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Kim SA, Kim SR, Kim HY. Effect of positive psychological capital on burnout in public hospital nurses: Mediating effect of compassion fatigue is greater than compassion satisfaction. Jpn J Nurs Sci 2024; 21:e12627. [PMID: 39291601 DOI: 10.1111/jjns.12627] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2024] [Revised: 08/04/2024] [Accepted: 08/17/2024] [Indexed: 09/19/2024]
Abstract
AIM Although relationships among positive psychological capital (PsyCap), compassion fatigue, compassion satisfaction, and burnout have been reported, causal relationships among these variables have not been identified. This study examined the influence of positive PsyCap on burnout and confirmed the mediating effects of compassion fatigue and satisfaction among public hospital nurses. METHODS This study adopted a correlational cross-sectional design. We recruited 237 nurses working at a public hospital, using convenience sampling. RESULTS The fit of the hypothetical model was adequate. Positive PsyCap directly affected compassion fatigue and satisfaction, and burnout. It had an indirect effect on burnout. Compassion fatigue and satisfaction directly affect burnout. This finding indicates that compassion fatigue and satisfaction partially mediate between positive PsyCap and burnout. In addition, the mediating effect of compassion fatigue was greater than that of compassion satisfaction on the relationship between positive PsyCap and burnout. Finally, positive PsyCap, compassion fatigue, and compassion satisfaction explained 70.4% of the total variance in burnout scores. The effect size (f2) was 2.38 (large effect size). CONCLUSIONS Burnout should be assessed with positive PsyCap, compassion fatigue, and compassion satisfaction among public hospital nurses. Given that the mediating effect of compassion fatigue was greater than that of compassion satisfaction, interventions for compassion fatigue may be a strategy to reduce burnout, especially among public hospital nurses with low levels of positive PsyCap.
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Affiliation(s)
- Sin Ah Kim
- Department of Nursing, National Medical Center, Seoul, Republic of Korea
- Department of Nursing, College of Nursing, Korea University, Seoul, Republic of Korea
| | - Sung Reul Kim
- Department of Nursing, College of Nursing, Korea University, Seoul, Republic of Korea
- Institute of Nursing Research, Korea University, Seoul, Republic of Korea
| | - Hye Young Kim
- Department of Nursing, College of Nursing, Research Institute of Nursing Science, Jeonbuk National University, Jeonju, Republic of Korea
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Santiago-Torner C. Creativity and Emotional Exhaustion in Virtual Work Environments: The Ambiguous Role of Work Autonomy. Eur J Investig Health Psychol Educ 2024; 14:2087-2100. [PMID: 39056654 PMCID: PMC11275591 DOI: 10.3390/ejihpe14070139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2024] [Revised: 07/09/2024] [Accepted: 07/16/2024] [Indexed: 07/28/2024] Open
Abstract
The results regarding the relationship between creativity in virtual work environments and its influence on emotional exhaustion are inconclusive. Furthermore, autonomy, when it loses its original purpose of acting as a job resource, takes on an ambiguous role that needs further research. OBJECTIVE To analyze the relationship between creativity and emotional exhaustion, along with the role assumed by work autonomy in this link, in an online work context. METHODOLOGY The sample was formed of 448 employees with university studies. The statistical analysis was conducted through a simple moderation process. RESULTS Creativity and work autonomy mitigate emotional exhaustion. In fact, work autonomy plays a moderating role regarding the relationship between creativity and emotional exhaustion. Control over work surely reduces the impact of work-related stressors, and this safety climate promotes adaptive and original responses that improve employees' emotional health. However, when creative demands coincide with an autonomy that extends working hours, instead of establishing limits, this supposed benefit becomes a demand that prevents employees from disconnecting, until emotionally exhausting them. CONCLUSION A virtual work environment is an ideal habitat for creativity and self-management to improve employees' emotional health, as long as work autonomy acts as a resource.
