Reframing Burnout: Measuring "Altruistic Execution" to Understand Nurse Burnout.

IF 2 4区 医学 Q2 NURSING Western Journal of Nursing Research Pub Date : 2024-11-01 Epub Date: 2024-09-05 DOI:10.1177/01939459241279502
Jacqueline Christianson, Abir Bekhet, Jill Guttormson, Maharaj Singh, Norah L Johnson
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Abstract

Background: Many nurses join the profession because they have altruistic intentions, but some nurses experience barriers to acting on altruistic intentions which may be a source of job dissatisfaction or burnout.

Objective: The purpose of this study was to evaluate construct validity, internal consistency, and convergence reliability of the Nursing Altruistic Execution Scale (NAES), a novel instrument assessing the perceived ability to help others through work.

Methods: The NAES was developed based upon a literature review examining altruistic behavior as a motivator for nursing work, with expert feedback for instrument refinement. Participants completed the NAES, Copenhagen Burnout Inventory Work-Related Burnout Scale, and Satisfaction of Employees in Health Care Survey. Exploratory factor analysis examined construct validity and factor loadings. Confirmatory factor analysis verified consistency in factor structure. Linear regression assessed for convergence reliability with burnout and job satisfaction.

Results: The sample included 843 acute care hospital nurses surveyed in January-March 2023. Exploratory factor analysis revealed a two-factor solution, named altruistic engagement with work and workplace barriers to altruism. Nine instrument items were retained and demonstrated strong internal consistency (Cronbach's alpha 0.79). There was a significant relationship between both factors of the NAES and both burnout and job satisfaction, demonstrating that greater altruistic execution is associated with lower burnout and greater job satisfaction.

Conclusion: Preliminary findings support the use of the NAES as a valid and reliable scale. Findings show there is correlation between altruistic intentions and burnout. Interventions aimed at enhancing altruistic execution may reduce nurse burnout and thereby improve retention.

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重塑职业倦怠:衡量 "利他主义执行力 "以了解护士的职业倦怠。
背景:许多护士都是因为具有利他主义意愿才加入护士行业的,但有些护士在实施利他主义意愿时会遇到障碍,这可能会导致工作不满或职业倦怠:本研究旨在评估护理利他主义执行量表(NAES)的结构效度、内部一致性和收敛可靠性:方法:NAES 是在研究利他行为作为护理工作动机的文献综述的基础上开发的,并根据专家反馈意见对工具进行了改进。受试者完成 NAES、哥本哈根职业倦怠量表(Copenhagen Burnout Inventory Work-Related Burnout Scale)和医疗保健行业员工满意度调查(Satisfaction of Employees in Health Care Survey)。探索性因子分析检验了构建有效性和因子载荷。确认性因子分析验证了因子结构的一致性。线性回归评估了倦怠和工作满意度的收敛可靠性:样本包括 843 名急症护理医院护士,调查时间为 2023 年 1 月至 3 月。探索性因子分析揭示了一个双因子解决方案,分别命名为利他主义工作参与度和利他主义工作场所障碍。保留了九个工具项目,并显示出很强的内部一致性(Cronbach's alpha 0.79)。NAES的两个因子与职业倦怠和工作满意度之间均存在重要关系,表明利他主义执行力越强,职业倦怠越低,工作满意度越高:初步研究结果表明,NAES 是一个有效、可靠的量表。研究结果表明,利他意向与职业倦怠之间存在相关性。旨在提高利他主义执行力的干预措施可能会降低护士的职业倦怠,从而提高护士的留任率。
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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
48
审稿时长
>12 weeks
期刊介绍: Western Journal of Nursing Research (WJNR) is a widely read and respected peer-reviewed journal published twelve times a year providing an innovative forum for nurse researchers, students, and clinical practitioners to participate in ongoing scholarly dialogue. WJNR publishes research reports, systematic reviews, methodology papers, and invited special papers. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
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