Effect of Work Intensity, Job Stress and Somatization Symptoms on Certified Care Assistants’ Burnout at Long-term Care Facilities

Abstract

Purpose This study aimed to identify the degree of work intensity, job stress, somatization symptoms, burnout, and the factors affecting burnout among certified care assistants (CCAs) in long-term care facilities. Methods 181 CCAs from four cities and two counties completed a self-reported questionnaire from 20th April to 26th May, 2019. Data were analyzed using SPSS/WIN 25.0 by descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficients, and a hierarchical multiple linear regression analysis. Results The participants’ burnout totaled 44.04±13.31 (range: 20~100), with significant differences in gender, perceived health status, regular exercise, perceived salary level, job satisfaction, and intention to turnover (t=2.33 p=.021; h=28.88, p<.001; t=2.13, p=.035; t=2.54, p=.012; h=33.17; p<.001; t=3.67, p<.001). Gender, absolute work intensity, job stress, and somatization symptoms significantly affected CCAs’ burnout. In hierarchical multiple regression, regular exercise (β=-.12, p=.048), absolute work intensity (β=.15, p=.020), job stress (β=.43, p<.001), and somatization symptoms (β=.23, p=.001) determined the burnout. This regression model was explained by 41.1% of variances. Conclusion Systemic burnout management programs should be developed considering their role in reducing job stress and somatization symptoms, assigning appropriate work intensities, and offering health care opportunities such as regular exercise. These programs may reduce CCAs’ burnout and additionally provide high-quality care for older adults. Key Words: Nursing home, Workload, Occupational stress, Symptoms, somatic, Burnout