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Affiliation(s)
- Carlos Santiago-Torner
- Faculty of Business and Communication Studies, Department of Economics and Business, University of Vic-Central University of Catalonia, 08500 Vic, Barcelona, Spain
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3
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Fan J, Chang Y, Li L, Jiang N, Qu Z, Zhang J, Li M, Liang B, Qu D. The relationship between medical staff burnout and subjective wellbeing: the chain mediating role of psychological capital and perceived social support. Front Public Health 2024; 12:1408006. [PMID: 38975362 PMCID: PMC11224155 DOI: 10.3389/fpubh.2024.1408006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Accepted: 06/12/2024] [Indexed: 07/09/2024] Open
Abstract
Background Medical staff play a crucial role in delivering healthcare services, especially during epidemics of infectious diseases such as coronavirus disease 2019 (COVID-19). However, there is a growing issue of burnout and low wellbeing among this group. While it is widely recognized that burnout has a negative impact on subjective wellbeing, the exact relationship between the two is not yet completely understood. The purpose of this study is to explore the chain mediating role of psychological capital and perceived social support between burnout and subjective wellbeing among medical staff. Methods Using the convenient sampling method, 604 medical staff were selected for a cross-sectional study. All participants completed a self-report questionnaire that collected demographic information, as well as data from the Maslach Burnout Inventory-Human Services Survey, General Wellbeing Schedule, Psychological Capital Questionnaire, and Perceived Social Support Scale. SPSS 27.0 and SPSS PROCESS macro were used for data analysis. Results There was a significant correlation between burnout, psychological capital, perceived social support, and subjective wellbeing (p < 0.01). Burnout not only has a direct negative impact on the subjective wellbeing of medical staff (effect: -0.2045; Bootstrap 95%CI: -0.2506, -0.1583), but also exerts an indirect influence on subjective wellbeing through three pathways: the independent mediating effect of psychological capital (effect: -0.0481; Bootstrap 95%CI: -0.0876, -0.0109), the independent mediating effect of perceived social support (effect: -0.0092; Bootstrap 95%CI: -0.0203, -0.0003), and the chained mediating effect of psychological capital and perceived social support (effect: -0.0092; Bootstrap 95%CI: -0.0183, -0.0019). Conclusion High burnout in medical staff can impair the level of psychological capital, leading to diminished perceived social support and ultimately reduced subjective wellbeing. The findings of this study contribute to understanding the potential pathways between burnout and subjective wellbeing and provide preliminary data support for developing strategies to improve the mental health of medical staff.
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Affiliation(s)
- Jia Fan
- The Second Hospital of Jilin University, Jilin, China
| | - Yuyang Chang
- The Second Hospital of Jilin University, Jilin, China
| | - Li Li
- The Second Hospital of Jilin University, Jilin, China
| | - Nan Jiang
- School of Nursing, Jilin University, Jilin, China
| | - Zhifei Qu
- School of Nursing, Jilin University, Jilin, China
| | - Jiaxin Zhang
- National Center for Children’s Health, Beijing Children’s Hospital, Capital Medical University, Beijing, China
| | - Meihua Li
- School of Nursing, Jilin University, Jilin, China
| | - Bing Liang
- School of Nursing, Jilin University, Jilin, China
| | - Danhua Qu
- The Second Hospital of Jilin University, Jilin, China
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Liu C, Li S, Zhou J, Zhang M, Chen H. Relationship between fear of COVID-19 and mental health of Chinese nurses: The mediating effects of psychological capital and burnout. Nurs Open 2024; 11:e2136. [PMID: 38488419 PMCID: PMC10941571 DOI: 10.1002/nop2.2136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Revised: 02/09/2024] [Accepted: 02/21/2024] [Indexed: 03/18/2024] Open
Abstract
AIM The aim of the study was to investigate the correlation between fear of COVID-19 and mental health of nurses and the effects of psychological capital and burnout in this relation. DESIGN A cross-sectional study. METHODS The online surveys were conducted among mainland Chinese nurses. Participants (n = 445; average age 32.89 ± 6.76 years) completed an online-questionnaire based on the Fear of COVID-19 Scale, the Psychological Capital Scale, Maslach Burnout Inventory Human Services Survey for Medical Professionals Scale and the 12-Item Short Form Health Survey. Data analysis was conducted by Pearson's correlation analysis, Harman single-factor test and the bootstrap method for mediating effect testing. RESULTS (1) The study demonstrated a significant direct effect of fear of COVID-19 on nurses' mental health, as well as on mediating factors such as burnout and psychological capital. (2) Regression analyses confirmed that while psychological capital bolstered mental health, burnout undermined it, with fear of COVID-19 further imposing a negative influence. (3) Fear of COVID-19 exerted an effect on the mental health of nurses by the independent and chain intermediary functions of psychological capital and burnout, resulting in a total mediating effect of -0.233.
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Affiliation(s)
- Chengxiang Liu
- Department of Anesthesia and Perioperative MedicineThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
| | - Sainan Li
- Department of Anesthesia and Perioperative MedicineThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
| | - Juan Zhou
- Department of Anesthesia and Perioperative MedicineThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
| | - Miao Zhang
- Department of NursingThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
| | - Hong Chen
- Department of Anesthesia and Perioperative MedicineThe Second Affiliated Hospital of Anhui Medical UniversityHefeiChina
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Xue B, Wang S, Chen D, Hu Z, Feng Y, Luo H. Moral distress, psychological capital, and burnout in registered nurses. Nurs Ethics 2024; 31:388-400. [PMID: 37737144 DOI: 10.1177/09697330231202233] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/23/2023]
Abstract
AIMS This study aimed to explore the relationship among moral distress, psychological capital, and burnout in registered nurses. ETHICAL CONSIDERATION The study was approved by the Ethics Committee of the School of Nursing, Hangzhou Normal University (Approval no. 2022001). METHODS A cross-sectional descriptive survey was conducted with a convenience sample of 397 nurses from three Grade-A tertiary hospitals in Zhejiang Province, China. Participants completed demographic information, the Nurses' Moral Distress Scale, the Nurses' Psychological Capital Scale, and the Maslach Burnout Inventory Scale. The data were analyzed using Pearson's correlation analysis, structural equation modeling, and hierarchical multiple regression analysis. RESULTS The study found that moral distress and burnout are positively correlated, while psychological capital is negatively correlated with both moral distress and burnout. The path analysis in structural equation modeling revealed that moral distress has a significant direct effect on psychological capital, while psychological capital has a significant direct effect on burnout. In addition, moral distress also had a significant indirect effect on burnout through psychological capital. Moreover, both the direct effect of moral distress on burnout and the total effect of moral distress on burnout were significant. CONCLUSION The findings suggest that psychological capital plays an important role in the relationship between moral distress and burnout. Promoting psychological capital among nurses may be a promising strategy for preventing moral distress and burnout in the workplace.
