AIM:This article is a report of a study of occupational burnout among nurses in China. BACKGROUND:Burnout is described as feelings of emotional exhaustion, depersonalization and reduced personal accomplishment. It is well-known that burnout is a major problem for many professions. Nurses are considered to be particularly susceptible to this. Measuring burnout among nurses is important because their well-being has implications for stability in the healthcare workforce and for the quality of care provided. METHOD:The sample consisted of 495 nurses from three provincial hospitals in China. The Maslach Burnout Inventory -- General Survey (MBI-GS) was used to measure burnout, and the Occupational Stress Inventory -- Revised edition was used to measure two dimensions of occupational adjustment (occupational stress and coping resources). After statistical testing for validity and reliability of the MBI-GS with nurses in China, participants' scores were evaluated and analysed. RESULTS:Scores for burnout of surgical and medical nurses were statistically significantly higher than those of other nurses (P < 0.05). Lower educational status was associated with lower professional efficacy, and younger nurses reported higher levels of burnout. The most significant predictors of emotional exhaustion were role overload, responsibility, role insufficiency and self-care (P < 0.05). The most significant predictors of cynicism were role insufficiency, role boundary, responsibility and self-care (P < 0.05). The most significant predictors of professional efficacy were role insufficiency, social support and rational/cognitive coping (P < 0.05). CONCLUSION:It is important to reduce occupational stress in nurses and to strengthen their coping resources to prevent burnout. This could be achieved with job redesign, modification of shiftwork systems, and by offering occupational health education.

译文

目的:本文是对中国护士职业倦怠的一项研究报告。
背景:倦怠被描述为情绪疲惫,人格解体和个人成就感降低的感觉。众所周知,倦怠是许多专业的主要问题。护士被认为特别容易受到这种影响。衡量护士的倦怠很重要,因为他们的健康状况会影响医疗保健队伍的稳定性以及所提供护理的质量。
方法:该样本由来自中国三所省级医院的495名护士组成。使用Maslach倦怠量表-一般调查(MBI-GS)来衡量倦怠,使用职业压力量表-修订版来衡量职业调整的两个维度(职业压力和应对资源)。在对中国护士进行MBI-GS有效性和可靠性的统计测试后,对参与者的分数进行了评估和分析。
结果:外科和医疗护士的倦怠分数在统计学上均显着高于其他护士(P <0.05)。较低的学历与较低的专业效能有关,年轻的护士报告的倦怠水平较高。情绪衰竭的最重要预测指标是角色超负荷,责任感,角色不足和自我护理(P <0.05)。犬儒主义的最重要预测因素是角色不足,角色边界,责任感和自我照顾(P <0.05)。职业效能最重要的预测指标是角色不足,社会支持和理性/认知应对(P <0.05)。
结论:重要的是减少护士的职业压力,并加强他们的应对资源,以防止职业倦怠。这可以通过重新设计工作,修改轮班系统以及提供职业健康教育来实现。

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