Nurse burnout in China: a questionnaire survey on staffing, job satisfaction, and quality of care

Abstract

Nurse burnout in China: a questionnaire survey on staffing, job satisfaction, and quality of care Aim The investigators examined how nurse staffing affects nurse job satisfaction and quality of care. Background Inadequate nurse staffing is a worldwide issue with profound effects on nurse job satisfaction and quality of care. Few studies have examined the relationship between nurse staffing and job satisfaction and quality of care in China.Method A cross-sectional design was adopted, wherein 873 nurses were surveyed on demographics, nurse staffing, job-related burnout, job dissatisfaction, intent to leave, and quality of care.Result The median patient-nurse ratio was five; 45.1% nurses reported high levels of job-related burnout, and 55.6%, job dissatisfaction. In adjusted regression models, patient-nurse ratios of four or less were related to a decrease in the odds of job dissatisfaction (odds ratio 0.55, 95% confidence interval 0.36-0.85) and increase in the odds of quality of care (odds ratio 1.78, 95% confidence interval 1.02-2.82). Conclusion Nurse staffing is associated with job dissatisfaction and quality of care. Implications for nursing management Nurse managers should maintain an adequate level of nurse staffing, referring to the patient-nurse ratio. They should create new initiatives to increase job satisfaction among nurses and to evaluate their effects.

The effects of work factors on nurses’ job satisfaction, quality of care and turnover intentions in oncology

“…More specifically, staffing levels, congruence between nurses' perceptions of individual and ward values and support from supervisors, have significant effects on nurses' job satisfaction (e.g. Lu, Ruan, Xing, & Hu, 2015).…”

Nursing work environment, value congruence and their relationships with nurses’ work outcomes

“…Evidence shows that 61% of nurses describe their work environment as “poor” or “fair” and 45–59% of nurses state that they are dissatisfied with their jobs. Furthermore, 38.1–58.4% of nurses report experiencing a high level of emotional exhaustion, 25.4–45.2% report experiencing a high level of depersonalization, and 24.6–48.6% report experiencing a high level of reduced personal accomplishment (Chen & Fang, ; Lu, Ruan, Xing, & Hu, ; Zhang et al., ). Even more alarming is the fact that turnover intention among nurses has reached 57.0%, and the turnover rate ranges from 10.2% to 11.2% in mainland China (Fang, ).…”

A multicenter study on the validation of the Burnout Battery: a new visual analog scale to screen job burnout in oncology professionals

“…Lu et al surveyed 873 nurses with the EE subscale of the MBI‐HSS. Among them, 45.1% nurses reported high levels of EE . Our study showed that the level of burnout in Chinese oncology department was significantly higher than mean nominal data from medical professionals (Table S3).…”

“…Among them, 45.1% nurses reported high levels of EE. 16 Our study showed that the level of burnout in Chinese oncology department was significantly higher than mean nominal data from medical professionals (Table S3). The rate of burnout within the sample population was also higher than that of Chinese doctors and nurses overall.…”