The relationship between burnout and organizational commitment in two samples of health professionals

Relationships between dimensions of burnout and employee commitment to the organization were tested in two hospital samples, using structural equations analysis. Whereas burnout has typically been assumed to be a predictor of organizational commitment, the present data provided support for the converse hypothesis, that low commitment contributes to the experience of burnout. Specifically, in a sample of nurses (n = 197), commitment showed direct effects on emotional exhaustion and depersonalization, and a weaker indirect effect (via exhaustion) on depersonalization. A similar pattern of effects emerged in a sample of laboratory technicians from the same organization (n = 110), although in this case the direct linkage between organizational commitment and depersonalization was not statistically significant. Implications for organizational efforts to reduce burnout are discussed.     

Burnout and reciprocity: Towards a dual-level social exchange model

A tentative dual-level social exchange model of burnout and organizational commitment is proposed that includes social exchange relationships at the interpersonal level (i.e. between human services professional, or caregiver, and recipient) as well as at the organizational level (i.e. between employees and organization). The model was tested and cross-validated in two independent samples that consisted of 220 and 142 student nurses, respectively, by using linear structural modelling with LISREL VII. The hypothesized model assumes that lack of reciprocity at both levels is positively related to burnout, whereas poor organizational commitment is exclusively related to lack of reciprocity at the organizational level. This model fitted reasonably well to the data of both samples. The limitations of the study and its practical implications are discussed, and directions for future research on the dual-level social exchange model are proposed.     

Impact of shift work and department type upon strain and attitudinal measures of hospital nurses

The effects of shift work (fixed versus rotating), type of hospital department (intensive care unit versus non-ICU), and job scope on stress and attitudes have been reported previously. The goal of the present study was to examine the interactive, as well as individual, impact of these variables on measures of perceived work stress, strain, work satisfaction and withdrawal intentions. Respondents in the study were nurses in a large general hospital in Israel. None of the two- or three-way interactions received empirical support. However, significant multivariate main effects for each of the three independent measures were found. The negative influence of rotating work shift compared to fixed work shift was supported. Nurses who thought that their job was more enriching were more satisfied and perceived their workload as being lower. Department type affected only burnout level; nurses in non-ICUs were lower in burnout. Several theoretical and practical possible interpretations and possible implications are presented.     

Job satisfaction and occupational stress in UK general hospital nursing staff

This study investigated factors associated with the perceptions of stress reported by nurses in a general hospital environment in the UK. The levels and sources of stress experienced by nursing staff were examined in relation to the type of ward or department, and nursing grade. The association between reported stress and job satisfaction was also examined. By means of a self-completion questionnaire survey, data were collected from 234 nurses from 24 wards in a single general hospital. The Brayfield and Rothe job satisfaction index was used to provide data for analysis. Factor analysis, analysis of variance, and Pearson product moment correlation procedures were performed on these data. The factor analysis identified two main factors concerned with sources of stress: interpersonal relations and resource problems, and dealing with death. Although there were no differences found across wards, the analyses of variance revealed that reported stress varied over different nursing grades. It was also found that job satisfaction was correlated with nursing experience and negatively related to stress.     

A test of the Maslach Burnout Inventory in three samples of healthcare professionals

Structural equation modelling with LISREL was used to investigate the factor structure of the Maslach Burnout Inventory (MBI). Emotional exhaustion was the most robust of the MBI's three factors, followed by depersonalization, while the personal accomplishment factor performed weakly. A new measurement model was developed in a sample of 197 nurses consisting of the emotional exhaustion and depersonalization dimensions, which were measured with five and two empirical MBI indicators, respectively. A test of invariance of the two-factor model across three samples (i.e. one calibration sample of nurses, and two validation samples consisting of hospital laboratory technicians and hospital managers with an effective sample size of 445) produced a good fit for the proposed two-factor model. Assessment of psychometric properties of the two-factor model produced (1) internal consistencies comparable to those reported in the literature for the MBI's originally specified emotional exhaustion and depersonalization scales, and (2) correlations with criterion variables that were all in the expected direction and magnitude, comparable to those produced by the originally specified scales. Theoretical implications for the use of the two-factor model in burnout research are discussed.     

Health, well-being and burnout of ICU nurses on 12- and 8-h shifts

It is generally agreed that some features of shift systems can influence the extent of well-being and health problems experienced by the workers involved. Extended working days (9-12 h) have been found to aggravate some problems associated with shiftwork, especially when the work is mentally and emotionally demanding. The aim of the study was to compare measures of health, sleep, psychological and social well-being, job satisfaction and burnout of ICU nurses on 12- and 8-h shifts. The groups of subjects were matced for age, length of shiftwork experience, marital status and number of hours worked. the 12-h shift nurses, when compared to their 8-h shift colleagues, experienced more chronic fatigue, cognitive anxiety, sleep disturbance and emotional exhaustion. Job satisfaction seems to be independent of the shift duration. The nurses on 12-h shifts reported less social and domestic disruption than those on 8-h shifts. The 12-h shift nurses showed worse indices of health, well-being and burnout tan the 8-h shift nurses. It is suggested that this may be associated with their longer daily exposure to the stress of work. The increased number of rest days of 12-h shift nurses seems tobe insufficient to dissipate the adverse health and well-being effects that built up over their longer shifts.     

