MBI-HSS 医护人员职业倦怠量表(Maslach Burnout Inventory – Human Services Survey for Medical Personnel)[复制]

尊敬的各位医护人员：
为了解大家的倦怠现状，以期更好的维护每一位天使的心理健康，现诚挚邀请您参
加这次调查。 本调查严格按照《中华人民共和国统计法》要求进行，不记姓名，答案没有对错之分，我们
将对调查资料严格保密，请不要有任何顾虑，您的意见非常宝贵，谢谢您的支持。

Dear Healthcare Professionals,

In order to better understand the current status of occupational burnout and to promote the mental well-being of every healthcare "angel," we sincerely invite you to participate in this survey.

This survey is conducted in strict accordance with the Statistics Law of the People's Republic of China. No names will be recorded, and there are no right or wrong answers. All responses will be kept strictly confidential, so please feel free to answer honestly.

Your feedback is extremely valuable to us. Thank you very much for your support!
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1.
您的姓名（Your name）：
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2.
Informed Consent Form

Informed Consent Notice

(For those involved in research and surveys for medical staff)

We invite you to participate in a survey conducted by the Sichuan Provincial Cancer Hospital under the "Research on the Establishment of a Patient Reporting System for Disease Monitoring - PRO-SMA." The research has received approval from the hospital's review committee. Please read this consent form carefully.

I. Research Background:

Esophageal cancer is the sixth most common malignancy and a leading cause of cancer-related death. Medical professionals experience significant job stress, leading to burnout. A 2020 Medscape survey of over 15,000 doctors found that long hours and heavy workloads are major stress factors, with 42% of doctors reporting high stress levels.

In response, we have implemented the PRO-SMA system to help manage the workload of medical staff, particularly in high-demand departments like thoracic surgery, improving both physician well-being and patient care.

II. Research Purpose:

The study uses the MBI-HSS scale to evaluate medical staff's working conditions, patient care time, external consultations, communication methods, and stress levels across hospital levels.

III. Research Process:

If you participate, you will complete a survey about medical staff managing cancer patients.

IV. Risks:

There are no significant risks other than minor inconvenience from completing the survey.

V. Your Benefits:

Participating may help improve cancer patient management in the future.

VI. Your Responsibility:

You are responsible for completing the survey.

VII. Your Rights:

If you have questions or concerns during the study, contact Ms. Longlin. If your rights are violated, you can contact the hospital’s review committee at 028-85420681.

VIII. Privacy Issues:

Your personal information will be kept confidential. Data will only be accessible to the research team and stored securely. No personal data will be disclosed when the results are published.


