Study On Job Burnout And Its Influencing Factors Among Medical Staff For Tuberculosis Prevention And Treatment From Different Heath Facilities In Yunnan Province

Objective:Through the investigation of job burnout among medical staff for Tuberculosis(TB) prevention and treatment from different heath facilities in Yunnan province, evaluation the burnout status of them, analysis the influence factors, put forward the policy recommendations to relieve the job burnout of medical staff for TB prevention and treatment, and stable team construction.Methods:Quantitative survey and qualitative interview methods were used in this study. On the basis of literature review about job burnout of medical staff, I designed a questionnaire to collect data. The questionnaire includes five parts: demographic and sociologic feature, basic job characteristics, relevant professional identity, social support rating scale (SSRS), Maslach Burnout Inventory-Human Service Survey (MBI-HSS). Stratified sampling and cluster sampling were used to investigate the medical staff for TB prevention and treatment among 2 specialized TB hospitals,29 counties (districts) designated hospitals and 29 counties (districts) CDC in 3 cities. By using epidata 3.1 entry data, SPSS 19.0 software for statistical analysis. Using proportions, mean, standard deviation for statistical description, and chi square test, rank test, variance analysis and ordinal logistic regression analysis for statistical analysis.Explore the relationship between demographic and sociologic feature, basic job characteristics, relevant professional identity, social support rating and job burnout. Qualitative interview was carried out by one to one, face-to-face interview, contents were:(1) general demographic data. Including gender, age, education, marital status, children, professional titles, income, post; (2) Occupational experience. Including occupational stress, occupational environment, occupational risk, etc. (3) The job burnout and the reasons.Results:11160 medical staffs for TB prevention and treatment participate the survey,1110 valid questionnaires, the effective response rate was 95.69%. In these 1110 staffs, there are 774 in different levels of job burnout, the detection rate was 70.60%, mild, moderate, severe burnout detection rates were 41.2%,22.5%,6.9%. In general, the job burnout of medical staffs for TB prevention and treatment was more serious.2 Burnout detection rate of medical staffs from specialized TB hospitals was 82.56%, mild, moderate and severe burnout detection rate respectively 38.37%, 32.56% and 11.63%, higher than county (District) designated hospitals(burnout detection rate of 67.92%, mild, moderate and severe burnout detection rate respectively 42.26% and 20.08%,5.58%) and county (District) CDC(burnout detection rate was 62.22%, mild, moderate and severe burnout detection rate were 40.74% and 16.30%,5.19%). Job burnout degree of medical staffs for TB prevention and treatment from county (District) designated hospitals and county (District) CDC TB were similar.3 Relationship with colleagues, frank TB control and treatment worker identity, friends support TB control and treatment work, have prejudice on TB patients for fear of infection, family hope left TB control and treatment post, subjective support, support utilization degree, type of position, anti working years, average annual training times, average monthly service for TB patients are the influencing factors of burnout.4 Qualitative study found that 85% of the interviewed performance object out of strong sense of job burnout,69% said wanted to leave the post of TB control and treatment, main reasons include:occupational exposure risk is high, and the lack of effective safeguards; heavy workload, lack of human resources; lack of a sense of professional achievement; low wages, poor sense of job identity; the misunderstanding and prejudice from public who lacking of consciousness of TB; insufficient of leadership attention.Conclusions:1 Detection rate of job burnout of medical staff for TB control and treatment in Yunnan province was high, the degree was more serious, relevant health administrative departments and institutions should care this problem;2 There is a long to go for TB prevention and treatment, lack of human resources will lead the medical staffs to suffer from the long-term overload work. It is one of the reasons that lead to the serious job burnout of medical staff for TB control and treatment;3 The risk of TB infection was more greater than others and there is no professional risk guarantee policy, long-term lack of working environment security, medical staffs for TB control and treatment easy to cause job burnout;4 Low satisfaction with pay and returns, and can not see the achievement of the work in the short term. Low occupational achievement make the medical staffs for EB control and treatment easy to produce job burnout;5 Lack of relevant training would reduce the work enthusiasm of medical staffs for TB control and treatment, resulting in job burnout;6 Public recognition and understanding of TB prevention and treatment work can reduce the incidence of job burnout;7 Improving social support had a great effect on reducing the job burnout of medical staffs for TB control and treatment;8 Improve the quality of personnel and improve the ability to use social support, were beneficial to reduce job burnout;9 Get along well with colleagues could alleviate job burnout, we should care strengthen the team building.