A systematic review of incidence and influencing factors of nurses' job burnout in emergency department in China

Objective To understand the status of nurses' job burnout in emergency department in China and to provide a scientific basis for making intervention measures by systematically review incidence and influencing factors of nurses' job burnout in emergency department in China. Methods Web of Science, PubMed, EMBASE, Cochrane, China Biology Medicine disc, WanFang Data, VIP and CNKI databases were searched to collect literatures related to nurses' job burnout in emergency department in China, and the search time was from the construction of the database to July 2019. Two researchers performed quality evaluation and data extraction on the literature to conduct a systematic review and studies that were consistent with quantitative analysis were given meta-analysis by Stata 12.0. Results A total of 23 articles met the inclusion criteria and reported the occurrence of nurses' job burnout in emergency department in China. A total of 91.3% (21/23) of studies used the Maslach Burnout Inventory. Meta-analysis based on 13 studies showed that 42% of nurses experienced high emotional exhaustion, 43% were highly depersonalized and 57% had low personal accomplishment. Factors related to job burnout might include age, gender, marital status, night shifts, lifestyle, workplace violence, empathy, social support and so on. Conclusions The incidences of high emotional exhaustion, high depersonalization and low personal accomplishment of nurses in emergency department in China are relatively higher, and managers need to implement targeted intervention strategies based on their influencing factors. Key words: Nurses; Job burnout; Emergency department; Influencing factors; Systematic review; Meta-analysis