WORK-RELATED FACTORS CONTRIBUTING TO BURNOUT IN UNIVERSITY HOSPITAL NURSES

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A questionnaire survey was conducted of 560 nurses at two university hospitals in Aichi, Japan, during January and February 1999 to understand the situation regarding burnout syndrome in nurses, and to clarify the work-related factors potentially affecting burnout. The questionnaire consisted of the Maslach Burnout Inventory (MBI) for assessing burnout syndrome, and items on social support, stress coping behavior, and work-related factors such as workplace, job position, number of night and evening shifts per month, and subjective job characteristics. Analyses were conducted in each of 3 subscales of the MBI, emotional exhaustion, depersonalization and personal accomplishment. The multiple logistic regression analysis using variable selection revealed that experience of less than one year, night and evening shift work 9 or more times per month, and work characterized by "heavy workload" significantly increased the odds ratio of emotional exhaustion. Factors found to make a significant contribution to depersonalization were being a general nurse, night and evening shift work 9 or more times per month, and "work with a high degree of difficulty." In regard to personal accomplishment, factors selected as significantly raising the score were "positive coping" as a stress coping behavior, and "being in a workplace where one's abilities were appreciated by others" as social support. The results mentioned above showed that the factors affecting emotional exhaustion, depersonalization, and personal accomplishment differed for the 3 MBI subscales. To prevent burnout syndrome, measures to appropriately manage direct burden from work are important in reducing emotional exhaustion and depersonalization. To raise personal accomplishment it may be necessary to create a workplace environment that helps nurses positively cope with stress, and in which they can appreciate each others' work.
名古屋市立大学の論文

WORK-RELATED FACTORS CONTRIBUTING TO BURNOUT IN UNIVERSITY HOSPITAL NURSES

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