title: Nurse burnout in China: a questionnaire survey on staffing, job satisfaction, and quality of care.
abstract: OBJECTIVE
  The investigators examined how nurse staffing affects nurse job satisfaction and quality of care.
  
  
  BACKGROUND
  Inadequate nurse staffing is a worldwide issue with profound effects on nurse job satisfaction and quality of care. Few studies have examined the relationship between nurse staffing and job satisfaction and quality of care in China.
  
  
  METHODS
  A cross-sectional design was adopted, wherein 873 nurses were surveyed on demographics, nurse staffing, job-related burnout, job dissatisfaction, intent to leave, and quality of care.
  
  
  RESULTS
  The median patient-nurse ratio was five; 45.1% nurses reported high levels of job-related burnout, and 55.6%, job dissatisfaction. In adjusted regression models, patient-nurse ratios of four or less were related to a decrease in the odds of job dissatisfaction (odds ratio 0.55, 95% confidence interval 0.36-0.85) and increase in the odds of quality of care (odds ratio 1.78, 95% confidence interval 1.02-2.82).
  
  
  CONCLUSIONS
  Nurse staffing is associated with job dissatisfaction and quality of care.
  
  
  CONCLUSIONS
  Nurse managers should maintain an adequate level of nurse staffing, referring to the patient-nurse ratio. They should create new initiatives to increase job satisfaction among nurses and to evaluate their effects.
authors.affiliation: School of Nursing, Fudan University, Shanghai, China.
authors.forename: Minmin
authors.initials: M
authors.lastname: Lu
authors.forename: Hui
authors.initials: H
authors.lastname: Ruan
authors.forename: Weijie
authors.initials: W
authors.lastname: Xing
authors.forename: Yan
authors.initials: Y
authors.lastname: Hu
mesh_terms: D002055:Burnout, Professional / Q000150:complications* / Q000523:psychology; D002681:China; D003430:Cross-Sectional Studies; D006801:Humans; D007588:Job Satisfaction; D009726:Nurses / Q000523:psychology* / Q000706:statistics & numerical data / Q000639:trends; D010561:Personnel Staffing and Scheduling / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards* / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires
keywords: burnout; intent to leave; job dissatisfaction; nurse staffing; quality of care