Author(s)

Qingfeng Ding ¹, Li Liu ^1,2

Affiliation(s)

¹ College of Public Health, Chongqing Medical University, Chongqing, China
² The Affiliated Yongchuan Hospital of Chongqing Medical University, Chongqing, China

Corresponding Author

Li Liu

ABSTRACT

Occupational burnout is a major workforce concern in healthcare, yet multi-city evidence spanning clinical and non-clinical hospital staff in China remains limited. This cross-sectional online survey was conducted from May to June 2025 among staff from selected public hospitals in 11 cities assigned to four study-defined regions of China. Participants included clinical medical, nursing, allied health/medical technology, and functional/administrative staff. Burnout was assessed with a 15-item Chinese occupational burnout scale covering emotional exhaustion, depersonalization, and reduced personal accomplishment. Among 592 returned questionnaires, 578 met the validity criteria. Overall, 392 participants (67.9%) met the study-defined criterion for burnout, including 268 (46.4%) with one positive dimension, 97 (16.8%) with two positive dimensions, and 27 (4.7%) with all three positive dimensions. In multivariable logistic regression, fair sleep quality (OR=2.400, 95% CI 1.205-4.783) and poor sleep quality (OR=3.126, 95% CI 1.163-8.402) were associated with higher odds of burnout compared with very good sleep quality. Poor/very poor self-reported health status was also associated with burnout (OR=10.410, 95% CI 2.516-43.074). Working 51-60 hours per week (OR=2.547, 95% CI 1.276-5.085) or at least 61 hours per week (OR=2.721, 95% CI 1.187-6.237) was associated with higher odds of burnout compared with working 40 hours or less. These findings highlight workload, sleep, and perceived health as important correlates of burnout.

KEYWORDS

Occupational burnout; Public hospitals; Healthcare workers; Working hours; Sleep quality

CITE THIS PAPER

Qingfeng Ding, Li Liu. Occupational Burnout and Associated Factors among Public Hospital Staff across Four Regions of China: A Cross-Sectional Study. Social Medicine and Health Management (2026). Vol. 7, No. 2, 48-55. DOI: http://dx.doi.org/10.23977/socmhm.2026.070206.

REFERENCES

[1] Freudenberger, H.J. (1974) Staff burn-out. Journal of Social Issues, 30(1), 159-165. DOI: 10.1111/j.1540-4560.1974.tb00706.x.
[2] Maslach, C., Schaufeli, W.B. and Leiter, M.P. (2001) Job burnout. Annual Review of Psychology, 52, 397-422. DOI: 10.1146/annurev.psych.52.1.397.
[3] Rotenstein, L.S., Torre, M., Ramos, M.A., Rosales, R.C., Guille, C., Sen, S. and Mata, D.A. (2018) Prevalence of burnout among physicians: A systematic review. JAMA, 320(11), 1131-1150. DOI: 10.1001/jama.2018.12777.
[4] Zhang, W., Miao, R., Tang, J., Su, Q., Aung, L.H.H., Pi, H. and Sai, X. (2021) Burnout in nurses working in China: A national questionnaire survey. International Journal of Nursing Practice, 27(6), e12908. DOI: 10.1111/ijn.12908.
[5] Zheng, Q., Yang, K., Zhao, R.J., Wang, X., Ping, P., Ou, Z.H., Su, X.P., Zhang, J. and Qu, M. (2022) Burnout among doctors in China through 2020: A systematic review and meta-analysis. Heliyon, 8(7), e09821. DOI: 10.1016/j.heliyon.2022.e09821.
[6] Zhang, M., Li, S., Han, D., Wu, Y., Zhao, J., Liao, H., Ma, Y., Yan, C. and Wang, J. (2023) Association of job characteristics and burnout of healthcare workers in different positions in rural China: A cross-sectional study. International Journal of Public Health, 68, 1605966. DOI: 10.3389/ijph.2023.1605966.
[7] Li, C.P. and Shi, K. (2003) The influence of distributive justice and procedural justice on job burnout. Acta Psychologica Sinica, 35(5), 677-684. [In Chinese].
[8] Li, Y.X. and Li, Y.M. (2006) Preliminary exploration of evaluation criteria for job burnout. Psychological Science, 29(1), 148-150, 153. DOI: 10.3969/j.issn.1671-6981.2006.01.040. [In Chinese].
[9] Hobfoll, S.E. (1989) Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513-524. DOI: 10.1037/0003-066X.44.3.513.
[10] Xu, W., Pan, Z., Li, Z., Lu, S. and Zhang, L. (2020) Job burnout among primary healthcare workers in rural China: A multilevel analysis. International Journal of Environmental Research and Public Health, 17(3), 727. DOI: 10.3390/ijerph17030727.
[11] Stewart, N.H. and Arora, V.M. (2019) The impact of sleep and circadian disorders on physician burnout. Chest, 156(5), 1022-1030. DOI: 10.1016/j.chest.2019.07.008.
[12] Song, Y., Yang, F., Sznajder, K. and Yang, X. (2020) Sleep quality as a mediator in the relationship between perceived stress and job burnout among Chinese nurses: A structural equation modeling analysis. Frontiers in Psychiatry, 11, 566196. DOI: 10.3389/fpsyt.2020.566196.
[13] Salvagioni, D.A.J., Melanda, F.N., Mesas, A.E., González, A.D., Gabani, F.L. and Andrade, S.M. (2017) Physical, psychological and occupational consequences of job burnout: A systematic review of prospective studies. PLoS ONE, 12(10), e0185781. DOI: 10.1371/journal.pone.0185781.
[14] Li, X., Su, M., He, L., Yang, J. and Wu, F. (2024) Spatial distribution patterns of human resources allocation in maternal and child healthcare institutions in China from 2016 to 2021. BMC Health Services Research, 24, 726. DOI: 10.1186/s12913-024-11153-2.
[15] Chai, Y., Xian, G., Kou, R., Wang, M., Liu, Y., Fu, G. and Luo, S. (2024) Equity and trends in the allocation of health human resources in China from 2012 to 2021. Archives of Public Health, 82, 175. DOI: 10.1186/s13690-024-01407-0.

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