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The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave
Open accessAbstract
The purpose of this study was to describe nurse burnout, job satisfaction, and intention to leave and to explore the relationship of work environment to nursing outcomes in a sample of 9,698 nurses from 181 hospitals in China. Nurses reported moderate levels of emotional exhaustion and depersonalization and high levels of reduced personal accomplishment. Nearly one-fifth of the nurses reported high levels of burnout on all three dimensions. Forty-five percent of the nurses were dissatisfied with their current job; these nurses were most dissatisfied with their salary. Five percent of nurses reported an intention to leave. Nurses reporting mixed and good work environments were less likely to report high burnout, job dissatisfaction, and intention to leave compared with those in poor work environments. The results suggest that high burnout and low job satisfaction are prominent problems for Chinese nurses, and improving work environment might be an effective strategy for better nursing outcomes in Chinese hospitals.
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“only one study concluded there is an association between work environment and all MBI dimensions [95]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [95]
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Citations
Cites
Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
Aiken, L. H. (2002) · JAMA · doi:10.1001/jama.288.16.1987 · Cited by 5,226
Champion, D. F., & Westbrook, B. W. (1984) · Measurement and Evaluation in Counseling and Development · doi:10.1080/07481756.1984.12022754 · Cited by 2,389
Maslach, C., & Jackson, S. E. (1979) · PsycTESTS Dataset · doi:10.1037/t55656-000 · Cited by 2,360
Development of the practice environment scale of the nursing work index†‡
Lake, E. T. (2002) · Research in Nursing & Health · doi:10.1002/nur.10032 · Cited by 1,769 · cited 1×
“Higher scores indicate agreement that the item is present in the environment, which means a better work environment, and the mean subscale scores are derived by averaging item means for each subscale (Lake, 2002).”
MethodNurses’ Reports On Hospital Care In Five Countries
Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J. A., Busse, R., Clarke, H. F., Giovannetti, P., Hunt, J., Rafferty, A. M., & Shamian, J. (2001) · Health Affairs · doi:10.1377/hlthaff.20.3.43 · Cited by 1,623 · cited 2×
“In this study, 5.1% of nurses expressed an intention to leave their present job in the next 12 months, which was much lower than the findings in Western countries (Aiken et al., 2001) although contract nurses were more likely to report an intention to leave compared with bianzhi nurses.”
BackgroundResultInfluentialEffects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2008) · JONA: The Journal of Nursing Administration · doi:10.1097/01.nna.0000312773.42352.d7 · Cited by 860 · cited 3×
“Following the aggregation method used in similar studies (Aiken et al., 2008; Liu et al., 2012; Nantsupawat et al., 2011), we analyzed the work environment at the hospital level.”
BackgroundMethodEffects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2009) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0b013e3181aeb4cf · Cited by 799
McHugh, M. D., Kutney-Lee, A. M., Cimiotti, J. P., Sloane, D. M., & Aiken, L. H. (2011) · Health Affairs · doi:10.1377/hlthaff.2010.0100 · Cited by 772 · cited 1×
“…with salary and benefits, more than one half of the nurses reported dissatisfaction with their professional status, which was much higher than the reports in the United States, where only 17% of bedside nurses in hospitals indicated dissatisfaction with professional status (McHugh et al., 2011).”
ResultNurse burnout and quality of care: Cross‐national investigation in six countries
Poghosyan, L., Clarke, S. P., Finlayson, M., & Aiken, L. H. (2010) · Research in Nursing & Health · doi:10.1002/nur.20383 · Cited by 574
Importance of work environments on hospital outcomes in nine countries
Aiken, L. H., Sloane, D. M., Clarke, S. P., Poghosyan, L., Cho, E., You, L., Finlayson, C. M., Kanai‐Pak, M., & Aungsuroch, Y. (2011) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzr022 · Cited by 465 · cited 16×
“In this study, work environment was positively related to nursing outcomes, which is consistent with the studies in other countries (Aiken et al., 2011; Van Bogaert et al., 2010).”
BackgroundResultInfluentialSelf-citationHospital staffing, organization, and quality of care: Cross-national findings
Aiken, L. H., Clarke, S. P., & Sloane, D. M. (2002) · Nursing Outlook · doi:10.1067/mno.2002.126696 · Cited by 464
You, L., Aiken, L. H., Sloane, D. M., Liu, K., He, G., Hu, Y., Jiang, X., Li, X., Li, X., Liu, H., et al. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.05.003 · Cited by 381 · cited 1×
“In 2007, about 71% of nursing students in China studied in secondary diploma programs, and only about 7% in baccalaureate programs (You et al., 2010), which means that most nurses in China enter into the nursing profession with lower educational preparation.”
