The Investigation Of Occupational Burnout Of Nurses Under Post-management Mode

Objective: To describe the situation of occupational burnout of nurses andanalyze its influence factors, and to provide the effective reference for improving thelevel of occupational burnout.Methods: The study sample included the nurses of emergency department,internal medicine, surgery, gynecology, operating room, ICU, etc who are complywith relevant criteria from the center hospital of Siping city. The questionnaire ofinvestigation included basic information of study sample and Maslach burnoutinventory.Epidata3.1statistical software was applicated to establish the database andSPSS16.0statistics software was carried on to do the statistical analysis. The mainstatistical methods including descriptive statistics, measurement data was expressed asx±s, and using t test for average comparison between the two groups; count data wasexpressed as ratio or proportion, and using rank analysis; using multiple Logisticregression analysis to do the statistical analysis.Results1. General characteristics: the study subjects all were female (n=433), the meanage was32.71±7.91years; in terms of the levels of education, undergraduate andabove accounted for a higher proportion (61.4%); the mainly marital status amongstudy subjects was married (67.9%); the average monthly income of mostsubjects was2000-4000Yuan (70.2%);48.5%was operation department nurses; theform of employed mainly was contact (53.8%); the proportion of N3level washigher than others (28.6%); length of service <5years accounted for33.5%; theworking time more than40hours per week accounted for85%; taking care <9patients every day was accounted for36.5%; the daily contact time with patients among their work time≥76%was accounted for69.5%; the number of night shiftsmore than10times was32.8%.2. The each dimension score of occupational burnout: there is no significantdifference between the average score of emotional exhaustion (22.79±12.016) andnorm (t=-0.391，P=0.696); the average score of depersonalization (6.17±6.548) wasslightly lower than norm (t=-2.046，P=0.041); the average score of personalaccomplishment (33.31±9.61) was significantly higher than the norm (t=10.303，P＜0.001).3. The status of occupational burnout: among433nurses,35.3%was positiveemotional exhaustion,29.6%was positive depersonalization, and20.3%was lowpersonal accomplishment. Overall, positive occupational burnout was50.8%,23.6%was mild burnout,20.1%was moderate burnout, and7.2%was highly burnout.4. The univariate logistic regression analysis of demographic characteristics foroccupational burnout: compared with≤25year-old,26-35year-old (OR=2.508,95%CI:1.514,4.156), and36-45year-old age groups (OR=2.370,95%CI:1.376,4.083) are more prone to occupational burnout; the positive rate of burnoutamong nurses with college or higher education levels (OR=1.591,95%CI:1.077,2.349) was higher than those among nurses with college or below educationlevels; compared with unmarried, married nurses (OR=2.101,95%CI:1.379,3.201)are more prone to burnout.5. The univariate logistic regression analysis of work natures for occupationalburnout: compared with surgical departments, internal medicine (OR=1.875,95%CI:1.171,3.003), ICU (OR=2.456,95%CI:1.311,4.600) and emergency departments’nurses (OR=2.474,95%CI:1.156,5.293) were more likely to burnout; the risk ofburnout among nurses with N2and N3level was2.647,2.045times than those amongnurses with N0level, respectively (P=0.002, P=0.006).6. The univariate logistic regression analysis of workloads for occupationalburnout: compared with length of service <5years,10-14years old group were more prone to burnout (OR=3.824,95%CI:2.160,6.770); the risk of burnout among nurses whotaking care9-19patients per day was0.915time than nurses who taking care＜9patients perday (P=0.005); compared with nurses having night shifts＜5times, the risk of burnoutamong nurses having night shifts≥10times was1.682times (P=0.029).7. The infecting factors of occupational burnout in nurses: compared withsurgery department nurses, internal medicine (OR=1.835) and ICU nurses (OR=3.192) were easier to get occupational burnout; compared with nurses work of <5years, the risk of compared occupational burnout in nurses working10~years and≥15years were4.337,1.918times; compared with nurses taken care for the number ofpatients <9per day,9~and≥20were2.000and1.904times; daily contact with thepatient time accounting work time≥76%was a protective factor.Conclusion1. Occupational Burnout of our study subjects focused on light or moderatelevels.2. Working in internal medicine or ICU department, longer length of service was,taking care more patients per day, and longer daily contact time with patients wererisk factors for occupational burnout.3. Age, level of education, marital status, employment forms, job titles andmonthly night shift times and other factors did not affect the occurrence ofoccupational burnout.4. The average scores of emotional exhaustion and depersonalization were lower;the average score of personal accomplishment was higher. Since the implementationof post-management mode, the sense of personal achievement for nurses was significantlyincreased, and a sense of belonging was also increased because they could provideprofessional care to patients, then post-management mode improved the quality of care.