Evidence map›Paper›PMID 41033772›Full record

Observational studyBMJ open2025

Burnout and job stress in healthcare professionals: a single-centre cross-sectional study in an East China tertiary hospital after COVID-19 policy adjustment.

Wensai Ji, Yang Liu, Qing Sun, Di Wu, Tao Liu, Ping Sun

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Wensai JiNo.14 College of Clinical Medicine, Qingdao University, Qingdao, Shandong, People's Republic of China.
Yang LiuDepartment of Neurosurgery, Changhai Hospital, Naval Medical University, Shanghai, Shanghai, People's Republic of China.
Qing SunDepartment of Military and Special Medicine, No. 971 Hospital of the PLA Navy, Qingdao, Shandong, People's Republic of China.
Di WuDepartment of Military and Special Medicine, No. 971 Hospital of the PLA Navy, Qingdao, Shandong, People's Republic of China.
Tao LiuDepartment of Infectious Diseases, No.971 Hospital of the PLA Navy, Qingdao, Shandong, People's Republic of China.
Ping SunQingdao Mental Health Center, Qingdao, Shandong, People's Republic of China drsunping@163.com.ORCID http://orcid.org/0009-0005-7022-3511

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo examine the relationship between job stress and job burnout among healthcare professionals (HPs) in a tertiary hospital in East China following the adjusted COVID-19 prevention policies and to explore the effects of demographic and work environment factors on burnout and its subtypes (emotional exhaustion (EE), depersonalisation (DP), personal accomplishment (PA)).

designCross-sectional, using a questionnaire-based survey method.

settingA tertiary hospital located in Qingdao, East China.

participantsA total of 434 HPs were included, with 138 men (31.8%) and 296 women (68.2%); the mean age was 35.05±7.96 years. Participants included physicians (37.1%), clinical nurses (49.5%), clinical pharmacists (3.9%), medical technicians (5.1%) and administrative staff (4.4%). Demographic factors (age, sex, marital status, education level, professional title, length of employment, income) and work-related factors (weekly working hours, sleep duration) were collected.

interventionsNo specific interventions were implemented; this was an observational study focusing on the burnout assessment and associated factors. PRIMARY AND SECONDARY OUTCOME MEASURES: Primary outcomes: burnout levels assessed via the Chinese version of the Maslach Burnout Inventory-Human Services Survey (MBI-HSS), including three subscales: EE (9 items), DP (5 items) and PA (8 items). Severe burnout was defined as meeting 'high-level' criteria for all three subscales (EE ≥27, DP ≥10, PA ≤33). SECONDARY OUTCOMES: demographic (sex, professional role, length of employment) and work-related (weekly working hours, daily sleep duration) factors associated with burnout.

resultsAmong 434 HPs, 74 (17.1%) experienced severe burnout. The median scores of MBI-HSS subscales were 17 (IQR: 9-27) for EE, 3 (IQR: 0-7) for DP and 37 (IQR: 27.75-43) for PA. Multivariate logistic regression showed that: nurses had a higher risk of high EE than physicians (OR=2.86, 95% CI: 1.32 to 6.21, p<0.05); weekly working hours >40 hours (OR=2.30, 95% CI: 1.32 to 3.99, p<0.01) and daily sleep duration <6 hours (OR=2.17, 95% CI: 1.15 to 4.09, p<0.05) were independent risk factors for high EE and severe burnout; men were more likely to have reduced PA (OR=1.82, 95% CI: 1.13 to 2.93, p<0.05).

conclusionsA high prevalence of severe burnout (17.1%) was observed among HPs after COVID-19 policy adjustment. Key risk factors include being a nurse, long working hours (>40 hours/week), short sleep duration (<6 hours/day) and male sex (for reduced PA). Targeted interventions (eg, workload optimisation, sleep support) should prioritise young, inexperienced HPs and nurses to mitigate burnout in healthcare settings.

Indexed as

Burnout, ProfessionalCOVID-19Health PersonnelOccupational StressAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSARS-CoV-2Surveys and QuestionnairesTertiary Care CentersBurnoutCOVID-19Primary PreventionProfessional

Identifiers

PMID41033772
PMCPMC12496090

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.