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Affiliation(s)
| | | | | | - Zhiguo Hu
- Affiliated Hospital of Hangzhou Normal University
| | - Yaping Feng
- Affiliated Hospital of Hangzhou Normal University
| | - Hong Luo
- Affiliated Hospital of Hangzhou Normal University
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Zambrano-Chumo L, Guevara R. Psychological Capital and Turnover Intention: The Mediating Role of Burnout among Healthcare Professionals. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:185. [PMID: 38397676 PMCID: PMC10888532 DOI: 10.3390/ijerph21020185] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Revised: 01/25/2024] [Accepted: 02/01/2024] [Indexed: 02/25/2024]
Abstract
Psychological capital (PsyCap) has been identified as an individual's positive psychological state of development that can help to reduce negative organizational outcomes. However, there is still a gap in understanding how PsyCap influences different aspects of organizations. This study investigates the mediating role of burnout in the relationship between PsyCap and turnover intentions among healthcare professionals. A cross-sectional survey was conducted among 320 healthcare professionals. The estimation of the relationships between PsyCap, burnout, and turnover intentions was obtained through structural equation modelling (SEM). A mediation analysis was carried out using bootstrapping procedures. The results show that burnout has a significant and positive effect on turnover intention and PsyCap has a significant and negative effect on burnout. Moreover, burnout fully mediates the relationship between PsyCap and turnover intention. These findings suggest that PsyCap can effectively reduce negative outcomes like burnout, but its positive impact may be limited when considering other outcomes such as turnover intention.
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Affiliation(s)
- Laura Zambrano-Chumo
- CENTRUM Catolica Graduate Business School, Pontificia Universidad Catolica del Peru, Lima 15023, Peru
| | - Ruben Guevara
- CENTRUM Catolica Graduate Business School, Pontificia Universidad Catolica del Peru, Lima 15023, Peru
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7
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Yan Y, Deng D, Geng Y, Gao J, Lin E. The dual influence path of decent work perception on employee innovative behavior. Front Psychol 2023; 14:1302945. [PMID: 38187441 PMCID: PMC10768182 DOI: 10.3389/fpsyg.2023.1302945] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Accepted: 12/07/2023] [Indexed: 01/09/2024] Open
Abstract
Background The goal of decent work (DW) is a win-win situation for both employees and employers. It promotes an individual's employability and enhances the competitiveness of the organization. Design Based on the conservation of resources theory (COR), this paper conducted survey on knowledge workers and analyzed the data by hierarchical linear model (HLM). Research purposes This paper aims to examine how decent work perception (DWP) influences employee innovation behavior through the mediating effect of job engagement and burnout and the moderating effect of authoritarian leadership. Findings Based on the results of statistical analyses conducted on 489 valid knowledge workers, it was demonstrated that DWP positively influence employee innovative behavior. Job engagement has a full mediating effect on the relationship between DWP and employee innovative behavior. The study did not support the mediating effect of job burnout, however. There is a positive moderating effect of authoritarian leadership on the relationship between DWP and job engagement and a negative moderating effect on the relationship between DWP and job burnout. Implications In addition to contributing to theoretical studies on DW and work behavior, this paper also contributes to practice on employee motivation and leadership.
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Affiliation(s)
- Yan Yan
- Shanghai Dianji University, Shanghai, China
| | - Di Deng
- Guizhou University of Traditional Chinese Medicine, Guiyang, China
| | | | - Juan Gao
- Shanghai Dianji University, Shanghai, China
| | - Enzhong Lin
- Chengdu Huizhixin Management Consulting Co., Ltd, Chengdu, China
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8
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Flinkman M, Coco K, Rudman A, Leino-Kilpi H. Registered nurses' psychological capital: A scoping review. Int J Nurs Pract 2023; 29:e13183. [PMID: 37485748 DOI: 10.1111/ijn.13183] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Revised: 05/28/2023] [Accepted: 06/24/2023] [Indexed: 07/25/2023]
Abstract
AIMS The aim was to examine the extent and scope of empirical research concerning registered nurses' psychological capital. BACKGROUND In a time of global nursing shortage, identifying variables that could positively contribute to the retention of the nursing workforce is essential. Prior research has shown that psychological capital correlates positively with employees' better performance and well-being. DESIGN A scoping review. DATA SOURCES A systematic literature search was conducted in the following databases: PubMed, CINAHL, PsycINFO, Web of Science and Scopus covering the period from 1 January 2005 to 7 May 2023. REVIEW METHODS The JBI methodological guidance for scoping reviews was followed. The results were summarized narratively. RESULTS A total of 111 studies reported in 114 peer-reviewed articles were included. Studies were carried out across 20 countries, with the majority from China (45), Australia (nine), Pakistan (nine), Canada (eight), South Korea (eight) and the United States (eight). A positive correlation was found between registered nurses' psychological capital and desirable work-related outcomes, such as work engagement, commitment and retention intention. CONCLUSION A comprehensive overview of research evidence suggests that psychological capital is associated with many positive work-related outcomes and might therefore be a valuable resource for reducing nurse turnover.
