Structural Equation Model for Nursing’s Spiritual Commitment, Religious Adaptation, and Their Relationship to Quality of Life and Burnout

Background: Religious adaptation and spiritual commitment are considered common strategies in order to deal with traumatic conditions. It has been argued that spiritual commitment has an impact on burnout levels, and both directly influence the quality of life. Objectives: The aim of the present study was to investigate relationships between spiritual commitment and religious adaptation, different dimensions of burnout, and quality of life in a sample of health professionals. Methods: This study was a cross-sectional survey. A model, including pathways between spiritual commitment, religious adaptation dimensions, and quality of life with variables of burnout as mediators, has been developed. This data survey was conducted on 556 nurses and midwives from emergency, intensive care and resuscitation, and psychiatry units, in addition to maternity departments, in four different university hospitals and 12 regional hospital centers in Morocco. Measures regarding religious adaptation and spiritual commitment, the Maslach Burnout Inventory, and quality of life variables were used to test the present study’s model employing structural equation modeling techniques. Data collection was performed from March 2018 to February 2019. Results: The goodness of fit statistics confirmed an improved model with burnout dimensions as mediators between spiritual commitment, religious adaptation, and quality of life dimensions. Conclusions: The above-mentioned findings suggest that health professionals using strategies in order to reduce burnout might report better mental and physical health. Direct relationships were observed between dimensions of burnout with adaptation strategies and quality of life.