The Development of a Proactive Burnout Prevention Inventory: How Employees Can Contribute to Reduce Burnout Risks

Proactive burnout prevention refers to a set of proactive behaviors employees may engage in to prevent burnout. Findings of a previous exploratory qualitative study indicated that employees who had to deal with high demands engaged in specific proactive behaviors in the work, home, and personal domain in order to prevent burnout. To further examine proactive burnout prevention in longitudinal quantitative research and to be able to investigate its effectiveness, an inventory for assessing these kinds of behaviors is necessary. The goal of this study was twofold: 1) to develop an inventory to assess employees' proactive burnout prevention behaviors and examine its factorial validity, 2) to explore the broader nomological network of proactive burnout prevention behaviors by examining its convergent, discriminant, and predictive validity. A two-wave longitudinal survey (T1: N = 343; T2: N = 201) was conducted. The results of exploratory and confirmatory factor analysis showed that proactive burnout prevention can be reliably assessed with 40 items that load on 12 factors, indicating 12 separate proactive burnout prevention behaviors. Moreover, exploration of the convergent, discriminant, and predictive validity of the proactive burnout prevention inventory showed promising results, as expected relationships were confirmed for most behaviors. Further research is needed to substantiate the findings and examine the effectiveness of proactive burnout prevention.

A cross-sectional pilot study of student's proactive behavior in midwifery education: Validation of a developed questionnaire

OBJECTIVES

Midwifery students face major challenges in adapting quickly and effectively to different clinical settings. Proactive behavior, triggered by various individual and/or contextual antecedents, could be a significant added value to cope with these challenges.

DESIGN

A cross-sectional pilot study was conducted to investigate prognostic factors in proactive behavior in a group of midwifery students.

SETTINGS

The setting was a Belgian University College for midwifery education.

PARTICIPANTS

All second and third year midwifery students (n=156).

METHODS

Students were questioned regarding several prognostic factors: four personal characteristics, seven individual antecedents and three contextual antecedents that might trigger proactive behavior. A proportional odds logistic regression analyses was used to describe the association between prognostic factors and the probability to observe proactive behavior within the group. The strength of the newly developed questionnaire was tested.

RESULTS

Of all tested prognostic factors, nationality, role breadth self-efficacy, referring to the self-confidence of a midwifery-student to perform tasks that exceed expectations, and control appraisal, describing the importance attached to one's perceived control, were significantly associated with proactive behavior. The overall strength of the questionnaire was ratified. Two of the original questions were deleted, two re-formulated and for one prognostic factor the answer-options were re-formulated.

CONCLUSIONS

Findings from this pilot study show that midwifery students who have a high role breadth self-efficacy and low control appraisal are more likely to show proactive behavior. Additionally, Dutch students are more likely to show proactive behavior in relation to Belgian students. The questionnaire's feasibility was examined and adjustments were made for future research in a larger study to confirm these outcomes. This study can be a support in the individual guidance of midwifery students towards proactive behavior in midwifery.

Good work ability among unemployed individuals: Association of sociodemographic, work-related and well-being factors

AIMS

The aims of this study were to describe the perceived work ability of unemployed individuals and to explore the association between perceived good work ability and sociodemographic, work-related and well-being factors.

METHODS

The data were derived from the Finnish Regional Health and Well-being Study (ATH) collected by postal and Internet-based questionnaires in 2014-2015. The random sample was selected from the Finnish National Population Register. The present study includes data from unemployed or laid-off respondents ( n=1975) aged 20-65 years. Logistic regression was used in the statistical analysis. Perceived work ability was measured with the Work Ability Score.

RESULTS

Factors significantly associated with good work ability were having young children living in the household, short-term unemployment, low or moderate physical strain in most recent job, moderate mental strain in most recent job, satisfaction with most recent job, good self-rated health and good quality of life. Good self-rated health (odds ratio=10.53, 95% confidence interval 5.90-18.80) was the most substantial factor in the multivariate model.

CONCLUSIONS

The findings provide further evidence on the factors related to good work ability of the unemployed. These factors should be considered when designing interventions for promoting work ability and to minimise the harmful effects of long-term unemployment.

HIV Education and Welfare Services in Primary Care: An Empirical Model of Integration in Brazil's Unified Health System

Integration of health education and welfare services in primary care systems is a key strategy to solve the multiple determinants of chronic diseases, such as Human Immunodeficiency Virus Infection and Acquired Immune Deficiency Syndrome (HIV/AIDS). However, there is a scarcity of conceptual models from which to build integration strategies. We provide a model based on cross-sectional data from 168 Community Health Agents, 62 nurses, and 32 physicians in two municipalities in Brazil’s Unified Health System (UHS). The outcome, service integration, comprised HIV education, community activities (e.g., health walks and workshops), and documentation services (e.g., obtainment of working papers and birth certificates). Predictors included individual factors (provider confidence, knowledge/skills, perseverance, efficacy); job characteristics (interprofessional collaboration, work-autonomy, decision-making autonomy, skill variety); and organizational factors (work conditions and work resources). Structural equation modeling was used to identify factors associated with service integration. Knowledge and skills, skill variety, confidence, and perseverance predicted greater integration of HIV education alongside community activities and documentation services. Job characteristics and organizational factors did not predict integration. Our study offers an explanatory model that can be adapted to examine other variables that may influence integration of different services in global primary healthcare systems. Findings suggest that practitioner trainings to improve integration should focus on cognitive constructs—confidence, perseverance, knowledge, and skills.