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Affiliation(s)
- Mervi Flinkman
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Kirsi Coco
- Department of Nursing Science, University of Eastern Finland, Kuopio, Finland
| | - Ann Rudman
- Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
- School of Health and Welfare, Department of Caring Sciences, Dalarna University, Sweden
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9
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Flinkman M, Rudman A, Pasanen M, Leino-Kilpi H. Psychological capital, grit and organizational justice as positive strengths and resources among registered nurses: A path analysis. Nurs Open 2023. [PMID: 37128977 DOI: 10.1002/nop2.1769] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Revised: 04/06/2023] [Accepted: 04/07/2023] [Indexed: 05/03/2023] Open
Abstract
AIM To examine registered nurses' individual strengths (psychological capital and grit) and an organizational resource (organizational justice) as well as associated work-related outcomes. In a time of a global nursing shortage, there is an urgent need to identify strengths and resources that can have a positive impact on the health, well-being and retention of registered nurses. DESIGN A cross-sectional survey. METHODS A nationwide convenience sample of 514 registered nurses responded to a survey. Data were collected using a self-reported questionnaire between March and May 2018. Data were analysed using descriptive statistics and multivariate path analysis. RESULTS Participants rated their psychological capital and grit moderately high. Grit and organizational justice were found to have significant direct effects on psychological capital. Furthermore, psychological capital had positive direct effects on engagement and the perception of well-conducted everyday nursing as well as negative direct effects on burnout, the stress of conscience and the intent to leave the profession. CONCLUSION The results suggest that nurse leaders and managers could consider improving registered nurses' well-being with two complementary approaches. It might be useful to reinforce positive, individual strengths, such as psychological capital, and at the same time create more favourable nursing work environments, for example by strengthening organizational justice. IMPLICATIONS FOR THE PROFESSION Psychological capital and grit are emerging concepts in nursing workforce research. Identifying registered nurses' positive strengths and resources is important for inventing interventions that enhance nurses' engagement and well-being as well as reduce turnover intentions. IMPACT Nurse leaders and managers play crucial roles in managing and developing registered nurses' individual strengths and organizational resources. This has gained even more importance now as the COVID-19 pandemic could have a long-term negative impact on nurses' well-being. REPORTING METHOD The study is reported following STROBE guidelines. PATIENT OR PUBLIC CONTRIBUTION No patient or public contribution.
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Affiliation(s)
- Mervi Flinkman
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Ann Rudman
- Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
- School of Health and Welfare, Department of Caring Sciences, Dalarna University, Dalarna, Sweden
| | - Miko Pasanen
- Department of Nursing Science, University of Turku, Turku, Finland
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Bafei SEC, Chen J, Qian Y, Yuan L, Zhou Y, Sambou ML, Walker AN, Li W, Liu S. The Association between Burnout, Social Support, and Psychological Capital among Primary Care Providers in Togo: A Cross-Sectional Study. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:175. [PMID: 36676799 PMCID: PMC9864046 DOI: 10.3390/medicina59010175] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Revised: 12/28/2022] [Accepted: 01/10/2023] [Indexed: 01/18/2023]
Abstract
Background and Objectives: Job burnout is prevalent among primary care providers (PCPs) in different countries, and the factors that can alleviate burnout in these countries have been explored. However, no study has addressed the prevalence and the correlates of job burnout among Togolese PCPs. Therefore, we aimed to examine the prevalence of burnout and its association with social support and psychological capital among PCPs in Togo. Material and Methods: We conducted a cross-sectional study in Togo from 5 to 17 November 2020 among 279 PCPs of 28 peripheral care units (PCUs). Participants completed the Maslach Burnout Inventory, Job Content Questionnaire, and Psychological Capital Questionnaire. Data were analyzed using the Mann-Whitney U test, Kruskal-Wallis H test, Pearson correlation analysis, and multiple linear regression. Results: We received 279 responses, out of which 37.28% experienced a high level of emotional exhaustion (EE), 13.62% had a high level of depersonalization (DP), and 19.71% experienced low levels of personal accomplishment (PA). EE had a significant negative correlation with the supervisor's support. In contrast, self-efficacy, hope, optimism, and resilience had a significant negative correlation with DP and a significant positive correlation with PA. Furthermore, supervisors' support significantly predicted lower levels of EE. Optimism significantly predicted lower levels of DP and higher levels of PA. Conclusions: Burnout is common among Togolese PCPs, and self-efficacy, optimism, and supervisors' support significantly contribute to low levels of job burnout among Togolese PCPs. This study provided insight into intervention programs to prevent burnout among PCPs in Togo.
