The influence of operating room nurses’ job stress on burnout and organizational commitment: The moderating effect of over‐commitment

Abstract

Aims To determine job stress among Chinese operating room nurses, test the mediating effect of burnout and verify the moderating effect of over‐commitment between job stress and mental health. Design A descriptive, cross‐sectional study. Methods A multistage sampling method was adopted. First, a random sampling method was used to select 30 tertiary hospitals in Beijing, after which 509 operating room nurses were selected by convenience sampling from March‐June 2017. Self‐administered questionnaires were used to evaluate job stress, burnout, and organizational commitment among participants. Multiple‐group path analysis was used to test the mediating effect and the moderating effect. Results Of all nurses, 70.3% were in a state of job stress, which had negative effects on organizational commitment mediated by emotional exhaustion and depersonalization. The result of multiple‐group path analysis showed that the path coefficients are different between the low and high groups of over‐commitment. When facing job stress, operating room nurses with low over‐commitment were more likely to have emotional exhaustion (β = 0.750 vs. 0.602), while those with high over‐commitment were more likely to have low organizational commitment (β = −0.641 vs. −0.594). Conclusion The job stress of operating room nurses in China was high. Burnout played a mediating role between job stress and organizational commitment. Over‐commitment played a moderating role in the relationship among job stress, burnout, and organizational commitment. Impact This study analysed the relationship among operating room nurses’ job stress, burnout, and organizational commitment. The findings provided confirmatory support on the mediated effect of burnout between job stress and organizational commitment and the moderation effect of over‐commitment. Different measures are needed to reduce job stress, as for easing burnout and improving organizational commitment among different groups of nurses.

Communication competence and resilience are modifiable factors for burnout of operating room nurses in South Korea

“…The burnout level of OR nurses in our study was similar to them of some studies using the same tool to measure burnout of OR nurses [ 13 , 34 , 35 ]. When nurse burnout was moderate or higher, turnover intention increased by about 1.5 times in a national survey of Korea [ 4 ].…”

Intentions of frontline nurses regarding COVID‐19 patient care: A cross‐sectional study in Korea

“…Frontline nurses working in hospitals routinely experience higher levels of stress than other occupations, as they often work under pressure to resolve patients’ problems and are required to invest substantial personal time to stay updated regarding medical advances and outbreaks of novel infections (García‐Izquierdo & Ríos‐Rísquez, 2012; Li et al., 2020). Nurses with experience in providing direct care for patients report a higher level of stress than nurses who are not involved in patient care, and the prevalence of posttraumatic stress disorder (PTSD) is higher among nursing professionals who come into close contact with patients than among other health care professionals (Lancee et al., 2008).…”

Occupational Stress among Operation Room Clinicians at Ethiopian University Hospitals

“…This finding is consistent with a study conducted by Ebrahimi and Kargar [ 32 ]. Increased workload and over commitment were found associated with occupational stress and have negative impact on personal well-being, organizational performance, and patient outcome [ 28 , 38 , 39 ]. Working in rotating shifts was found significantly associated with occupational stress compared to working fixed shifts, and these results were supported by previous studies [ 7 , 14 ].…”

“…This situation decreases the number of professionals in the field and has large negative implications for developing countries that have preexisting critical shortage of operation room clinicians. It also viciously leads to further increment of burden and stress among existing healthcare professionals [ 28 , 29 ].…”