BackgroundSelf-citationNurses’ intention to leave the profession: integrative review
Flinkman, M., Leino‐Kilpi, H., & Salanterä, S. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2010.05322.x · Cited by 321
Nurses and Work Satisfaction: An Index for Measurement
Stamps, P. L. (1998) · AJN American Journal of Nursing · doi:10.1097/00000446-199803000-00017 · Cited by 304
Relationship between burnout and occupational stress among nurses in China
Wu, S., Zhu, W., Wang, Z., Wang, M., & Lan, Y. (2007) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2007.04301.x · Cited by 282 · cited 1×
“A study of 527 nurses from 41 hospitals in Shanghai, China, showed that nurses reported high emotional exhaustion, moderate depersonalization, and low reduced personal accomplishment (Xie et al., 2011).”
BackgroundBogaert, P. V., Clarke, S. P., Roelant, E., Meulemans, H., & de Heyning, P. V. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2009.03128.x · Cited by 245
Lu, H. S., While, A., & Barriball, K. L. (2006) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2006.07.007 · Cited by 232 · cited 2×
“Nursesweremost dissatisfiedwith their salary, and the results were consistent with previous reports (Liu et al., 2011; Lu et al., 2007; McHugh, Kutney-Lee, Cimiotti, Sloane, & Aiken, 2011); yet, the rates of dissatisfaction with salary were much higher than those of nurses in Europe (You et al.,…”
InfluentialNurse burnout and its association with occupational stress in a cross‐sectional study in Shanghai
Xie, Z., Wang, A., & Chen, B. (2011) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2010.05576.x · Cited by 216 · cited 2×
“Xun and Wu (2011) used a six-item questionnaire to measure different levels of turnover intention.”
MethodResultBratt, M., Broome, M. E., Kelber, S. T., & Lostocco, L. (2000) · American Journal of Critical Care · doi:10.4037/ajcc2000.9.5.307 · Cited by 196
Krausz, M., Koslowsky, M., Shalom, N., & Elyakim, N. (1995) · Journal of Organizational Behavior · doi:10.1002/job.4030160308 · Cited by 179
Nursing shortage in China: State, causes, and strategy
Yun, H., Jie, S., & Anli, J. (2010) · Nursing Outlook · doi:10.1016/j.outlook.2009.12.002 · Cited by 167
Liu, K., You, L., Chen, S., Hao, Y., Zhu, X., Zhang, L., & Aiken, L. H. (2012) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2011.03991.x · Cited by 165 · cited 6×
“The item on general satisfaction about current job was used in regression analyses (Liu et al., 2012; You et al., 2013).”
BackgroundMethodInfluentialSelf-citationA comprehensive model for predicting burnout in Korean nurses
Lee, H., Song, R., Cho, Y. S., Lee, G. Z., & Daly, B. (2003) · Journal of Advanced Nursing · doi:10.1046/j.0309-2402.2003.02837.x · Cited by 143
Impact of Nurse Work Environment and Staffing on Hospital Nurse and Quality of Care in Thailand
Nantsupawat, A., Srisuphan, W., Kunaviktikul, W., Wichaikhum, O., Aungsuroch, Y., & Aiken, L. H. (2011) · Journal of Nursing Scholarship · doi:10.1111/j.1547-5069.2011.01419.x · Cited by 131 · cited 5×
“Nantsupawat et al. (2011) reported that 28% of nurses in Thailand were dissatisfied with their job.”
BackgroundMethodInfluentialLiu, C., Zhang, L., Wen-qin, Y., Zhu, J., Cao, J., Lü, X., & Li, F. (2011) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2011.03766.x · Cited by 117 · cited 7×
“A study of 527 nurses from 41 hospitals in Shanghai, China, showed that nurses reported high emotional exhaustion, moderate depersonalization, and low reduced personal accomplishment (Xie et al., 2011).”
BackgroundResultInfluentialSelf-citationKwak, C., Chung, B. Y., Xu, Y., & Eun-Jung, C. (2010) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2010.02.014 · Cited by 117
The impact of nurse empowerment on job satisfaction
Ning, S., Zhong, H., Libo, W., & Li, Q. (2009) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2009.05133.x · Cited by 117
Tourigny, L., Baba, V. V., & Wang, X. (2010) · The International Journal of Human Resource Management · doi:10.1080/09585192.2010.528656 · Cited by 75 · cited 2×
“In this study, work environment was positively related to nursing outcomes, which is consistent with the studies in other countries (Aiken et al., 2011; Van Bogaert et al., 2010).”
