Analysis of correlation between overqualification,psychological contract breach and job burnout in clinical nurses
Objective To understand the current situation of job burnout among clinical nurses,and to analyze the correlation between overqualification and psychological contract breach with job burnout,with a view to providing reference for managers to formulate interventions to reduce job burnout.Methods Convenience sampling method was used to select 291 nurses from a grade-A tertiary hospital in Tianjin from July to August 2023 as survey subjects.General information questionnaire,Maslach burn-out inventory general survey,perceived overqualification scale,and psychological contract questionnaire of nursing staff were used for questionnaire survey,and the data were analyzed.Results The total score of 291 clinical nurses'job burnout,overqualification and psychological contract breach were(49.55±10.27),(29.95±10.21)and(66.40±18.07)points,respectively.The job burnout of clinical nurses was positively correlated with overqualification and psychological contract breach(r=0.540,0.691,both P＜0.01),the emotional exhaustion dimension and the cynicism dimension of job burnout were positively correlated with each of the dimensions of overqualification and psychological contract breach(r=0.405-0.583,all P＜0.01),and the dimensions of the sense of underachievement were negatively correlated with each of the dimensions of overqualification and psychological contract breach(r=-0.548--0.390,all P＜0.01).The highest educational level,number of night shifts,average daily sleep time,overqualification and psychological contract breach were all the influencing factors of job burnout among clinical nurses(all P＜0.05),among which the overqualification and the psychological contract breach were the main influencing factors of job burnout among nurses,which could explain 42.4％of the total variance.Conclusion Totally 291 clinical nurses in a grade-A tertiary hospital in Tianjin have moderate levels of occupational bumout,which is positively correlated with overqualification and psychological contract breach.Managers can reduce the level of clinical nurses'overqualification and psychological contract breach in order to weaken their job burnout,and then reduce the rate of nurses'turnover and maintain the stable development of the health care service system.
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