Please sign in the rectangular box below. Once completed, click "Confirm" and upload your signature.
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3.
请选择(Please select:)：
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel emotionally drained from my work.（日常工作使我情绪低落）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel used up at the end of the workday.（工作一天，我感到十分疲惫）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel fatigued when I get up in the morning and have to face another day on the job. （早上起床时，我感到很疲乏，但仍要面对当天的工作）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I can easily understand how my patients feel about things.（我能够轻易的明白病人在整个医疗护理过程中产生的感受）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel I treat some patients as if they were impersonal objects.（我有时把病人当作物品一样看待，而不是面对一个人）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
Working with people all day is really a strain for me.（整天与人打交道的工作，对我来说是一种负担）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I deal very effectively with the problems of my patients .（我能够有效的处理病人医疗或护理过程中的各种问题）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel burned out from my work.（工作使我耗尽了心力）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel I'm positively influencing other people's lives through my work.（我觉得自己的工作对他人的生活发挥了积极的作用）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I've become more callous toward people since I took this job.（自从从事这份工作后，我对人越来越冷淡了）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I worry that this job is hardening me emotionally.（我担心这份工作会使我变成一个硬心肠的人）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel very energetic.（我觉得自己精力充沛）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel frustrated by my job.（我感到我在工作中受到挫折）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel I'm working too hard on my job.（我感到自己的工作过于辛苦）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I don't really care what happens to some patients.（我不太重视病人提出的各种需求）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
Working with people directly puts too much stress on me.（与其他人一起工作，使我感到有很大的压力）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I can easily create a relaxed atmosphere with my patients.（与病人一起时，我可以轻易的营造轻松的气氛）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel exhilarated after working closely with my patients.（工作中与病人密切的接触，使我感到满足和愉快）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I have accomplished many worthwhile things in this job.（从事医疗护理工作，使我体验到自身的价值所在）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel like I'm at the end of my rope.（我感到自己的情感到了山穷水尽的地步）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
In my work, I deal with emotional problems very calmly .（我能够冷静的处理工作中所遇到的情绪困扰）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
I feel patients blame me for some of their problems.（我觉得某些病人把他们一面对的问题归咎于我）
Never（从来没有）A few times a year or less（一年几次）Once a month or less（每月一次）A few times a month（每月几次）Once a week（每周一次）A few times a week（一周几次）Every day（每天都有）
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4.
您的单位(Your hospital):
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5.
您的年龄段(age group)：
15岁以下(＜15 )
15~20
21~25
26~30
31~40
41~50
51~60
60以上(＞60)
6.
请输入您的邮箱(your email：for follow up ) ：
7.
请选择国家及城市(Country and city. e.g. : Italy,Milan）
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8.
您的性别 Your gender
男性 Male
女性 Female
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9.
What is your professional title?
正高：主任医师 Chief Physician / Senior Consultant
副主任医师（Associate Chief Physician）
副高：副主任医师 Associate Chief Physician
中级：主治医师 Attending Physician
初级：医师 Resident / Medical Officer
助理医师 Assistant Physician / Physician Assistant
实习医生 Intern / Medical Intern
正高：主任护师 Chief Nursing Officer / Senior Nurse Consultant
副高：副主任护师 Associate Chief Nurse / Deputy Nursing Officer
中级：主管护师 Nurse Supervisor / Senior Charge Nurse
初级：护师 Nurse Practitioner / Registered Nurse
初级：护士 Nurse / Junior Nurse
护士长 Head Nurse / Nurse-in-Charge
实习护士 / 见习护士 Nursing Intern / Student Nurse
其他 Other (please specify):
博士研究员（Phd researcher）
10.
电话（telephone number）：
11.
您的地理位置(Your location):
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12.
请选择日期（Please select a date ）：
13.

您认为导致您工作倦怠的最主要原因是什么？请简单描述。

In your opinion, what is the main factor contributing to your occupational burnout? Please briefly describe.

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14.
您平均每周工作时长？/ Average weekly working hours?
＜40小时 / hours per week
40–50小时 / hours per week
51–60小时 / hours per week
61–70小时 / hours per week
＞70小时 / hours per week
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15.
您每月值夜班/on-call次数？/ Monthly on-call or night shifts?
≤2次 / times per month
3–5次 / times per month
6–8次 / times per month
＞8次 / times per month
16.
每周花在行政/文书工作上的时间？/ Weekly hours spent on administrative or paperwork tasks?
＜5小时 / hours per week
5–10小时 / hours per week
11–20小时 / hours per week
＞20小时 / hours per week
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17.

以下是关于工作环境的补充问卷（共6题，约2分钟）。您的回答将帮助我们了解倦怠的潜在原因。是否愿意继续？

The following is a brief supplementary section on work environment (6 questions, ~2 min). Would you like to continue?

愿意继续 / Yes, continue
跳过，直接提交 / Skip and submit
18.
以下以下是关于您工作环境的描述，请根据您的实际感受选择最符合的选项。 Please rate the following statements about your work environment.
强烈不同意 / Strongly Disagree不同意 / Disagree难以决定/ Hard to Decide同意 / Agree强烈同意 / Strongly Agree
我没有时间完成必须完成的工作。I do not have time to do the work that must be done.
我没有时间完成必须完成的工作。I do not have time to do the work that must be done.
我能自主决定如何完成我的工作。I have control over how I do my work.
我能自主决定如何完成我的工作。I have control over how I do my work.
我的工作得到了他人的认可。I receive recognition from others for my work.
我的工作得到了他人的认可。I receive recognition from others for my work.
我工作团队的成员能够开放地沟通。Members of my work group communicate openly.
我工作团队的成员能够开放地沟通。Members of my work group communicate openly.
这里的资源分配是公平的。Resources are allocated fairly here.
这里的资源分配是公平的。Resources are allocated fairly here.
我的价值观与组织的价值观一致。My values and the Organization’s values are alike.
我的价值观与组织的价值观一致。My values and the Organization’s values are alike.
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19.
请从这里手动输入国家及城市（Please manually enter the country and city here）：
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