ArticlePloS one2020
Burnout and associated occupational stresses among Chinese nurses: A cross-sectional study in three hospitals.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 10 citations in OpenAlex.
- Latent profile analysis of self-regulatory fatigue among oncology nurses: a multicenter cross-sectional study.BMC nursing · 2026Article
- A study on the relationship between work stress and turnover intentions among critical care nurses: mediating roles of job satisfaction and burnout.Frontiers in public health · 2026Article
- Article
- Academic burnout and its association with psychological factors among medical students in Guangxi, China.Journal of education and health promotion · 2025Article
- Positive Nursing Practice Environment: A Concept Analysis.Nursing reports (Pavia, Italy) · 2024Article
- Development and Validation of the "Program to Promote Positive Nursing Practice Environments": Modified Delphi Study.Healthcare (Basel, Switzerland) · 2024Article
- Levels and related factors of occupational stress among nurses: hospital-based evidence from China, 2023.Frontiers in psychology · 2024Article
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Authors and funding
7 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is literature scarcity relating to burnout and other work stresses in relation to Chinese nursing-workforce performance.
objectivesTo assess the relationship between self-esteem versus burnout; and effort-reward ratio versus favorability to the work environment, among Chinese nurses.
methodsWe employed four validated questionnaires in the assessment burnout, self-esteem, effort-reward ratio, and favorability of nursing workplace; Maslach-Burnout Inventory (MBI), Rosenberg's self-esteem (RS), Effort-Reward imbalance (ERI) and Work-Environment Scale questionnaires (WES). Linear and ordinal regression models were utilized to assess the relationships between the variables. Analyses were conducted by using SPSS at a 95% level of significance.
resultsWe assessed 487 (Mean age: 38.8±7.1 years) nurses from three hospitals. Higher self-esteem was associated with a lower level of emotional exhaustion (Unstandardized coefficient: -0.579, p-Value<0.001); and a lower level of depersonalization (Unstandardized coefficient: -0.212, p-Value = 0.001). The relationship between self-esteem and personal achievement did not reach statistical significance. A higher effort-reward ratio was associated with less likelihood that nurses would consider their work environment favorable (Logit estimate of -0.832, p-Value = 0.014).
conclusionLower self-esteem is associated with increased burnout. A higher effort-reward ratio is associated with an enhanced perception work environment as unfavorable. We recommend psychosocial intervention programs and amendments in nursing policies to improve effort-reward imbalance among Chinese nurses.
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