From moral distress to burnout through work-family conflict: the protective role of resilience and positive refocusing

Bernuzzi, Chiara; Setti, Ilaria; Maffoni, Marina; Sommovigo, Valentina

doi:10.1080/10508422.2021.1955682

Cited by 14 publications

(16 citation statements)

References 126 publications

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“…As a result, most health care professionals had trouble balancing work and family requirements (Schiff et al, 2021 ), thus experiencing work–family conflict. This is in line with the spillover theories stating that individuals may experience blurring of work–family boundaries, such that how they behave and feel in the work domain may spill over into the family domain (Bernuzzi et al, 2021 ). However, it is still unclear whether patient verbal aggression may spill over onto health care professionals' family lives.…”

Section: Introductionsupporting

confidence: 80%

“…During the pandemic, some factors related to the Italian context put health care professionals at risk of experiencing work–family conflict (i.e., when the demands posed by the work role are incompatible with the requirements from the family domain; Bernuzzi et al, 2021 ). Italy was one of the nations most affected by the number of people infected during the first COVID‐19 wave, which overwhelmed the national health care system and its staff (Romani et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

“…In addition to dehumanization, individual differences in resilience (i.e., a dynamic process that allows people to face stressful events and recover from adversities; Bernuzzi et al, 2021 ) could affect how professionals respond to stressors, such as work–family conflict (Hobfoll et al, 2018 ). Drawing on the COR theory (Hobfoll et al, 2018 ), resilience is a personal resource because it helps people face stressful situations (Maffoni et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

“…Drawing on the COR theory (Hobfoll et al, 2018 ), resilience is a personal resource because it helps people face stressful situations (Maffoni et al, 2020 ). More specifically, resilience can allow professionals to fulfill multiple roles by adjusting to challenging conditions (Bernuzzi et al, 2021 ), thus protecting them against work–family conflict. Consequently, although some studies found that resilience buffered the negative impact of work–life conflict on employees' well‐being (Balogun & Afolabi, 2021 ), its moderating role in the association between work–family conflict and emotional exhaustion among health care providers during the pandemic has not received enough attention.…”

Section: Introductionmentioning

confidence: 99%

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Investigating the association between patient verbal aggression and emotional exhaustion among Italian health care professionals during the COVID‐19 pandemic

Sommovigo

Bernuzzi

Setti

2022

J Nursing Management

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Aims To analyze whether patient verbal aggression would be related to emotional exhaustion and whether this relationship would be mediated by work–family conflict and moderated by dehumanization and resilience. Background Although patient verbal aggression has been identified as one of the most experienced forms of aggression, its effects on Italian health care providers during the pandemic are still poorly known. Methods A total of 197 Italian health care professionals completed paper‐and‐pencil questionnaires. Descriptive statistics and moderated mediation analyses were performed. Results Patient verbal aggression was positively related to health care professionals' emotional exhaustion, both directly and indirectly, as mediated by work–family conflict. Health care providers were more likely to become emotionally exhausted when they had low resilience and, simultaneously, tended to ascribe patients non‐uniquely human traits. Conclusions Patient verbal aggression may spill over onto health care professionals' family lives. Dehumanization represents an ineffective coping strategy that exacerbates the effects of aggression on work–family conflict, whereas resilience represents a protective resource against emotional exhaustion. Implications for nursing management Hospital organisations could benefit from providing their staff with stress management interventions, aggression management, psychological support and psychological resilience training programmes. These programmes should incorporate coping skills on establishing work–home boundaries and balancing empathy with cognitive problem‐solving abilities.

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Section: Introductionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Investigating the association between patient verbal aggression and emotional exhaustion among Italian health care professionals during the COVID‐19 pandemic

Sommovigo

Bernuzzi

Setti

2022

J Nursing Management

Self Cite

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“…The conservation of resources theory shows that an individual evaluation and response to stressors depends not only on the stressors themselves, but also on the psychological characteristics of an individual ( Grandey and Cropanzano, 1999 ). Research studies have revealed that positive psychological traits can alleviate the negative impact of work–family conflict on individuals, such as resilience ( Bernuzzi et al, 2021 ), emotional intelligence ( Sharma et al, 2016 ), and self-efficacy ( Wattoo et al, 2020 ). Self-efficacy is the overall self–confidence of individuals when dealing with different environments and pressure challenges ( Schwarzer and Born, 1997 ).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Teacher Job Stress and Burnout: A Moderated Mediation Model

Zhao

Liao

et al. 2022

Front. Psychol.

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This study explored the relationship between teacher job stress and job burnout using a sample of 558 primary and secondary school teachers, who were administered with a teacher job stress scale, teacher job burnout scale, work–family conflict questionnaire, and general self-efficacy scale. The results showed that: (1) job stress had a significant predictive effect on work–family conflict and job burnout; (2) work–family conflict played a mediating role in the relationship between job stress and job burnout; (3) self-efficacy was found to play a moderating role in work–family conflict and job burnout. However, this indirect effect was stronger for teachers with high self-efficacy, which means that the protective effects of self-efficacy were limited. These findings add to research on the relationship between teacher job stress and job burnout, and provide ideas for teachers to balance work–family relationships and reduce job burnout.

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Individual differences in learning agility at work: A mixed methods study to develop and validate a new scale

Milani,

Sommovigo,

Ghirotto

et al. 2024

Human Resource Dev Quarterly

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The unprecedented complexity of today's business and working environment increases the need for leaders and employees to learn new skills, be adaptable, and open to embracing change. New abilities and mindsets emerge, and their evaluation is challenging. This research utilized an exploratory sequential mixed methods design to develop and provide a preliminary validation of a scale measuring individual differences in learning agility (LA) at work. The measure has been tested in Central‐Eastern European countries, Italy, and Egypt. Results showed satisfactory reliability and nomological validity. The final scale of 11 items provides HRD researchers and practitioners with a reliable and concise tool suitable for investigating individual differences in LA across different job roles and positions. The scale has been tested in a cross‐cultural setting and is available in English, making it especially appropriate for multinational contexts.

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From moral distress to burnout through work-family conflict: the protective role of resilience and positive refocusing

Cited by 14 publications

References 126 publications

Investigating the association between patient verbal aggression and emotional exhaustion among Italian health care professionals during the COVID‐19 pandemic

Investigating the association between patient verbal aggression and emotional exhaustion among Italian health care professionals during the COVID‐19 pandemic

The Relationship Between Teacher Job Stress and Burnout: A Moderated Mediation Model

Individual differences in learning agility at work: A mixed methods study to develop and validate a new scale

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