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Wang A, Duan Y, Norton PG, Leiter MP, Estabrooks CA. Validation of the Maslach Burnout Inventory-General Survey 9-item short version: psychometric properties and measurement invariance across age, gender, and continent. Front Psychol 2024; 15:1439470. [PMID: 39081375 PMCID: PMC11286593 DOI: 10.3389/fpsyg.2024.1439470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2024] [Accepted: 07/04/2024] [Indexed: 08/02/2024] Open
Abstract
Background The Maslach Burnout Inventory-General Survey (MBI-GS) stands as the preeminent tool for assessing burnout across various professions. Although the MBI-GS9 emerged as a derivative of the MBI-GS and has seen extensive use over several years, a comprehensive examination of its psychometric properties has yet to be undertaken. Methods This study followed the Standards for Educational and Psychological Testing guidelines to validate the MBI-GS9. Employing a combined approach of classical test theory and item response theory, particularly Rasch analysis, within an integrated framework, the study analyzed data from 16,132 participants gathered between 2005 and 2015 by the Centre for Organizational Research at Acadia University. Results The findings revealed that the MBI-GS9 exhibited satisfactory reliability and validity akin to its predecessor, the MBI-GS. Across its three dimensions, Cronbach's α and omega coefficients ranged from 0.84 to 0.91. Notably, the MBI-GS9 displayed no floor/ceiling effects and demonstrated good item fit, ordered threshold, acceptable person and item separation and reliability, clear item difficulty hierarchy, and a well-distributed item threshold. However, the results suggested a recommended minimum sample size of 350 to mitigate potential information loss when employing the MBI-GS9. Beyond this threshold, the observed mean difference between the MBI-GS and MBI-GS9 held minimal practical significance. Furthermore, measurement equivalence tests indicated that the MBI-GS9 maintained an equivalent three-factor structure and factor loadings across various gender, age, and continent groups, albeit with inequivalent latent values across continents. Conclusion In sum, the MBI-GS9 emerges as a reliable and valid alternative to the MBI-GS, particularly when utilized within large, diverse samples across different age and gender demographics. However, to address potential information loss, a substantial sample size is recommended when employing the MBI-GS9. In addition, for cross-cultural comparisons, it is imperative to initially assess equivalence across different language versions at both the item and scale levels.
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Affiliation(s)
- Anni Wang
- School of Nursing, Fudan University, Shanghai, China
| | - Yinfei Duan
- Faculty of Nursing, University of Alberta, Edmonton, AB, Canada
| | - Peter G. Norton
- Department of Family Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
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Gu H, Lee J, Hwang Y, Kim J, Lee S, Kim SJ. Job burnout among workers with different shift regularity: interactive factors between sleep, depression, and work environment. Front Public Health 2023; 11:1131048. [PMID: 37693719 PMCID: PMC10483400 DOI: 10.3389/fpubh.2023.1131048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 08/07/2023] [Indexed: 09/12/2023] Open
Abstract
Object We investigated burnout and associated factors in non-shift workers (NSWs), shift workers with regular rotating shifts (RRSWs), and shift workers with irregular or unpredictable rotating shifts (IRSWs). Methods In total, 5,125 adult workers (1,966 NSWs, 1,936 RRSWs, and 1,223 IRSWs) participated in an online self-reported survey. Job burnout and three dimensions thereof (exhaustion, cynicism, and professional efficacy) were assessed using the Maslach Burnout Inventory-General Survey (MBI-GS). The Center for Epidemiological Studies Depression Scale (CES-D) (depressive symptoms), Pittsburgh Sleep Quality Index (PSQI) (subjective sleep quality), and Korean Occupational Stress Scale (KOSS) (stressful job environment) were also used. Results Both types of shift workers scored higher in terms of exhaustion, cynicism, and poor professional efficacy on the MBI-GS compared with NSWs after controlling for age and gender. IRSWs exhibited higher scores on the exhaustion and professional efficacy dimensions of the MBI-GS compared with RRSWs. After controlling for the CES-D and PSQI scores, we found no significant difference in cynicism among the groups. After controlling for the KOSS score, we found no significant difference in professional efficacy. All MBI-GS dimensional scores were correlated significantly with the CES-D, PSQI, and KOSS scores in all three groups. Conclusion The job burnout level of rotating shift workers, especially those with irregular shifts, was higher than that of other workers. Cynicism in shift workers may be largely attributable to poor sleep or depression; the poor efficacy of shift workers may be explained by their stressful work environment.