A test of the Maslach Burnout Inventory in three samples of healthcare professionals

Structural equation modelling with LISREL was used to investigate the factor structure of the Maslach Burnout Inventory (MBI). Emotional exhaustion was the most robust of the MBI's three factors, followed by depersonalization, while the personal accomplishment factor performed weakly. A new measurement model was developed in a sample of 197 nurses consisting of the emotional exhaustion and depersonalization dimensions, which were measured with five and two empirical MBI indicators, respectively. A test of invariance of the two-factor model across three samples (i.e. one calibration sample of nurses, and two validation samples consisting of hospital laboratory technicians and hospital managers with an effective sample size of 445) produced a good fit for the proposed two-factor model. Assessment of psychometric properties of the two-factor model produced (1) internal consistencies comparable to those reported in the literature for the MBI's originally specified emotional exhaustion and depersonalization scales, and (2) correlations with criterion variables that were all in the expected direction and magnitude, comparable to those produced by the originally specified scales. Theoretical implications for the use of the two-factor model in burnout research are discussed.     

结构式团体在临床护士心理压力调解中的应用

目的探讨应用结构式团体在临床护士心理压力调解中的改善效果。方法选择临床护士60例,均为2020年06月~2020年12月间我院在册在岗内科病区护士,依据护士入科先后顺序采取分组,即前期入科护理人员30例采取自我调节方式应用心理压力,观察组为后期入科护理人员30例,采取结构式团体干预模式进行心理压力调节,对比护士不同调节方式下,情绪分值变化及对自我职业的倦怠评分、心理健康状态评分,并采取科室设计的满意度问卷展开评估。结果由自评量表结果所示,观察组护理人员在干预前焦虑、抑郁分值均无明显变化(P>0.05),干预后观察组护理人员焦虑、抑郁分值有所下降,与对照组呈鲜明对比(P<0.05)。职业倦怠量表测评结果所示,观察组护理人员情绪衰竭、工作态度、个人成就感三个维度的分值均低于对照组,差异显著(P<0.05)。由科室自我设计满意度问卷所示,观察组对自我工作满意度较高,与对照组比值差异明显(P<0.05)。两组在SCL-90量表测评下,观察组护理人员各项指标得分低于对照组(P<0.05)。结论结构式团体在临床护士心理压力的调解中的应用效果值得肯定,可改善职业倦怠感,提高工作效率。     

The Relationship Between Visioning Behaviours of Leaders and Follower Burnout

This paper investigates whether the perceived visioning behaviours of leaders influence the burnout process experienced by their followers. A structural equation model was used to examine these relationships using a sample of 480 senior managers from an Australian law-enforcement organization. Differences in the relationships between the two factors of visioning behaviour and aspects of burnout were identified. Inspirational motivation (concept-based) reduced the central factor of burnout, namely emotional exhaustion (psychological strain). Inspirational motivation (image-based) had a positive effect on personal accomplishment (self) and reduced depersonalization. The paper discusses the implications for leaders and followers and identifies directions for future research.     

Work satisfaction, health, and stress: A study of Dutch nurses

A study was conducted to compare nurses' work satisfaction and feelings of health and stress in five different nursing departments: a cardiac care unit and a general surgical ward in a general hospital; and an admissions department, a short-stay department, and a long-stay department in a psychiatric hospital. One hundred nurses took part in the study: the instruments used were questionnaires and structured interviews. The main results showed that:

(1) nurses in the cardiac care unit had the most positive satisfaction scores

(2) nurses in the general surgical ward had the most positive scores on the health and stress variables

(3) feelings of dissatisfaction and stress were most prominent in the short-stay department and, to a lesser extent, in the long-stay department.

The findings are interpreted in terms of the different work situations and die implications for hospital management are discussed.

Dr J. A. Landeweerd graduated in industrial and organizational psychology in 1968 (PhD in 1978). He has worked at Eindhoven University of Technology (Department of Industrial Engineering) and now holds a position as senior lecturer at Limburg University (Department of Health Sciences), where he is project-leader for a number of research projects on the relationships between work and health.

Nicolle Boumans, MA, graduated in health sciences in 1985 (specialization: nursing science) and is now a research assistant. She is working on a PhD thesis concerned with the relationship between task characteristics of nurses and their reaction in terms of job satisfaction, health and stress.     

