Objectives To assess job strain and burnout status among female nurses working in primary clinics, secondary referral hospitals, and public health units in Taiwan.
Method Study participants included female nurses from (1) all primary clinics (PC) hiring more than two registered nurses; (2) a nation-wide representative sample of secondary referral hospitals (SRH), selected using stratified random sampling; and (3) all public health units (PHU) hiring more than two registered nurses. To candidate participants, a structured, self-administered questionnaire was disseminated, which included demographic information, work conditions, the Chinese Job Content Questionnaire, and the modified Chinese Copenhagen Burnout Inventory.
Results A total of 6087 questionnaires were sent, and 4046 (66.5%) were satisfactorily completed. Compared with PC nurses, nurses working in SRHs and PHUs had higher job strain (adjusted odds ratio, aOR=1.7, 95% confidence interval, CI=1.3–2.1 for SRH; aOR=2.4, 95% CI=1.7–3.4 for PHU), personal burnout (aOR=2.6, 95% CI=1.8–3.6 for SRH; aOR=3.4, 95% CI=2.1–5.7 for PHU), work-related burnout (aOR=2.4, 95% CI=1.8–3.1 for SRH; aOR=3.0, 95% CI=2.0–4.5 for PHU), and client-related burnout (aOR=1.6, 95% CI=1.2–2.3 for SRH; aOR= 2.1, 95% CI=1.2–3.5 for PHU) while adjusted for significant variables.
Conclusions We concluded that nurses worked in public health units and secondary referral hospitals had higher job strain and work-related burnout as compared to primary clinics. Further study should examine the stressors from these workplaces and follow up the health effects of high strain and burnout status.
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