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Affiliation(s)
- Hyerin Gu
- Department of Psychiatry, Sungkyunkwan University College of Medicine, Samsung Medical Center, Seoul, Republic of Korea
| | | | - Yunjee Hwang
- Deparment of Brain and Cognitive Engineering, Korea University, Seoul, Republic of Korea
| | - Jichul Kim
- Department of Psychiatry, Sungkyunkwan University College of Medicine, Samsung Medical Center, Seoul, Republic of Korea
| | - Somi Lee
- Department of Psychiatry, Sungkyunkwan University College of Medicine, Samsung Medical Center, Seoul, Republic of Korea
| | - Seog Ju Kim
- Department of Psychiatry, Sungkyunkwan University College of Medicine, Samsung Medical Center, Seoul, Republic of Korea
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Puto G, Serafin L, Musiał Z, Zurzycka P, Kamińska A, Gniadek A. Professional challenges of nurses working during the SARS-CoV-2 virus pandemic. Int J Occup Med Environ Health 2023; 36:112-124. [PMID: 36661862 PMCID: PMC10464736 DOI: 10.13075/ijomeh.1896.02028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Accepted: 10/31/2022] [Indexed: 12/29/2022] Open
Abstract
OBJECTIVES The diverse list of tasks and needs related to the SARS-CoV-2 pandemic may lead to different professional experiences in nurses working with patients infected with and not infected with SARS-CoV-2. The aim of the study was to measure the professional challenges of nurses working during the SARS-CoV-2 pandemic in Poland. MATERIAL AND METHODS The study was conducted in 2021 in a group of 151 nurses. The following scales were used: the Perceived Stress Scale (PSS-10), the General Self-Efficacy Scale (GSES), the Impact of Event Scale - Revised (IES-R), the Minnesota Satisfaction Questionnaire (MSQ-SF), the Areas of Worklife Survey (AWS) and the Maslach Burnout Inventory - Human Services Survey (MBIHSS). RESULTS Nurses working with patients infected with SARS-CoV-2 showed a positive correlation between workload and emotional exhaustion (ρ = 0.26, p = 0.02), as well as positive correlations among control, community and depersonalization (ρ = 0.25, p = 0.02; ρ = 0.23, p = 0.04). Among nurses working with uninfected patients, positive correlations were found among control, community, fairness and emotional exhaustion (ρ = 0.40, p = 0.000; ρ = 0.41, p = 0.000; ρ = 0.25, p = 0.03), as well as correlations between control and depersonalization (ρ = 0.33, p = 0.01), and among control, community and personal accomplishment (ρ = 0.23, p = 0.05; ρ = 0.27, p = 0.02). CONCLUSIONS Nurses working during the SARS-CoV-2 pandemic with infected and uninfected patients both experienced a variety of psychosocial challenges in coping with the demands of their work, social relationships and personal life. Int J Occup Med Environ Health. 2023;36(1):112-24.
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Affiliation(s)
- Grażyna Puto
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Lena Serafin
- Medical University of Warsaw, Warsaw, Poland (Health Sciences Faculty, Department of Clinical Nursing)
| | - Zofia Musiał
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Patrycja Zurzycka
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Alicja Kamińska
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
| | - Agnieszka Gniadek
- Jagiellonian University Medical College, Kraków, Poland (Faculty of Health Sciences, Institute of Nursing and Midwifery)
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Rosario-Hernández E, Rovira-Millán LV, Merino-Soto C, Angulo-Ramos M. Review of the psychometric properties of the Patient Health Questionnaire-9 (PHQ-9) Spanish version in a sample of Puerto Rican workers. Front Psychiatry 2023; 14:1024676. [PMID: 36865076 PMCID: PMC9971011 DOI: 10.3389/fpsyt.2023.1024676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Accepted: 01/03/2023] [Indexed: 02/16/2023] Open
Abstract
Background This study aimed to examine the internal structure and assess the psychometric properties of the Patient Health Questionnaire (PHQ-9) in a Puerto Rican sample of workers. This instrument is a nine-item questionnaire, which was conceptualized as a unidimensional structure; however, there are mixed results regarding this internal structure. This measure is used in the occupational health psychology context in organizations in Puerto Rico; nevertheless, there is little evidence of its psychometric properties with samples of workers. Materials and methods A total of 955 samples from two different study samples were used in this cross-sectional study design in which the PHQ-9 was used. We conducted confirmatory factor analysis, bifactor analysis, and random intercept item factor analysis to examine the internal structure of the PHQ-9. Moreover, a two-factor model was examined by randomly assigning items to the two factors. Measurement invariance across sex and the relationship with other constructs were examined. Results The best-fitted model was the bifactor model followed by the random intercept item factor. The five sets of two-factor models with items randomly assigned obtained acceptable and similar fit indices regardless of the items. Conclusion The results suggest that the PHQ-9 appears to be a reliable and valid instrument to measure depression. The more parsimonious interpretation of its scores, for now, is a unidimensional structure. Comparison across sex appears to be useful in occupational health psychology research settings since the results suggest that the PHQ-9 is invariant regarding this variable.
