Abstract

Purpose: Because of the particularity of nursing work, clinical nurses have different degrees of burnout, which is related to various factors. The battle against COVID-19 is a huge challenge, and the burnout of nurses may not be as same as it used to be. This study examined the level of nurses’ burnout and analyzed its influencing factors in the period of COVID-19. Methods: The questionnaire was released in the form of questionnaire star, and the level of burnout, anxiety and depression were measured by Maslach Burnout Inventory (MBI), Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS), respectively. Results: Except that the dimension of personal accomplishment was negatively correlated with anxiety and depression (r=-0.243~-0.408, P<0.05), there were positive correlations between emotional exhaustion, depersonalization, total score of MBI and anxiety, depression (r=0.447~0.738, P<0.01). Multiple stepwise regression analyses showed that burnout was positively correlated with anxiety (β=0.688), and negatively with working years (β=-5.597). Conclusions: The incidence of nurses’ burnout was high in the period of COVID-19, which was closely related to anxiety and depression. When nurses were more anxious and had shorter working years, their burnout was more likely to be stronger. Therefore, both managers and nurses themselves should pay attention to the burnout. Nurses with symptoms of anxiety and shorter working time are the focus of attention and intervention.

Highlights

  • Burnout should be described as a dangerous condition of overwork that can lead to physical or mental illness, such as high blood pressure, tinnitus, or depression [1]

  • Burnout has a significant correlation with anxiety and depression [1, 5, 6], 77.1% of burnout is related to anxiety or depression, and 84.0% of anxiety and depression is related to burnout [7]

  • 81.6%, which was mainly mild. 43.5%~62.0% of the respondents showed moderate to high burnout in depersonalization, emotional exhaustion and personal accomplishment

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Summary

Introduction

Burnout should be described as a dangerous condition of overwork that can lead to physical or mental illness, such as high blood pressure, tinnitus, or depression [1]. About 59.1% of clinical nurses have some degree of burnout, the occurrence and severity of which are related to many factors, such as social, environmental and personal factors [2]. They tend to take evasive behavior in the stressful situations, which can exacerbate stress responses and generate negative emotions, as well as irrational beliefs such as dependency, avoidance of problems, and helplessness [3]. The study found that burnout was directly related to cognitive and emotional symptoms, and emotional problems, especially anxiety and depression, were considered as risk factors for burnout [4]. Coronavirus disease 2019 (COVID‐19) is caused by severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) Burnout has a significant correlation with anxiety and depression [1, 5, 6], 77.1% of burnout is related to anxiety or depression, and 84.0% of anxiety and depression is related to burnout [7].

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