Burnout, role conflict, job satisfaction, psychosocial health among Hungarian health care staff: A questionnaire survey

The University of Szeged, Department of Psychiatry, Behavioural Sciences Group, Szeged, Hungary.
International Journal of Nursing Studies (Impact Factor: 2.9). 04/2006; 43(3):311-8. DOI: 10.1016/j.ijnurstu.2005.05.003
Source: PubMed


There is a growing interest in the psychosocial work environment of health care staff since they are at high risk for burnout, role conflict and job dissatisfaction. Burnout, as a type of prolonged response to chronic job-related stressors, has a special significance in health care where staff experience both psychological-emotional and physical stress. Burnout and the other negative aspects of the job of health care staff have major behavioural and health implications.
The present study investigated the interrelationships among burnout, role conflict and job satisfaction in a sample of Hungarian health care staff. The study also investigated how these indicators of psychosocial work climate influence respondents' frequency of psychosomatic symptoms.
A questionnaire survey (anonymous questionnaires) has been carried out to detect these interrelationships.
Two major hospitals in Szeged, Hungary.
Questionnaires were distributed to 450 health care staff among whom 55.7% were registered nurses. All together, 201 questionnaires were returned and analyzed, giving a response rate of 44.6%.
Questionnaire contained items on work and health-related information (i.e., burnout, job satisfaction, role conflict, and psychosomatic symptoms) and on some basic sociodemographics. Beyond descriptive statistics, correlation and multiple regression analyses were computed.
Findings show that emotional exhaustion and depersonalization scores were higher, while scores on personal accomplishment was lower as compared to Canadian, Norwegian or US samples. Burnout, particularly emotional exhaustion (p<.001), was found to be strongly related to job dissatisfaction. Schooling was inversely related to satisfaction with the job (p<.05). While job satisfaction was a negative predictor of each type of burnout subscale (p<.001), role conflict was a factor contributing positively to emotional exhaustion (p<.001) and depersonalization scores (p<.001).
The study results underline the importance of the role of psychosocial work environment and the interrelationships among burnout, role conflict, job satisfaction and psychosomatic health among Hungarian health care staff.

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    • "Many studies show a positive relationship between role ambiguity and burnout (Collins, 2000; Kokkinos, 2007; Shinan-Altman & Cohen, 2010). The scientific results have indicated to date that role conflict is the most intense predictor of the emotional component of the syndrome (emotional exhaustion) (Jawahar, Stone & Kisamore, 2007; Lee & Ashforth, 1996; Piko, 2006; Posig & Kickul, 2003; Mohr & Puck, 2007), whereas role ambiguity is the most intense predictor of the cognitive component (low personal accomplishment) (Gil-Monte, 2005; Örtqvist & Wincent, 2006). These phenomena are included in different comprehensive models of the syndrome (Posig & Kickul, 2003; Shinan-Altman & Cohen, 2010; Radha, 2007), which indicate the importance of these stressors in the development of burnout. "
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    ABSTRACT: The aim of this research was to analyze the influence of some psychosocial risk factors in the development of burnout and to analyze the influence of this phenomenon on employee absenteeism. The study sample included 142 health care workers. The data analysis included descriptive statistics and multiple linear regression models. The results confirmed the influence of role ambiguity and role conflict on burnout [F (2.139) = 26.720; p < .001], but the influence of burnout on employee absenteeism was not confirmed. However, a significant and positive relationship has been shown between burnout and employee (β = 0.197; p < .05). In conclusion, the findings of this study support the claims that role conflict is a more intense predictor of the emotional component of burnout (burnout; β = 0.585; p < .001). Additionally, there is evidence that prolonged emotional strain could encourage employee absenteeism.
    Terapia Psicologica 07/2014; 32(2):111-120. DOI:10.4067/S0718-48082014000200004 · 0.61 Impact Factor
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    • "Therefore, during the Chinese special transformation period, exploration of the factors associated with burnout is important in developing interventions to reduce burnout among nurses in China. Based on the results of previous studies across cultural and ethnic groups (Piko 2006, Zhu et al. 2006b, Garrosa et al. 2008, Xie et al. 2011), the following factors were investigated for their association with burnout in China: demographics (age, education and marital status ), work situations (job rank, weekly work time, work arrangement, nurse–patient relationship) and occupational stress (job content and ERI). "
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    ABSTRACT: AimTo explore the factors associated with burnout among female hospital nurses in China.Background Burnout has been a major concern in the field of occupational health, and yet there has been little research exploring the factors related to burnout among Chinese nurses. Exploring the factors associated with burnout is important in improving nurses’ health and the quality of health care services in China.Methods The study population consisted of 1845 female hospital nurses in the Liaoning Province of China. Burnout was measured using the Chinese version of the Maslach Burnout Inventory – General Survey; occupational stress was measured using the Chinese versions of the Job Content Questionnaire and Effort–Reward Imbalance Questionnaire. A general linear regression model was applied to analyse the factors associated with burnout.ResultsMean scores (±SD) were 11.74 (7.14) for emotional exhaustion, 7.12 (5.67) for cynicism and 23.34 (9.60) for self-efficacy. Strong extrinsic effort was the most powerful predictor of emotional exhaustion and cynicism; strong psychological job demands were the most robust predictor of low self-efficacy.Conclusion The findings suggest that occupational stress was strongly related to burnout among female hospital nurses in China.Implications for nursing managementOccupational stress was identified as the most robust predictor of burnout among Chinese female hospital nurses. Reducing burnout among nurses working in China may require health education, health promotion and occupational training programmes aimed at improving work situations and reducing occupational stress.
    Journal of Nursing Management 07/2014; 22(5). DOI:10.1111/jonm.12015 · 1.50 Impact Factor
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    • "Comeau, V ezina & Guylaine, 1998; Butterworth, Carson, Jeacock, White & Clements, 1999; Ilan, Durukan, Taner, Maral & Bumin, 2007; Piko, 2006; Wu, Zhu, Wang, Wang & Lan, 2007 "
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    ABSTRACT: PurposeIn a 2011 survey sponsored by the American Nurses Association (ANA), nurses identified the acute and chronic effects of stress and overwork as one of their two top safety and health concerns. Design/MethodsA review of the literature was conducted to investigate the impact that job stress has on the health and safety of nursing professionals and the role that working conditions and job characteristics play in fostering job stress. FindingsStrong evidence supporting links between job stress, safety and health in general and within different types of nursing populations exists. Working conditions also contribute to the development of job stress. Conclusion Combining and integrating person-focused strategies designed to build nurses' ability to manage stress at the individual level with organization-focused strategies that eliminate stressful working conditions is critical to the reduction and prevention of job stress among nursing professionals.
    Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses 03/2014; 39(2). DOI:10.1002/rnj.97 · 1.15 Impact Factor
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