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Affiliation(s)
- Ernesto Rosario-Hernández
- Clinical Psychology Programs, School of Behavioral and Brain Sciences, Ponce Health Sciences University, Ponce, Puerto Rico
- Ponce Research Institute, Ponce Health Sciences University, Ponce, Puerto Rico
| | | | - César Merino-Soto
- Instituto de Investigación de Psicología, Universidad de San Martín de Porres, Lima, Peru
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Otsuka Y, Sagisaka Y, Nakamura J, Hara K, Okada M, Takeuchi Y, Tsuchiya M, Monden Y. Happiness Detected by the Emotion Cognition System Is Associated with Burnout in an Information Technology Products and Services Trading Company. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2212. [PMID: 36767581 PMCID: PMC9915531 DOI: 10.3390/ijerph20032212] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 01/21/2023] [Accepted: 01/24/2023] [Indexed: 06/18/2023]
Abstract
(1) Background: Although many previous studies have found an association between burnout and emotions, none have examined the association between emotions detected by an emotion cognition system and burnout. The purpose of this study is to examine the relationship between the emotions detected by the emotion cognition system and burnout among workers. We hypothesized that burnout survivors are less likely to express their emotions as facial expressions. (2) Methods: One hundred and forty-one workers at an Information Technology (IT) products and services trading company were asked to take facial images for three months when they started and left work and responded to a burnout questionnaire once a month. Microsoft Azure was used to detect their emotions. (3) Results: Hierarchical multiple regression analyses revealed that happiness in Period 1 was significantly and negatively associated with burnout at Time 2. This association was also observed after the various covariates were included. However, burnout at Time 3 was not significantly related to any emotions in Period 1. (4) Conclusions: Happiness, as detected by the emotion cognition system, was associated with burnout immediately afterward.
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Affiliation(s)
- Yasumasa Otsuka
- Faculty of Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 1120012, Japan
- R & D Center for Working Persons’ Psychological Support, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 1120012, Japan
| | - Yukiko Sagisaka
- R & D Center for Working Persons’ Psychological Support, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 1120012, Japan
| | - Junko Nakamura
- R & D Center for Working Persons’ Psychological Support, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 1120012, Japan
| | - Keiko Hara
- R & D Center for Working Persons’ Psychological Support, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 1120012, Japan
| | - Masaki Okada
- Faculty of Human Sciences, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 1120012, Japan
- R & D Center for Working Persons’ Psychological Support, University of Tsukuba, 3-29-1 Otsuka, Bunkyo-ku, Tokyo 1120012, Japan
| | - Yuko Takeuchi
- TEKWIND Co., Ltd., 3-19-11 Yushima, Bunkyo-ku, Tokyo 1130034, Japan
| | - Mizuki Tsuchiya
- TEKWIND Co., Ltd., 3-19-11 Yushima, Bunkyo-ku, Tokyo 1130034, Japan
| | - Yutaka Monden
- TEKWIND Co., Ltd., 3-19-11 Yushima, Bunkyo-ku, Tokyo 1130034, Japan
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Determinants of Sleep Disorders and Occupational Burnout among Nurses: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19106218. [PMID: 35627754 PMCID: PMC9140934 DOI: 10.3390/ijerph19106218] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 05/12/2022] [Accepted: 05/18/2022] [Indexed: 01/27/2023]
Abstract
Background: The aim of the study was to assess the determinants of the sleep disorders that occur among nurses working in a shift system by assessing the influence of sociodemographic factors, the impact of shift work, and the occurrence of occupational burnout. Methods: The study included 300 nurses who work shifts in the Silesian Region (Poland). The research was conducted using standardized research tools: the Karolinska Sleepiness Scale (KSS), the Epworth Sleepiness Scale (ESS), the Athens Insomnia Scale (AIS), and the Maslach Burnout Inventory (MBI). Results: Among the sociodemographic factors, in the KSS analysis, sleep disorders were most common in men (CI: 0.038; p < 0.001), in divorced individuals (CI: 1.436; p = 0.045), and in individuals who were overweight (CI: 1.927; p = 0.026). Multiple linear regression showed that sleep disorders (p < 0.001) were an independent predictor of MBI among nurses who worked shifts. Conclusions: Sleep disturbances affect the burnout of nurses who work shifts.
