Świtaj Piotr, Baka Łukasz, Kapica Łukasz, Bugajska Joanna, Januszczak Jolanta, Sienkiewicz-Jarosz Halina
Maria Sklodowska-Curie Medical Academy in Warsaw, Pl. Żelaznej Bramy 10, 00-136, Warsaw, Poland.
First Department of Psychiatry, Institute of Psychiatry and Neurology, Warsaw, Poland.
Sci Rep. 2025 Jul 14;15(1):25384. doi: 10.1038/s41598-025-11264-8.
Burnout is common among nurses and undermines their health, well-being and job performance. The purpose of this two-wave longitudinal study was to analyze the relationships between loneliness and three dimensions of burnout (i.e. exhaustion, cynicism and professional efficacy) in this professional group and to test whether these relationships are mediated by insomnia. A total of 520 nurses were assessed at two time points, T1 and T2, six months apart, with a set of self-reported questionnaires including the De Jong Gierveld Loneliness Scale (DJGLS), the Athens Insomnia Scale (AIS) and the Maslach Burnout Inventory - General Survey (MBI-GS). Socio-demographic and work-related characteristics were also recorded. Structural Equation Modeling (SEM) was used to analyze the data. The findings indicate that loneliness was positively associated with cynicism and negatively with professional efficacy, with both direct and total effects being statistically significant. However, the direct effect of loneliness on exhaustion was not confirmed, while the total effect was significant. Insomnia emerged as a significant mediator in each of these relationships. The present study clearly demonstrates the significance of the subjective appraisal of social connections and sleep problems in the development of burnout syndrome among nurses.
职业倦怠在护士群体中很常见,会损害他们的健康、幸福感和工作表现。这项两阶段纵向研究的目的是分析该职业群体中孤独感与职业倦怠的三个维度(即疲惫、玩世不恭和职业效能感)之间的关系,并检验这些关系是否由失眠介导。共有520名护士在两个时间点(T1和T2)接受评估,时间间隔为6个月,使用了一系列自我报告问卷,包括德容·吉尔维尔德孤独量表(DJGLS)、雅典失眠量表(AIS)和马氏职业倦怠量表通用版(MBI-GS)。还记录了社会人口统计学和工作相关特征。采用结构方程模型(SEM)对数据进行分析。研究结果表明,孤独感与玩世不恭呈正相关,与职业效能感呈负相关,直接效应和总效应均具有统计学意义。然而,孤独感对疲惫的直接效应未得到证实,而总效应显著。失眠在这些关系中均为显著的中介变量。本研究清楚地表明了社会联系的主观评价和睡眠问题在护士职业倦怠综合征发展中的重要性。