BackgroundResultPotential of China in Global Nurse Migration
Fang, Z. Z. (2007) · Health Services Research · doi:10.1111/j.1475-6773.2007.00717.x · Cited by 67
Comparison of nursing: China and the United States.
Kalisch, B. J., & Liu, Y. (2009) · PubMed · Cited by 42
Wang, L., Tao, H., Ellenbecker, C. H., & Liu, X. H. (2012) · International Nursing Review · doi:10.1111/j.1466-7657.2012.01009.x · Cited by 37
China’s Health System Reform and Medical Education
Maignan, M. (2009) · JAMA · doi:10.1001/jama.2009.1353 · Cited by 18
Hudspeth, R. S. (2013) · Nursing Administration Quarterly · doi:10.1097/naq.0b013e3182a2fa65 · Cited by 16 · cited 1×
“These outcomes have received increasing attention because of the widespread shortage of nurses (Hudspeth, 2013), and the hospital work environment has been regarded as an important factor related to nursing outcomes (Aiken, Clarke, & Sloane, 2002).”
BackgroundA study on education capacity and development trend of nursing education in China
Zhu, X. (2010) · Chinese Journal of Nursing Education · Cited by 10
Self-citation李如先, 刘丽, & 张琴 (2011) · The Journal of practical nursing · doi:10.3760/cma.j.issn.1672-7088.2011.33.112 · Cited by 1
Research works printed but not linked: 2
- Gu, 2011, The human resource crisis in the field of Chinese medicine (in Chinese), Journal of China National School of Administration, 6, 17
- Xun, 2011, A Study on the nurse work environment and intention to leave (in Chinese), Chinese Journal of Practical Nursing, 27, 64
Cited by
Sorted by citations
Burnout in nursing: a theoretical review.
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020) · Human Resources for Health · doi:10.1186/s12960-020-00469-9 · Cited by 1,181
Job satisfaction among hospital nurses: A literature review
Lu, H. S., Zhao, Y., & While, A. (2019) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2019.01.011 · Cited by 681
Lake, E. T., Sanders, J., Duan, R., Riman, K. A., Schoenauer, K. M., & Chen, Y. (2019) · Medical Care · doi:10.1097/mlr.0000000000001109 · Cited by 424
Ramírez-Elvira, S., Romero-Béjar, J. L., Suleiman-Martos, N., Gómez-Urquiza, J. L., Monsalve-Reyes, C., Cañadas-De la Fuente, G. A., & Albendín-García, L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182111432 · Cited by 267
“Other authors also found that an improvement in salary [48] leads to improved motivation [49]; as a consequence, job satisfaction increases, and professionals are less prone to suffer burnout syndrome [50].”
BackgroundWang, H., Jin, Y., Wang, D., Zhao, S., Sang, X., & Yuan, B. (2020) · BMC Family Practice · doi:10.1186/s12875-020-1083-8 · Cited by 208
Metadata
- Authors
- Zhang, L.-F., You, L.-M., Liu, K., Zheng, J., Fang, J.-B., Lu, M.-M., Lv, A.-L., Ma, W.-G., Wang, J., Wang, S.-H., Wu, X., Zhu, X.-W., & Bu, X.-Q.
- Affiliations
- Sun Yat-sen University (CN)
- China Medical University (CN)
- Peking University (CN)
- Venue
- Nursing Outlook
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 62
- Issue
- 2
- Pages
- 128-137
- ISSN
- 0029-6554 (ISSN-L)
- PMC
- PMC3959248
- OpenAlex
- W2086028708
- Cited by
- 228
- References
- 35
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 11 · 2023: 15 · 2022: 17 · 2021: 34 · 2020: 31 · 2019: 29 · 2018: 18 · 2017: 20 · 2016: 13 · 2015: 17 · 2014: 4
- FWCI
- 33.42
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nursing Outlook (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- China Medical Board (R01NR004513)
- European Commission
- National Institute of Nursing Research (R01NR004513)
- Topics
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- nurse burnout, job satisfaction, turnover intention, work environment, emotional exhaustion, depersonalization, personal accomplishment, salary dissatisfaction, Chinese nurses, hospital nursing workforce
- MeSH terms
- Adolescent, Adult, Burnout, Professional, China, Female, Humans, Job Satisfaction, Male, Middle Aged, Nursing Staff, Hospital, Personnel Turnover, Retrospective Studies, Salaries and Fringe Benefits, Stress, Psychological, Workplace, Young Adult
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