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Satisfaction, burnout and intention to stay of emergency nurses in Shanghai
  1. Hui Jiang,
  2. Lily Ma,
  3. Caiping Gao,
  4. Tengteng Li,
  5. Lihua Huang,
  6. Weiqin Huang
  1. Nursing Department of Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China
  1. Correspondence to Hui Jiang, Nursing Department of Shanghai East Hospital, Tongji University School of Medicine, No.1800, Yuntai Road, Pudong New Area, Shanghai, 200123,China; jianghuitest{at}


Background Stability of the nursing workforce is considered a key factor for high-quality healthcare. Satisfaction and burnout are reported to be closely related to staff turnover. This study investigates satisfaction and burnout of ED nurses in Shanghai and association of these factors with intention to stay on the job.

Methods This is a cross-sectional descriptive survey study conducted between October and December 2015. Our own questionnaire and the Maslach Burnout Inventory were used to construct the survey. The convenience sampling method was used. The survey targeted ED nurses in 30 Shanghai hospitals. Data were analysed using descriptive, non-paired t-tests, analysis of variance and multivariable logistic regression to decipher possible causes for burnout and identify reasons for continued interest in staying on the job by ED nurses.

Results Of 1137 nurses who received surveys, 976 (87%) responded. Among the respondents, 75% reported being very satisfied or satisfied with their jobs, but there was a high level of burnout, and 22.5% of the nurses expressed their intention to leave the ED within the following year (p<0.05). Nurses’ satisfaction and burnout were associated with intention to leave. Salary, nurse–patient relationships, nurse staffing and work environment were areas where nurses were less satisfied, while group cohesion was associated with greater satisfaction.

Conclusion ED nurses in Shanghai report a high level of burnout, which is associated with an intention to leave their jobs. Interventions are needed to improve satisfaction and reduce burnout to maintain the stability of the nursing workforce.

  • nurse
  • satisfaction
  • burnout
  • intention to stay
  • emergency department
  • China

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  • Contributors HJ was responsible for the study conception and design, and drafting of the manuscript. CG performed the data collection. LH performed the data analysis. TL and WH provided important help with the data collection. LM contributed equally to the design of the research and revisions of the article.

  • Funding This study was funded by grants from the Shanghai Science and Technology Committee (Grant-in-Aid No. 14401932100 and 15411952100).

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Correction notice This paper has been amended since it was published Online First. Owing to a scripting error, some of the publisher names in the references were replaced with ’BMJ Publishing Group’. This only affected the full text version, not the PDF. We have since corrected these errors and the correct publishers have been inserted into the references.