Perceived inequity, communal orientation and burnout: The role of helping models

A large amount of empirical evidence has shown that professional helpers who perceive inequity in their relationships with their clients experience burnout. However, in such a situation, communal orientation (a desire to give benefits in response to the perceived needs of others), has been found to buffer burnout. In the present study, this buffering effect was investigated from the perspective of helping models. French nurses ( n =60) and social workers ( n =68) completed a questionnaire designed to evaluate perceived inequity, communal orientation and burnout. The results showed that, as expected, the buffering effect of communal orientation greatly depends on the helping model. Among professionals who endorsed a medical model of helping (wherein recipients are expected to be relatively passive to get better), those high on communal orientation experienced a low level of burnout when they perceived inequity. However, among professionals with a compensatory helping model (wherein recipients are expected to be active to get better), not only had perceived imbalance no buffering effect but also it reduced personal accomplishment. It was speculated that with a medical model, a perceived imbalance in the relationships does not hinder the desire to respond to the perceived needs of others. However, within a compensatory model, a perceived imbalance probably impedes the self efficacy of professionals high in communal orientation, that is who desire to respond to the perceived needs of others.     

COMPARISON OF NURSE ALLOCATION POLICIES-A MONTE CARLO MODEL*

Many hospitals have historically used a fixed staffing policy for allocating nursing personnel, in which the daily demand in each ward is met by nurses who are permanently assigned to the specific wards. In recent years, the concept of variable staffing has been proposed as a means of increasing manpower efficiency. A variable staffing policy is one which provides for staffing adjustments to meet work load through the use of a common pool of cross-trained nurses. In this paper, a model is formulated to evaluate the relative benefits of variable and fixed staffing policies. Results from a Monte Carlo evaluation of the model demonstrate how the hospital administrator can assess the sensitivity of savings to changes in policy and operating parameters. Several criteria which an administrator might adopt for equating levels of patient care under alternative staffing schemes are suggested and studied. The proposed method of analyzing benefits of alternative allocation procedures shows promise for evaluating policy choices in hospitals, as well as other service organizations with similar characteristics.     

A longitudinal study of burnout: the relative importance of dispositions and experiences

This study investigated the relative contribution of personality vs. environmental factors to the genesis of the burnout syndrome. A sample of 221 nursing students in Hamburg, Germany, were administered a battery of personality measures prior to any training. They were later asked to rate various stressors encountered during their practical training on hospital wards and also in nursing school, general aspects of ward climate, the frequency of private life events, and their own well-being on standard measures of burnout. Data were collected at seven time points over a period of 3 years, including the initial assessment (T1-T7). Only complete data sets (N = 123) were used for the analyses. Burnout scores from T2 to T7 were predicted, on the one hand, by the 36 'dispositional' scales of the initial battery and, on the other hand, by a set of 18 'experience-oriented' scales from the later questionnaire's concurrent administration. Scales reflecting well-being were predicted better by experiences than by dispositions. With scales reflecting attitudes towards oneself and patients, respectively, it was the other way around. Thus, both dispositional and experiential views of burnout receive some support here. Intraindividual change in burnout scores could not be linked to dispositional or experiential variables.     

Burnout, job stress and violent behaviour among Dutch police officers

Much has been published on burnout in the human services. However, despite the extensive literature on job stress in policing, burnout in police officers has rarely been studied. The present study examined stressors in police work, focusing specifically on the lack of reciprocity that officers experience in relations with civilians, colleagues and the police service. It also investigated the relationship between burnout and the attitudes of officers towards violence, as well as to their own use of violence. Dutch police officers (N = 358) completed a self-report questionnaire. The results showed that: (1) organizational stressors were more prevalent than task-related stressors; (2) compared to other service jobs, police officers report a particular profile on the three scales of the Maslach Burnout Inventory (MBI)?a relatively low level of emotional exhaustion,an average level of depersonalization, and a high level of personal accomplishment; (3) burnout is associated with a lack of reciprocity between investments and outcomes in the relations that officers have with citizens, colleagues and their organization; and (4) burnout is positively related to attitudes towards use of violence and the use of violence during the officers' duty.     

Nurses' strikes: a profession maturing

Very few metropolitan areas have experienced nurses' strikes. Even fewer have contended with a second potential strike and aveted it. The Twin Cities experienced a nurses' strike in 1984. In May 1989, a similar strike was threatened. An agreement was reached less than 48 hours before the strike vote. This article analyzes the changes that occurred between the two strikes.     

