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职业倦怠对护士自我效能、结果期望、职业兴趣和工作流动的影响
Author(s) -
Chang HaoYuan,
Friesner Daniel,
Chu TsungLan,
Huang TzuLing,
Liao YenNi,
Teng ChingI
Publication year - 2018
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.13776
Subject(s) - burnout , self efficacy , psychology , structural equation modeling , scale (ratio) , job satisfaction , turnover , outcome (game theory) , nursing , medicine , social psychology , clinical psychology , management , statistics , physics , mathematics , mathematical economics , quantum mechanics , economics
Aims To examine the impact of burnout on self‐efficacy, outcome expectations, career interest and on nurses’ intentions to leave the profession and to leave the organization. Background Burnout is associated with nurse turnover. Research clarifying the underlying mechanism may provide a novel means to mitigate the impact of burnout on nurse turnover. Design This study uses a cross‐sectional design and proportionate stratified sampling. Methods Data were collected from a sample of nurses in one medical centre in northern Taiwan during February ‐ March 2017. This study included nurses employed full‐time at the medical centre. Burnout was measured using Maslach Burnout Inventory—Human Service Survey. Self‐efficacy, outcome expectations and career interest were measured using the scale of Cunningham et al. Intentions to leave were measured using the scales of Teng et al. Structural equation modelling was used to assess the proposed framework. Results Burnout was negatively related to self‐efficacy and outcome expectations. Self‐efficacy was positively related to outcome expectations. Outcome expectations were also positively related to career interest. However, self‐efficacy was not related to career interest. Career interest was negatively related to the intention to leave the organization, which was further related to the intention to leave the profession. The model fitted the data acceptably. Conclusions When nurses leave the profession, patient outcomes may be affected. Policy makers should evaluate whether the healthcare system can instil expectations for satisfaction, power and adequate compensation in the profession and thus retain nurses.