Role of Global Self-Esteem, Professional Burnout and Selected Socio-Demographic Variables in the Prediction of Polish Nurses' Quality of Life - A Cross-Sectional Study

Perceived organizational support moderates the effect of job demands on outcomes: Testing the JD-R model in Italian oncology nurses

OBJECTIVES

The research aimed to test the job demands-resources (JD-R) model on a sample of Italian oncology workers, and the role of perceived organizational support (POS) as a moderator of the effects of JD on outcomes (job satisfaction and burnout [BO]).

METHODS

Based on the JD-R model, a correlational study was designed to investigate the relationships between JD, POS as a job resource, self-esteem (as a personal resource), and job outcomes (BO and job satisfaction); the research involved a sample of oncology nurses (N = 235) from an Italian public hospital, who completed a questionnaire during working hours. Relationships between variables were investigated with multiple regressions and moderation analysis.

RESULTS

Results confirmed that JD predict both BO and job satisfaction; POS is a weak predictor of job outcomes, but its mediator role in the JD-outcomes relationship was confirmed: the more the nurses perceive a supportive organization, the weaker the positive relationship between JD and BO.

SIGNIFICANCE OF RESULTS

Findings are consistent with other contributions that highlighted that organizational job resources may attenuate the adverse effect of JD on positive and negative outcomes: POS may play a central role in employee well-being and health, acting as a possible moderator, and somehow defusing the positive association between JD and outcomes.

Development and validation of a quality of healthy work environment instrument for shift nurses

BACKGROUND

As the importance of a healthy work environment for nurses' good practice and patient safety has been recognized, there is a need to assess nurses' perceptions of the quality of a healthy work environment.

METHODS

A conceptual framework and construct components were extracted through a literature review and in-depth interviews with shift nurses. The initial items of the instrument were developed according to the conceptual attributes, and the items were selected through content validity by ten experts. Two hundred and forty-seven shift nurses participated in this study through face-to-face surveys to test the reliability and validity of the instrument. The evaluation was used for item and confirmatory factor analyses to assess the criterion-related validity and internal consistency of the instrument. Test-retest reliability was analyzed using data from thirty-two nurses.

RESULTS

The final instrument consisted of 23 items with five components identified through confirmatory factor analysis. Criterion-related validity was established using the K-PES-NWI (r = .54). Cronbach's alpha for the total items was 0.85, and test-retest reliability was 0.73.

CONCLUSION

The quality of the healthy work environment instrument developed in this study was considered reliable and valid. The instrument developed in this study can be used to measure the quality of a healthy work environment as perceived by shift nurses and to identify preventive measures needed to improve the quality of the work environment.

Nurses' sense of organizational support, Self-esteem and perceived professional benefits: A mediating model

AIM

To explore the mediating role of self-esteem in the relationship between perceived organizational support and professional benefits among Registered Nurses in China.

DESIGN

This was an online, cross-sectional study involving 1850 nurses from six hospitals in China.

METHODS

Data were collected using a 4-part questionnaire including a sociodemographic questionnaire, perceived organizational support scale, self-esteem scale and brief nurses' perceived professional benefits questionnaire from September to November 2021. Structural equation modelling (SEM) was used to explore the associations among them.

RESULTS

Perceived organizational support was positively correlated with self-esteem and perceived professional benefits among nurses, whereas self-esteem positively predicted nurses' perceived professional benefits . Self-esteem partially mediated the relationship between the two variables. The ratio of the mediating effect to the total effect was 16.7%.

Burnout and depression of medical staff: A chain mediating model of resilience and self-esteem

BACKGROUND

Although the relationship between burnout and depression is well-known and frequently studied, the specific mechanisms by which burnout develops into depression have not been fully established. Based on theoretical and empirical research on resilience and self-esteem, this study constructs a chain mediating model to test whether they play a mediating role in burnout and depression among medical staff.

METHODS

A cross-sectional study with a sample consisting of 602 medical staff was carried out by convenient sampling method. They all completed a self-report questionnaire with demographic information, burnout, resilience, self-esteem and depression. SPSS26 and Mplus8.3 were used to analyze the data.

RESULTS

Burnout was found to positively predict depression of medical staff and negatively predict resilience and self-esteem. Resilience was a mediator between burnout and depression. Self-esteem was also a mediator between them. Meanwhile, resilience and self-esteem had a chain mediating effect on burnout and depression.

LIMITATIONS

The cross-sectional study does not permit causal inferences. And the data used is self-reported.

CONCLUSIONS

Burnout takes a toll on resilience and self-esteem, which can eventually lead to depression. These findings contribute to the understanding of the predictive effects of burnout on mental health and provide practical implications for the prevention and intervention of mental health among medical staff.

