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Cai X, Zhao T, Chen L, Zhang S, Yu A, Sun X, Gao S, Zhang Y, Wang C, Du J, Liu Y, Lu QB, Cui F. Job burnout among primary healthcare workers during COVID-19 pandemic: cross-sectional study in China. Front Public Health 2023; 11:1266864. [PMID: 38125852 PMCID: PMC10731250 DOI: 10.3389/fpubh.2023.1266864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 11/13/2023] [Indexed: 12/23/2023] Open
Abstract
Objective This study evaluated job burnout among primary healthcare workers (PHCWs) in China during the COVID-19 pandemic, explored its influencing factors, and examined PHCWs' preferences for reducing job burnout. Method We conducted a multicenter cross-sectional study in Heilongjiang, Sichuan, Anhui, Gansu, and Shandong Provinces. An electronic questionnaire survey was conducted through convenience sampling in communities from May to July 2022. We collected sociodemographic characteristics, job burnout level, job satisfaction, and preferred ways to reduce job burnout among PHCWs. Results The job burnout rate among PHCWs in China was 59.87% (937/1565). Scores for each dimension of job burnout were lower among PHCWs who had a better work environment (emotional exhaustion OR: 0.60; depersonalization OR: 0.73; personal accomplishment OR: 0.76) and higher professional pride (emotional exhaustion OR: 0.63; depersonalization OR: 0.70; personal accomplishment OR: 0.44). PHCWs with higher work intensity (emotional exhaustion OR: 2.37; depersonalization OR: 1.34; personal accomplishment OR: 1.19) had higher scores in all job burnout dimensions. Improving work environments and raising salaries were the preferred ways for PHCWs to reduce job burnout. Conclusion Strategies should be developed to improve job satisfaction among PHCWs, enhance their professional identity, and alleviate burnout to ensure the effective operation of the healthcare system, especially during periods of overwork.
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Affiliation(s)
- Xianming Cai
- Department of Epidemiology and Biostatistics, School of Public Health, Peking University, Beijing, China
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Center for Infectious Diseases and Policy Research and Global Health and Infectious Diseases Group, Peking University, Beijing, China
| | - Tianshuo Zhao
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Center for Infectious Diseases and Policy Research and Global Health and Infectious Diseases Group, Peking University, Beijing, China
- Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, China
| | - Linyi Chen
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Center for Infectious Diseases and Policy Research and Global Health and Infectious Diseases Group, Peking University, Beijing, China
- Department of Epidemiology, University of Pittsburgh, Pennsylvania, PA, United States
| | - Sihui Zhang
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Center for Infectious Diseases and Policy Research and Global Health and Infectious Diseases Group, Peking University, Beijing, China
| | - Ailing Yu
- Gansu Provincial Center for Disease Control and Prevention, Lanzhou, Gansu, China
| | - Xihong Sun
- Jining Center for Disease Control and Prevention, Jining, Shandong, China
| | - Shengnan Gao
- Harbin Nangang Center for Disease Control and Prevention, Harbin, Heilongjiang, China
| | - Yuanshan Zhang
- Dezhou Lingcheng Center for Disease Control and Prevention, Dezhou, Shandong, China
| | - Chao Wang
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, China
| | - Juan Du
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, China
| | - Yaqiong Liu
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, China
| | - Qing-Bin Lu
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Center for Infectious Diseases and Policy Research and Global Health and Infectious Diseases Group, Peking University, Beijing, China
- Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, China
| | - Fuqiang Cui
- Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China
- Center for Infectious Diseases and Policy Research and Global Health and Infectious Diseases Group, Peking University, Beijing, China
- Key Laboratory of Epidemiology of Major Diseases (Peking University), Ministry of Education, Beijing, China
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Santana S, Pérez-Rico C. Dynamics of organizational climate and job satisfaction in healthcare service practice and research: a protocol for a systematic review. Front Psychol 2023; 14:1186567. [PMID: 37519364 PMCID: PMC10374222 DOI: 10.3389/fpsyg.2023.1186567] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 05/17/2023] [Indexed: 08/01/2023] Open
Abstract
Organizational climate and job satisfaction have been established as fundamental pillars of research and practice in organizational behavior and organizational psychology, inspiring many explanations and operationalizations over time. In most sectors, global trends such as labor shortages, high rates of turnover and absenteeism, the need to increase productivity, and the interest in new work models concur to keep climate and job satisfaction on top of the research agenda. The situation is particularly acute in the healthcare sector, where related factors have the capacity to influence all aspects of care provision, including patient safety and the physical and mental health of care providers. Nevertheless, a gap in knowledge persists regarding climate, job satisfaction, and their relationships in healthcare services. This protocol describes a study that aims to examine the dynamics of climate and job satisfaction in healthcare organizations from the practice and research perspectives. The protocol complies with PRISMA-P. PRISMA will be used to report the results of the study. Databases will be searched for published studies in May 2023, and we expect to complete the study by December 2024. A framework based on a multi-dimensional concept of quality in research will be used to examine the quality of any studies before inclusion. The results will be disseminated in two systematic reviews. We will describe proposed models depicting the dynamics of climate and job satisfaction in healthcare organizations. We will systematize and discuss available evidence regarding the outcomes of climate and job satisfaction in healthcare work environments. We will synthesize information on research designs and methodological options of included studies. We will identify measures of climate and job satisfaction used in healthcare settings, assess their psychometric properties, and appraise the overall quality of underlying studies. Finally, we expect to identify areas in need of further research.
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Affiliation(s)
- Silvina Santana
- Department of Economics, Management, Industrial Engineering and Tourism, University of Aveiro, Aveiro, Portugal
- Research Unit on Governance, Competitiveness and Public Policies, University of Aveiro, Aveiro, Portugal
| | - Cristina Pérez-Rico
- Economía de la Empresa Department, Rey Juan Carlos University, Madrid, Spain
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