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      Factors related to job burnout among older nurses in Guizhou province, China

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          Abstract

          Background

          The nursing workforce shortage has long been a global concern, and with the aging of nurses, this problem has become more prominent. Nursing is recognized as a high-stress occupation, and nurses experience high levels of job burnout, which reduces their professional identity. Older nurses are an indispensable talent force for nursing teams and are extremely important for the stability of nursing teams and improvement in nursing quality. Exploring the mental health and influencing factors of older nurses is very beneficial for the stability and development of nurse teams and patients’ clinical outcomes.

          Purpose

          This study aimed to investigate the level of job burnout and its influencing factors among older nurses in Guizhou Province, China and confirm the correlations among job burnout, professional identity and stress level.

          Methods

          From July to August 2019, 520 registered nurses aged over 40 years in Guizhou Province, China were surveyed through the Questionnaire Star platform. The questionnaire contained the following four parts: a general information questionnaire, the Maslach Burnout Inventory (MBI), a professional identity scale, and a job stressors scale.

          Results

          The results showed that the job burnout score of the 520 older nurses was 55.44 ± 18.62, which was moderate. The level of job burnout was positively correlated with the level of nurse stress and negatively correlated with the level of professional identity, which was influenced by various personal and social factors.

          Conclusions

          This study not only revealed that job burnout was still at a moderate level, but also revealed its current status and influencing factors among older nurses in China.

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          Most cited references52

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          The measurement of experienced burnout

          Christina Maslach, Susan Jackson (1981)
          Article 0 comments Cited 1199 times – based on 0 reviews     Review now
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            Job burnout.

            C Maslach, W. Schaufeli, M. P. Leiter (2001)
            Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job, and is defined by the three dimensions of exhaustion, cynicism, and inefficacy. The past 25 years of research has established the complexity of the construct, and places the individual stress experience within a larger organizational context of people's relation to their work. Recently, the work on burnout has expanded internationally and has led to new conceptual models. The focus on engagement, the positive antithesis of burnout, promises to yield new perspectives on interventions to alleviate burnout. The social focus of burnout, the solid research basis concerning the syndrome, and its specific ties to the work domain make a distinct and valuable contribution to people's health and well-being.
            Article 0 comments Cited 1053 times – based on 0 reviews     Review now
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              Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review

              Louise Hall, Judith Johnson, Ian Watt … (2016)
              Objective To determine whether there is an association between healthcare professionals’ wellbeing and burnout, with patient safety. Design Systematic research review. Data Sources PsychInfo (1806 to July 2015), Medline (1946 to July 2015), Embase (1947 to July 2015) and Scopus (1823 to July 2015) were searched, along with reference lists of eligible articles. Eligibility Criteria for Selecting Studies Quantitative, empirical studies that included i) either a measure of wellbeing or burnout, and ii) patient safety, in healthcare staff populations. Results Forty-six studies were identified. Sixteen out of the 27 studies that measured wellbeing found a significant correlation between poor wellbeing and worse patient safety, with six additional studies finding an association with some but not all scales used, and one study finding a significant association but in the opposite direction to the majority of studies. Twenty-one out of the 30 studies that measured burnout found a significant association between burnout and patient safety, whilst a further four studies found an association between one or more (but not all) subscales of the burnout measures employed, and patient safety. Conclusions Poor wellbeing and moderate to high levels of burnout are associated, in the majority of studies reviewed, with poor patient safety outcomes such as medical errors, however the lack of prospective studies reduces the ability to determine causality. Further prospective studies, research in primary care, conducted within the UK, and a clearer definition of healthcare staff wellbeing are needed. Implications This review illustrates the need for healthcare organisations to consider improving employees’ mental health as well as creating safer work environments when planning interventions to improve patient safety. Systematic Review Registration PROSPERO registration number: CRD42015023340.
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                Author and article information

                Contributors
                Hengping Pu
                Journal
                Journal ID (nlm-ta): PeerJ
                Journal ID (iso-abbrev): PeerJ
                Journal ID (publisher-id): peerj
                Title: PeerJ
                Publisher: PeerJ Inc. (San Diego, USA )
                ISSN (Electronic): 2167-8359
                Publication date (Electronic): 21 October 2021
                Publication date Collection: 2021
                Volume: 9
                Electronic Location Identifier: e12333
                Affiliations
                [1 ]Nursing Department, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi) , Zunyi, Guizhou, China
                [2 ]Drug Clinical Trial Institution, The Third Affiliated Hospital of Zunyi Medical University (The First People’s Hospital of Zunyi) , Zunyi, Guizhou, China
                Article
                Publisher ID: 12333
                DOI: 10.7717/peerj.12333
                PMC ID: 8542368
                PubMed ID: 34721998
                SO-VID: d1d516d5-1dfa-4a79-a797-c2f6830e2004
                Copyright © ©2021 Jiang et al.
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, reproduction and adaptation in any medium and for any purpose provided that it is properly attributed. For attribution, the original author(s), title, publication source (PeerJ) and either DOI or URL of the article must be cited.

                History
                Date received : 26 April 2021
                Date accepted : 27 September 2021
                Funding
                Funded by: The Science and Technology Joint Funds of Zunyi Science and Technology Bureau & the First People’s Hospital of Zunyi
                Award ID: 2020-118
                Award ID: 2020-119
                This work was supported by the Science and Technology Joint Funds of Zunyi Science and Technology Bureau & the First People’s Hospital of Zunyi: 2020-118, 2020-119. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Subject: Nursing
                Subject: Psychiatry and Psychology

                Keywords: burnout,job stress,professional identity,older nurses
                Data availability:
                Keywords: burnout, job stress, professional identity, older nurses

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