Abstract
With the increasing complexity of the healthcare environment, the issue of nurse burnout has gradually received attention. Based on the operating room, emergency centre, ICU and outpatient clinic of a tertiary hospital in Guangzhou City, this study explores the relationship between the scheduling system, psychological support and nurse burnout, and provides a basis for the development of intervention strategies; this study uses Burnout Theory and Demand-Control-Support Model as the theoretical basis for designing a questionnaire containing three dimensions: scheduling system, psychological support and nurse burnout. Burnout Theory and Demand-Control-Support Model As the theoretical basis, this study designed a questionnaire containing three dimensions: scheduling system, psychological support and burnout. Descriptive statistics, reliability and validity tests, and correlation analyses were conducted using SPSS 22.0 on 124 nurses; the study showed that nurses generally had a high level of burnout (mean value 4.82), scheduling system had a significant negative correlation with psychological support (r=-0.390, p<0.01), scheduling system had a weak negative correlation with burnout (r=- 0.212, p<0.01), and scheduling system had a weak negative correlation with burnout (r=- 0.212, p<0.01). 0.212, p<0.05), and a non-significant correlation between psychological support and burnout (r=0.36, p=0.688), proving that the current psychological support measures have limited effect or are insufficient to meet the needs of the nursing workforce; the existing scheduling arrangement leads to work-life imbalance, which increases the need for psychological support; however, the existing psychological support measures have not yet been effective in improving burnout.
References
Abbaszadeh R, Ahmadi F, Khoobi M, et al. (2024) Contributors to fatigue among nurses working in critical care units: A qualitative study. Nursing in Critical Care.
Ayala E, Carnero A M (2013). Determinants of burnout in acute and critical care military nursing personnel: a cross-sectional study from Peru. PloS one, 8(1): e54408.
Bianchini C, Copeland D (2021). The use of mindfulness-based interventions to mitigate stress and burnout in nurses. Journal for nurses in professional development, 37(2): 101-106.
Bourbonnais R, Comeau M, Vezina M, et al. (1998). Job strain, psychological distress, and burnout in nurses. American journal of industrial medicine, 34(1): 20-28.
Cao X, Chen L, Tian L, et al. (2016). The effect of perceived organisational support on burnout among community health nurses in China: the mediating role of professional self‐concept. Journal of nursing management, 24(1): E77-E86.
Choi M Y, Park S, Noh G O (2024). Social support for nursing students: A concept analysis study. Nurse Education Today, 132: 106038.
Colindres C V, Bryce E, Coral‐Rosero P, et al. (2018).Effect of effort‐reward imbalance and burnout on infection control among Ecuadorian nurses. International nursing review, 65(2): 190-199.
Dall’Ora C, Ball J, Reinius M, et al. (2020). Burnout in nursing: a theoretical review. Human resources for health, 18: 1-17.
dos Santos T M, Kozasa E H, Carmagnani I S, et al.( 2016). Positive effects of a stress reduction program based on mindfulness meditation in Brazilian nursing professionals: Qualitative and quantitative evaluation. Explore, 12(2): 90-99.
Geuens N, Franck E, Verheyen H, et al.(2021). Vulnerability and stressors for burnout within a population of hospital nurses: A qualitative descriptive study. Canadian Journal of Nursing Research, 53(1): 16-26.
GUO Na, ZHANG Meng, WU Xinjuan, et al. (2022). Survey and analysis of the current situation of new nurses' satisfaction with standardised training and its influencing factors. China Nursing Management, 22(1): 101-106.
Jakovljevic B, Stojanovic K, Nikolic Turnic T, et al. (2021). Burnout of physicians, pharmacists and nurses in the course of the COVID-19 pandemic: A Serbian cross-sectional questionnaire study. International journal of environmental research and public health, 18(16): 8728.
Kapu A N, Card E B, Jackson H, et al. (2021) Assessing and addressing practitioner burnout: Results from an advanced practice registered nurse health and well-being study. Journal of the American Association of Nurse Practitioners, 33(1): 38-48.
Karasek Jr R A (1979). Job demands, job decision latitude, and mental strain: Implications for job redesign. Administrative science quarterly, 285-308.
Kelly L A, Gee P M, Butler R J (2021). Impact of nurse burnout on organizational and position turnover. Nursing outlook, 69(1): 96-102.
Khan F A, Shamim M H, Ali L, et al. (2019). Evaluation of job stress and burnout among anesthesiologists working in academic institutions in 2 major cities in Pakistan. Anesthesia & Analgesia, 128(4): 789-795.
Klein C J, Weinzimmer L G, Cooling M, et al. (2020) Exploring burnout and job stressors among advanced practice providers. Nursing outlook, 68(2): 145-154.
Lambrou P, Merkouris A, Middleton N, et al. (2014). Nurses’ perceptions of their professional practice environment in relation to job satisfaction: A review of quantitative studies. Health Science Journal, 8(3): 298-317.
Laschinger H K S, Fida R (2014). New nurses burnout and workplace wellbeing: The influence of authentic leadership and psychological capital. Burnout research, 1(1): 19-28.
Liu He (2017). Impact of team psychoeducational training on operating theatre nurses' burnout. Nursing Practice and Research, 14(09):83-85.
Luo D, Song Y, Cai X, et al. (2022). Nurse managers' burnout and organizational support: The serial mediating role of leadership and resilience. Journal of Nursing Management, 30(8): 4251-4261.
Maslach C, Jackson S E. (1981). The measurement of experienced burnout. Journal of organizational behavior, 2(2): 99-113.