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Zhou T, Xu C, Wang C, Sha S, Wang Z, Zhou Y, Zhang X, Hu D, Liu Y, Tian T, Liang S, Zhou L, Wang Q. Burnout and well-being of healthcare workers in the post-pandemic period of COVID-19: a perspective from the job demands-resources model. BMC Health Serv Res 2022; 22:284. [PMID: 35236354 PMCID: PMC8888816 DOI: 10.1186/s12913-022-07608-z] [Citation(s) in RCA: 29] [Impact Index Per Article: 14.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Accepted: 02/08/2022] [Indexed: 12/14/2022] Open
Abstract
Background The present study aimed 1) to examine the effects of epidemic-related job stressors, perceived social support and organizational support on the burnout and well-being of Chinese healthcare workers in the period of COVID-19 regular epidemic prevention and control and 2) to investigate the moderating effects of social support and organizational support on the relationship between job stressors and burnout and well-being within the theoretical framework of the Job Demands-Resources (JD-R) model. Methods A sample of healthcare workers (N = 3477) from 22 hospitals in Beijing, China participated in the cross-sectional investigation in October 2020 and reported epidemic-related job stressors, perceived social support, organizational support, burnout, anxiety and depression symptoms. Results 1) Medical doctors, females, people aged from 30 to 50, and those who worked in the second line during the pandemic reported higher scores of psychological symptoms and burnout in the period of regular epidemic prevention and control; 2) Epidemic-related job stressors positively predicted burnout, anxiety, and depression among healthcare workers; 3) Perceived social support and organizational support were negatively related to reported burnout, anxiety and depression symptoms; 4) Social support reduced the adverse effects of epidemic-related job stressors on anxiety and depression but enhanced the association between stressors and burnout; 5) Organizational support mitigated the adverse effects of epidemic-related job stressors on depression. Conclusion The results shed light on preventing burnout and enhancing the psychological well-being of healthcare workers under epidemic prevention and control measures by reducing epidemic-related job stressors and strengthening personal and organizational support systems.
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Affiliation(s)
- Ting Zhou
- Department of Medical Psychology, School of Health Humanities, Peking University, No.38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Changshun Xu
- Beijing Hospitals Authority, No.70 Zaolinqian Road, Xicheng District, Beijing, 100053, China
| | - Cunliang Wang
- Beijing Hospitals Authority, No.70 Zaolinqian Road, Xicheng District, Beijing, 100053, China
| | - Sha Sha
- Beijing Anding Hospital of Capital Medical University, No.5 Ankang Hutong, Deshengmenwai Street, Xicheng District, Beijing, 100088, China
| | - Zhe Wang
- Beijing Anding Hospital of Capital Medical University, No.5 Ankang Hutong, Deshengmenwai Street, Xicheng District, Beijing, 100088, China
| | - You Zhou
- New York Psychoanalytic Society & Insititute, New York, USA
| | - Xinran Zhang
- Beijing Anding Hospital of Capital Medical University, No.5 Ankang Hutong, Deshengmenwai Street, Xicheng District, Beijing, 100088, China
| | - Die Hu
- Department of Medical Psychology, School of Health Humanities, Peking University, No.38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Yinqi Liu
- Beijing Anding Hospital of Capital Medical University, No.5 Ankang Hutong, Deshengmenwai Street, Xicheng District, Beijing, 100088, China
| | - Tengfei Tian
- Beijing Anding Hospital of Capital Medical University, No.5 Ankang Hutong, Deshengmenwai Street, Xicheng District, Beijing, 100088, China
| | - Sixiang Liang
- Beijing Anding Hospital of Capital Medical University, No.5 Ankang Hutong, Deshengmenwai Street, Xicheng District, Beijing, 100088, China
| | - Li Zhou
- Beijing Anding Hospital of Capital Medical University, No.5 Ankang Hutong, Deshengmenwai Street, Xicheng District, Beijing, 100088, China
| | - Qian Wang
- Beijing Anding Hospital of Capital Medical University, No.5 Ankang Hutong, Deshengmenwai Street, Xicheng District, Beijing, 100088, China.
