Studies suggest a high prevalence of burnout among nurses. The aim of this study was to evaluate the relationship between burnout among nurses and absenteeism and work performance. A national sample of U.S. nurses was sent an anonymous, cross-sectional survey in 2016. The survey included items about demographics, fatigue, and validated instruments to measure burnout, absenteeism, and poor work performance in the last month. Of the 3098 nurses who received the survey, 812 (26.2%) responded. The mean age was 52.3 years (SD 12.5), nearly all were women (94.5%) and most were married (61.9%) and had a child (75.2%). Participating nurses had a mean of 25.7 (SD 13.9) years of experience working as nurse and most held a baccalaureate (38.2%) or masters of science (37.1%) degree in nursing. A quarter worked in the inpatient setting (25.5%) and the average hours worked per week was 41.3 (SD 14.1). Overall, 35.3% had symptoms of burnout, 30.7% had symptoms of depression, 8.3% had been absent 1 or more days in the last month due to personal health, and 43.8% had poor work performance in the last month. Nurses who had burnout were more likely to have been absent 1 or more days in the last month (OR 1.85, 95% CI 1.25–2.72) and have poor work performance (referent: high performer; medium performer, OR 2.68,95% CI 1.82–3.99; poor performer, OR 5.01, 95% CI 3.09–8.14). After adjusting for age, sex, relationship and parental status, highest academic degree, practice setting, burnout, depression, and satisfaction with work-life integration, nurses who were more fatigued (for each point worsening, OR 1.22, 95% CI 1.10–1.37) were more likely to have had absenteeism while those who worked more hours (for each additional hour OR 0.98, 95% CI 0.96–1.00) were less likely to have had absenteeism. Factors independently associated with poor work performance included burnout (OR 2.15, 95% CI 1.43–3.24) and fatigue (for each point of worsening, OR 1.22, 95% CI 1.12–1.33). These findings suggest burnout is prevalent among nurses and likely impacts work performance.

中文翻译：

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一项探讨美国护士职业倦怠、旷工和工作绩效之间关系的横断面研究

研究表明，护士职业倦怠的发生率很高。本研究的目的是评估护士职业倦怠与缺勤和工作绩效之间的关系。2016 年向美国护士的全国样本发送了一项匿名的横断面调查。该调查包括有关人口统计、疲劳和经过验证的工具来衡量上个月的倦怠、旷工和工作表现不佳的项目。在接受调查的 3098 名护士中，有 812 名（26.2%）做出了回应。平均年龄为 52.3 岁 (SD 12.5)，几乎所有人都是女性 (94.5%)，大多数已婚 (61.9%) 并有孩子 (75.2%)。参与的护士平均拥有 25.7 (SD 13.9) 年的护士工作经验，大多数拥有护理学士学位 (38.2%) 或理学硕士学位 (37.1%)。四分之一在住院环境中工作（25. 5%），每周平均工作时间为 41.3 小时（标准差 14.1）。总体而言，35.3%有倦怠症状，30.7%有抑郁症状，8.3%上个月因个人健康缺勤1天或以上，43.8%上个月工作表现不佳。倦怠的护士更可能在上个月缺勤 1 天或以上（OR 1.85, 95% CI 1.25–2.72）并且工作表现不佳（参考：高绩效者；中等绩效者，OR 2.68,95% CI 1.82–3.99；表现不佳，OR 5.01，95% CI 3.09–8.14）。在调整了年龄、性别、关系和父母身份、最高学历、工作环境、倦怠、抑郁和对工作与生活整合的满意度后，更疲劳的护士（每恶化一个点，OR 1.22, 95% CI 1.10– 1. 37）更可能有旷工，而那些工作更多时间（每增加一小时 OR 0.98, 95% CI 0.96-1.00）的人旷工的可能性较小。与工作表现不佳独立相关的因素包括倦怠（OR 2.15, 95% CI 1.43–3.24）和疲劳（对于每个恶化点，OR 1.22, 95% CI 1.12–1.33）。这些发现表明，职业倦怠在护士中很普遍，并且可能会影响工作绩效。