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Determinants of Hospital Nurse Burnout: The Moderating Role of Supervision

  • Received : 2022.11.01
  • Accepted : 2022.11.11
  • Published : 2022.11.30

Abstract

Health care has become a rapidly growing industry where the role of nurses as a group of emotional labor employees is central and prone to burnout. The purpose of this study was to examine the role of supervision in moderating burnout caused by the effect of work intensity, customer contact, and self-efficacy, where the moderating role of supervision on burnout with its various predictors is still unstable. This quantitative study was based on research samples collected through questionnaires from 131 hospital nurses spread over two different locations. The questionnaire asked about supervision, work intensity, customer contact, self-efficacy and burnout used a Likert scale, which was then analyzed using SEM-PLS. The results indicated that work intensity and self-efficacy had a significant effect on burnout, while customer contact had no significant effect on burnout. Supervision as a moderator only significantly moderates the effect of work intensity on burnout, while supervision is not significant as a moderating variable on the effect of customer contact and self-efficacy on burnout. This study can contribute to the development of theories about burnout and practically can be used as a reference by policy makers in enhancing the role of supervision for nurses in hospitals.

Keywords

References

  1. AbuAlRub, R. F., & Al-Zaru, I. M. (2008). Job stress, recognition, job performance and intention to stay at work among Jordanian hospital nurses. Journal of Nursing Management, 16(3), 227-236. https://doi.org/10.1111/j.1365-2834.2007.00810.x
  2. Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. I. (2014). Burnout and work engagement: The JD-R approach. Annual Review of Organizational Psychology and Organizational Behavior, 1, 389-411. https://doi.org/10.1146/annurevorgpsych-031413-091235
  3. Bakker, A. B., & Demerouti, E. (2017). Job demands-resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273. https://psycnet.apa.org/doi/10.1037/ocp0000056
  4. Barber, S. L., Gertler, P. J., & Harimurti, P. (2007). Differences in access to high-quality outpatient care in Indonesia: Lower quality in remote regions and among private nurses is a manifestation of the educational, policy, and regulatory frameworks upon which the Indonesian health system is based. Health Affairs, 26(2), 352-366. https://doi.org/10.1377/hlthaff.26.3.w352
  5. Bandura, A. (2006). Self efficacy beliefs of adolescents. In T. Urdan, & F. Pajares (Eds.), Guide for constructing self-efficacy scales (pp.307-337).Information Age Publishing.
  6. Barello, S., Palamenghi, L., & Graffigna, G. (2020). Burnout and somatic symptoms among frontline healthcare professionals at the peak of the Italian COVID-19 pandemic. Psychiatry Research, 290, 113129. https://doi.org/10.1016/j.psychres.2020.113129
  7. Brotheridge, C. M., & Grandey, A. A. (2002). Emotional labor and burnout: Comparing two perspectives of "people work." Journal of Vocational Behavior, 60(1), 17-39. https://doi.org/10.1006/jvbe.2001.1815
  8. Brunero, S., & Stein-Parbury, J. (2008). The effectiveness of clinical supervision in nursing: an evidenced based literature review. Australian Journal of Advanced Nursing, 25(3), 86-94.
  9. Choi, H. M., Mohammad, A. A., & Kim, W. G. (2019). Understanding hotel frontline employees' emotional intelligence, emotional labor, job stress, coping strategies and burnout. International Journal of Hospitality Management, 82, 199-208. https://doi.org/10.1016/j.ijhm.2019.05.002
  10. Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. B. (2001). The job demands-resources model of burnout. Journal of Applied psychology, 86(3), 499-512. https://doi.org/10.1037/0021-9010.86.3.499
  11. Dunlop, A., Lokuge, B., Masters, D., Sequeira, M., Saul, P., Dunlop, G., Ryan, J., Hall, M., Ezard, N., Haber, P., Lintzeris, N., & Maher, L. (2020). Challenges in maintaining treatment services for people who use drugs during the COVID-19 pandemic. Harm reduction journal, 17(1), Article 26. https://doi.org/10.1186/s12954-020-00370-7
  12. Freudenberger, H. J. (1973). Developing a paraprofessional staff enrichment program in an alternative institution. Professional Psychology, 4(4), 429. https://psycnet.apa.org/doi/10.1037/h0021444
