title: The association of Chinese hospital work environment with nurse burnout, job satisfaction, and intention to leave.
abstract: 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.
authors.affiliation: School of Nursing, Sun Yat-sen University, Guangzhou, China.
authors.forename: Li-Feng
authors.initials: LF
authors.lastname: Zhang
authors.affiliation: School of Nursing, Sun Yat-sen University, Guangzhou, China. Electronic address: youlm@mail.sysu.edu.cn.
authors.forename: Li-Ming
authors.initials: LM
authors.lastname: You
authors.affiliation: School of Nursing, Sun Yat-sen University, Guangzhou, China.
authors.forename: Ke
authors.initials: K
authors.lastname: Liu
authors.affiliation: School of Nursing, Sun Yat-sen University, Guangzhou, China.
authors.forename: Jing
authors.initials: J
authors.lastname: Zheng
authors.affiliation: School of Nursing, Sichuan University, Chengdu, China.
authors.forename: Jin-Bo
authors.initials: JB
authors.lastname: Fang
authors.affiliation: School of Nursing, Fudan University, Shanghai, China.
authors.forename: Min-Min
authors.initials: MM
authors.lastname: Lu
authors.affiliation: Department of Nursing, Xi'an Jiaotong University, Xi'an, China.
authors.forename: Ai-Li
authors.initials: AL
authors.lastname: Lv
authors.affiliation: School of Nursing, Peking Union Medical College, Beijing, China.
authors.forename: Wei-Guang
authors.initials: WG
authors.lastname: Ma
authors.affiliation: School of Nursing, China Medical University, Shenyang, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Wang
authors.affiliation: School of Nursing, Central South University, Changsha, China.
authors.forename: Shu-Hong
authors.initials: SH
authors.lastname: Wang
authors.affiliation: School of Nursing, Peking University, Beijing, China.
authors.forename: Xue
authors.initials: X
authors.lastname: Wu
authors.affiliation: School of Nursing, Sun Yat-sen University, Guangzhou, China.
authors.forename: Xiao-Wen
authors.initials: XW
authors.lastname: Zhu
authors.affiliation: School of Nursing, Sun Yat-sen University, Guangzhou, China.
authors.forename: Xiu-Qing
authors.initials: XQ
authors.lastname: Bu
mesh_terms: D000293:Adolescent; D000328:Adult; D002055:Burnout, Professional / Q000523:psychology*; D002681:China; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology*; D010563:Personnel Turnover; D012189:Retrospective Studies; D012456:Salaries and Fringe Benefits; D013315:Stress, Psychological / Q000523:psychology; D017132:Workplace / Q000523:psychology*; D055815:Young Adult
keywords: Burnout; Job satisfaction; Nurse; Nursing in China; Retention; Turnover; Work environment