0163 Job strain and burnout among nurses working in different healthcare setting
调查台湾初级诊所、二级转诊医院和公共卫生单位的女性护士，发现后两类机构护士的工作压力和职业倦怠显著高于初级诊所。
<h3>Objectives</h3> To assess job strain and burnout status among female nurses working in primary clinics, secondary referral hospitals, and public health units in Taiwan. <h3>Method</h3> Study participants included female nurses from (1) all primary clinics (PC) hiring more than two registered nurses; (2) a nation-wide representative sample of secondary referral hospitals (SRH), selected using stratified random sampling; and (3) all public health units (PHU) hiring more than two registered nurses. To candidate participants, a structured, self-administered questionnaire was disseminated, which included demographic information, work conditions, the Chinese Job Content Questionnaire, and the modified Chinese Copenhagen Burnout Inventory. <h3>Results</h3> A total of 6087 questionnaires were sent, and 4046 (66.5%) were satisfactorily completed. Compared with PC nurses, nurses working in SRHs and PHUs had higher job strain (adjusted odds ratio, aOR=1.7, 95% confidence interval, CI=1.3–2.1 for SRH; aOR=2.4, 95% CI=1.7–3.4 for PHU), personal burnout (aOR=2.6, 95% CI=1.8–3.6 for SRH; aOR=3.4, 95% CI=2.1–5.7 for PHU), work-related burnout (aOR=2.4, 95% CI=1.8–3.1 for SRH; aOR=3.0, 95% CI=2.0–4.5 for PHU), and client-related burnout (aOR=1.6, 95% CI=1.2–2.3 for SRH; aOR= 2.1, 95% CI=1.2–3.5 for PHU) while adjusted for significant variables. <h3>Conclusions</h3> We concluded that nurses worked in public health units and secondary referral hospitals had higher job strain and work-related burnout as compared to primary clinics. Further study should examine the stressors from these workplaces and follow up the health effects of high strain and burnout status.