Work-family conflict and job burn-out among Chinese doctors: the mediating role of coping styles

Chen, Ling; Liu, Junjun; Yang, Hailong; Ma, Hongyu; Wang, Hui; Huang, Yun; Cheng, Hao; Tang, Dianzhen; Liu, Miao; Luo, Houyuan; Qu, Haitao; Shen, Diwen; Zhang, Ning

doi:10.1136/gpsych-2018-000004

Cited by 39 publications

(41 citation statements)

References 27 publications

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“…The married status predicted a lower degree of burnout, while the male workers reported a higher level of job burnout at the present study. The deviation from some previous studies [65,66] may be mainly due to the different culture and social norms in different settings among the studies. Therefore, the present study also expanded the knowledge of the associated factors of job burnout in the context of rural primary care system of China.…”

Section: Factors Associated With Job Burnoutcontrasting

confidence: 76%

Job Burnout Among Primary Healthcare Workers in Rural China: A Multilevel Analysis

Pan

et al. 2020

IJERPH

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The health workers in rural primary care systems are at the increasing risk of job burnout. To explore the prevalence and associated factors of the job burnout among the primary healthcare worker in rural China, a cross-sectional survey was conducted among 15,627 participants in 459 township hospitals from six provinces. A combination of stratified multi-stage sampling and cluster sampling method, and a self-administrated questionnaire with the Chinese version of the Maslach Burnout Inventory-General Scale (MBI-GS) were used in the investigation. Multilevel regression analyses were used to examine the potential associated factors on both individual and organisational levels. 47.6% of respondents were experiencing moderate burnout, and 3.3% were in severe burnout. Professionals working for over 40 h per week, at young age, with a college degree, and with professional titles at medium or high rank reported a higher degree of job burnout. At the institutional level, the high ratio of performance-based salary was associated with a higher level of depersonalization. Burnout has become prevalent among the primary healthcare workers in rural China, and multiple strategies are needed to reduce the work stress and some high-risk groups’ vulnerability to job burnout.

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Section: Factors Associated With Job Burnoutcontrasting

confidence: 76%

Job Burnout Among Primary Healthcare Workers in Rural China: A Multilevel Analysis

Pan

et al. 2020

IJERPH

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“…The second entry consists of 13-20 questions, reflecting the traits of passive coping. This instrument has been commonly used in China and has proven to be highly reliable and valid (13).…”

Section: Neuropsychological Testsmentioning

confidence: 99%

Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against COVID-19 in Gansu

et al. 2020

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BackgroundThe outbreak of novel coronavirus pneumonia (COVID-19) has brought enormous physical and psychological pressure on Chinese medical staff. It is extremely important to understand the prevalence and influencing factors of anxiety and depression symptoms in first-line anti-epidemic medical staff and their coping styles for these negative emotions.MethodsA cross-sectional survey was conducted in Gansu (China), with a questionnaire packet which consisted of the self-rating anxiety scale (SAS), self-rating depression scale (SDS), and the simplified coping style questionnaire (SCSQ). A total of 79 doctors and 86 nurses participated in the survey. Correlation analysis was performed to explore the relationship between SAS, SDS, and SCSQ score. A linear regression model was used to determine the influencing factors for anxiety or depression symptoms.ResultsThe prevalence rates of anxiety and depression symptoms among doctors was 11.4% and 45.6%, respectively. History of depression or anxiety (T=-2.644, p= 0.010, 95%CI: -10.514~-1.481) was shown to be a risk factor for anxiety symptoms in doctors, while being male (T=2.970, p=0.004, 95%CI: 2.667~13.521) was a protective factor for depression. The prevalence rate of anxiety and depression symptoms among nurses was 27.9% and 43.0%, respectively. History of depression or anxiety was a common risk factor for anxiety symptoms (T=-3.635, p=0.000, 95%CI: -16.360~-4.789) and depression symptoms (T=-2.835, p=0.005, 95%CI:-18.238~-3.254) in nurses. The results of partial correlation analysis (controlled for gender and history of depression or anxiety) indicated that the total score of positive coping was negatively correlated with the total score of anxiety (r=-0.182, p=0.002) and depression (r=-0.253, p=0.001).ConclusionsThe first-line anti-epidemic medical staff have high anxiety and depression symptoms and adopting positive coping styles will help to improve their negative emotions.

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“…Hence, "work demands", "insufficient support from coworkers or caregivers", and "workplace violence and bullying" [6,12] may be reasonable factors for predicting personal burnout and client-related burnout. Work-life conflict was regarded as a strong predictor of burnout [32,33]. Consequently, the relationship between "work-family conflict" and burnout is predictable.…”

Section: Discussionmentioning

confidence: 99%

Development of the Nurses’ Occupational Stressor Scale

Chen

Guo

Li³

et al. 2020

IJERPH

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Although nurses work in stressful environments, stressors in such environments have yet to be clearly assessed. This study aimed to develop a Nurses' Occupational Stressor Scale (NOSS) with high reliability and validity. Candidate questions for the NOSS were generated by expert consensus following focus group feedback, and were used to survey in 2013. A shorter version was then developed after examination for validity and reproducibility in 2014. The accuracy of the short version of the NOSS for predicting nurses' stress levels was evaluated based on receiver operating characteristic curves to compare existing instruments for measuring stress outcomes, namely personal burnout, client-related burnout, job dissatisfaction, and intention to leave. Examination for validity and reproducibility yielded a shorter version of NOSS with only 21 items was considered sufficient for measuring stressors in nurses' work environments. Nine subscales were included:(1) work demands, (2) work-family conflict, (3) insufficient support from coworkers or caregivers, (4) workplace violence and bullying, (5) organizational issues, (6) occupational hazards, (7) difficulty taking leave, (8) powerlessness, and (9) unmet basic physiological needs. The 21-item NOSS proved to have high concurrent and construct validity. The correlation coefficients of the subscales for test-retest reliability ranged from 0.71 to 0.83. The internal consistency (Cronbach's α) coefficients ranged from 0.35 to 0.77. The NOSS exhibited accurate prediction of personal burnout, client-related burnout, job dissatisfaction, and intention to leave.

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Work-family conflict and job burn-out among Chinese doctors: the mediating role of coping styles

Cited by 39 publications

References 27 publications

Job Burnout Among Primary Healthcare Workers in Rural China: A Multilevel Analysis

Job Burnout Among Primary Healthcare Workers in Rural China: A Multilevel Analysis

Prevalence and Influencing Factors of Anxiety and Depression Symptoms in the First-Line Medical Staff Fighting Against COVID-19 in Gansu

Development of the Nurses’ Occupational Stressor Scale

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