School of Public Administration, Shandong Normal University, Jinan, Shandong, China.
Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
J Clin Nurs. 2024 Oct;33(10):3933-3942. doi: 10.1111/jocn.17035. Epub 2024 Jan 29.
This study explores the situation of workload, work-family conflict and job burnout among primary health workers in China in the context of COVID-19 and identifies the mediating effect of work-family conflict between workload and job burnout.
Since the breakout of the COVID-19 pandemic, primary health workers have been working on the frontline of the epidemic and may experience increasing workload, work-family conflict and job burnout. It is important to focus on the issue of how to alleviate job burnout of primary health workers.
A cross-sectional study (STROBE) was used.
Data were collected from 785 primary health workers in China. Multiple regression analysis was used to examine the mediating effect of work-family conflict between workload and job burnout.
18.7%, 10.4% and 39.5% of respondents had high job burnout in the dimensions of emotional exhaustion, depersonalization and personal accomplishment, respectively. 34.6% of the respondents had high or very high workload, and 12.8% of the respondents had high or very high work-family conflict. Results of multiple regression analysis indicated that work-family conflict mediated the relationship between workload and job burnout. Workload (β = .163, CI = .207-.549) and work-family conflict (β = .211, CI = .311-.640) positively influenced job burnout, and workload (β = .428, CI = .375-.508) positively influenced work-family conflict.
The study indicated that primary health workers experienced a high level of job burnout, especially in the personal accomplishment dimension. Furthermore, this study verified the mediating effect of work-family conflict between workload and job burnout.
Some interventions for alleviating workload, work-family conflict and job burnout should be taken, including workplace assistance programmes, family-friendly policies and a well-integrated healthcare system.
This study does not involve patient or public contribution in any part.
Nurses and other primary health workers are health gatekeepers of residents and play a vital role in the healthcare system. Due to the breakout of COVID-19, they have taken more work and are more vulnerable to work overload, work-family conflict and the consequent job burnout. Some interventions should be taken to effectively alleviate their job burnout and improve their health and performance.
本研究探讨了 COVID-19 背景下中国基层卫生工作者的工作量、工作家庭冲突和职业倦怠状况，并确定了工作家庭冲突在工作量和职业倦怠之间的中介作用。
自 COVID-19 疫情爆发以来，基层卫生工作者一直在疫情一线工作，可能会面临越来越大的工作量、工作家庭冲突和职业倦怠。关注如何减轻基层卫生工作者的职业倦怠问题至关重要。
采用横断面研究（STROBE）。
数据来自中国 785 名基层卫生工作者。采用多元回归分析检验工作家庭冲突在工作量和职业倦怠之间的中介作用。
分别有 18.7%、10.4%和 39.5%的受访者在情绪耗竭、去人格化和个人成就感维度上存在高度职业倦怠。34.6%的受访者工作量高或非常高，12.8%的受访者工作家庭冲突高或非常高。多元回归分析结果表明，工作家庭冲突在工作量和职业倦怠之间起中介作用。工作量（β=0.163，CI=0.207-0.549）和工作家庭冲突（β=0.211，CI=0.311-0.640）正向影响职业倦怠，工作量（β=0.428，CI=0.375-0.508）正向影响工作家庭冲突。
研究表明，基层卫生工作者经历了高度的职业倦怠，尤其是在个人成就感维度上。此外，本研究验证了工作家庭冲突在工作量和职业倦怠之间的中介作用。
应采取一些干预措施来减轻工作量、工作家庭冲突和职业倦怠，包括工作场所援助计划、家庭友好政策和整合良好的医疗保健系统。
本研究的任何部分均不涉及患者或公众的贡献。
护士和其他基层卫生工作者是居民的健康守门人，在医疗保健系统中发挥着至关重要的作用。由于 COVID-19 的爆发，他们承担了更多的工作，更容易出现工作超负荷、工作家庭冲突和随之而来的职业倦怠。应采取一些干预措施，有效减轻他们的职业倦怠，提高他们的健康和绩效。
