Woo Tiffany, Ho Roger, Tang Arthur, Tam Wilson
Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore.
Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore; Biomedical Global Institute of Healthcare Research & Technology (BIGHEART), National University of Singapore, Singapore; Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Viet Nam.
J Psychiatr Res. 2020 Apr;123:9-20. doi: 10.1016/j.jpsychires.2019.12.015. Epub 2020 Jan 22.
WHO recently declared burnout as a "occupational phenomenon" in the International Classification of Diseases 11th revision (ICD-11), recognizing burnout as a serious health issue. Amongst healthcare workers, nurses are known to struggle with burnout symptoms the most, carrying serious consequences for patients, other healthcare professionals and healthcare organisations. Evidence has suggested that burnout symptoms in nurses is high across specialties and countries, but no meta-analysis have been performed to investigate burnout symptoms prevalence in nurses globally. We conducted a systematic review and meta-analysis to examine burnout symptoms prevalence in nurses worldwide using 8 academic research databases. Risk of bias, heterogeneity and subgroup analyses were further conducted in the meta-analysis. 113 studies were included for systematic review and 61 studies for the meta-analysis, consisting 45,539 nurses worldwide in 49 countries across multiple specialties. An overall pooled-prevalence of burnout symptoms among global nurses was 11.23%. Significant differences were noted between geographical regions, specialties and type of burnout measurement used. Sub-Saharan African region had the highest burnout symptoms prevalence rate while Europe and Central Asia region had the lowest. Paediatric nurses had the highest burnout symptoms prevalence rates among all specialties while Geriatric care nurses had the lowest. This study is the first study to synthesize published studies and to estimate pooled-prevalence of burnout symptoms among nurses globally. The findings suggest that nurses have high burnout symptoms prevalence warranting attention and implementation. This study serves as an impetus for intervention studies and policy change to improve nurses' work conditions and overall healthcare quality.
世界卫生组织（WHO）最近在《国际疾病分类第11次修订版》（ICD - 11）中将职业倦怠宣布为一种“职业现象”，承认职业倦怠是一个严重的健康问题。在医护人员中，众所周知护士最容易出现职业倦怠症状，这会给患者、其他医护专业人员和医疗组织带来严重后果。有证据表明，护士的职业倦怠症状在各个专业和国家都很普遍，但尚未进行荟萃分析来调查全球护士职业倦怠症状的患病率。我们进行了一项系统评价和荟萃分析，以使用8个学术研究数据库来研究全球护士职业倦怠症状的患病率。在荟萃分析中还进一步进行了偏倚风险、异质性和亚组分析。113项研究纳入了系统评价，61项研究纳入了荟萃分析，涵盖了49个国家多个专业的全球45,539名护士。全球护士职业倦怠症状的总体合并患病率为11.23%。在地理区域、专业和所使用的职业倦怠测量类型之间发现了显著差异。撒哈拉以南非洲地区的职业倦怠症状患病率最高，而欧洲和中亚地区最低。儿科护士在所有专业中职业倦怠症状患病率最高，而老年护理护士最低。这项研究是第一项综合已发表研究并估计全球护士职业倦怠症状合并患病率的研究。研究结果表明，护士职业倦怠症状患病率较高，值得关注和采取措施。这项研究为干预研究和政策变革提供了动力，以改善护士的工作条件和整体医疗质量。