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Affiliation(s)
- Solim Essomandan Clémence Bafei
- Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China
- Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Jiaping Chen
- Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Yinan Qian
- Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Lei Yuan
- Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Yimin Zhou
- Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Muhammed Lamin Sambou
- Department of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Anita Nyarkoa Walker
- Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China
| | - Wei Li
- Department of Anesthesiology, Children’s Hospital of Nanjing Medical University, Nanjing 210008, China
| | - Sijun Liu
- Department of Social Medicine and Health Education, School of Public Health, Nanjing Medical University, Nanjing 211166, China
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Kaya G, Eskin Bacaksiz F. The relationships between nurses' positive psychological capital, and their employee voice and organizational silence behaviors. Perspect Psychiatr Care 2022; 58:1793-1800. [PMID: 34888883 DOI: 10.1111/ppc.12990] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 11/02/2021] [Accepted: 11/28/2021] [Indexed: 11/29/2022] Open
Abstract
PURPOSE This study aims to determine nurses' positive psychological capital (PsyCap) levels and to examine their relationships with employee voice (EV) and organizational silence (OS) behaviors. DESIGN AND METHODS This descriptive cross-sectional and correlational study collected data from 341 nurses working at a public university and a private university hospital. The data were collected with the positive PsyCap, EV, and OS scales. FINDINGS Statistically significant positive relationships were found between positive PsyCap and EV, and between positive PsyCap and relational silence. However, there was a statistically significant negative relationship between positive PsyCap and individual silence. PRACTICE IMPLICATIONS Nurse managers should support nurses and allow them to participate in decisions that can contribute to nursing, healthcare institution, and the quality of healthcare services.
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Affiliation(s)
- Gizem Kaya
- Institute of Graduate Studies, Istanbul University-Cerrahpaşa, Istanbul, Turkey.,Department of Nursing, Faculty of Health Sciences, Biruni University, Istanbul, Turkey
| | - Feride Eskin Bacaksiz
- Department of Nursing Administration, Hamidiye Faculty of Nursing, University of Health Science Turkey, Istanbul, Turkey
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12
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Alan H, Polat S, Tiryaki Sen H. The role of psychological capital in the relationship between nurses' job satisfaction and turnover intention. Perspect Psychiatr Care 2022; 58:2811-2819. [PMID: 35726709 DOI: 10.1111/ppc.13128] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 04/12/2021] [Accepted: 06/08/2022] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To find out whether psychological capital has a mediating role in the relationship between job satisfaction and turnover intention on nurses. DESIGN AND METHODS This study is a cross-sectional descriptive study. 466 nurses participated in this study. Data were collected via paper-and-pencil format using Minnesota Satisfaction Questionnaire, Psychological Capital Questionnaire and Turnover Intention Scale. CONCLUSIONS Our findings revealed effects of poor psychological capital among nurses. The effect of psychological capital was statistically significant and it partially mediated job satisfaction and turnover intention. PRACTICE IMPLICATIONS Initiative sand training programs should be planned to improve nurses' attitudes towards psychological capital levels.
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Affiliation(s)
- Handan Alan
- Department of Nursing Administration, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey
| | - Sehrinaz Polat
- Istanbul Faculty of Nursing, Istanbul University, Istanbul, Turkey
| | - Hanife Tiryaki Sen
- Istanbul Health Directorate Health Services Presidency Department of Staff Services, Istanbul, Turkey
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13
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Almeida DPDS, Miclos PV. Nursing in Primary Health Care: association between leadership, psychological capital, and burnout implications. Rev Bras Enferm 2022; 75:e20210942. [PMID: 35858010 DOI: 10.1590/0034-7167-2021-0942] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 04/22/2022] [Indexed: 01/09/2023] Open
Abstract
OBJECTIVES to verify the association between authentic leadership and burnout syndrome in Primary Health Care nursing professionals and analyze the relationship between positive psychological capital and burnout syndrome in subordinate nursing professionals. METHODS a field, descriptive-exploratory, cross-sectional study with a quantitative approach, developed with the nursing team, in Basic Health Units in the city of São Paulo, with the application of the sociodemographic questionnaires, Burnout Characterization Scale [Escala de Caracterização do Burnout], Authentic Leadership Questionnaire and Psychological Capital Questionnaire. RESULTS in leaders' perception, there was no evidence of significant associations between burnout and authentic leadership scales. There was a significant negative association of the burnout scale dimensions with the leadership dimensions regarding the subordinates. There was evidence of significant negative associations in the burnout scores with the scores of the psychological questionnaire dimensions. CONCLUSIONS in nursing, burnout is associated with authentic leadership and psychological capital.
