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A Study On The Current Situation And Management Of Nurses' Job Burnout In One Tertiary General Hospital

Posted on:2009-05-14Degree:MasterType:Thesis
Country:ChinaCandidate:X F HuangFull Text:PDF
GTID:2144360272989618Subject:Public Health
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With the further reform of the health system of our country, the political and social environment that hospitals face will change greatly. The change of the operational modes, the transformation of the internal operational mechanisms, the enhancement of the connotation construction and the establishment of the harmony in hospitals will be the main theme for the future reform and construction of hospitals.The hospital, on which this research based on, is a tertiary general hospital with a history of one hundred years. After many years of development, it has formed an organization with multispecialties and high qualified medical staff. Meanwhile, in the increasing competitive society, nurses feel more and more pressure. Heavy workload and intensive interpersonal relationships affect nurses both physically and mentally all the time. It is in this environment that the nurses' job burnout gradually forms. The professional weariness is a reaction to some related feelings and to the chronic work stress because of interpersonal relationships. The main forms of it lay in depression, indifferent care to the patients, low efficiency in work, lack of a sense of achievement, etc. In this case, a survey was carried on in the hospital to study on the status of the nurses' professional weariness and its influencing factors. Totally, 789 nurses were surveyed and the response rate was as high as 98.61%. The working units of the surveyed nurses included administrative departments, surgical department, emergency department, intensive care unit (ICU), internal medicine department, operating unit, outpatient care department and other clinical departments. The survey consisted of two main parts: MBI-HSS and correlative indicators.The results of the survey showed that the prevalence rate of the professional weariness in the nurses in this hospital was significantly higher than the Maslach norm at abrod. Among the total 778 surveyed nurses, there were 460 nurses with the professional weariness (59.13%). According to the measurement of three dimensions of the professional weariness, there was 371 nurses (47.69%) with emotional exhaustion, 369 nurses (47.43%) with low sence of achievement, 242 nurse (31.11%) with depersonalization, The staff who showsed high degree of professional weariness was mainly distributed in emergency and ICU departments,was mainly less than 40 years old and had less than 20 working years. Furthermore, the survey showed that the lower professional title the nurses had, the higher positive rate of professional weariness the nurses had. The degree of professional weariness in theclinical nurses was much higher than that of the nurses working in administrative positions.From the survey, we found that the main factors that influenced the professional weariness of the nurses were personnel arrangement, wage and welfare, the working atmosphere of being more concerned with doctors than with nurses, "career plateau" phenomenon, administration, qualification and ability to adapt to social environment of nurses.Aiming at the possible factors that lead to the professional weariness, the following measures should be taken. First of all, the hospital should facilitate the construction of healthy working environment both physically and mentally through improveing the working conditions, rationally allocating nurses, and setting up the career development planning for nurses in the hospital. Secondly, the managers of the hospital should have innovative thinking to keep pace with the time, should work intensively rather than superficially, should pay full attention to the demands of nurses for understanding, respect and self-realization. and furthermore, should entitle nurses some authority to raise their awareness of the working value. Lastly, the nurses themselves should also strengthen their own self-cultivation, improve their working patterns and learn to self-ease. Self-ease has much better effect than asking for other councel in terms of free her (he) from mental burden.
Keywords/Search Tags:prefessional weariness, nurse
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