Adult attachment styles and their relationship to burnout: a preliminary, cross-cultural investigation

While many studies have addressed the relationship between adult attachment styles and stress, so far no studies have addressed the relationship between attachment styles and burnout, which is thought often to characterize highly motivated individuals. Based on a psychodynamic existential perspective it was predicted that adult attachment styles would correlate with burnout: that there would be a negative correlation between secure attachment style and burnout and a positive correlation between insecure attachment styles (avoidant or anxious/ambivalent) and burnout. A pilot study was conducted in a sample of Israeli MBA students (N=41), nearly all of whom were in full-time employment. A further four studies were then conducted on Hungarian social studies students (N=751), Israeli dialysis nurses (N=216) and national samples of Israeli Jews (N=511) and Arabs (N=505). These studies supported this hypothesis. Finally, a follow-up study involving Israeli students (N=160), who described the importance of various work features and their strategies for coping with burnout-causing situations, helps to explain the findings. These results have a theoretical and a practical implication: burnout research and intervention should include greater emphasis on personal factors in addition to contextual factors.     

Burnout,job stress and violent behaviour among Dutch police officers

Much has been published on burnout in the human services. However, despite the extensive literature on job stress in policing, burnout in police officers has rarely been studied. The present study examined stressors in police work, focusing specifically on the lack of reciprocity that officers experience in relations with civilians, colleagues and the police service. It also investigated the relationship between burnout and the attitudes of officers towards violence, as well as to their own use of violence. Dutch police officers (N = 358) completed a self-report questionnaire. The results showed that: (1) organizational stressors were more prevalent than task-related stressors; (2) compared to other service jobs, police officers report a particular profile on the three scales of the Maslach Burnout Inventory (MBI)?a relatively low level of emotional exhaustion,an average level of depersonalization, and a high level of personal accomplishment; (3) burnout is associated with a lack of reciprocity between investments and outcomes in the relations that officers have with citizens, colleagues and their organization; and (4) burnout is positively related to attitudes towards use of violence and the use of violence during the officers' duty.     

Work-related and individual determinants of the three burnout dimensions

Applying the Conservation of Resources (COR) theory as a framework, this study among Dutch nurses (n=156) first tested whether work-related demands, resources and self-esteem were differentially associated with the three burnout dimensions (emotional exhaustion, personal accomplishment and depersonalization), respectively. In addition, the current study investigated the interrelationships between the burnout dimensions and the hypothesized moderating effect of self-esteem. As expected, emotional exhaustion was primarily associated with job demands (i.e. work overload) and-to a slightly lower extent-with resources such as social support and self-esteem. In contrast, but also according to the authors' predictions, depersonalization and personal accomplishment were not associated with job demands. Emotional exhaustion was, as predicted, an important correlate of depersonalization, whereas reduced personal accomplishment was negatively associated with self-esteem and with quality of work content, a resource. In line with earlier findings but contrary to some recent propositions, reduced personal accomplishment was positively associated with depersonalization. Finally, self-esteem did not moderate the relationships between the selected work factors and the burnout dimensions. The limitations of the study are discussed and directions for future research are proposed.     

The application of a performance management system in hospitals: A hypothetical example

Abstract

The central theme of this article is performance management, defined as activities of organizations aimed at an effective and efficient use of their human resources. The organization focused on in particular is the hospital. Three principles taken from motivation theory are dealt with which are basic to performance management: goal setting, feedback and reinforcement. Next, a recently developed procedure (Pritchard 1990, Pritchard et al. 1988, 1989) for the design of performance management systems is described. This procedure, ProMES: Productivity Measurement and Enhancement Systems, is explained using a team of ward nurses as a hypothetical example. In addition to the nursing wards example, other potential applications of the ProMES technique to several hospitals areas are mentioned. Finally, some conditions that should be fulfilled in order to successfully start a ProMES project are discussed.     

Work-related episodic memories can increase or decrease motivation and psychological health at work

ABSTRACT

Research on the psychological mechanisms underlying employee motivation and psychological health at work has been limited to general and chronic workplace factors, such as job strenuousness or management style. In two studies, we examine how unique and time-specific work life events encoded as episodic memories can influence employee motivation and psychological health at work as a function of how these events are recalled having been experienced in terms of need satisfaction. In Study 1, participants described a self-defining work-related memory and rated it for need satisfaction. They also completed scales of need satisfaction at work, self-determined motivation, and positive and negative indicators of psychological health (i.e. work satisfaction and burnout). In Study 2, participants completed the same tasks and scales, but they did it again two years later. Results revealed that need satisfaction in self-defining work-related memories was associated with self-determined motivation and indicators of psychological health at work, over and above demographics (age, sex, weekly hours worked, education) and general perceptions of need satisfaction at work. Moreover, it predicted increases in self-determined motivation and in work satisfaction and decreases in burnout over two years. The present findings underscore the importance of considering unique work life events encoded in memory.