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Affiliation(s)
| | - Paula Vitali Miclos
- Sociedade Beneficente Israelita Albert Einstein. São Paulo, São Paulo, Brazil
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14
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Xiao S, Shi L, Lin H, Shihong Z, Ou W, Zhang J, Zhu H, Zhang C. The impact of psychological capital on turnover intention among Chinese nurses: A moderated mediation model. J Nurs Manag 2022; 30:3031-3040. [PMID: 35661464 DOI: 10.1111/jonm.13702] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2022] [Revised: 05/30/2022] [Accepted: 06/02/2022] [Indexed: 11/27/2022]
Abstract
AIMS This study examined how the mediating effect of psychological distress and the moderating role of social support influence the connection between psychological capital and turnover intention among Chinese nurses. BACKGROUND Nurses play a crucial role in medical and health services, but turnover intentions are common among them. METHODS A cross-sectional survey was conducted involving 4,865 nurses in China. The Chinese Psychological Capital Questionnaire, Depression, Anxiety and Stress Scale, Social Support Rating Scale, and Turnover Intention Scale were used to gather data. Bootstrap and simple slope methods were used to test the mediating effect of psychological distress and the moderating effect of social support. RESULTS Psychological capital had a significant direct impact on turnover intention among nurses (B = -0.040, t = -10.032, P < 0.001). Psychological distress had a mediation effect of 46.89% between psychological capital and turnover intention. Moreover, social support had a moderating role in the relationship between psychological distress and psychological capital and between psychological distress and turnover intention. CONCLUSIONS Psychological capital correlated negatively with psychological distress and turnover intention and indirectly influenced turnover intention through psychological distress. Social support moderated the first and second half of the path in the mediating model of psychological distress. These findings have implications for early intervention for and the prevention of turnover intention in nurses. IMPLICATIONS FOR NURSING MANAGEMENT This study's findings can inform the design of effective nurse support programs to reduce the impact of psychological distress on turnover intention among nurses.
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Affiliation(s)
- Shujuan Xiao
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.,School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Lei Shi
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | - Huang Lin
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.,School of Health Management, Southern Medical University, Guangzhou, Guangdong, China.,Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Zhao Shihong
- The Sixth Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Weiyan Ou
- School of Health Management, Southern Medical University, Guangzhou, Guangdong, China
| | | | - Hong Zhu
- Nanfang Hospital, Southern Medical University, Guangzhou, China.,Health Commission of Guangdong Province, Guangzhou, China
| | - Chichen Zhang
- School of Public Health, Southern Medical University, Guangzhou, Guangdong, China.,Nanfang Hospital, Southern Medical University, Guangzhou, China.,Institute of Health Management, Southern Medical University, Guangzhou, Guangdong, China
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15
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The Factors Associated with Person-Centered Care Competence among Nursing Students. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052787. [PMID: 35270478 PMCID: PMC8910480 DOI: 10.3390/ijerph19052787] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 02/23/2022] [Accepted: 02/25/2022] [Indexed: 02/01/2023]
Abstract
To improve person-centered care (PCC) competence among nursing students, various associated factors must be considered. This study aimed to identify the factors influencing PCC competence among South Korean nursing students, using a descriptive, cross-sectional design. Participants were recruited from three nursing colleges in South Korea using convenience sampling. Data were collected from 1 December 2020 to 31 January 2021, using structured self-report questionnaires. Demographic information, positive psychological capital, ego-resiliency, and depression of the participants were assessed. Descriptive statistics, independent t-tests, one-way analyses of variance, and hierarchical multiple regression analysis were used in statistical analysis. Participants with highly positive psychological capital (r = 0.509, p < 0.001) and high ego-resiliency (r = 0.480, p < 0.001) had very good PCC competence. The multiple regression analysis revealed that 30.1% of the variance in PCC competence is attributable to positive psychological capital and ego-resiliency (F = 34.59, p < 0.001, adjusted R2 = 0.301). These results highlighted the need for strategies to enhance psychological factors, such as positive psychological capital and ego-resiliency, that could boost PCC competence in nursing students.
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16
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Almeida DPDS, Miclos PV. Enfermagem na Atenção Primária à Saúde: associação entre liderança, capital psicológico e implicações no burnout. Rev Bras Enferm 2022. [DOI: 10.1590/0034-7167-2021-0942pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivos: verificar a associação entre liderança autêntica e síndrome de burnout em profissionais de enfermagem da Atenção Primária à Saúde e analisar a relação entre capital psicológico positivo e síndrome de burnout em profissionais de enfermagem liderados. Métodos: estudo de campo, descritivo-exploratório, transversal, de abordagem quantitativa, desenvolvido com a equipe de enfermagem, em Unidades Básicas de Saúde do município de São Paulo, com aplicação dos questionários sociodemográfico, Escala de Caracterização do Burnout, Authentic Leadership Questionnaire e Psychological Capital Questionnaire. Resultados: na percepção dos líderes, não houve evidências de associações significantes entre as escalas de burnout e liderança autêntica. Com relação aos liderados, observou-se associação negativa significante das dimensões da escala de burnout com as dimensões de liderança. Nas associações dos escores de burnout com escores do questionário de capital psicológico, observaram se evidências de associações negativas significantes. Conclusões: na enfermagem, o burnout está associado com liderança autêntica e capital psicológico.
