How does emotional exhaustion influence work stress? Relationships between stressor appraisals, hedonic tone, and fatigue in nurses’ daily tasks: A longitudinal cohort study

Castro, Jordi Fernández; Martínez-Zaragoza, Fermín; Rovira, Tatiana; Edo, Sílvia; Puchol, Angel Solanes; Martín-del-Río, Beatriz; García-Sierra, Rosa; Benavides-Gil, Gemma; Diéguez, Eduardo Doval

doi:10.1016/j.ijnurstu.2017.07.002

Cited by 31 publications

(38 citation statements)

References 21 publications

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“…Concerning psychosocial factors and work‐related fatigue, this study revealed that quantitative demands had a positive correlation with work‐related fatigue (acute, chronic, and inter‐shift [recovery]). These results are in line with previous studies . Therefore, it is important to monitor nurses work quantitative demands and to analyze work roles and job description.…”

Section: Discussionsupporting

confidence: 90%

“…Parhizi et al found that there was a negative relationship between nurses’ fatigue and predictability (skill discretion), recognition (rewards), and social support from the supervisor. Furthermore, other previous studies have been documented that nurses who received greater rewards and support from the supervisor during work have lower levels of fatigue . Hence, these factors should be considered to understand the related factors of acute fatigue among ED nurses.…”

Section: Discussionmentioning

confidence: 95%

“…The study findings indicated that burnout was negatively correlated with inter‐shift (recovery), whereas a greater burnout level results in lower recovery level between shifts. However, recent evidence indicated that burnout levels were increasingly correlated with work‐related fatigue . Therefore, developing strategies to enhance the nursing work environment, which in turn could minimize the burnout level is paramount.…”

Section: Discussionmentioning

confidence: 99%

“…This indicated that 28.0% of the variance in As shown in Table 4, the variables that entered the model as These results are in line with previous studies. 8,11,[27][28][29] Therefore, it is important to monitor nurses work quantitative demands and to analyze work roles and job description.…”

Section: Predictors Of Work-related Fatiguementioning

confidence: 99%

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Psychosocial correlates of work‐related fatigue among Jordanian emergency department nurses

Ismail

Malak²,

Al‐Amer³

2019

Perspect Psychiatr Care

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Purpose This study purposed to assess the psychosocial correlates of work‐related fatigue among Jordanian emergency department nurses. Design and Methods A cross‐sectional study was conducted among Jordanian emergency nurses (n = 220). Measures included Occupational Fatigue Exhaustion/Recovery Scale (OFER15) and Copenhagen Psychosocial Questionnaire version Two (COPSOQ II). Findings The psychosocial factors correlated with all types of work‐related fatigue (acute, chronic, and inter‐shift [recovery]) were quantitative demands, work‐family conflict, sexual harassment, threats of violence, physical violence, and bullying. Importantly, quantitative demands and sexual harassment were the main predictors of all types of work‐related fatigue. Practice Implications The psychosocial correlated factors should be considered when developing interventions to minimize work‐related fatigue phenomenon. This would lead to a more positive working environment which will promote safe nursing care.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

Section: Predictors Of Work-related Fatiguementioning

confidence: 99%

See 2 more Smart Citations

Psychosocial correlates of work‐related fatigue among Jordanian emergency department nurses

Ismail

Malak²,

Al‐Amer³

2019

Perspect Psychiatr Care

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“…Moreover, assessment methods are evolving, and recently ecological momentary assessment has substantially improved the way nurses can be evaluated,4 by a better evaluation of the circumstances that occur just in the moment. These methods, and the required counterpart statistics, although complex, take the exploration of the interaction between momentary factors (such as demand and control) and personality and burnout variables to a promising perspective of research in the very near future.…”

