Investigation of risk factors of psychological acceptance and burnout syndrome among nurses in China: Acceptance and burnout in nurses
Abstract
The objectives of this study were to determine reliability of Chinese version of Acceptance and Action Questionnaire-II (AAQ-II), the relationship between psychological acceptance (PA), and burnout syndrome and their risk factors among nurses in China. The reliability of AAQ-II in Chinese was evaluated first by testing on 111 doctors and 108 nurses in China. On the number of 845 nurses selected from nine city hospitals by using stratified cluster sampling method, the Maslach Burnout Inventory-General Survey was administered to establish the presence of burnout, and the AAQ-II was used to measure their PA. Results showed that the AAQ-II in Chinese had a good test-retest reliability. PA was statistically significantly negatively correlated to the three dimensionalities of burnout among nurses in China. Male and female nurses had a significant difference in PA. Risk factors for burnout were age (25-44 years), marital status (married), gender (male), hospital department (emergency) and position (primary title) as well as PA. The findings provide insights into the risk factors of burnout in Chinese nurses and may have clinical implications in preventing burnout in Chinese nurses.
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Yao et al. (2013) found that acceptance was associated with levels of emotional exhaustion and depersonalisation in a large sample of nurses in China.
“Yao et al. (2013), who in a cross-sectional study, found that acceptance was associated with levels of emotional exhaustion and depersonalisation in a large sample of nurses in China.”
From Examining Potential Psychological Protective and Risk Factors for Stress and Burnout in Social Workers. (2025) · cites this paper as Yao et al., 2013
The AAQ-II has good internal consistency (Cronbach α = 0.84) and the Chinese version has good internal consistency (Cronbach's α = 0.705, standardized item alpha = 0.758).
“The internal consistency of the AAQ-II is good (Cronbach α = 0.84) [28]. In 2013, Yao et al. [29] measured the reliability of Chinese version of Acceptance and Action Questionnaire-II (AAQ-II), which consists of 10 items rated on a Likert scale of 1 ~ 7 points. The score for items 2 ~ 5 and 7 ~ 9 is reversed. The total possible score ranges from 10 to 70, with higher scores representing higher”
From Effect of group-based acceptance and commitment therapy on older stroke survivors: study protocol for a randomized controlled trial. (2023) · cites this paper as [29]
Cites
Acceptance and commitment therapy: model, processes and outcomes
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The Role of Acceptance and Job Control in Mental Health, Job Satisfaction, and Work Performance
Bond, F. W., & Bunce, D. (2003) · Journal of Applied Psychology · doi:10.1037/0021-9010.88.6.1057 · Cited by 711 · see citing works
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Yao, Y., Zhao, S., Gao, X., An, Z., Wang, S., Li, H., Li, Y., Gao, L., Lu, L., & Dong, Z. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3478-y · Cited by 133 · see citing works
Self-citationGarner, E. V., & Golijani-Moghaddam, N. (2021) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2021.06.007 · Cited by 41 · see citing works
Maddock, A. (2025) · Clinical Social Work Journal · doi:10.1007/s10615-024-00924-3 · Cited by 12 · see citing works
“The positive impact that acceptance could have on the emotional exhaustion and depersonalisation was highlighted by Yao et al. (2013), who in a cross-sectional study, found that acceptance was associated with levels of emotional exhaustion and depersonalisation in a large sample of nurses in China.”
Chen, F., Zhou, Q., Wu, J., & Xu, X. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-04160-z · Cited by 5 · see citing works
“[29] measured the reliability of Chinese version of Acceptance and Action Questionnaire-II (AAQ-II), which consists of 10 items rated on a Likert scale of 1 ~ 7 points.”
Method
- Authors
- Yao, Y., Yao, W., Wang, W., Li, H., & Lan, Y.
- Affiliations
- Sichuan University (CN)
- Zhengzhou University (CN)
- Corresponding author
- Lan, Yajia
- Venue
- International Journal of Nursing Practice
- Publisher
- Wiley
- Published
- 2013-07
- Volume
- 19
- Issue
- 5
- Pages
- n/a-n/a
- ISSN
- 1322-7114 (ISSN-L)
- OpenAlex
- W1957473619
- Cited by
- 35
- References
- 4
- Citations by year
- 2024: 4 · 2023: 4 · 2022: 2 · 2021: 6 · 2020: 4 · 2019: 3 · 2018: 3 · 2017: 1 · 2016: 2 · 2015: 3 · 2014: 3
- FWCI
- 8.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Nursing Practice (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- psychological acceptance, burnout, nurses, Acceptance and Action Questionnaire-II, Chinese translation, test-retest reliability, risk factors, gender differences, emergency nursing, burnout prevention
- MeSH terms
- Adaptation, Psychological, Adult, Burnout, Professional, China, Female, Humans, Male, Middle Aged, Nurses, Surveys and Questionnaires, Risk Factors, Reproducibility of Results, Cluster Analysis
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