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Relationships of work and practice environment to professional burnout: testing a causal model

Version 2 2024-06-13, 10:15
Version 1 2017-05-03, 14:44
journal contribution
posted on 2024-06-13, 10:15 authored by MP Leiter, HK Spence Laschinger
BACKGROUND: Research has established clear links between nurses' experience of professional burnout and many qualities of work environments but more work is needed to clarify interrelationships among aspects of complex organizational settings. OBJECTIVE: To test a nursing worklife model that defined structured relationships among professional practice environment qualities and burnout. METHODS: Hospital-based nurses in Canada (N = 8,597) completed an assessment of worklife (Nursing Work Index, NWI) and burnout (Maslach Burnout Inventory-Human Service Scale, MBI-HSS). RESULTS: A causal model was used to confirm the factor structure of the Professional Environment Scale (NWI-PES) on a subset of NWI items and the factor structure of the MBI-HSS. The analysis provided support for a structural model (nursing worklife model) linking the five worklife factors used to define a fundamental role for nursing leadership in determining the quality of worklife regarding policy involvement, staffing levels, support for a nursing model of care, and physician-nurse relationships. The analysis supported a direct path (negatively weighted) from staffing to emotional exhaustion and a direct path (positively weighted) from nursing model of care to personal accomplishment. DISCUSSION: Implications for refining a model of worklife are discussed. Implications for enhancing the quality of worklife and supporting engagement with work are considered.

History

Journal

Nursing research

Volume

55

Pagination

137-146

Location

Philadelphia, Pa.

ISSN

0029-6562

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Copyright notice

2006, Lippincott Williams & Wilkins, Inc.

Issue

2

Publisher

Wolters Kluwer