Maslach C, Leiter M P (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World psychiatry, 15(2): 103-111.
Maslach C, Leiter M P (2016). Understanding the burnout experience: recent research and its implications for psychiatry. World psychiatry, 15(2): 103-111.
Mealer M, Conrad D, Evans J, et al. (2014). Feasibility and acceptability of a resilience training program for intensive care unit nurses. American Journal of Critical Care, 23(6): e97-e105.
Min A, Min H, Hong H C (2019). Work schedule characteristics and fatigue among rotating shift nurses in hospital setting: An integrative review. Journal of nursing management, 27(5): 884-895.
Payne N (2001). Occupational stressors and coping as determinants of burnout in female hospice nurses. Journal of advanced nursing, 33(3): 396-405.
Peng J, Jiang X, Zhang J, et al. (2013). The impact of psychological capital on job burnout of Chinese nurses: the mediator role of organizational commitment. PloS one, 8(12): e84193.
Ruiz‐Fernández M D, Ortíz‐Amo R, Ortega‐Galán Á M, et al. (2020). Mindfulness therapies on health professionals. International journal of mental health nursing, 29(2): 127-140.
Salazar J, Pérez-Bracchiglione J, Salas-Gama K, Antequera A, Auladell-Rispau A, Dorantes-Romandía R, Meade AG, Jesús Quintana M, Requeijo C, Rodríguez-Grijalva G, Santero M, Acosta-Dighero R, Solà I, Urrútia G, Bonfill Cosp X (2021). Systemic Treatments for Advanced Digestive Cancer Research. Efficacy of systemic oncological treatments in patients with advanced pancreatic cancer at high risk of dying in the short or medium-term: overview of systematic reviews. Eur J Cancer. Sep; 154:82-91. doi: 10.1016/j.ejca.2021.05.034. Epub 2021 Jul 9. PMID: 34252759.
Şenol Çelik S, Sariköse S, Çelik Y (2024). Structural and psychological empowerment and burnout among nurses: A systematic review and meta‐analysis. International Nursing Review, 71(1): 189-201.
Sergey L E E, ROZYBAKIEVA Z, ASIMOV M, et al. (2020). Coping strategy as a way to prevent emotional burnout in primary care doctors: a randomized controlled trial.
Sharin I A, Jinah N, Bakit P, et al. (2024). Psychoeducational Burnout Intervention for Nurses: Protocol for a Systematic Review. JMIR Research Protocols, 13(1): e58692.
Song, G., & Landicho, L. C. (2023). Psychological capital, work stress and burnout among Chinese clinical nurses. International Journal of Research Studies in Psychology, 9(1), 35-69. https://doi.org/10.5861/ijrsp.2023.2004
Spinelli C, Wisener M, Khoury B (2019). Mindfulness training for healthcare professionals and trainees: A meta-analysis of randomized controlled trials. Journal of Psychosomatic Research, 120: 29-38.
Suleiman‐Martos N, Gomez‐Urquiza J L, Aguayo‐Estremera R, et al. (2020). The effect of mindfulness training on burnout syndrome in nursing: a systematic review and meta‐analysis. Journal of advanced nursing, 76(5): 1124-1140.
Tang Y, Wang Y, Zhou H, et al. (2023). The relationship between psychiatric nurses’ perceived organizational support and job burnout: Mediating role of psychological capital. Frontiers in Psychology, 14: 1099687.
Taormina R J, Law C M (2000). Approaches to preventing burnout: the effects of personal stress management and organizational socialization. Journal of Nursing management, 8(2): 89-99.
Verweij H, van Ravesteijn H, van Hooff M L M, et al. (2018). Mindfulness-based stress reduction for residents: a randomized controlled trial. Journal of general internal medicine, 33: 429-436.
Yan Rui,Wang Hongli,Gao Feng(2021). Effects of positive stress reduction therapy on nurses' sense of occupational gain, burnout and psychological health. Chinese Journal of Health Psychology, 29(11): 1679-1683.DOI:10.13342/j.cnki.cjhp.2021.11.017.
Yang Y, Hayes J A (2020). Causes and consequences of burnout among mental health professionals: A practice-oriented review of recent empirical literature. Psychotherapy, 57(3): 426.
ZHANG Qian, ZHANG Xiujun, HU Chengyang, ZHAO Jianing (2021). Analysis of the current situation of nurse burnout and its influencing factors. Journal of Bengbu Medical University, 46(2): 232-236. DOI: 10.13898/j.cnki.issn.1000-2200.2021.02.025
Zheng, S., & Han, M. (2024). The impact of AI enablement on students’ personalized learning and countermeasures—A dialectical approach to thinking. Journal of Infrastructure, Policy and Development.
Zheng, S., Han, M. (2024). Management of Adolescent Sex Education—Thinking about “Teaching” and “Prevention”. Advances in Education,14(12): 171-178. DOI: 10.12677/ae.2024.14122249.
Zheng, S., Song, M., & Han, M. (2024). Research on the Multidimensional Value and Communication Practice of Adolescent Sex Education in China. Journal of Modern Social Sciences, 1(2), 456-463.
Zhong Qin, Geng Hua, Weng Yanling, et al. (2019). Evaluation of nursing work interruption, multitasking and mental load based on time-action method. China Nursing Management, 18(8): 1029-1033.
Zubairi A J, Noordin S (2016). Factors associated with burnout among residents in a developing country. Annals of medicine and surgery, 6: 60-63.

This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2025 Shaoxin Zheng (Co-Authors); Ting Li, Ming Han, Meijuan Wu (Author)