  13. Fiorilli, C., Gabola, P., Pepe, A., Meylan, N., Curchod-Ruedi, D., Albanese, O., & Doudin, P. A. (2015). The effect of teachers' emotional intensity and social support on burnout syndrome. A comparison between Italy and Switzerland. European Review of Applied Psychology, 65(6), 275-283. https://doi.org/10.1016/j.erap.2015.10.003
  14. Gualano, M. R., Sinigaglia, T., Lo Moro, G., Rousset, S., Cremona, A., Bert, F., & Siliquini, R. (2021). The burden of burnout among healthcare professionals of intensive care units and emergency departments during the COVID-19 pandemic: A systematic review. International journal of environmental research and public health, 18(15), 8172. https://doi.org/10.3390/ijerph18158172
  15. Greco, P., Laschinger, H. K. S., & Wong, C. (2006). Leader empowering behaviours, staff nurse empowerment and work engagement/burnout. Nursing Leadership, 19(4), 41-56. https://doi.org/10.12927/cjnl.2006.18599
  16. Hair Jr, J. F., Sarstedt, M., Hopkins, L., & Kuppelwieser, V. G. (2014). Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research. European Business Review, 26(2), 106-121. https://doi.org/10.1108/EBR-10-2013-0128
  17. Han, G. H., Harms, P. D., & Bai, Y. (2017). Nightmare bosses: The impact of abusive supervision on employees' sleep, emotions, and creativity. Journal of Business Ethics, 145(1), 21-31. https://doi.org/10.1007/s10551-015-2859-y
  18. Hetherington, E. M., & Santrock, J. W. (2007). Developmental & educational psychology. McGraw-Hill.
  19. Hidayah, N., & Putri, A. T. (2020). Enhancing nurse performance by improving quality of work life, knowledge and attitude. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 9(1), 30-40. https://doi.org/10.18196/jmmr.91114
  20. Hochschild, A. R. (1979). Emotion work, feeling rules, and social structure. American journal of sociology, 85(3), 551-575. https://www.jstor.org/stable/2778583 https://doi.org/10.1086/227049
  21. Holland, P., Cooper, B., & Sheehan, C. (2017). Employee voice, supervisor support, and engagement: The mediating role of trust. Human Resource Management, 56(6), 915-929. https://doi.org/10.1002/hrm.21809
  22. Huber, D. (2017). Leadership and nursing care management-e-book. Elsevier Health Sciences.
  23. Kellogg, D. L., & Chase, R. B. (1995). Constructing an empirically derived measure for customer contact. Management Science, 41(11), 1734-1749. https://doi.org/10.1287/mnsc.41.11.1734
  24. Kim, S., & Wang, J. (2018). The role of job demands-resources (JDR) between service workers' emotional labor and burnout: New directions for labor policy at local government. International journal of environmental research and public health, 15(12), 2894. https://doi.org/10.3390/ijerph15122894
  25. Leiter, M. P., & Maslach, C. (2016). Latent burnout profiles: A new approach to understanding the burnout experience. Burnout Research, 3(4), 89-100. https://doi.org/10.1016/j.burn.2016.09.001
  26. LePine, J. A., Podsakoff, N. P., & LePine, M. A. (2005). A meta-analytic test of the challenge stressor-hindrance stressor framework: An explanation for inconsistent relationships among stressors and performance. Academy of Management Journal, 48(5), 764-775. https://doi.org/10.5465/amj.2005.18803921
  27. Lim, K. M., Kim, H. Y., & Park, G. J. (2017). The influence of nurse image and major satisfaction on nursing professionalism of male nursing students. Journal of the Korea Academia-Industrial cooperation Society, 18(10), 423-431. https://doi.org/10.5762/KAIS.2017.18.10.423
  28. Lin, P. Y., MacLennan, S., Hunt, N., & Cox, T. (2015). The influences of nursing transformational leadership style on the quality of nurses' working lives in Taiwan: A cross-sectional quantitative study. BMC Nursing, 14(1), Article 33. https://doi.org/10.1186/s12912-015-0082-x
  29. Maslach, C., Schaufeli, W. B., & Marek, T. (Eds.). (2018). Historical and conceptual development of burnout. In Professional burnout: Recent developments in theory and research (pp. 1-16). Routledge.
  30. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual review of Psychology, 52(1), 397-422. https://doi.org/10.1146/annurev.psych.52.1.397
  31. Michel, J. W., Kavanagh, M. J., & Tracey, J. B. (2013). Got support? The impact of supportive work practices on the perceptions, motivation, and behavior of customer-contact employees. Cornell Hospitality Quarterly, 54(2), 161-173. https://doi.org/10.1177/1938965512454595
