The influence of psychological capital, authentic leadership in preceptors, and structural empowerment on new graduate nurse burnout and turnover intent

Dwyer, Patricia A.; Revell, Susan M Hunter; Sethares, Kristen A.; Ayotte, Brian J.

doi:10.1016/j.apnr.2019.04.005

Cited by 44 publications

(47 citation statements)

References 32 publications

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“…Peng et al [ 15 ] found that nurses with high positive psychological capital naturally experienced lower levels of burnout, because positive psychological capital consists of positive personal resources such as hope, self-efficacy, optimism, and resilience. This effect was identical in the United States, where newly graduate nurses with high positive psychological capital had significantly lower burnout and turnover intentions [ 25 ]. This result indicates that, despite burnout having a negative effect on nursing performance, it is possible to achieve desirable nursing performance outcomes by controlling this effect if the hospital nurse has adequate capacity in terms of positive psychological capital.…”

Section: Discussionmentioning

confidence: 89%

“…In this context, positive psychological capital having the four positive psychological values may play some role between burnout and performance outcomes in nurses. Previous studies identified the direct effects of positive psychological capital on burnout or nursing performance [ 4 , 15 , 22 , 24 , 25 ] and its mediating effect on nurses’ commitment to work [ 14 ] and on the performance of other workers [ 16 ]. However, there are insufficient studies examining the mediating role of positive psychological capital on burnout and performance outcomes of nurses.…”

Section: Introductionmentioning

confidence: 99%

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Positive Psychological Capital Mediates the Association between Burnout and Nursing Performance Outcomes among Hospital Nurses

Shin

Choi

et al. 2020

IJERPH

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Nursing burnout is associated with reduced nursing performance outcomes. Positive psychological capital is known to play an important role in improving workers’ job performance. However, the association among the three variables has rarely been addressed. The purpose of this cross-sectional descriptive study was to explore the association between burnout and nursing performance outcomes among Korean nurses working at a tertiary hospital and the mediating role of psychological capital in this relationship. Recruited through convenience sampling, a total of 285 nurses provided data on their demographic characteristics and completed a structured questionnaire consisting of items from the Professional Quality of Life Scale (burnout), Nursing Performance Scale, and Psychology Capital Questionnaire. Descriptive statistics, student’s t-tests, one-way analysis of variance, Pearson’s correlation coefficients, and multiple linear regression analyses were used to analyze data. The significance of the mediation effect was obtained using a bootstrap approach with the PROCESS macro. The mean age of participants was 30.51 years, and most participants were females (94.0%) and unmarried (71.6%); more than half (57.5%) experienced a severe workload. The average (±standard deviation) scores of burnout, nursing performance outcomes, and positive psychological capital were 28.77 ± 4.93, 2.98 ± 0.32, and 3.19 ± 0.45, respectively. Burnout was associated with nursing performance among clinical nurses (β = −0.20, p < 0.001). Positive psychological capital mediated the association between burnout and nursing performance outcomes (β = 0.41, p < 0.001). These findings contribute to the understanding that burnout among nurses could be reduced by increased positive psychological capital, which results in improved performance outcomes. The findings also indicate that interventions to improve positive psychological capital should be developed and implemented for nurses’ burnout management and improvement in nursing performance outcomes.

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Section: Discussionmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Positive Psychological Capital Mediates the Association between Burnout and Nursing Performance Outcomes among Hospital Nurses

Shin

Choi

et al. 2020

IJERPH

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“…18 A burnout syndrome is especially common among nurses. [19][20][21] A study conducted in Turkey, 22 revealed that hospitals face serious challenge of shortage of nurses as the number of nurses per patient is inadequate. This small nurse-patient ratio has direct negative impact on both the patient and the nurse, the hospitals, and ultimately the whole country.…”

Section: Introductionmentioning

confidence: 99%

The effect of role‐related stressors on nurses' burnout syndrome: The mediating role of work‐related stress

Akkoç

Okun²,

Türe

2020

Perspect Psychiatr Care

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Purpose: This study sought to investigate the effects of role conflict, role ambiguity, and workload on burnout syndrome among clinical nurses working in university hospitals and the mediating role of work-related stress in these effects.Design and Methods: Cross-sectional questionnaire-based survey was conducted.Data from 386 nurses were evaluated. The research variables were analyzed using statistical methods such as factor analysis, correlation analysis, regression analysis, Sobel tests, and bootstrapping method.Findings: It was determined that role conflict, role ambiguity, workload, and workrelated stress affect nurses' burnout significantly and work-related stress has a mediator role between burnout and the independent variables. Practice Implications: Nurses' burnout syndrome can be prevented if managerial practices to reduce the sources of role-related stressors and work-related stress are implemented by managers.

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“…Previous studies used the ATS to examine nurses' turnover intentions. In the United States, approximately 33% of newly licensed graduate nurses had turnover intention (Dwyer et al, 2019), whereas in Saudi Arabia, 94% of nurses working in tertiary hospitals had turnover intention (Kaddourah et al, 2018). Job satisfaction was the predictor of turnover intention among 349 acute care nurses in Canada, regardless of working conditions, in rural or urban areas (Yasin et al, 2020).…”

mentioning

confidence: 99%

“…The original English ATS has been widely used among nurses in the United States (Dwyer et al, 2019), Canada (Yasin et al, 2020), and Saudi Arabia (Kaddourah et al, 2018). The instrument has been translated into Arabic in Saudi Arabia (Alshareef et al, 2020) and Portuguese in Portugal (de Sul & Lucas, 2020).…”

mentioning

confidence: 99%

The development of a shortened, Korean version of the Anticipated Turnover Scale for hospital nurses

Nam

Kim

Hong

et al. 2021

Research in Nursing & Health

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This study was a psychometric validation of a Korean version of the Anticipated Turnover Scale (ATS) involving translation, transcultural adaptation, and validation.We used data from a cross-sectional online survey of 287 Korean practicing nurses in hospitals. Confirmatory factor analysis (CFA) assessed the validity of the onefactor structure that was hypothesized in the original version. We removed any items that did not enhance the scale's reliability and validity. Test and retest reliability was performed on 206 of the nurses who completed the survey again two weeks later. The mean age of the 287 nurses was 33 years, and 278 (97%) of them were female. The final 6-item Korean version of the ATS demonstrated a satisfactory model fit in the CFA (χ 2 = 22.67; degree of freedom = 9; goodness-of-fit in-dex= 0.97; comparative fit index = 0.98; Tucker-Lewis Index = 0.97; root mean square error of approximation = 0.07; and standard root mean residual = 0.03). The intraclass correlation coefficient with the test-retest reliability for the 2-week interval was 0.81, with a good internal consistency (Cronbach's alpha = 0.85;McDonald's omega coefficient reliability = 0.92). The 6-item revised ATS is a reliable and valid scale to assess the turnover intention of Korean nurses who work in hospitals. It can be used in an acute setting and predict the anticipated turnover rate for monitoring purposes.

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The influence of psychological capital, authentic leadership in preceptors, and structural empowerment on new graduate nurse burnout and turnover intent

Cited by 44 publications

References 32 publications

Positive Psychological Capital Mediates the Association between Burnout and Nursing Performance Outcomes among Hospital Nurses

Positive Psychological Capital Mediates the Association between Burnout and Nursing Performance Outcomes among Hospital Nurses

The effect of role‐related stressors on nurses' burnout syndrome: The mediating role of work‐related stress

The development of a shortened, Korean version of the Anticipated Turnover Scale for hospital nurses

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