Leiter Michael P, Spence Laschinger Heather K
Occupational Health and Wellness, Centre for Organizational Research and Development, Acadia University, Wolfville, Nova Scotia, Canada.
Nurs Res. 2006 Mar-Apr;55(2):137-46. doi: 10.1097/00006199-200603000-00009.
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.
To test a nursing worklife model that defined structured relationships among professional practice environment qualities and burnout.
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).
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.
Implications for refining a model of worklife are discussed. Implications for enhancing the quality of worklife and supporting engagement with work are considered.
研究已明确护士职业倦怠经历与工作环境的诸多特质之间存在联系，但仍需开展更多工作来厘清复杂组织环境各方面之间的相互关系。
检验一种护理工作生活模型，该模型定义了专业实践环境特质与倦怠之间的结构化关系。
加拿大的医院护士（N = 8597）完成了工作生活评估（护理工作指数，NWI）和倦怠评估（马氏倦怠量表-人类服务版，MBI-HSS）。
使用因果模型确认了专业环境量表（NWI-PES）在NWI部分项目子集上的因子结构以及MBI-HSS的因子结构。该分析为一个结构模型（护理工作生活模型）提供了支持，该模型将五个工作生活因子联系起来，这些因子用于界定护理领导力在确定工作生活质量（涉及政策参与、人员配备水平、对护理照护模式的支持以及医护关系）方面的基本作用。分析支持了从人员配备到情感耗竭的直接路径（负权重）以及从护理照护模式到个人成就感的直接路径（正权重）。
讨论了完善工作生活模型的意义。考虑了提高工作生活质量和支持工作投入的意义。