Section: Commentarymentioning

confidence: 99%

Personality and interpersonal behaviour may impact on burnout in nurses

Martínez-Zaragoza

2017

Evid Based Nurs

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Commentary on: Geuens N, Van Bogaert P, Franck E. Vulnerability to burnout within the nursing workforce-The role of personality and interpersonal behaviour. J Clin Nurs 2017;26:4622-33. Implications for practice and research► Personality characteristics are an important vulnerability factor to consider when exploring the generation of burnout. ► A better understanding of individual factors associated with burnout could allow the development of bespoke prevention programmes. ► Individual-directed and organisation-directed interventions can be combined to cope with this problem. ContextMuch has been said about the negative impact of burnout on nurses' health, but the causes of this phenomenon are still unclear. Shimizutani and colleagues 1 found that neuroticism was related to burnout, and a systematic review by Khamisa et al 2 regarding this question concluded that, in a broad perspective, burnout, job satisfaction and general health are related. This study sought to identify the influence of personality and interpersonal variables on burnout development, addressing the vulnerability dimensions underlying this health problem. The five-factor model, one of the most used personality models, and Leary's interpersonal circumplex model of social behaviour were used as frameworks for the study. Both models try to describe the personal and interpersonal interface of the person suffering burnout. MethodsThe descriptive-correlational study included a broad stratified random sample of nurses from different specialties. Burnout was measured by the Maslach Burnout Inventory, personality by the NEO Five-Factor Inventory, and interpersonal behaviour by the Interpersonal Behaviour Scale. Through general linear regression modelling, the relationships between personality, interpersonal variables and burnout were tested. FindingsThe results confirmed the influence of the 'Big Five' personality factors in burnout. Women experienced 31% less emotional exhaustion than men, contrary to other findings. Emotional exhaustion and depersonalisation decreased when interpersonal behaviour was friendly submissive or friendly. Emotional exhaustion and depersonalisation increased when interpersonal behaviour was more directed towards dominance. CommentaryAlthough this was a robust study, there were some limitations. First, the recruitment of nurses from a range of clinical backgrounds can be problematic when identifying homogeneous types of stressors, common to the tasks performed in each specialty. The work also overlooked organisational or other variables that might influence burnout; a longitudinal design may also have provided a more detailed insight into the phenomenon of nurse burnout.These limitations aside, the study provides a useful addition to the evidence base. Burnout needs a base from which it can be constructed, and personality is a good point to start from. The interaction between the mechanisms that produce burnout in nurses is complex, and must be contemplated from a long-term perspective. The causal influence of non-role task...

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Pediatric emergency department shift experiences and moods: An exploratory sequential mixed‐methods study

Pham

Schmidt

Gorab

et al. 2021

AEM Education and Training

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Objective: The objective was to investigate the impact of affective, social, behavioral, and cognitive factors on pediatric emergency department (PED) provider mood changes during clinical shifts, with the introduction of a novel on-shift measure. Methods:The nominal group technique was used to generate the ED experience survey (EDES), encompassing factors that may influence PED provider mood. Providers were alerted via experience sampling method to complete the EDES and positive and negative affect schedule at randomly generated times. Analyses were conducted using multilevel modeling of moods within shifts within persons. Results:Measures were completed 221 times during 137 shifts by 52 PED providers.Positive mood tended to increase with higher self-rated capacity to deal with challenging patient situations (p < 0.001). Having to repeat patient assessments was negatively associated with positive mood during the beginning, but not rest of shift (p = 0.01).Changes in positive mood varied across provider groups (p < 0.001). Negative mood tended to decrease with higher self-rated quality of interactions with patients/families (p < 0.001). Needing a restroom break during any time on duty was associated with negative mood (p < 0.001). Furthermore, negative mood was associated with the need to process emotions during the shift beginning (p = 0.01). Finally, not knowing about patients' outcomes was associated with negative mood during the shift end (p < 0.001).Conclusions: PED providers' mood during shifts are impacted by ED-specific factors spanning physical, social, behavioral, affective, and cognitive features. Future research may explore potential entry points for mitigation of clinician stress to support provider well-being and ultimately improve patient care.

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How does emotional exhaustion influence work stress? Relationships between stressor appraisals, hedonic tone, and fatigue in nurses’ daily tasks: A longitudinal cohort study

Abstract: This study highlights the importance of using momentary measures to understand complex and changeable inter-relationships. While also clarifying the targets of intervention programmes aimed at preventing burnout within the nursing profession.

Cited by 31 publications

References 21 publications

Psychosocial correlates of work‐related fatigue among Jordanian emergency department nurses

Psychosocial correlates of work‐related fatigue among Jordanian emergency department nurses

Personality and interpersonal behaviour may impact on burnout in nurses

Pediatric emergency department shift experiences and moods: An exploratory sequential mixed‐methods study

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