Shift work and workplace violence on healthcare workers' physical and mental health: The mediating role of job burnout
BackgroundWith the continuous development of the healthcare industry, healthcare workers face increasing pressure, including long-term shift work and workplace violence from patients or their relatives. This not only affects the physical and mental health of healthcare workers but may also negativel...
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Editorial Committee of Journal of Environmental and Occupational Medicine
2025-04-01
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| Series: | 环境与职业医学 |
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| Online Access: | http://www.jeom.org/article/cn/10.11836/JEOM24321 |
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| author | Zheng ZHANG Huijie XU Yusheng TIAN Jiansong ZHOU |
| author_facet | Zheng ZHANG Huijie XU Yusheng TIAN Jiansong ZHOU |
| author_sort | Zheng ZHANG |
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| description | BackgroundWith the continuous development of the healthcare industry, healthcare workers face increasing pressure, including long-term shift work and workplace violence from patients or their relatives. This not only affects the physical and mental health of healthcare workers but may also negatively impact the quality of patient care and the efficiency of medical services. ObjectivesTo analyze the pathways through which shift work and workplace violence affect healthcare workers' self-rated health and depression symptoms, explore potential mediating role of job burnout, and conduct subgroup analyses to reveal differences among various groups. MethodsData were collected from 3706 frontline healthcare workers across 23 provinces from January 10 to February 5, 2019, using a snowball sampling method. The survey included basic demographic information, self-rated health, depression symptoms [assessed using the Patient Health Questionnaire-2 (PHQ-2)], workplace violence experience assessed using the Workplace Violence Scale), and job burnout (assessed using the Chinese Maslach Burnout Inventory). Data were analyzed using logistic regression, structural equation modeling (for mediating effects), and subgroup analysis to examine the impacts of shift work and workplace violence on health and depression symptoms. ResultsAmong the subjects, 2700 workers (73.29%) reported shift work experience, 2079 workers (56.43%) experienced workplace violence, 633 workers (17.18%) reported poor self-rated health, and 687 workers (18.65%) reported depression symptoms. Shift work was associated with self-rated health (OR=0.572, 95%CI: 0.461, 0.710) and depression symptoms (OR=1.519, 95%CI: 1.190, 1.938), while workplace violence also associated with self-rated health (OR=0.566, 95%CI: 0.471, 0.681) and depression symptoms (OR=2.096, 95%CI: 1.740, 2.525). Job burnout significantly mediated the effects of shift work and workplace violence on self-rated health (indirect effects: −0.023, −0.027) and depression symptoms (indirect effects: 0.032, 0.037) (all P < 0.001). The subgroup analysis revealed that age, marital status, physical exercise, smoking, and alcohol consumption influenced the impacts of shift work and workplace violence on health.ConclusionShift work and workplace violence significantly affect healthcare workers' self-rated health and depression symptoms, with job burnout playing a key mediating role in this process. This suggests that healthcare institutions should improve resource allocation, provide flexible scheduling systems, ensure adequate rest time, and increase psychological support and safety measures to help healthcare workers better cope with work-related stress and violence. |
| format | Article |
| id | doaj-art-3388f7b0b3d145be80aa2664f9cf371b |
| institution | OA Journals |
| issn | 2095-9982 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Editorial Committee of Journal of Environmental and Occupational Medicine |
| record_format | Article |
| series | 环境与职业医学 |
