The Prevalence of Burnout and its Associations with Demographic Correlates and Quality of Life among Psychiatric Nurses
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The Prevalence of Burnout and its Associations with Demographic Correlates and Quality of Life among Psychiatric Nurses in China Liang-Nan Zeng 1,2 & Ka-In Lok 3 & Feng-Rong An 4 & Li Lu 5 & Todd Jackson 6 & Gabor S. Ungvari 7,8 & Li-gang Chen 2 & Yu-Tao Xiang 1
# Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract
This study examined the prevalence of burnout and its association with quality of life (QOL) among psychiatric nurses in China.Ten psychiatric hospitals were included. Burnout and QOL were measured using standardized instruments. Altogether, 1449 nurses completed the assessment. The mean scores of emotional exhaustion (EE), depersonalization (DP) and personal accomplishment (PA) were 11.87 (SD = 6.72), 6.98 (SD = 5.71) and 22.06 (SD = 8.67), respectively. Of the participants, 59.8% (95% CI: 57–62%) experienced burnout; with 23.3% (95% CI: 21–25%) in EE, 14.6% (95% CI: 13–16%) in DP and 45.1% (95% CI: 43–48%) in PA. Psychiatric nurses who reported burnout had lower QOL in social (F (1, 1448) = 86.20, P < 0.001), physical (F (1, 1448) = 170.46, P < 0.001), psychological (F (1, 1448) = 205.63, P < 0.001), and environmental (F (1, 1448) = 120.24, P < 0.001) domains. Multiple logistic regression analysis revealed that alcohol users (P = 0.04; OR = 1.29, 95%CI: 1.01–1.64 in model 1 and P = 0.03; OR = 1.32, 95%CI: 1.04–1.69 in model 2) were significantly more susceptible to burnout, while senior nurses (P = 0.007; OR = 0.70, 95%CI: 0.53–0.91) and nurses with longer work experience (P = 0.02; OR = 0.70, 95%CI: 0.53–0.91) were less likely to develop burnout. Burnout is common in psychiatric nurses in China. In light of its negative impact on health and QOL, there is an urgent need for regular screening as well as effective preventive measures and interventions to reduce burnout within this at-risk occupational group. Keywords China . Burnout . Mental health . Psychiatric nursing
Liang-Nan Zeng, Ka-In Lok, Feng-Rong An and Li Lu contributed equally to this work.
* Li-gang Chen [email protected] * Yu-Tao Xiang [email protected] Extended author information available on the last page of the article
Psychiatric Quarterly
Introduction Job-related burnout (burnout hereafter) refers to a psychological syndrome associated with chronic job stressors that comprises three dimensions: emotional exhaustion (EE), depersonalization (DP) and decreased personal accomplishment (PA) [1–3]. Burnout is common in many healthcare careers, particularly nursing, which is associated with numerous negative health effects [4–6], including physical exhaustion [1, 7], depression, low quality of life (QOL) and even high risk of suicide [5, 6, 8]. In addition, burnout can negatively affect nurses’ behaviors and attitudes toward clinical work [9], and increase the likelihood of medical errors [10]. Burnout in nurses has been widely investigated in recent years [4]. A meta-analysis on the prevalence of burnout experiences among emergency room nurses indicated 25.55% (95% CI: 22.24–28.86%) of respondents experie
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