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Hou J, Xu B, Zhang J, Luo L, Pen X, Chen S, Ma G, Hu Z, Kong X. Psychological Status and Job Burnout of Nurses Working in the Frontline of the Novel Coronavirus in China During the Delta Variant Outbreak: A Cross-Sectional Survey. Psychol Res Behav Manag 2022; 15:533-546. [PMID: 35281999 PMCID: PMC8906864 DOI: 10.2147/prbm.s343749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 02/18/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose Investigating psychological status and job burnout of nurses working in the frontline of the novel coronavirus in Zhangjiajie city in China during the Delta variant outbreak, comparing differences and analyzing factors of these two variables between the nurses from different nucleic acid testing (NAT) sites. Patients and methods This survey was conducted from August 1 to 31, 2021. The participants were 512 nurses, 198 nurses of whom were from temporary NAT sites in communities/towns in Zhangjiajie city, and the rest were from NAT sites inside hospitals. The psychological status and the job burnout were measured by the Symptom Checklist-90 (SCL-90) and the Maslach Burnout Inventory-General Scale (MBI-GS). Results The prevalence of the SCL-90 positive result and job burnout were 49.4% and 61.1%, respectively. The factors influencing the psychological status of nurses included the contact with COVID-19 patients or their body fluids and specimens, working seniority and the duration of working in the frontline of the novel coronavirus. The independent risk factors of nurses’ job burnout included the following four factors. Firstly, the contact with COVID-19 patients or their body fluids and specimens (OR=150.95, 95% CI=(44.87,507.77), P<0.001). Secondly, five to nine years of working seniority (OR=8.91, 95% CI=(3.59,22.14), P<0.001). Thirdly, 10 to 19 days (OR=2.63, 95% CI=(1.19,5.82), P=0.017), 20 to 29 days (OR=161.31, 95% CI=(49.48,525.9), P<0.001). Lastly, more than 30 days (OR=92.05, 95% CI=(33.88,250.14), P<0.001) of working in the frontline of the novel coronavirus. Conclusion The prevalence of psychological problems and job burnout were at a high level among nurses working in the frontline of the novel coronavirus in different NAT sites. The nurses from NAT sites inside hospitals and temporary NAT sites in communities/towns in Zhangjiajie city had an equal risk of developing psychological problems and job burnout. Interventions need to be immediately implemented to promote psychological well-being and decrease job burnout of nurses.
