| Objective:(1) To investigate the status of nurses’ Job Burnout, and explore the relationship between Emotion Regulation Self-efficacy, Cognitive Emotion Regulation and Job Burnout;(2) Realizing the changes of nurse’ Job Burnout, Emotional Regulation Self-efficacy and Cognitive Emotion Regulation after the intervention, to explore the effect of Rational Emotional Therapy on alleviating nurse’ Job Burnout.Methods:(1) Conduct a questionnaire survey in Jinan City 2 tertiary hospitals of 357 nurses by general information questionnaire, Job Burnout Inventory, Emotional Regulation Self-efficacy Scale and the Cognitive Emotion Regulation Questionnaire. Then use SPSS21.0 statistical software for data entry and analysis, to realize the level of Job Burnout, Emotion Regulation Self-efficacy and Cognitive Emotion Regulation, and analyze the effect of Emotion Regulation Self-efficacy and Cognitive Emotion Regulation on the Job Burnout.(2)Select the nurse who has high level of Job Burnout, low level of Emotion Regulation Self-efficacy and Cognitive Emotion Regulation tends to be non-adaptive to implement individualized and targeted intervention with Rational Emotive Therapy. Finally, evaluate the effect by comparing the changes of the Job Burnout, Emotion Regulation Self-efficacy and the Cognitive Emotion Regulation before and after the intervention.Results:(1) The score of emotional exhaustion, depersonalization, personal achievement respectively were 18.97±9.67, 4.87 ± 4.70, 37.60 ± 8.27. Referring to the standard of M’s norm, nurses’ emotional exhaustion, personality and personal accomplishment were respectively 21.57%, 7.56% and 24.09% serious accounted for the overall. Referring to the standard of Hangzhou norm, nurses’ emotional exhaustion, personality and personal accomplishment were respectively 21.57%, 21.85% and 8.68% serious accounted for the overall. Age, nursing age, position, title, department, education and the love degree of the work were the factors influencing nurses’ Job Burnout.(2) The score of perceived self-efficacy in expressing positive affect, perceived self-efficacy in managing anger/irritation, perceived self-efficacy in managing despondency/distress and the total score were as follows 16.90 ± 2.34, 14.56 ± 2.49, 13.59 ± 2.86, 45.05 ± 6.15. The score of perceived self-efficacy in managing anger/irritation was higher than the norm, while perceived self-efficacy in managing despondency/distress was lower than the norm. The education and the love degree of the work were the factors influencing nurses’ Emotion Regulation Self-efficacy.(3) The score of adaptive cognitive emotion regulation strategies was 60.84±10.81, non-adaptive cognitive emotion regulation strategies was 36.37±7.15. The score of all strategies from high to low as follows were positive reappraisal, refocus on planning, positive refocusing, acceptance, self blame, focus on rumination, self comfort, blaming others and catastrophizing. The score of positive reappraisal and refocus on planning were higher than the norm, the others dimensions were lower than the norm. Age, title, education, marital satisfaction and the love of work would affect the selection of cognitive emotion regulation strategies.(4) There were significant correlations among Job Burnout, Emotion Regulation Self-efficacy and Cognitive Emotion Regulation, and, Emotion Regulation Self-efficacy and Cognitive Emotion Regulation can jointly explain emotional exhaustion, personality, personal accomplishment 19.5%, 12.5%, 31.7% of the variance.(5)The score of nurses’ emotional exhaustion were significantly decreased(P<0.01), the score of personal achievement increased(P<0.05). The score of perceived self-efficacy in managing despondency/distress and perceived self-efficacy in managing anger/irritation were significantly improved(P<0.05, P<0.01). The score of adaptive cognitive emotion regulation, positive refocusing, refocus on planning, positive reappraisal, and self comfort increased(P<0.05, P<0.01), and the score of non-adaptive cognitive emotion regulation, self blame, focus on rumination, catastrophizing and blame others declined(P<0.05, P<0.01).Conclusion:(1) Nurses still have a serious job burnout; Emotion Regulation Self-efficacy is generally high, while perceived self-efficacy in managing despondency/distress should be improved. Nurses tend to choose the adaptive cognitive emotion regulation, while blaming others and focus on rumination also be tend to choose. There are significant correlations among Job Burnout, Emotion Regulation Self-efficacy and Cognitive Emotion Regulation, while Emotion Regulation Self-efficacy and Cognitive Emotion Regulation can affect the Job Burnout.(2)The Rational Emotive Therapy can improve the nurses’ emotion regulation self-efficacy, promote the nurse use adaptive cognitive emotion regulation strategies, and alleviate nurse’ Job Burnout. |
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