Mediating effect of job burnout between job stress and organizational commitment of specialist nurses in Operating Room
10.3760/cma.j.cn115682-20200521-03483
- VernacularTitle:职业倦怠在手术室专科护士工作压力与组织承诺间的中介效应研究
- Author:
Xuejing LI
1
;
Lichuan ZHANG
;
Qian LU
Author Information
1. 北京大学人民医院中心手术室 100044
- Keywords:
Operating Room;
Nurse specialists;
Occupational stress;
Job burnout;
Organizational commitment;
Job demand-control model
- From:
Chinese Journal of Modern Nursing
2021;27(1):17-23
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the job stress of specialist nurses in the Operating Room, and analyze the correlation among job stress, job burnout and organizational commitment based on the job demand-control model.Methods:This study was a cross-sectional study, using random cluster sampling to select 377 specialist nurses in the Operating Room in Beijing from March to June 2017. The Job Content Questionnaire, Maslach Burnout Inventory-Human Service Survey-Chinese Version and Organizational Commitment Scale were used to investigate the job stress, job burnout and organizational commitment of specialist nurses in the Operating Room. AMOS 22.0 software was used to verify the relationship between the three.Results:Finally, data of 243 specialist nurses in the Operating Room from 30 ClassⅢ hospitals in Beijing was collected. The job demand score was (37.47±4.16) , and the lowest was 28, and the highest was 48; the job control score was (61.25±8.49) , and the lowest was 30, and the highest was 84; the job stress score was (34.21±11.05) , and the lowest was 12.96, and the highest was 81.33; the comprehensive score of job burnout was (3.36±1.26) , and the lowest was 0.9, and the highest was 6.0; the organizational commitment score was (3.66±0.91) , and the lowest was 1.33, and the highest was 5.00. Correlation analysis showed that the job stress of specialist nurses in Operating Room was positively correlated with emotional exhaustion and depersonalization ( r=0.475, 0.392; P<0.01) , and negatively correlated with organizational commitment ( r=-0.423, P<0.01) ; the organizational commitment of the specialist nurses in Operating Room was negatively correlated with emotional exhaustion and depersonalization ( r=-0.418, -0.519; P<0.01) . The results of mediating effect analysis showed that job stress could directly affect organizational commitment ( r=-0.222) , and could indirectly affect organizational commitment through job burnout ( r=-0.201) , and the indirect effect accounted for 47.5% of the total effect. The hypothetical model matched the data well, and the model could explain 34.9% of the organizational commitment variation. Conclusions:Specialist nurses in the Operating Room have high levels of job stress and job burnout. The lower the level of organizational commitment, the higher the job stress, and the higher the level of job burnout, and the lower the level of organizational commitment. It is reminded that nursing managers should set up specialist nurse positions, clarify responsibilities, rights, and benefits, and give sufficient authorization and time to relieve the job stress of specialist nurses in the Operating Room, and to reduce job burnout and improve organizational commitment.