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Affiliation(s)
- Jianmei Hou
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Department of Thoracic Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
| | - Binbin Xu
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
| | - Jinghui Zhang
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
- Correspondence: Jinghui Zhang, Tel +86 15874032339, Email
| | - Lingxia Luo
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Emergency Department, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
| | - Xiaobei Pen
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Intensive Care Unit, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
| | - Shujie Chen
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
| | - Guiyuan Ma
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
| | - Zixing Hu
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
| | - Xiaoya Kong
- Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, 410008, People’s Republic of China
- Xiangya Nursing School, Central South University, Changsha, Hunan, People’s Republic of China
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Wan Z, Lian M, Ma H, Cai Z, Xianyu Y. Factors associated with burnout among Chinese nurses during COVID-19 epidemic: a cross-sectional study. BMC Nurs 2022; 21:51. [PMID: 35227272 PMCID: PMC8883459 DOI: 10.1186/s12912-022-00831-3] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Accepted: 02/23/2022] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) epidemic has broken out and even spread globally. The healthcare system worldwide faces enormous challenges, and nurses are at the highest risk as one of the leading forces. It's worth paying attention to nurses' anxiety and job burnout. This study aimed to investigate nurses' levels of burnout and anxiety during the epidemic of COVID-19 and to analyze influencing factors of burnout. METHODS A cross-sectional survey was conducted from 19 to 25 February 2020. Questionnaires such as the basic information questionnaire, Maslach Burnout Inventory-General Survey (MBI-GS), and State-Trait Anxiety Inventory (STAI) were used among 1011 nurses in Wuhan tertiary hospitals via the online survey. The final number of valid questionnaires was 885. The effective response rate was 87.5%. RESULTS The average score of MBI-GS was 11.50, 6.02, 24.47, respectively. The average score for state anxiety was 45.52 and trait anxiety, 43.78. Anxiety was positively associated with emotional exhaustion and cynicism, and negatively related to personal accomplishment. The protective factors of burnout were personnel agency, five years or less work experience, living in hospital dormitory, Wuhan medical team, working time exceeding 9 h, and the best knowledge of COVID-19. The absence of siblings, median job title, working in isolation wards, three or more night shifts per week, living in hotels, and being surrounded by confirmed or suspected medical staff were all negative factors. CONCLUSIONS Nurses had high anxiety levels during the COVID-19 period, but the level of burnout was mild to moderate. Managers should continue to pay attention to nurses' psychological state and related factors and intervene to stabilize the nursing team.
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Affiliation(s)
- Zhiying Wan
- Department of Psychiatry, Renmin Hospital of Wuhan University, Wuhan, China
| | - Mengfei Lian
- Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, China
| | - Hui Ma
- Cardiovascular Medicine Department, Renmin Hospital of Wuhan University, Wuhan, China
| | - Zhongxiang Cai
- Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, China
| | - Yunyan Xianyu
- Department of Nursing, Renmin Hospital of Wuhan University, Wuhan, China.
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Occurrence of Professional Burnout and Severity of Depressive Symptoms among Cardiac Nurses: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph182212038. [PMID: 34831790 PMCID: PMC8624845 DOI: 10.3390/ijerph182212038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/11/2021] [Revised: 11/05/2021] [Accepted: 11/07/2021] [Indexed: 11/16/2022]
Abstract
Nurses with depression are not only likely to suffer themselves, but it may have an impact on their coworkers and potentially the quality of care they provide. This study aimed to determine the prevalence of depression and its association with burnout in cardiac nurses. A group of 400 cardiac nurses (361 women and 39 men) was enrolled. The standardized tools such as Maslach Burnout Inventory (MBI), Beck Depression Inventory (BDI), and Patient Health Questionaire-9 (PHQ-9) were used. A high level of professional burnout regarding emotional exhaustion was observed in 53.3% of nurses, high depersonalization in 52.5%, and low personal accomplishment in 72.8%. PHQ-9 and BDI were shown to correlate significantly and positively with all three MBI subscales (p < 0.05). High depressive symptoms and occupational burnout were correlated with depression (p < 0.05). In conclusion, nurses were found to have high levels of depression and professional burnout, which may have resulted in a negative impact on the quality of patient care. Identification of burnout in cardiac nurses is necessary to consider interventions to prevent stress and depression.
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Uchmanowicz I, Kubielas G, Serzysko B, Kołcz A, Gurowiec P, Kolarczyk E. Rationing of Nursing Care and Professional Burnout Among Nurses Working in Cardiovascular Settings. Front Psychol 2021; 12:726318. [PMID: 34690885 PMCID: PMC8527187 DOI: 10.3389/fpsyg.2021.726318] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 08/27/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: Nursing needs close interpersonal contact with the patient and emotional involvement, therefore can contribute to professional burnout and rationing of nursing care. Aim: Assessing the relationship between the rationing of nursing care and professional burnout in nursing staff. Materials and Methods: The study included a group of 219 nurses working in cardiovascular facilities. This was a cross-sectional study designed to investigate the relationship between factors of the care rationing and professional burnout. The survey data was collected with standardised and research instruments such as the revised Basel Extent of Rationing of Nursing Care questionnaire (BERNCA-R) and the Maslach Burnout Inventory (MBI). Results: The total mean BERNCA-R score was 1.38 (SD = 0.62), while the total MBI score amounted to 38.14 (SD = 22.93). The specific components of professional burnout yielded the values: emotional exhaustion (M = 44.8), job dissatisfaction (M = 40.66), and depersonalisation (M = 28.95). Multiple linear regression showed that independent predictors of BERNCA-R score were emotional exhaustion, depersonalisation, job dissatisfaction, and multi-jobs activity (p < 0.001). Conclusion: The level of rationing of nursing care in cardiovascular facilities increases along with emotional exhaustion, depersonalisation and job dissatisfaction, and multi-jobs activity.
