The Effect of Job Stress on Job Burnout of Operating Room Nurses in Primary Hospitals: The Mediating Role of Self-efficacy

Abstract

Objective: To explore the current situation of job stress, self-efficacy and job burnout of operating room nurses in primary hospitals, analyze the influence mechanism of job stress on job burnout, and focus on verifying the mediating role of self-efficacy in it, so as to provide theoretical basis for nursing managers in primary hospitals to formulate targeted interventions and reduce the level of job burnout of nurses. Methods: A total of 120 operating room nurses from 6 secondary primary hospitals in Baise City were selected as the research objects by convenient sampling method. A questionnaire survey was conducted using the General Information Questionnaire, the Chinese Nurse Job Stressor Scale, the General Self-Efficacy Scale, and the Masler Burnout Inventory. SPSS 26.0 software was used for statistical description, t test, analysis of variance, Pearson correlation analysis, multiple linear regression analysis and Bootstrap method to test the mediating effect. Results: The total score of working pressure of operating room nurses in primary hospitals was (85.42 ± 12.36), which was above the middle level. The total score of self-efficacy was (22.15 ± 5.48), which was at a medium level. The total score of job burnout was (68.93 ± 15.27), and the score of emotional exhaustion was higher. There was a significant positive correlation between work stress and job burnout (r = 0.612, P < 0.01). There was a significant negative correlation between work stress and self-efficacy (r = -0.485, P < 0.01). There was a significant negative correlation between self-efficacy and job burnout (r = -0.534, P < 0.01). Multiple regression analysis showed that job stress could still significantly positively predict job burnout (β = 0.542, P < 0.01) after controlling demographic variables such as educational background, professional title and working years. The results of Bootstrap test showed that the mediating effect of self-efficacy between job stress and job burnout was significant, and the mediating effect value was 0.156, accounting for 24.8 % of the total effect value. Conclusion: The operating room nurses in primary hospitals generally have high work pressure and job burnout, and their self-efficacy is at a medium level. Job stress not only directly affects job burnout, but also indirectly aggravates job burnout by reducing self-efficacy. Nursing managers should pay attention to the psychological status of operating room nurses, improve their self-efficacy through professional training and psychological counseling, so as to block the transmission path of work pressure to job burnout and stabilize the primary care team.