Relationship between job burnout and occupational stress among doctors in China

The purpose of this study was to explore the status of the job burnout of doctors and the variables associated with this in China. The sample consisted of 543 doctors from three provincial hospitals in China. The Maslach Burnout Inventory-General Survey (MBI-GS) was used to measure burnout, and the occupational stress inventory revised edition was used to measure the two dimensions of occupational adjustment (including occupational stress and coping resources). After the statistical testing for validity and reliability of MBI-GS with nurses in China, the participants' scores were evaluated and analysed. The main results were as follows. The scores of job burnout of the surgeon and physician were significantly higher than the others (p < 0.05). The score of exhaustion (EX) was significantly higher in the 30- to 40-year age group than that in any other groups. The score of professional efficacy (PE) decreased with age, while this increased with educational status. Occupational stress was significantly positively related to all burnout dimensions (p < 0.05), while coping resources correlated negatively to all burnout dimensions. Under multilevel regression, the main significant predictors of EX were role overload, responsibility, physical environment and self-care. The main significant predictors of cynicism were role insufficiency, role overload and responsibility, and of PE were role insufficiency, social support and rational/cognitive coping (p < 0.05). Organizational efforts aimed at reducing occupational stress and strengthening their coping resources among doctors could help prevent job burnout. Copyright (c) 2007 John Wiley & Sons, Ltd.