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17
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Zhang W, An Y, Xiu H, Dou C, Wang Z, Wei Y, Gu T, Leng M, Wei H. Applying a Psychological Nursing Care Quality Evaluation Index in hospitalized patients: A pilot study. Nurs Forum 2021; 57:26-33. [PMID: 34473356 DOI: 10.1111/nuf.12646] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Revised: 08/04/2021] [Accepted: 08/16/2021] [Indexed: 12/01/2022]
Abstract
Psychological problems have become a significant public health problem. Appropriate mental health care is crucial in promoting patient care quality. This study aimed to test the feasibility of a Psychological Nursing Quality Evaluation Index in hospitalized patients. This is a pilot study with patients hospitalized with myocardial infarction from July to September 2020 in China. The researchers used an observational approach to examine nurses' psychological health care performance based on the Psychological Nursing Quality Evaluation Index. The results indicated high compliance rates of nurses' psychological care performance, which provides references for evaluating and monitoring inpatient psychological nursing care.
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Affiliation(s)
- Wenwen Zhang
- Affiliated Hospital of Qingdao University, Shandong, China
| | - Yi An
- Affiliated Hospital of Qingdao University, Shandong, China
| | - Hong Xiu
- Affiliated Hospital of Qingdao University, Shandong, China
| | - Chao Dou
- Affiliated Hospital of Qingdao University, Shandong, China
| | - Zhongxin Wang
- Affiliated Hospital of Qingdao University, Shandong, China
| | - Yuling Wei
- Affiliated Hospital of Qingdao University, Shandong, China
| | - Tingting Gu
- School of Nursing, Qingdao University, Shandong, China
| | - Min Leng
- Affiliated Hospital of Qingdao University, Shandong, China
| | - Holly Wei
- School of Nursing, University of Louisville, Kentucky, USA
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18
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Yao X, Lin Y, Zhang C, Wang X, Zhao F. Does Psychological Capital Mediate Occupational Stress and Coping Among Nurses in ICU. West J Nurs Res 2021; 44:675-683. [PMID: 34338102 DOI: 10.1177/01939459211014426] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
As an exploitable positive psychological state that individual performs during growth and development processes, psychological capital (PsyCap) was deemed as an essential factor in occupational health. This study aims to explore mediating effects of PsyCap on the relationship between job stress and coping style among ICU nurses. A cross-sectional sample of 288 nurses was recruited. A high-level of occupational stress (2.32 ± 0.69) and PsyCap (4.62 ± 0.93) were found among participants who mainly used a positive coping style (2.04 ± 0.59). PsyCap was significantly negatively correlated with job stress (β = -0.250; p < .01) and positively with coping style (β = 0.416; p < .01). Structural equation model analysis revealed that job stress negatively influenced PsyCap, while PsyCap positively influenced coping style. Results verified the mediating role of PsyCap and suggested that an increase in PsyCap contributes to better control of job stress and the improvement of one's coping style.
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Affiliation(s)
- Xiuyu Yao
- School of Nursing, Peking Union Medical College, Beijing, China
| | - Yujie Lin
- School of Nursing, Peking Union Medical College, Beijing, China
| | - Chang Zhang
- School of Nursing, Peking Union Medical College, Beijing, China
| | - Xiaoran Wang
- School of Nursing, Peking Union Medical College, Beijing, China
| | - Fangjia Zhao
- School of Nursing, Peking Union Medical College, Beijing, China
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19
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Wang J, Bu L, Li Y, Song J, Li N. The mediating effect of academic engagement between psychological capital and academic burnout among nursing students during the COVID-19 pandemic: A cross-sectional study. NURSE EDUCATION TODAY 2021; 102:104938. [PMID: 33934039 PMCID: PMC8669342 DOI: 10.1016/j.nedt.2021.104938] [Citation(s) in RCA: 57] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 04/08/2021] [Accepted: 04/19/2021] [Indexed: 05/20/2023]
Abstract
BACKGROUND Almost all universities have been forced to close and change to online teaching during the COVID-19 pandemic, which has been a big challenge for students. There is little knowledge about the academic burnout among nursing students in these difficult circumstances, especially in traditional Chinese medicine universities, and the relationship between the burnout and their psychological capital and academic engagement. OBJECTIVE The aim is to describe academic burnout and clarify the relationships between academic burnout, academic engagement, and psychological capital among nursing students in traditional Chinese medicine universities. DESIGN This is a cross-sectional, descriptive study. SETTING The study sampled a four-year undergraduate traditional Chinese medicine university in Jian, Shandong Province, China. PARTICIPANTS A convenience sampling method was used to select 733 nursing students from April to June 2020. METHODS The Academic Burnout Scale, the Positive Psychological Capital Scale, and the Academic Engagement Scale were used for data collection, in addition to social-demographic data. Path analysis was used to clarify the relationships among academic burnout, academic engagement and psychological capital. RESULTS Of all the study participants, 39.29% had a certain degree of academic burnout. Academic engagement and psychological capital were negatively correlated with academic burnout among nursing students in traditional Chinese medicine university. Psychological capital was positively correlated with academic engagement. CONCLUSION Nursing students had a certain degree of academic burnout. Academic engagement played a partial mediated role in the relationship between psychological capital and academic burnout.
