Liu Si-Cheng, Xu Yuan, Yang Ming, Sun Jia-Yi, Qin Qi-Rong, Fang Gui-Xia
School of Health Management, Anhui Medical University, Hefei, China.
Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
Front Public Health. 2025 Jun 26;13:1581624. doi: 10.3389/fpubh.2025.1581624. eCollection 2025.
To explore the complex associations between job burnout, career identity, and work-family support among primary healthcare workers from a network perspective.
Data were sourced from primary healthcare institutions in China's central provinces. We used the Maslach Burnout Inventory Comprehensive Survey, a career identity scale tailored for primary healthcare workers, and the Chinese version of the Work-Family Support Questionnaire. A Gaussian network model was used to identify key factors, with "central nodes" being those that strongly influence others and "bridge nodes" connecting different parts of the network.
Of the 8,135 participants surveyed, 5,120 (62.9%) reported job burnout. Compared to those with burnout, the non-burnout group scored higher in career identity, family support, and work support (54.29 vs. 49.42; 71.58 vs. 61.26; 35.03 vs. 31.20; < 0.001). Network analysis revealed structural differences in the burnout-support-identity networks between groups after propensity score matching (M = 0.261, < 0.001). In both groups, "understanding of role, content and requirements" were central nodes, while "work and family support" served as bridge nodes. Burnout was closely related to work support, family support, job suitability, and media criticism.
Targeting central and bridge nodes can help reduce job burnout among primary healthcare workers.
从网络视角探讨基层医护人员职业倦怠、职业认同和工作-家庭支持之间的复杂关联。
数据来源于中国中部省份的基层医疗机构。我们使用了马氏职业倦怠量表综合调查、专门为基层医护人员量身定制的职业认同量表以及中文版的工作-家庭支持问卷。采用高斯网络模型来识别关键因素，“中心节点”是那些对其他因素有强烈影响的因素，“桥梁节点”则连接网络的不同部分。
在8135名接受调查的参与者中，5120人（62.9%）报告有职业倦怠。与有职业倦怠的人相比，无职业倦怠组在职业认同、家庭支持和工作支持方面得分更高（54.29对49.42；71.58对61.26；35.03对31.20；<0.001）。倾向得分匹配后，网络分析显示两组在职业倦怠-支持-认同网络结构上存在差异（M = 0.261，<0.001）。在两组中，“对角色、内容和要求的理解”都是中心节点，而“工作和家庭支持”则作为桥梁节点。职业倦怠与工作支持、家庭支持、工作适应性和媒体批评密切相关。
针对中心节点和桥梁节点有助于降低基层医护人员的职业倦怠。
