Anxiety and burnout in infectious disease nurses: the role of perceived stress and resilience
Abstract Background Nurses serving in infectious disease ward represent a distinct occupational group that has attracted considerable attention following epidemic outbreaks. However, prior to this study, no research had delved into the underlying mechanism linking anxiety to burnout symptoms among i...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12912-024-02649-7 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841559752388116480 |
|---|---|
| author | Yalan Huang Zonghua Wang Yongguang Li Zhihan Zhao Weiyi Wang Changxia Cai Xiushuang Wu Li Liu Mengting Chen |
| author_facet | Yalan Huang Zonghua Wang Yongguang Li Zhihan Zhao Weiyi Wang Changxia Cai Xiushuang Wu Li Liu Mengting Chen |
| author_sort | Yalan Huang |
| collection | DOAJ |
| description | Abstract Background Nurses serving in infectious disease ward represent a distinct occupational group that has attracted considerable attention following epidemic outbreaks. However, prior to this study, no research had delved into the underlying mechanism linking anxiety to burnout symptoms among infectious disease nurses. This study aimed to explore investigate the association between anxiety and burnout among nurses working in such environments and scrutinized the mediating role of perceived stress and the moderating influence of resilience on the principal relationship. Methods Employing a cross-sectional study using a web-based design, data were collected from 1,579 clinical nurses working in infectious disease ward across 50 hospitals in China. Participants responded to questionnaires assessing anxiety, perceived stress, resilience and burnout. Statistical analyses encompassed descriptive statistics, one-way analyses of variance, independent-samples t-tests, Pearson correlations, and bootstrapping techniques to evaluate the indirect and moderating effects. Results The study revealed that 62.13% of the respondents reported high levels of burnout, and 55.92% experienced moderate to high degrees of emotional exhaustion among infectious disease nurses. Significant correlations were observed between anxiety, perceived stress, resilience, and each component of burnout (P < 0.05). Notably, the mediating effect of perceived stress was accounting for 30.61% of the relationship between anxiety and burnout. Simple slope analysis demonstrated that perceived stress significantly predicted emotional exhaustion at both low (B = 0.854, t = 16.586, and P < 0.001) and high (B = 0.498, t = 9.503, and P < 0.001) levels of resilience. The perceived stress and emotional exhaustion were more serious when resilience levels were lower. Conclusion Anxiety was identified as a critical risk factor for burnout among nurses in infectious disease units. The relationship between anxiety and burnout was markedly affected by the levels of perceived stress and resilience. Specifically, the deleterious impact of perceived stress on burnout was amplified in nurses with diminished resilience relative to those with heightened resilience. Based on these findings, it is imperative to allocate resources for stress management programs and resilience training. Such initiatives would bolster support for nurses in infectious disease wards, ultimately enhancing their job satisfaction and well-being. |
| format | Article |
| id | doaj-art-8f2ed6e96b6c40a48d5d37650fc3e651 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-8f2ed6e96b6c40a48d5d37650fc3e6512025-01-05T12:12:53ZengBMCBMC Nursing1472-69552025-01-0124111310.1186/s12912-024-02649-7Anxiety and burnout in infectious disease nurses: the role of perceived stress and resilienceYalan Huang0Zonghua Wang1Yongguang Li2Zhihan Zhao3Weiyi Wang4Changxia Cai5Xiushuang Wu6Li Liu7Mengting Chen8Outpatient Department, Yunnan Provincial Corps Hospital of Chinese People’s Armed Police ForceDepartment of Clinical Nursing, School of Nursing, Army Medical UniversityOutpatient Department, Yunnan Provincial Corps Hospital of Chinese People’s Armed Police ForceKunming Training Center of National Fire and Rescue ServiceThe Second Department of Recuperation, Dalian Rehabilitation Recuperation Center of PLA Joint Logistics Support ForceOutpatient Department, Yunnan Provincial Corps Hospital of Chinese People’s Armed Police ForceOutpatient Department, Yunnan Provincial Corps Hospital of Chinese People’s Armed Police ForceOutpatient Department, Yunnan Provincial Corps Hospital of Chinese People’s Armed Police