| spelling | doaj-art-3388f7b0b3d145be80aa2664f9cf371b2025-08-20T02:19:03ZengEditorial Committee of Journal of Environmental and Occupational Medicine环境与职业医学2095-99822025-04-0142443644310.11836/JEOM2432124321Shift work and workplace violence on healthcare workers' physical and mental health: The mediating role of job burnoutZheng ZHANG0Huijie XU1Yusheng TIAN2Jiansong ZHOU3Department of Psychiatry/National Medical Center for Mental Disorders/National Clinical Research Center for Mental Disorders, Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, ChinaInstitute of Education Science, Huazhong University of Science and Technology, Wuhan, Hubei 430074, ChinaDepartment of Psychiatry/National Medical Center for Mental Disorders/National Clinical Research Center for Mental Disorders, Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, ChinaDepartment of Psychiatry/National Medical Center for Mental Disorders/National Clinical Research Center for Mental Disorders, Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, ChinaBackgroundWith the continuous development of the healthcare industry, healthcare workers face increasing pressure, including long-term shift work and workplace violence from patients or their relatives. This not only affects the physical and mental health of healthcare workers but may also negatively impact the quality of patient care and the efficiency of medical services. ObjectivesTo analyze the pathways through which shift work and workplace violence affect healthcare workers' self-rated health and depression symptoms, explore potential mediating role of job burnout, and conduct subgroup analyses to reveal differences among various groups. MethodsData were collected from 3706 frontline healthcare workers across 23 provinces from January 10 to February 5, 2019, using a snowball sampling method. The survey included basic demographic information, self-rated health, depression symptoms [assessed using the Patient Health Questionnaire-2 (PHQ-2)], workplace violence experience assessed using the Workplace Violence Scale), and job burnout (assessed using the Chinese Maslach Burnout Inventory). Data were analyzed using logistic regression, structural equation modeling (for mediating effects), and subgroup analysis to examine the impacts of shift work and workplace violence on health and depression symptoms. ResultsAmong the subjects, 2700 workers (73.29%) reported shift work experience, 2079 workers (56.43%) experienced workplace violence, 633 workers (17.18%) reported poor self-rated health, and 687 workers (18.65%) reported depression symptoms. Shift work was associated with self-rated health (OR=0.572, 95%CI: 0.461, 0.710) and depression symptoms (OR=1.519, 95%CI: 1.190, 1.938), while workplace violence also associated with self-rated health (OR=0.566, 95%CI: 0.471, 0.681) and depression symptoms (OR=2.096, 95%CI: 1.740, 2.525). Job burnout significantly mediated the effects of shift work and workplace violence on self-rated health (indirect effects: −0.023, −0.027) and depression symptoms (indirect effects: 0.032, 0.037) (all P < 0.001). The subgroup analysis revealed that age, marital status, physical exercise, smoking, and alcohol consumption influenced the impacts of shift work and workplace violence on health.ConclusionShift work and workplace violence significantly affect healthcare workers' self-rated health and depression symptoms, with job burnout playing a key mediating role in this process. This suggests that healthcare institutions should improve resource allocation, provide flexible scheduling systems, ensure adequate rest time, and increase psychological support and safety measures to help healthcare workers better cope with work-related stress and violence.http://www.jeom.org/article/cn/10.11836/JEOM24321shift workworkplace violencehealthcare workerjob burnoutdepression symptom |
| spellingShingle | Zheng ZHANG Huijie XU Yusheng TIAN Jiansong ZHOU Shift work and workplace violence on healthcare workers' physical and mental health: The mediating role of job burnout 环境与职业医学 shift work workplace violence healthcare worker job burnout depression symptom |
| title | Shift work and workplace violence on healthcare workers' physical and mental health: The mediating role of job burnout |
| title_full | Shift work and workplace violence on healthcare workers' physical and mental health: The mediating role of job burnout |
| title_fullStr | Shift work and workplace violence on healthcare workers' physical and mental health: The mediating role of job burnout |
| title_full_unstemmed | Shift work and workplace violence on healthcare workers' physical and mental health: The mediating role of job burnout |
| title_short | Shift work and workplace violence on healthcare workers' physical and mental health: The mediating role of job burnout |
| title_sort | shift work and workplace violence on healthcare workers physical and mental health the mediating role of job burnout |
| topic | shift work workplace violence healthcare worker job burnout depression symptom |
| url | http://www.jeom.org/article/cn/10.11836/JEOM24321 |
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