Specific determinants of intrinsic work motivation, burnout and turnover intentions: a study among nurses

This study of 156 Dutch general hospital nurses tested a theoretically derived model of specific relationships between work stressors and stress reactions. The model proposes four central domains of the work situation, namely work content, working conditions, social and labour relations, and conditions of employment. In addition, the model proposes three important stress reactions, namely a diminished intrinsic work motivation, occupational burnout and an inclination to leave the job. More specifically, it was hypothesized that (i) intrinsic work motivation is primarily determined by work content variables, (ii) burnout is primarily determined by both work load and limited social support, and (iii) propensity to leave is primarily determined by conditions of employment. All these relationships were simultaneously tested using a structural equations modelling technique. The results of a series of LISREL analyses indicate that the postulated model fits well to the data. The present study used conceptually integrated measures that cover the area of work stress and stress reactions, and provides directions for interventions aimed at preventing or reducing specific negative outcomes of work-related stress in general hospitals.     

Influencing Factors and Consequences of Workplace Bullying among Nurses: A Structural Equation Modeling

Purpose

The purpose of this study was to build and test a model outlining the factors related to workplace bullying among nurses. The hypothesized model included authentic leadership and a relationship-oriented organizational culture as influencing factors, symptom experience and turnover intention as consequences, and positive psychological capital as a mediator of workplace bullying among nurses.

Nurse turnover: the mediating role of burnout

Aim  This study tested whether the mediation model of burnout could predict nurses' turnover intentions.
Background  A better understanding of what factors support a commitment to a nursing career could inform both policies and workplace practices. The mediation model of burnout provides a way of linking the quality of a nurse's worklife to various outcomes, such as turnover.
Method  Data on areas of worklife, burnout, and turnover intentions were collected by surveying 667 Canadian nurses in the Atlantic Provinces.
Results  The findings supported the mediation model of burnout, in which areas of worklife predicted burnout, which in turn predicted turnover intentions. Cynicism was the key burnout dimension for turnover, and the most critical areas of worklife were value conflicts and inadequate rewards.
Conclusions  The results of this study provide some new insights into how the intention of nurses to leave their job is related to particular aspects of their worklife and to burnout.
Implications for nursing management  These results suggest what may be the most appropriate areas to target for interventions to reduce the risk of nurses exiting early from their chosen career.     

Exploring the return-to-work process for workers partially returned to work and partially on long-term sick leave due to common mental disorders: a qualitative study

Purpose.?We conducted a qualitative study into the return-to-work process of workers partially on sick leave due to common mental disorders. Our objectives were to describe the barriers to a full return to work, solutions, communicating to the working environment and the aim of a full return to work, all as perceived by the workers.

Method.?Workers who had partially returned to work and were partially on long-term sick leave due to a stress-related, anxiety or depressive disorder were eligible for this study. Fourteen workers were interviewed and the interviews were transcribed verbatim and coded.

Results.?The perceived main barriers were: inability to set limits, recognise exhaustion and to control cognitions and behaviour such as perfectionism. A general pattern in the process was that all workers perceived barriers to a full return to work; most workers were able to mention solutions; all workers aimed for a full return to work, and after some time all workers were met with sufficient understanding and social support from their supervisor and health care professional. However, hardly any worker intended to implement or utilise the solutions at the workplace, except the structural adaptations of the work demands.

Conclusions.?The pattern we found suggests a critical intention–behaviour gap between solutions and intentions for a full return to work and its implementation at work. This implies that we should develop new interventions that focus on helping workers and their environment to bridge this gap.     

男护士工作价值观与离职倾向相关性的研究

目的了解男护士工作价值观、离职倾向现状,探讨两者之间的关系。方法对哈尔滨市6所医院、大连市2所医院的65名男护士进行问卷调查。采用护士一般情况调查表、工作价值观量表、离职倾向量表进行调查。结果男护士工作价值观各维度得分以平均值降序排列依次为情感型价值观、认知型价值观、工具型价值观;离职倾向各维度得分以平均值升序排列依次为离职意愿Ⅰ、离职意愿Ⅱ、离职意愿Ⅲ。工具型价值观与离职倾向呈正相关（r=0．393,P=0．008）。结论鼓励男护士对高层次需要的追求和满足是降低男护士离职倾向的正性激励措施,护理管理者应重视提高临床男护士工作满意度,从而避免离职倾向的产生。     

精神薪酬满意度对护士离职意愿的影响

目的：了解护士精神薪酬满意度和离职意愿现状,并分析精神薪酬满意度对护士离职意愿的影响,为稳定临床护理队伍提供科学依据。方法：选取某三级甲等医院护士为研究对象,采用精神薪酬满意度量表和离职意愿量表进行调查。结果：护士离职意愿总分为（16.32±2.95）分,处于较高水平;护士对来自护士长和来自医生的精神薪酬满意度分别为（10.30±3.19）分和（8.79±2.34）分,均为较低水平,两者差异有统计学意义（P〈0.001）;分层回归分析显示,聘任形式及精神薪酬满意度是护士离职意愿的预测因素（P〈0.05）。结论：护士离职意愿处于较高水平;提高护士的精神薪酬满意度有利于降低其离职意愿。护理管理者应加强与护士的沟通交流并采用恰当的表达方式以提高护士精神薪酬满意水平,稳定护士队伍。