Burnout and Suicidal Behaviours in Health Professionals in Portugal: The Moderating Effect of Self-Esteem

The main objective of this study was to investigate the effect of burnout on suicidal behaviours and the mediating effect of self-esteem in this relationship. A total of 1172 healthcare professionals working in Portugal's private and public sector organisations participated in this study. The results indicate a high level of burnout among these professionals and that exhaustion (β = 0.16; p < 0.001) and disengagement (β = 0.24; p < 0.001) positively and significantly affect suicidal behaviours. In turn, self-esteem has a significant and negative effect (β = -0.51; p < 0.001) on suicidal behaviours. Self-esteem moderates the relationship between disengagement and suicidal behaviours (B = -0.12; p < 0.001) and the relationship between exhaustion and suicidal behaviours (B = -0.11; p < 0.001), representing an essential variable for future lines of research, namely on the role of self-esteem in preventing burnout and suicidal behaviours in professionals from other professional areas.

Nurses' burnout and quality of life: A systematic review and critical analysis of measures used

Background

Nurses’ burnout might affect their quality of life, productivity and nursing care services.

Aim

The aim of this systematic review was to systemically review the relationship between nurses’ burnout and quality of life and to introduce practical recommendations to reduce nurses’ BO and improve their QOL.

Methods

In April 2021, MeSH terms (("Nurses"[Mesh]) AND "Burnout, Professional"[Mesh]) AND "Quality of Life"[Majr] were used to search five electronic databases: CINAHL, PubMed, Medline, Psychology and Behavioral Sciences Collection and Google Scholar.

Results

The search produced 21 studies exploring nurses’ burnout and their quality of life within the last ten years (2009–2021). Most of these studies found significant relationships between the burnout dimension(s) and quality of life dimension(s) among the nurses.

Conclusion

Nurses have moderate to high levels of burnout and were negatively associated with poor quality of life. Interventional programs are needed to decrease nurses’ burnout and improve their quality of life.

The relationship between self-esteem and psychological distress in critical care nurses

BACKGROUND

Self-esteem can be described as negative or positive beliefs people have about themselves. It is an important personal source to combat stress and protect health, and related to job satisfaction.

AIMS AND OBJECTIVES

The aim of this study was to examine the relationship between self-esteem and psychological distress in critical care nurses.

DESIGN

A cross-sectional study.

METHODS

The research population of study consisted of 121 critical care nurses working at a university hospital in Edirne, Turkey between January and April 2017. A questionnaire consisting of 26 questions was used to obtain the personal and demographic information. The Symptom Check List-90-R test was used to determine the emotional status and the self-esteem scale was used to determine the self-esteem status of the participants. Participants were divided into two groups according to the self-esteem scale median score (Group 1: below 60, and Group 2: 60 and above).

RESULTS

The general severity index of the nurses was 1.11 (95% confidence interval [CI] 1.00-1.21). The general severity index of those with a self-esteem scale score below 60 was 1.47 (95% CI 1.37-1.57), while for those who with a self-esteem score of 60 and above, it was 0.73 (95% CI 0.59-0.87). The general severity index of the nurses in Group 1 was statistically significantly higher than that for those in Group 2. The number of nurses with a high symptom level in Group 1 was statistically significantly higher than those in Group 2.

CONCLUSIONS

The study showed that the general severity index and poor symptom level ratios associated with mental well-being are high in critical care nurses. However, critical care nurses with high self-esteem had fewer psychological problems than those with lower self-esteem.

RELEVANCE TO CLINICAL PRACTICE

Critical care nurses with low self-esteem should be given assertiveness, resilience, and interpersonal communication skills training, even outside of health care.

Relationship Between Frequency and Intensity of Menopausal Symptoms and Quality of Life Among Polish Nurses

PURPOSE

The study aims to compare the quality of life of nurses in the somatic, mental, social and environmental dimensions in the full reproductive and perimenopausal period and to determine the relationship between the frequency and intensity of menopausal symptoms and the quality of life of nurses aged 45-55.

PATIENTS AND METHODS

The study involved 334 nurses, of which: 158 (47.31%) were aged 25-35 and 176 (52.69%) aged 45-55, included in the perimenopausal group. A diagnostic survey was used as the research method and the WHOQoL-Bref Questionnaire and the Menopause Symptom List were used to collect data.

RESULTS

Nurses aged 25-35 achieved a significantly (p < 0.02) higher level of satisfaction with overall health quality (M = 3.9; SD = ±0.7) than nurses in the 45-55 age group (M = 3.7; SD = ±0.7). A variation in the frequency (F = 62.64; p < 0.0001) and intensity (F = 130.18; p < 0.0001) of menopausal symptoms was identified. It was found that the frequency and intensity of psychological symptoms were significantly higher than vasomotor (p < 0.0001) and somatic (p < 0.0001) symptoms. Additionally, negative relations between the frequency and intensity of menopausal symptoms and the quality of life of nurses in the 45-55 age group in the somatic, mental, social and environmental domains were demonstrated, with their value ranging from r = -0.19 to r = -0.48.

CONCLUSION

The quality of life of the examined nurses varies. In the perimenopausal period, the frequency and intensity of psychological, vasomotor and somatic symptoms have a significant negative impact on the quality of life of nurses.