  32. Prestiana, N. D. I., & Purbandini, D. (2012). Hubungan antara efikasi diri (self efficacy) dan stres kerja dengan kejenuhan kerja (burnout) pada perawat IGD dan ICU RSUD Kota Bekasi [The relationship between self-efficacy and work stress with burnout in emergency room and ICU nurses at Bekasi City Hospital]. SOUL: Jurnal pemikiran dan penelitian Psikologi, 5(2), 1-14. https://doi.org/10.1080/714044626
  33. Morris, J. A., & Feldman, D. C. (1997). Managing emotions in the workplace. Journal of managerial issues, 9(3), 257-274. https://www.jstor.org/stable/40604147
  34. Morris, J. A., & Feldman, D. C. (1996). The dimensions, antecedents, and consequences of emotional labor. Acad. Manag. Rev., 21, 989-1010. https://doi.org/10.2307/259161
  35. Niu, H. J. (2010). Investigating the effects of self-efficacy on foodservice industry employees' career commitment. International Journal of Hospitality Management, 29(4), 743-750. https://doi.org/10.1016/j.ijhm.2010.03.006
  36. Nursalam, N., Fibriansari, R. D., Yuwono, S. R., Hadi, M., Efendi, F., & Bushy, A. (2018). Development of an empowerment model for burnout syndrome and quality of nursing work life in Indonesia. International Journal of Nursing Sciences, 5(4), 390-395. https://doi.org/10.1016/j.ijnss.2018.05.001
  37. Ozkula, G., & Durukan, E. (2017). Burnout syndrome among physicians: The role of socio-demographic characteristics. Dusunen Adam The Journal of Psychiatry and Neurological Sciences, 30(2), 136. https://doi.org/10.5350/DAJPN2017300207
  38. Patel, R. S., Bachu, R., Adikey, A., Malik, M., & Shah, M. (2018). Factors related to physician burnout and its consequences: A review. Behavioral sciences, 8(11), 98. https://doi.org/10.3390/bs8110098
  39. Roussel, L., Swansburg, R. J., & Swansburg, R. C. (2006). Management and leadership for nurse administrators. Jones & Bartlett Learning.
  40. Salmela-Aro, K., & Upadyaya, K. (2018). Role of demands-resources in work engagement and burnout in different career stages. Journal of Vocational Behavior, 108, 190-200. https://doi.org/10.1016/j.jvb.2018.08.002
  41. Schaufeli, W. B., Salanova, M., Gonzalez-Roma, V., & Bakker, A. B. (2002). The measurement of engagement and burnout: A two sample confirmatory factor analytic approach. Journal of Happiness Studies, 3, 71-92. https://doi.org/10.1023/A:1015630930326
  42. Schwarzer, R., & Hallum, S. (2008). Perceived teacher self-efficacy as a predictor of job stress and burnout: Mediation analyses. Applied psychology, 57, 152-171. https://doi.org/10.1111/j.1464-0597.2008.00359.x
  43. Setiawan, A., Keliat, B. A., Rustina, Y., & Prasetyo, S. (2019). The effectiveness of educative, supportive, and administrative cycle (ESA-C) clinical supervision model in improving the performance of public hospital nurses. KnE Life Sciences, 41-56. https://doi.org/10.18502/kls.v4i15.5734
  44. Shoji, K., Cieslak, R., Smoktunowicz, E., Rogala, A., Benight, C. C., & Luszczynska, A. (2016). Associations between job burnout and self-efficacy: A metaanalysis. Anxiety, Stress, & Coping, 29(4), 367-386. https://doi.org/10.1080/10615806.2015.1058369
  45. Skaalvik, E. M., & Skaalvik, S. (2007). Dimensions of teacher self-efficacy and relations with strain factors, perceived collective teacher efficacy, and teacher burnout. Journal of educational psychology, 99(3), 611. https://doi.org/10.1037/0022-0663.99.3.611
  46. Snowdon, D. A., Leggat, S. G., & Taylor, N. F. (2017). Does clinical supervision of healthcare professionals improve effectiveness of care and patient experience? A systematic review. BMC Health Services Research, 17(1), 1-11. https://doi.org/10.1186/s12913-017-2739-5
  47. Sokmen, Y., & Kilic, D. (2019). The relationship between primary school teachers' selfefficacy, autonomy, job satisfaction, teacher engagement and burnout: A model development study. International Journal of Research in Education and Science, 5(2), 709-721.
  48. Williams, A. (2012). Emotion work in paramedic practice: The implications for nurse educators. Nurse Education Today, 32(4), 368-372. https://doi.org/10.1016/j.nedt.2011.05.008
  49. Wu, Y., Wang, J., Luo, C., Hu, S., Lin, X., Anderson, A. E., Bruera, E., Yang X., Wei, S., & Qian, Y. (2020). A comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. Journal of Pain and Symptom Management, 60(1), e60-e65. https://doi.org/10.1016/j.jpainsymman.2020.04.008
  50. Xu, A. J., Loi, R., & Lam, L. W. (2015). The bad boss takes it all: How abusive supervision and leader-member exchange interact to influence employee silence. The Leadership Quarterly, 26(5), 763-774. https://doi.org/10.1016/j.leaqua.2015.03.002