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Affiliation(s)
- Jinfang Wang
- School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Lingrui Bu
- Department of Information Engineering, Shandong Labor Vocational and Technical College, Jinan, China
| | - Yan Li
- School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Jie Song
- School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Na Li
- School of Nursing, Shandong University of Traditional Chinese Medicine, Jinan, China.
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20
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Ren Z, Zhang X, Li X, He M, Shi H, Zhao H, Zha S, Qiao S, Li Y, Pu Y, Fan X, Guo X, Sun Y, Liu H. Relationships of organisational justice, psychological capital and professional identity with job burnout among Chinese nurses: A cross-sectional study. J Clin Nurs 2021; 30:2912-2923. [PMID: 33829587 DOI: 10.1111/jocn.15797] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 03/05/2021] [Accepted: 03/22/2021] [Indexed: 01/22/2023]
Abstract
AIMS AND OBJECTIVES The present study was aimed at describing the status of job burnout and exploring the mediating roles of psychological capital and professional identity on the association between organisational justice and job burnout. BACKGROUND With the shortage of nurses all over the world, nurses' job burnout has become the focus of studies in recent years. However, limited published research has examined the mediating roles of psychological capital and professional identity on the association between organisational justice and job burnout within hospital contexts in China. DESIGN A cross-sectional design. METHODS A total of 1,009 nurses were enrolled from a major general hospital located in Qiqihar City in the northeast of China from March-July 2018, and asked to complete questionnaires regarding organisational justice, psychological capital, professional identity and job burnout. The STROBE checklist was adhered to in this study. RESULTS It was observed that the overall proportion of nurses with job burnout was 58.8%. All the correlations among organisational justice, psychological capital, professional identity and job burnout were statistically significant, with coefficients ranging between -0.487-0.863. Psychological capital and professional identity had indirect effects equal to -0.072 and -0.142, respectively, on the association between organisational justice and job burnout, taking up 13.7% and 26.9% of the total effect, respectively. The serial indirect effect of psychological capital and professional identity was -0.129, accounting for 24.5% of the total effect. CONCLUSIONS This study showed the necessity of addressing the status of job burnout among Chinese nurses. Psychological capital and professional identity may mediate the linkage between organisational justice and job burnout independently and accumulatively. RELEVANCE TO CLINICAL PRACTICE Nursing managers should strengthen organisational justice and improve the psychological capital and professional identity of nurses through effective strategies to prevent the job burnout of nurses.
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Affiliation(s)
- Zheng Ren
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xiumin Zhang
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xiangrong Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Minfu He
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Hong Shi
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Hanfang Zhao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Shuang Zha
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Shuyin Qiao
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yuyu Li
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yajiao Pu
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xinwen Fan
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Xia Guo
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China
| | - Yan Sun
- Department of Social Medicine and Health Management, School of Public Health, Jilin University, Changchun, China.,The First Hospital of Qiqihar City, Qiqihar, China
| | - Hongjian Liu
- Department of Epidemiology and Biostatistics, School of Public Health, Jilin University, Changchun, China
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21
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Liu Y, Aungsuroch Y, Gunawan J, Zeng D. Job Stress, Psychological Capital, Perceived Social Support, and Occupational Burnout Among Hospital Nurses. J Nurs Scholarsh 2021; 53:511-518. [PMID: 33646610 DOI: 10.1111/jnu.12642] [Citation(s) in RCA: 38] [Impact Index Per Article: 12.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/30/2020] [Indexed: 01/10/2023]
Abstract
PURPOSE To determine the structural relationships among nurses' occupational burnout, job stress, psychological capital, and perceived support from society. DESIGN A cross-sectional design was performed to collect data from 766 registered nurses in three general tertiary Class A hospitals from March to August 2018. METHODS Structural equation modeling was performed to examine the proposed model. FINDINGS The research data supported the proposed model. Psychological capital, job stress, and perceived social support significantly influenced occupational burnout. Job stress indirectly influenced burnout through perceived social support and psychological capital. The influencing factors accounted for 49% of the variance in explaining burnout. CONCLUSIONS The findings identified structural relationships among the four studied variables. This study provides new information regarding the preventive role of perceived social support and psychological capital, which perform the mediating role between job stress and occupational burnout. CLINICAL RELEVANCE Nursing administrators should provide a healthy work environment, effective psychological capital training, and assistance to reduce nurses' occupational burnout.
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Affiliation(s)
- Ying Liu
- Phi Omega at Large, Assistant professor, School of Nursing, Dalian Medical University, Dalian, China, and Post-doctor, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Yupin Aungsuroch
- Phi Omega at Large, Associate Professor and Director of PhD in Nursing Science Program, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Joko Gunawan
- Post-doctor, Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand
| | - Dejian Zeng
- PhD candidate, Nethersole School of Nursing, The Chinese University of Hongkong, Hongkong, China
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