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The influence of personal dispositional factors and organizational resources on workplace violence, burnout, and health outcomes in new graduate nurses: A cross-sectional study

机译:个人倾向因素和组织资源对新毕业护士的工作场所暴力,倦怠和健康结果的影响:一项横断面研究

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Background: The alarmingly high rate of illness-related absenteeism among nurses and recent reports of workplace violence and burnout are problematic for both the current workforce shortage and the recruitment and retention of new nurses. Objectives: To test a model derived from Leiter and Maslach's (2004) Six Areas of Worklife Model linking workplace factors (six areas of worklife, experiences of bullying and burnout) and a personal dispositional factor (psychological capital) to new graduates mental and physical health in their first year of practice. Methods: A cross-sectional survey design was utilized to survey 165 Ontario nurses with one year or less experience in nursing. Participants completed measures of nurses' work environment quality, psychological capital, bullying exposure, burnout, and physical and mental health. Structural equation modelling was used to test the hypothesized model. Results: The fit indices suggested a reasonably adequate fit of the data to the hypothesized model (χ 2=27.75, df=12, CFI=.97, IFI=.97, RMSEA=.09), however an additional direct path from psychological capital to emotional exhaustion substantially improved the model fit (χ 2=17.94, df=11, CFI=.99, IFI=.99, RMSEA=.06). Increased psychological capital positively influenced nurses' perceived person-job fit, which in turn was negatively related to bullying exposure and emotional exhaustion, and ultimately influenced their physical and mental health. Conclusions: The findings suggest that psychological capital and perceived person-job fit are key variables in new graduate nurses' worklife, which may contribute to decreased nurses' burnout and increased physical and mental well-being. The results support an expanded conceptualization of the Areas of Worklife Model.
机译:背景:护士中与疾病相关的旷工率高得惊人,最近关于工作场所暴力和倦怠的报道对目前的劳动力短缺以及新护士的招募和保留都存在问题。目标:测试一个模型,该模型源自Leiter和Maslach(2004)的“六个工作领域”模型,这些模型将工作场所因素(六个工作领域,欺凌和倦怠的经历)和个人处置因素(心理资本)联系起来,以帮助新毕业生身心健康在他们练习的第一年。方法:采用横断面调查设计对165名安大略省护士进行了一年或更短的护理经验调查。参与者完成了对护士工作环境质量,心理资本,欺凌暴露,倦怠以及身心健康的衡量。使用结构方程建模来检验假设的模型。结果:拟合指数表明数据与假设的模型相当合适(χ2 = 27.75,df = 12,CFI = .97,IFI = .97,RMSEA = .09),但是这是从心理上获得的另一条直接路径情绪疲惫的资本金大大改善了模型拟合(χ2 = 17.94,df = 11,CFI = .99,IFI = .99,RMSEA = .06)。心理资本的增加对护士的感知的工作适应性产生积极影响,而反过来又与欺负暴露和情绪疲惫负相关,最终影响了他们的身心健康。结论:研究结果表明,心理资本和个人对工作的适应感是新毕业生护士工作生活的关键变量,这可能有助于减少护士的倦怠和增加身心健康。结果支持对工作生活区域模型的扩展概念化。

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