Predictors of new graduate nurses’ workplace well-being

倦怠 工作投入 工作量 心理学 劳动力 结构方程建模 描述性统计 应用心理学 护理部 工作(物理) 医学 临床心理学 计算机科学 机械工程 统计 数学 机器学习 工程类 经济 经济增长 操作系统
作者
Heather K. Spence Laschinger,Ashley L. Grau,Joan Finegan,Piotr Wilk
出处
期刊:Health Care Management Review [Ovid Technologies (Wolters Kluwer)]
卷期号:37 (2): 175-186 被引量:111
标识
DOI:10.1097/hmr.0b013e31822aa456
摘要

New graduate nurses currently experience a stressful transition into the workforce, resulting in high levels of burnout and job turnover in their first year of practice.This study tested a theoretical model of new graduate nurses' worklife derived from the job demands-resources model to better understand how job demands (workload and bullying), job resources (job control and supportive professional practice environments), and a personal resource (psychological capital) combine to influence new graduate experiences of burnout and work engagement and, ultimately, health and job outcomes.A descriptive correlational design was used to test the hypothesized model in a sample of newly graduated nurses (N = 420) working in acute care hospitals in Ontario, Canada. Data were collected from July to November 2009. Participants were mailed questionnaires to their home address using the Total Design Method to improve response rates. All variables were measured using standardized questionnaires, and structural equation modeling was used to test the model.The final model fit statistics partially supported the original hypothesized model. In the final model, job demands (workload and bullying) predicted burnout and, subsequently, poor mental health. Job resources (supportive practice environment and control) predicted work engagement and, subsequently, lower turnover intentions. Burnout also was a significant predictor of turnover intent (a crossover effect). Furthermore, personal resources (psychological capital) significantly influenced both burnout and work engagement.The model suggests that managerial strategies targeted at specific job demands and resources can create workplace environments that promote work engagement and prevent burnout to support the retention and well-being of the new graduate nurse population.
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