Aomei Shen

MS, RN; Department of Nursing, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China 

Cancer Nursing , IF: 1.844


A multicenter investigation of caring behaviors and burnout among oncology nurses in China


Background:Job burnout could negatively affect nursing care provided. However, little is known about burnout and caring behaviors among oncology nurses in China. 


Objectives:To investigate status of burnout and caring behaviors among oncology nurses in China, to examine the relationship between them, and to identify factors that affect caring behaviors.


Methods: A nationwide multicenter study was performed in six public cancer hospitals in June, 2016.Data were collected through an online survey with instruments of a sociodemographic and occupational characteristics questionnaire, the Caring Behavior Inventory (CBI), and the Maslach Burnout Inventory (MBI). Descriptive statistics, independent samples t-tests or one-way analysis of variance, Pearson correlation analyses and multiple regression analyses were applied.


Results: A total of 3,100 oncology nurses were invited to participate, 3,014 valid questionnaires were returned. The percentage of oncology nurses experiencing high levels of emotional exhaustion, depersonalization, or diminished personal accomplishment were respectively 30.16%, 19.97%and 47.28%. CBI scores were significantly and negatively correlated with emotional exhaustion, depersonalization, and diminished personal accomplishment. Depersonalization, diminished personal accomplishment, level of family concern and original nursing degree level showed significant negative influence on caring behaviors.


Conclusions:Burnout ( depersonalization, and diminished personal accomplishment), family concern and original nursing degree were negatively related to oncology nurses’ caring behaviors.


Implications for Practice: Initiatives in oncology nursing in China are needed that focus on improving job burnout and emphasize humanistic oncology nursing care, such as caring nurses’ personal factors, creating a harmonious working environment, strengthening coping skills, and building a caring organizational culture.


KEY WORDS:oncology nurses, job burnout.

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