Lee Kun Yun, Zakaria Nursyahda, Zakaria Norhaniza
Institute for Health Management, Centre of Leadership and Professional Development, Shah Alam, Malaysia.
Institute for Health Management, Shah Alam, Malaysia.
SAGE Open Nurs. 2024 Apr 5;10:23779608241245212. doi: 10.1177/23779608241245212. eCollection 2024 Jan-Dec.
Shift workers follow nonstandard schedules that encompass overnight duty, rotational timetables, or permanent night work which can lead to misaligned core circadian physiology. Shift work has been associated with sleep deprivation, burnout, and metabolic syndrome among healthcare workers.
We aimed to examine if shift nurses working in Malaysian public hospitals are more predisposed to burnout and to determine the predictors of burnout in this profession.
This national-level cross-sectional study was conducted among nurses in public hospitals in Malaysia between July and November 2019 using self-administered questionnaires. Maslach Burnout Inventory-Human Service Survey was used to determine burnout. Multistage stratified sampling was used to recruit nurses from 32 hospitals. A complex sampling analysis was performed.
Among the 1,491 hospital nurses, more than half (70.8%) of them followed shift work schedules. Shift nurses were mostly below 40 years old (80.9%), diploma holders (87.2%), and of lower professional grades (64.2%). The prevalence of overall burnout, as well as the domains of emotional exhaustion and depersonalization, was higher among shift nurses (27.1%) as compared to their counterparts (22.4%). Nurses who performed more than six night shifts per month were 2.6 times more predisposed to burnout.
Shift work is integral to ensure round-the-clock nursing care for patients. However, nurses are increasingly faced with more shift duties due to heavy patient loads and staff shortages. Modified work schedules must be implemented to provide sufficient rest time for shift nurses to mitigate burnout. Additionally, proper human resource projection and distribution are imperative to prevent worsening burnout.
轮班工作者遵循非标准的工作时间表，包括通宵值班、轮流排班或长期夜班，这可能导致核心昼夜生理节律失调。轮班工作与医护人员的睡眠剥夺、职业倦怠和代谢综合征有关。
我们旨在研究马来西亚公立医院的轮班护士是否更容易出现职业倦怠，并确定该职业中职业倦怠的预测因素。
2019年7月至11月，在马来西亚公立医院的护士中进行了这项国家级横断面研究，使用自填式问卷。采用马氏职业倦怠量表-人类服务调查来确定职业倦怠情况。采用多阶段分层抽样从32家医院招募护士，并进行复杂抽样分析。
在1491名医院护士中，超过一半（70.8%）的护士遵循轮班工作计划。轮班护士大多年龄在40岁以下（80.9%），持有文凭（87.2%），专业等级较低（64.2%）。与非轮班护士（22.4%）相比，轮班护士的总体职业倦怠患病率以及情感耗竭和去个性化领域的患病率更高（27.1%）。每月值夜班超过六次的护士出现职业倦怠的倾向是其他护士的2.6倍。
轮班工作对于确保为患者提供全天候护理至关重要。然而，由于患者负荷过重和人员短缺导致护士面临越来越多的轮班任务。必须实施调整后的工作时间表，为轮班护士提供足够的休息时间以减轻职业倦怠。此外，进行适当的人力资源规划和分配对于防止职业倦怠恶化至关重要。
