Effect of professional practice environment of head nurses on job burnout in classIII hospitals

Abstract

Objective To investigate of the status quo of head nurses' professional practice environment and job burnout in classⅢ hospitals, and to discuss the influence of professional practice environment on job burnout. Methods From June to July 2016, a total of 335 head nurses from classⅢ hospitals of Hu'nan province were selected by cluster sampling method. All the participants were investigated by the Chinese version of Professional Practice Environment Scale for Head Nurses and Maslach Burnout Inventory. SPSS 18.0 software was applied to establish a database and to carry out statistical analysis. The influencing factors were analyzed by single factor analysis of variance and linear regression analysis. Results A total of 335 questionnaires were distributed, including 331 valid questionnaires. The total score of 331 head nurses professional practice environment score was (214.72±22.64) . In the Maslach Burnout Inventory, the emotional exhaustion (EE) score was (26.02±11.03) , depersonalization (DP) score was (9.31±4.30) and personal accomplishment (PA) was (34.66±12.98) . Single factor analysis showed that the differences of EE score and DP score in head nurses in different age stages were statistically significant (F=6.429, 4.652; P<0.01) . There was statistical significance in the difference of EE score of head nurses in different marital status (F=3.787, P<0.05) . There were statistical significance in the differences of EE score and DP score of head nurses with different nursing management years (F=2.448, 2.670; P<0.05) . The differences of EE score in head nurses in different departments, the highest education and the professional titles were statistically significant (F=3.951, 3.047, 3.256; P<0.05) . The results of linear regression analysis showed that the 4 dimensions of cultural heritage, organization culture construction, relationship with doctors and relationship with nurses were the key variables influencing job burnout scores. Conclusions The status quo of professional practice environment is not optimistic, the tendency of job burnout is obvious, and the professional practice environment has an impact on the job burnout of head nurses. Key words: Nursing, supervisory; Occupational burnout; Professional practice environment