To Construct A Training Program For Managers To Deal With Job Burnout Of Nurses Based On Service-oriented Leadership Theory

Objective: The purpose of this study is to clarify the risk factors of nurses’ job burnout and the real feelings and needs of nurses in the aspect of job burnout.Based on the relevant contents of the theory of service-oriented leadership,it is to build an effective and scientific training program for managers to cope with the job burnout of nurses.Methods: 1.Investigation of the level and influencing factors of nurses’ burnout: This part adopts questionnaire survey method and semi-structured interview method.Firstly,using the convenient cluster sampling method,clinical nurses working in a comprehensive tertiary hospital from September 2020～September 2021 were selected as the research objects,the level of burnout was investigated and the influencing factors were analyzed through the burnout scale and the influencing factor questionnaire,the database was established by Excel2018,the data were statistically analyzed using SPSS26.0,and the counting data and measurement data were described by frequency,percentage,mean ± standard deviation,respectively.The influencing factors of nurse burnout were obtained by univariate and multiple linear regression,and P<0.05(bilateral)indicated that the difference was statistically significant,and then semi-structured interviews with clinical nurses and nursing managers based on the core content of service-oriented leadership theory were conducted to supplement the influencing factors.2.Formulation of training programs for nurses’ job burnout by managers: Factors were included into the introduction of the influencing factors in the three-level indicators of the program,and then the relevant literature of nurse burnout was systematically consulted to summarize and determine the first-level indicators,second-level indicators and part of third-level indicators of the training program.The literature screening process closely focused on the core concept of "altruism" in the theory of service-oriented leadership.Select articles with altruism;On this basis,a consultation questionnaire was preliminarily formed based on the service-oriented leadership theory to construct a training program for managers to cope with nurse burnout,and the final training program was determined by Delphi expert letter consultation.Using Excel2018 and SPSS26.0software to statistically analyze expert opinions,summarize and summarize the results of expert consultations,and evaluate the training program by using the expert positive coefficient,the authoritative degree of expert opinions,the concentration of expert opinions and the coordination degree of expert opinions,P<0.05(bilateral)indicates that the difference is statistically significant.Results: 1.The level and influencing factors of nurse burnout: Among the 2845 nurses included,the average score of the burnout scale was 1.80±1.12,and the overall level of burnout among nurses in the hospital was mild.Among the results of the survey of influencing factors,the results of univariate analysis showed that the level of clinical nurses’ burnout was statistically significant in terms of education level,marital status,whether they had children,title,position,past history,average income,employment status,average weekly working hours,number of years of white night shifts they had participated in,average monthly night shift frequency and work nature(P<0.05);Average weekly working hours and number of white night shift years participated in were the influencing factors of nurses’ burnout(P<0.05),and the interview results showed that workload,working years,interpersonal relationships,leadership style and personal alleviation style were the influencing factors of burnout.2.Formulation of training programs for managers to cope with nurse burnout: Based on the core content of service-oriented leadership theory,the influencing factors are divided into managers’ trust,managers’ care,clinical nurses’ development space,communication methods and other factors.Through literature screening,19 high-quality literature was included,divided into five aspects: incidence,influencing factors,adverse outcomes,assessment tools,and interventions.After reviewing the literature,training objectives,training content,training form,training time and evaluation are determined as the first-level indicators of the training program.Then,by integrating the classification of influencing factors and the results of literature review,the content of the training program is supplemented,the secondary and tertiary indexes of the training program are determined,and the first draft of the training program is constituted.The training content of the first draft includes four parts: the development and application of service-oriented leadership theory,the introduction of influencing factors,the application of evaluation tools,and the introduction and implementation of intervention measures.During the expert consultation,a total of 15 experts were contacted,including clinical,management,psychological and educational nursing-related fields,and 2 rounds of expert consultation were conducted with 15 experts by email and paper questionnaire,and the effective recovery rate of the questionnaire was 100%.In the first round of consultation,14(93.33%)experts provided guidance,with an expert authority coefficient of 0.85,and in the second round,10(66.70%)experts provided guidance,with an expert authority coefficient of 0.84.According to the screening criteria of the indicators and the guidance and modification suggestions put forward by the experts,after careful discussion by the research group,the training program for managers to cope with nurse burnout constructed in this study consists of 5 first-level indicators,13 second-level indicators and 72 third-level indicators.Conclusion: 1.The overall degree of job burnout of nurses in the hospital is mild,but some nurses are experiencing moderate or above degree of job burnout,which should arouse the attention of managers.2.Based on the service-oriented leadership theory,the influencing factors of nurse burnout are divided into managers’ trust,managers’ concern,clinical nurses’ development space,communication mode and other factors.3.The final training program for managers to deal with nurse burnout includes 5first-level indicators,13 second-level indicators and 72 third-level indicators,namely,the five parts of training objective,content,form,time and effect evaluation;Among them,the training content involves four parts: the overview of service-oriented leadership theory and job burnout,the influencing factors of nurses’ job burnout based on service-oriented leadership theory,the evaluation of job burnout and the intervention methods of job burnout.4.Future research should focus on applying the research results into practice,providing scientific guidance to managers in alleviating nurse burnout,and verifying and revising training programs in practice.