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Affiliation(s)
- Izabella Uchmanowicz
- Department of Clinical Nursing, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
| | - Grzegorz Kubielas
- Department of Clinical Nursing, Faculty of Health Sciences, Wrocław Medical University, Wrocław, Poland
| | - Bogusława Serzysko
- Department of Healthcare, Higher School of Applied Sciences in Ruda Śląska, Ruda Śląska, Poland
| | - Anna Kołcz
- Laboratory of Ergonomics and Biomedical Monitoring, Wrocław Medical University, Wrocław, Poland
| | - Piotr Gurowiec
- Faculty of Health Sciences, University of Opole, Opole, Poland
| | - Ewelina Kolarczyk
- Department of Gerontology and Geriatric Nursing, Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland
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A Cross-Sectional Epidemiological Survey of Work-Related Musculoskeletal Disorders and Analysis of Its Influencing Factors among Coal Mine Workers in Xinjiang. BIOMED RESEARCH INTERNATIONAL 2020; 2020:3164056. [PMID: 32851062 PMCID: PMC7436347 DOI: 10.1155/2020/3164056] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/13/2020] [Revised: 07/15/2020] [Accepted: 07/31/2020] [Indexed: 12/15/2022]
Abstract
This study is to investigate the prevalence of work-related musculoskeletal disorders (MSDs) and the influencing factors among coal mine workers employed in on-site operations. The job burnout scale and MSD scale were implemented to investigate a random sample of 1,500 coal mine workers working in on-site operations in Xinjiang, China. In total, 1,325 valid questionnaires were collected, with a recovery rate of 88.33% (1,325/1,500). The rate of job burnout was 90%, of which 39.8% were categorized as mild burnout, 43.8% as moderate burnout, and 6.4% as severe burnout; the average job burnout score was 50.77 ± 11.93. The annual prevalence of MSDs was 65.6%, with the highest annual prevalence in the waist (50.7%), followed by the neck, shoulder, and knee, and the lowest prevalence in the elbow (18.8%). Of the areas of the body affected by work-related MSDs, the highest proportion of requests for leave of absence was related to the waist, accounting for 25.7% of requests, while the lowest proportion (13.4%) was related to the wrist. In addition, the incidence of MSDs increased with the years of service. The lowest incidence of MSDs was associated with the two-shift and three-group working pattern. The prevalence of MSDs in the neck and waist was higher in women than in men. The prevalence of MSDs in various body parts increased with the years of service. Moreover, multiple logistic regression indicated that three shifts with four groups (OR = 1.096, 95% CI: 0.832-1.445), working more than 10 years (OR = 3.396, 95% CI: 2.369-5.748), working more than 20 years (OR = 3.008, 95% CI: 1.419-6.337), significant bending (OR = 2.062, 95% CI: 1.400-3.038), forward neck tilting (OR = 1.572, 95% CI: 1.071-2.281), maximum force operation within a short period of time (OR = 1.7222, 95% CI: 1.164-2.547), repeated movement of upper arms or fingers (OR = 1.495, 95% CI: 1.034-2.161), slip or fall incidents (OR = 1.124, 95% CI: 1.039-1.216), work under conditions of cold or temperature variations (OR = 1.911, 95% CI: 1.342-2.720), mild burnout (OR = 1.492, 95% CI: 1.016-2.191), moderate burnout (OR = 1.852, 95% CI: 1.267-2.708), and severe burnout (OR = 2.001, 95% CI: 1.145-3.496) were risk factors for MSDs. In conclusion, there is a high annual prevalence of MSDs among the coal mine workers employed in on-site operations in Xinjiang, China. Measures to reduce this prevalence are required.
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