ForceDepartment of Clinical Nutrition, School of Medicine, Chongqing University Cancer Hospital, Chongqing UniversityAbstract Background Nurses serving in infectious disease ward represent a distinct occupational group that has attracted considerable attention following epidemic outbreaks. However, prior to this study, no research had delved into the underlying mechanism linking anxiety to burnout symptoms among infectious disease nurses. This study aimed to explore investigate the association between anxiety and burnout among nurses working in such environments and scrutinized the mediating role of perceived stress and the moderating influence of resilience on the principal relationship. Methods Employing a cross-sectional study using a web-based design, data were collected from 1,579 clinical nurses working in infectious disease ward across 50 hospitals in China. Participants responded to questionnaires assessing anxiety, perceived stress, resilience and burnout. Statistical analyses encompassed descriptive statistics, one-way analyses of variance, independent-samples t-tests, Pearson correlations, and bootstrapping techniques to evaluate the indirect and moderating effects. Results The study revealed that 62.13% of the respondents reported high levels of burnout, and 55.92% experienced moderate to high degrees of emotional exhaustion among infectious disease nurses. Significant correlations were observed between anxiety, perceived stress, resilience, and each component of burnout (P < 0.05). Notably, the mediating effect of perceived stress was accounting for 30.61% of the relationship between anxiety and burnout. Simple slope analysis demonstrated that perceived stress significantly predicted emotional exhaustion at both low (B = 0.854, t = 16.586, and P < 0.001) and high (B = 0.498, t = 9.503, and P < 0.001) levels of resilience. The perceived stress and emotional exhaustion were more serious when resilience levels were lower. Conclusion Anxiety was identified as a critical risk factor for burnout among nurses in infectious disease units. The relationship between anxiety and burnout was markedly affected by the levels of perceived stress and resilience. Specifically, the deleterious impact of perceived stress on burnout was amplified in nurses with diminished resilience relative to those with heightened resilience. Based on these findings, it is imperative to allocate resources for stress management programs and resilience training. Such initiatives would bolster support for nurses in infectious disease wards, ultimately enhancing their job satisfaction and well-being.https://doi.org/10.1186/s12912-024-02649-7Mental healthNurseAnxietyPerceived stressBurnoutResilience |
| spellingShingle | Yalan Huang Zonghua Wang Yongguang Li Zhihan Zhao Weiyi Wang Changxia Cai Xiushuang Wu Li Liu Mengting Chen Anxiety and burnout in infectious disease nurses: the role of perceived stress and resilience BMC Nursing Mental health Nurse Anxiety Perceived stress Burnout Resilience |
| title | Anxiety and burnout in infectious disease nurses: the role of perceived stress and resilience |
| title_full | Anxiety and burnout in infectious disease nurses: the role of perceived stress and resilience |
| title_fullStr | Anxiety and burnout in infectious disease nurses: the role of perceived stress and resilience |
| title_full_unstemmed | Anxiety and burnout in infectious disease nurses: the role of perceived stress and resilience |
| title_short | Anxiety and burnout in infectious disease nurses: the role of perceived stress and resilience |
| title_sort | anxiety and burnout in infectious disease nurses the role of perceived stress and resilience |
| topic | Mental health Nurse Anxiety Perceived stress Burnout Resilience |
| url | https://doi.org/10.1186/s12912-024-02649-7 |
| work_keys_str_mv | AT yalanhuang anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience AT zonghuawang anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience AT yongguangli anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience AT zhihanzhao anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience AT weiyiwang anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience AT changxiacai anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience AT xiushuangwu anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience AT liliu anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience AT mengtingchen anxietyandburnoutininfectiousdiseasenursestheroleofperceivedstressandresilience |