polypharmacy, and PIMs use was examined. Results: A total of 1084 patients were included in the analyses. The most common chronic conditions were hypertension (87.8%), hyperlipidemia (69.7%), and osteoarthritis (56.1%). The mean number of chronic conditions was 5.3 (SD 2.6). The prevalence of multimorbidity (≥2 chronic conditions) was 95.6%. Among these multimorbid older adults (N = 1036), the mean number of medication orders was 9.04 (SD 4.36) and 1.57 (SD 0.92) for PIMs, 86.1% met polypharmacy standards (≥5 medications), and 33.4% were prescribed one or more PIMs. The proportion of patients with fewer prescriptions at the last visit was 45.4% in the polypharmacy group and 38.0% in the PIMs group. Conclusion: Our results suggest a high level of morbidity and complexity among older adults receiving care in FMRPs. Improving the continuity of care as well as promoting interdisciplinary collaboration would have potential to reduce these prescription-related problems. Further research and education to address polypharmacy and PIMs among this population at FMRPs are required.

PREVALENCE OF CONSANGUINEOUS MARRIAGES AMONG IRANIAN GEORGIANS

2010 ◽  
Vol 43 (1) ◽  
pp. 47-50 ◽  
Author(s):  
LALEH RAFIEE ◽  
MOSTAFA SAADAT
Keyword(s):  
Cross Sectional Study ◽  
Consanguineous Marriage ◽  
Cross Sectional ◽  
Isfahan Province ◽  
Consanguineous Marriages ◽  
Adverse Health Outcomes ◽  
Present Cross Sectional Study ◽  
Study Population ◽  
The Mean ◽  
High Level

SummaryConsanguineous marriage – marriage between relatives – has received a great deal of attention as a potential risk factor for many adverse health outcomes. The present cross-sectional study was done in order to illustrate the prevalence and types of consanguineous marriages among Iranian Georgians living in Frydoonshahr (Isfahan province, central Iran). Data on consanguineous marriages were collected using a simple questionnaire. The total number of couples in this study was 646. Consanguineous marriage was classified by the degree of relationship between couples. First cousin marriages (14.2%) were the most common type of consanguineous marriages, followed by second cousin (7.0%), beyond second cousin (1.5%) and first cousin once removed (0.6%). The mean inbreeding coefficient (α) was calculated as 0.0104 for the population. The present study shows that the study population, as other Iranian populations, has a high level of consanguinity.

scholarly journals The Relationship between Job Stress and Job Performance in Staff Staff of Shahid Sadoughi University of Medical Sciences in Yazd in 2019

2020 ◽  
Author(s):  
Arefeh Dehghani tafti ◽  
Sajjad Bahariniya ◽  
Mahdieh Khaleghi moori ◽  
Farrokh Laqa Servat
Keyword(s):  
Job Performance ◽  
Job Stress ◽  
Interpersonal Relationships ◽  
University Administrators ◽  
Medical Sciences ◽  
Cross Sectional ◽  
Statistical Population ◽  
Motivational Support ◽  
High Level ◽  
The Relationship

Introduction: Job stress is considered as an integral part of work environments that always affects people's job aspects and can reduce the performance and productivity of employees in organizations. The aim of this study was to investigate the relationship between job stress and job performance in staff of Yazd University of Medical Sciences. Methods: The study method was cross-sectional-analytical. Staff were considered a statistical population. The sample size was estimated at 282 people. The study used two standard questionnaires, Philip L. Rice's (1992) job stress and Patterson's job performance. Data analysis was performed by SPSS software. Results: 242 employees participated in this study. 42.1% of the respondents were men and 57.9% were women. The Deputy for Management and Resource Development (22.7%) and the Deputy for Social Development (5.4%) had the highest and lowest number of participants, respectively. Job stress was achieved in high-level staff and low-level job performance. Also, the relationship between job stress and job performance was found to have a significant inverse relationship (R = -0.318). Conclusion: In order to increase employee job performance and reduce stressors, senior university administrators need to improve the work environment by improving communication and interpersonal relationships. Applying proper human resource management and social and motivational support, improving facilities and planning to provide appropriate physical conditions in the workplace can also play an important role.

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