Bagheri Hosseinabadi Majid, Ebrahimi Mohammad Hossein, Khanjani Narges, Biganeh Jamal, Mohammadi Somaye, Abdolahfard Mazaher
School of Public Health, Shahroud University of Medical Sciences, Shahroud, Iran.
Environmental and Occupational Health Research Center, Shahroud University of Medical Sciences, Shahroud, Iran.
J Clin Nurs. 2019 May;28(9-10):1868-1878. doi: 10.1111/jocn.14778. Epub 2019 Feb 13.
To investigate the relation between the circadian rhythm amplitude and stability, and occupational stress with burnout syndrome and job dissatisfaction among shift working nurses.
Irregular shift working nurses are prone to burnout syndrome (BS) and job dissatisfaction (JD). circadian rhythm difference and occupational stress might be effective in causing burnout syndrome and dissatisfaction.
In total, 684 nurses who worked in four teaching hospitals were selected by stratified random sampling in a cross-sectional design based on STROBE guidelines.
The data were collected by the Circadian Type Inventory, Job Content Questionnaire, Minnesota Satisfaction Questionnaire and the Maslach Burnout Inventory. Multiple linear regression, one-way ANOVA and independent t test were used for statistical analysis by SPSS v24.
About 15% of the nurses suffered from high levels of burnout syndrome. Psychological demand (β = 0.022, CI 95% = 0.003-0.047 and β = 0.016, CI 95% = 0.001-0.032) and workplace support (β = -0.043, CI 95% = -0.097-0.003 and β = -0.025, CI 95% = -0.046-0.006) were significant predictors of BS and JD. Male nurses reported lower BS and higher JD compared to female nurses. Irregular shift working schedule was also related to a significantly higher odd of BS (p = 0.009) and JD (p = 0.011). Nurses classified as languid experienced significantly more BS and JD than vigorous nurses.
This study shows that BS and JD were strongly associated with psychological demand and workplace support; and vigorous nurses were less prone to BS and JD, and were more suitable for irregular shift work.
In order to reduce burnout syndrome and job dissatisfaction among irregular shift working nurses, we need to identify the effect of risk factors such as individual differences on the circadian rhythm and job demand which can affect nurses who work in irregular schedules.
探讨昼夜节律幅度与稳定性、职业压力与轮班护士职业倦怠综合征及工作不满之间的关系。
轮班不规律的护士容易出现职业倦怠综合征（BS）和工作不满（JD）。昼夜节律差异和职业压力可能是导致职业倦怠综合征和工作不满的有效因素。
根据STROBE指南，采用分层随机抽样的横断面设计，选取了四家教学医院的684名护士。
通过昼夜节律类型量表、工作内容问卷、明尼苏达满意度问卷和马氏职业倦怠量表收集数据。使用SPSS v24进行多元线性回归、单因素方差分析和独立样本t检验进行统计分析。
约15%的护士存在高水平的职业倦怠综合征。心理需求（β = 0.022，95%置信区间 = 0.003 - 0.047；β = 0.016，95%置信区间 = 0.001 - 0.032）和工作场所支持（β = -0.043，95%置信区间 = -0.097 - 0.003；β = -0.025，95%置信区间 = -0.046 - 0.006）是职业倦怠综合征和工作不满的显著预测因素。与女护士相比，男护士报告的职业倦怠综合征水平较低，工作不满程度较高。不规律的轮班工作时间表也与职业倦怠综合征（p = 0.009）和工作不满（p = 0.011）的显著更高几率相关。被归类为慵懒型的护士比精力充沛型的护士经历更多的职业倦怠综合征和工作不满。
本研究表明，职业倦怠综合征和工作不满与心理需求和工作场所支持密切相关；精力充沛型护士较不易出现职业倦怠综合征和工作不满，更适合不规律轮班工作。
为了减少轮班不规律护士的职业倦怠综合征和工作不满，我们需要确定个体差异等风险因素对昼夜节律和工作需求的影响，这些因素可能会影响从事不规律排班工作的护士。
