Abstract

Stress has become an inherent aspect of the nursing profession. Chronically experienced work stress can lead to burnout. Although situational stressors show a significant influence on burnout, their power to predict the complete syndrome is rather limited. After all, stressors only exist “in the eye of the beholder”. This study aimed to explore how individual vulnerability factors such as core-self evaluations and coping, contribute to burnout in relation to situational stressors within a population of hospital nurses.Cross-sectional data was collected in 2014, using five validated self-report instruments: Dutch Core Self Evaluations Scale, Nursing Work Index Revised, Utrecht Coping List, Ruminative Response Scale, and Utrecht Burnout Scale. 219 of the 250 questionnaires were returned.Core-self evaluations, situational factors and coping each contributed significantly to the predictive capacity of the models of the separate burnout dimensions. Core-self evaluations was significantly related to emotional exhaustion. It was suggested that Core-self evaluations might be placed at the initiation of the loss cycle. However, further research is warranted.

Highlights

  • Stress has become an inherent aspect of the nursing profession [1], due to the regular witnessing of pain and death, lack of decision latitude, role stress, low support levels of supervisors, interpersonal conflicts, and communication problems [2]

  • This study aimed to explore the relationship between burnout and three types of potential antecedents (CSE, situational factors and coping) within a sample of hospital nurses

  • Based on the theory of the loss cycle, we suggest that low CSE might indirectly influence the burnout dimensions through their negative impact on the perception of situational factors, which in turn may lead to more avoidance and rumination coping and less problem-focused

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Summary

Introduction

Stress has become an inherent aspect of the nursing profession [1], due to the regular witnessing of pain and death, lack of decision latitude, role stress, low support levels of supervisors, interpersonal conflicts, and communication problems [2]. Chronically experienced work stress can generate the development of psychological strain or burnout [3]. According to Aiken et al (2012) nurses across Europe and the USA are at risk for burn-out [4]. In Belgium 7–12% of nurses have a high risk of developing burnout and an additional 2–7% score above the diagnostic cut-off for burnout [5, 6].

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