Mental health status of mental health nurses in China: Results from a national survey

doi:10.1111/jpm.12893

. 2023 Jun;30(3):547-557.

doi: 10.1111/jpm.12893. Epub 2023 Jan 9.

Mental health status of mental health nurses in China: Results from a national survey

Peicheng Wang^{1

2}, Yi-Lang Tang^{3

4}, Yanhua Chen^{1

2}, Yanrong He¹, Lin Li⁵, Xinxin Han⁶, Yuanli Liu⁷, Tingfang Liu⁸, Huanzhong Liu⁹, Feng Jiang^{10

11}, Jiming Zhu^{1

12}

Affiliations

¹ Vanke School of Public Health, Tsinghua University, Beijing, China.
² School of Medicine, Tsinghua University, Beijing, China.
³ Mental Health Service Line, Atlanta VA Medical Center, Decatur, Georgia, USA.
⁴ Addiction Psychiatry Fellowship Program, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, USA.
⁵ Institute for Hospital Management of Tsinghua University, Shenzhen, China.
⁶ School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
⁷ School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
⁸ Master of Public Administration in Hospital Management, Institute for Hospital Management of Tsinghua University, Beijing, China.
⁹ Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.
¹⁰ School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.
¹¹ Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China.
¹² Institute for Healthy China, Tsinghua University, Beijing, China.

PMID: 36577690
DOI: 10.1111/jpm.12893

Mental health status of mental health nurses in China: Results from a national survey

Peicheng Wang et al. J Psychiatr Ment Health Nurs. 2023 Jun.

. 2023 Jun;30(3):547-557.

doi: 10.1111/jpm.12893. Epub 2023 Jan 9.

Authors

Peicheng Wang^{1

2}, Yi-Lang Tang^{3

4}, Yanhua Chen^{1

2}, Yanrong He¹, Lin Li⁵, Xinxin Han⁶, Yuanli Liu⁷, Tingfang Liu⁸, Huanzhong Liu⁹, Feng Jiang^{10

11}, Jiming Zhu^{1

12}

Affiliations

¹ Vanke School of Public Health, Tsinghua University, Beijing, China.
² School of Medicine, Tsinghua University, Beijing, China.
³ Mental Health Service Line, Atlanta VA Medical Center, Decatur, Georgia, USA.
⁴ Addiction Psychiatry Fellowship Program, Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, Georgia, USA.
⁵ Institute for Hospital Management of Tsinghua University, Shenzhen, China.
⁶ School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China.
⁷ School of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
⁸ Master of Public Administration in Hospital Management, Institute for Hospital Management of Tsinghua University, Beijing, China.
⁹ Department of Psychiatry, Chaohu Hospital of Anhui Medical University, Hefei, China.
¹⁰ School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, China.
¹¹ Institute of Healthy Yangtze River Delta, Shanghai Jiao Tong University, Shanghai, China.
¹² Institute for Healthy China, Tsinghua University, Beijing, China.

PMID: 36577690
DOI: 10.1111/jpm.12893

Abstract

Introduction: It has been acknowledged in China that actions should be taken immediately to ease the critical shortage of psychiatric nurses. However, with national data lacking, little is known about nurses' mental health status.

Aim: To evaluate psychiatric nurses' mental health status by measuring their burnout, depression, anxiety and stress.

Methods: All psychiatric nurses in the 41 selected hospitals in China were invited to participate in the survey. The Maslach Burnout Inventory-Human Service Survey and Depression Anxiety Stress Scale were used to assess variables of interest.

Results: 38.6% of psychiatric nurses met the criteria for burnout. The rates of depression, anxiety and stress were 26.3%, 36.4% and 12.5%, respectively. It was found that workplace region, educational level, working years, longer working hours and night shifts were associated with risk of burnout and DASS.

Conclusions: More than a quarter of psychiatric nurses are suffering from burnout, depression or anxiety in China. Policymakers and hospital administrators should design a flexible schedule and restrict working hours for psychiatric nurses to achieve work-life balance.

Implications for practice: The study informs policymakers and administrators on addressing the nursing shortage by identifying nurses immersed in negative emotions and preventing mental health problems.

Keywords: anxiety; burnout; depression; psychiatric nurses; stress; work-related mental health status.

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References

REFERENCES

1. Adriaenssens, J., De Gucht, V., & Maes, S. (2015). Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. International Journal of Nursing Studies, 52, 649-661.
1. Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288, 1987-1993.
1. Brunsberg, K. A., Landrigan, C. P., Garcia, B. M., Petty, C. R., Sectish, T. C., Simpkin, A. L., Spector, N. D., Starmer, A. J., West, D. C., & Calaman, S. (2019). Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Academic Medicine, 94, 1150-1156.
1. Chen, C., & Meier, S. T. (2021). Burnout and depression in nurses: A systematic review and meta-analysis. International Journal of Nursing Studies, 124, 104099.
1. Chen, Y., Wang, P., Zhao, L., He, Y., Chen, N., Liu, H., Liu, Y., Liu, T., Tang, Y. L., Jiang, F., & Zhu, J. (2022). Workplace violence and turnover intention among psychiatrists in a National Sample in China: The mediating effects of mental health. Frontiers in Psychiatry, 13, 855584.

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[1] Adriaenssens, J., De Gucht, V., & Maes, S. (2015). Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. International Journal of Nursing Studies, 52, 649-661.

[2] Adriaenssens, J., De Gucht, V., & Maes, S. (2015). Determinants and prevalence of burnout in emergency nurses: A systematic review of 25 years of research. International Journal of Nursing Studies, 52, 649-661.

[3] Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288, 1987-1993.

[4] Aiken, L. H., Clarke, S. P., Sloane, D. M., Sochalski, J., & Silber, J. H. (2002). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. JAMA, 288, 1987-1993.

[5] Brunsberg, K. A., Landrigan, C. P., Garcia, B. M., Petty, C. R., Sectish, T. C., Simpkin, A. L., Spector, N. D., Starmer, A. J., West, D. C., & Calaman, S. (2019). Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Academic Medicine, 94, 1150-1156.

[6] Brunsberg, K. A., Landrigan, C. P., Garcia, B. M., Petty, C. R., Sectish, T. C., Simpkin, A. L., Spector, N. D., Starmer, A. J., West, D. C., & Calaman, S. (2019). Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services. Academic Medicine, 94, 1150-1156.

[7] Chen, C., & Meier, S. T. (2021). Burnout and depression in nurses: A systematic review and meta-analysis. International Journal of Nursing Studies, 124, 104099.

[8] Chen, C., & Meier, S. T. (2021). Burnout and depression in nurses: A systematic review and meta-analysis. International Journal of Nursing Studies, 124, 104099.

[9] Chen, Y., Wang, P., Zhao, L., He, Y., Chen, N., Liu, H., Liu, Y., Liu, T., Tang, Y. L., Jiang, F., & Zhu, J. (2022). Workplace violence and turnover intention among psychiatrists in a National Sample in China: The mediating effects of mental health. Frontiers in Psychiatry, 13, 855584.

[10] Chen, Y., Wang, P., Zhao, L., He, Y., Chen, N., Liu, H., Liu, Y., Liu, T., Tang, Y. L., Jiang, F., & Zhu, J. (2022). Workplace violence and turnover intention among psychiatrists in a National Sample in China: The mediating effects of mental health. Frontiers in Psychiatry, 13, 855584.

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Mental health status of mental health nurses in China: Results from a national survey

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Mental health status of mental health nurses in China: Results from a national survey

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