Relevant Research On Medical Staff’s Occupational Stress, Occupational Burnout And Work Ability In A3-a-grade Hospital Of Xinjiang

Objective: Conduct an investigation on the general situation of medical staff’soccupational stress, occupational burnout and work ability in a3-A-grade Hospital ofXinjiang for further discussions on the internal relations of three mentioned problems, andthen deliver interventions to relieve staff’s stress and burnout, and promote their workability.Method: With the adoption of cluster sampling,600medical staff who served for overone year in clinical and nursing position of a3-A-grade Hospital of Xinjiang was selectedrandomly to participate in general questionnaire surveys on Demographic Questionnaire,Occupational Stress Inventory-revised (OSI-R), Chinese Maslach Burnout Inventory(CMBI) and Work Ability Index (WAI).Results:1.The questionnaire surveys issued600copies, and recycled529valid ones witha recovery rate of88.17%.2. The results of occupational stress research showed thatcompared with the scores in national occupational stress norm, staff’s scores in excessive,inappropriate and vague tasks, role conflict, sense of responsibility and vocational,psychological and physical strain in Occupational Role Questionnaire and Personal StressQuestionnaire are all higher, and these differences are meaningful in statistics (P<0.05); inOccupational Role Questionnaire and Personal Resources Questionnaire, the scores inworking environment, recreation, self-care and rational response are all lower, and thesedifferences are also meaningful in statistics (P<0.05); the comparison between post nature,educational level and marital status in a group with high, medium and low stress degreeare also meaningful in statistics (P<0.05); male staff’s scores in Occupational RoleQuestionnaire, Personal Stress Questionnaire and Personal Resources Questionnaire are higher than female staff, and these differences are also meaningful in statistics (P<0.05);for staff with different seniorities, their scores in Occupational Role Questionnaire varyfrom sense of responsibility, excessive, inappropriate and vague tasks, which ismeaningful in statistics (P<0.05); in Occupational Role Questionnaire and PersonalResources Questionnaire, doctors’ scores are higher than nurses’, and for staff withdifferent educational levels, their scores are varied. These differences are meaningful instatistics (P<0.05); for staff with different marital status, their scores in sense ofresponsibility and self-care clearly show the differences, which is meaningful in statistics(P<0.05); for staff with different frequencies of night shift, different scores inOccupational Role Questionnaire and Personal Stress Questionnaire are meaningless instatistics, but different scores in Personal Resources Questionnaire are meaningful(P<0.05).3. Surveys on occupational burnout showed that comparison in emotionalconsumption, depersonalization and low personal accomplishment of Maslach BurnoutInventory among different nations is meaningful in statistics (P<0.05); for staff withdifferent post nature and frequencies of night shift, the different scores in MaslachBurnout Inventory are meaningful in statistics (P<0.05), and so is the case with staff withdifferent degrees of stress. The higher degree of stress felt, the more obvious of burnout.4.Surveys on work ability show that the proportion of high, medium and low scores ofstaff’s overall work ability is29.31、67.86、2.83in turn; and the different scores in a groupwith high, medium and low stress degree are meaningful in statistics (P<0.05); for staffwith different nations and frequencies of night shift, the different scores in work abilityand low, medium and high degree of work ability are meaningless in statistics (P＞0.05);but for staffs with different seniorities and post nature, the different scores in work abilityand low, medium and high degree of work ability are meaningful in statistics (P<0.05); forstaff with and within ten years’ seniority, their scores in work ability are lower than thosewho outweighs ten years.5. The relevant analyses on staff’s work ability, occupationalstress and burnout show that there is a positive correlation between occupational role,personal strain, personal resources and gender, post nature and educational level, and thereis a negative correlation between personal resources and frequencies of night shift; theoccupational role and personal strain are positively correlated with emotional consumptionand depersonalization, but negatively correlated with work ability; the personal resourcesare positively correlated with work ability, but negatively correlated with emotionalconsumption and depersonalization; work ability is positively correlated with seniority,post nature, educational level and marital status, but negatively correlated with personal strain, depersonalization and reduction of personal accomplishment.6. Multiple regressionanalyses on work ability show that the main factors affecting staff’s work ability areseniority, educational level, personal strain and depersonalization.Conclusion:1.In this survey, the medical staff’s occupational stress degree is higher thanthe national norm, and80percent of those are in the state of high occupational stress.2.Different genders, marital status, degree, seniority, post nature and frequencies of nightshift are among the contributing factors of occupational stress. Sense of responsibilitymostly affects the occupational stress, and then closely followed by excessive,inappropriate task and role conflict.3. With the increase of occupational role and personalstrain, personal resources also increase. Thus, strengthening coping resources andpromoting countermeasures will effectively enhance coping capacity.4. Different nations,post nature and frequencies of night shift are among the contributing factors ofoccupational burnout, and the higher degree of stress felt, the more obvious of burnout.5.The proportion of high, medium and low scores of staff’s overall work ability is29.31、67.86、2.83in turn, and the overall work ability still remains to improve.6. The mainfactors affecting staff’s work ability are seniority, educational level, personal strain anddepersonalization. Higher educational levels have positive impact on work ability, whilepersonal strain and depersonalization are negative factors. And all occupationalinventories are closely related.