Psychological Empowerment as a Mediator of Effort–Reward Imbalance Effects on Burnout, Anxiety and Depression Among Nursing Home Professionals: A Cross-Sectional Study

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-01-16 DOI:10.1111/jan.16709

Amélie Bouche, Jacques Jaussaud, Océane Pic, Michèle Koleck, Lucile Dupuy, Camille Ouvrard, Hélène Amieva, Nicole Rascle

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Abstract

Aims

Few studies have explored empowerment as a predictor of mental health outcomes in geriatric healthcare professionals. This research addresses this gap by using the ‘effort-reward imbalance’ theory of work-related stress to develop a comprehensive model, examining the role of psychological empowerment in the psychological outcomes of nursing home professionals.

Design

This cross-sectional exploratory study used structural equation modelling (SEM) to test a model on the mediating role of psychological empowerment in the relationship between effort–reward ratio and burnout, anxiety and depression.

Methods

From 2021 to 2023, we used convenience sampling to enrol 280 physicians, nurses and other healthcare workers from 13 nursing homes in France. Self-administered measurements included Psychological Empowerments Scale, Effort–Reward Imbalance Questionnaire, Maslach burnout inventory—Human Services Survey and Hospital Anxiety and Depression Scale. Of the 280 healthcare professionals included, 245 had complete data.

Results

Findings confirmed direct predictive paths from the effort–reward ratio to burnout, anxiety and depression. The negative direct path between effort–reward ratio and psychological empowerment was significant, as was burnout and depression prediction by psychological empowerment. Anxiety was not explained by psychological empowerment. Mediation effects were confirmed. Model fit indices indicated a good fit, supporting the role of psychological empowerment in reducing the negative impact of effort–reward imbalance on psychological outcomes, except for anxiety.

Conclusion

Psychological empowerment appears to be a promising way to enhance and protect psychological work-related health of nursing home healthcare professionals.

Implications for the Profession and/or Patient Care

Understanding the impact of psychological empowerment on healthcare is a first step towards implementing interventions for healthcare professionals to enhance the quality of care and work conditions.

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心理授权在努力-报酬失衡对护理人员职业倦怠、焦虑和抑郁影响中的中介作用：一项横断面研究

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.