Jin Tingting, Zhou Yaoying, Zhang Leigang
Surgery Intensive Care Unit, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.
Nursing Department, Shaoxing People's Hospital, Shaoxing, Zhejiang, China.
BMC Nurs. 2023 Oct 18;22(1):388. doi: 10.1186/s12912-023-01524-1.
Burnout is a major concern in healthcare professions. Although theory and empirical evidence support the relationship between job stressors and burnout, the question remains how and when the job stressors are related to burnout. Based on conservation of resources theory and effort recovery model, the current study aimed to provide a deeper understanding of the effect of job stressors on burnout by investigating the mediating role of need for recovery and the moderating role of career calling.
A cross-sectional online survey was conducted among 709 nurses enrolled from eight public hospitals in China. The Work Stressors Scale, Psychological Detachment Scale, Brief Calling Scale, and Maslach Burnout Inventory were used to collect data. Hierarchical regression analysis with bootstrapping procedure was performed to test the proposed model.
The results showed that need for recovery mediated the job stressors-burnout relationship, and that high career calling buffered against the relationships between job stressors and need for recovery and burnout. Furthermore, the result revealed a moderated mediation model that career calling buffered the indirect effect of job stressors on burnout through need for recovery.
Our findings suggest that environmental demands and personal resource are important antecedents of nurses' burnout. Career calling as personal resources can serve as a protective factor that guards against burnout. Thus, nursing managers can reduce nurse burnout by focusing on effective strategies related to recovery experiences, as well as investing in training career calling.
职业倦怠是医疗行业的一个主要问题。尽管理论和实证证据支持工作压力源与职业倦怠之间的关系，但工作压力源如何以及何时与职业倦怠相关的问题仍然存在。基于资源保存理论和努力恢复模型，本研究旨在通过调查恢复需求的中介作用和职业使命感的调节作用，更深入地了解工作压力源对职业倦怠的影响。
对来自中国八家公立医院的709名护士进行了横断面在线调查。使用工作压力源量表、心理脱离量表、简短使命感量表和马氏职业倦怠量表收集数据。采用带有自抽样程序的分层回归分析来检验所提出的模型。
结果表明，恢复需求在工作压力源与职业倦怠的关系中起中介作用，高职业使命感缓冲了工作压力源与恢复需求及职业倦怠之间的关系。此外，结果揭示了一个调节中介模型，即职业使命感缓冲了工作压力源通过恢复需求对职业倦怠的间接影响。
我们的研究结果表明，环境需求和个人资源是护士职业倦怠的重要前因。职业使命感作为个人资源可以作为预防职业倦怠的保护因素。因此，护理管理者可以通过关注与恢复体验相关的有效策略以及投资于培养职业使命感来减少护士的职业倦怠。
