The role of burnout syndrome as a mediator for the effect of psychosocial risk factors on the intensity of musculoskeletal disorders: a structural equation modeling approach

This study examined the hypothesis that burnout syndrome mediates effects of psychosocial risk factors and intensity of musculoskeletal disorders (MSDs) among hospital nurses. The sample was composed of 415 nurses from various wards across five hospitals of Iran's Hamedan University of Medical Sciences. Data were collected through three questionnaires: job content questionnaire, Maslach burnout inventory and visual analogue scale. Results of structural equation modeling with a mediating effect showed that psychosocial risk factors were significantly related to changes in burnout, which in turn affects intensity of MSDs.     

The construct validity of two burnout measures

The present study was carried out among a sample of 667 Dutch nurses and assesses three aspects of the construct validity of the two most widely used self-report burnout questionnaires: The Maslach Burnout Inventory (MBI) and the Burnout Measure (BM). Although the factorial validity of the three-dimensional structure of the MBI was convincingly demonstrated by confirmatory factor analysis with LISREL, four weak and ambiguous items were identified. Regarding the BM, some doubts have arisen about its one-dimensionality. The congruent validity of the questionnaires was well established: They both refer to the core element of the burnout syndrome (i.e. exhaustion). Moreover, linear structural analyses suggested that burnout is a two multi-dimensional construct consisting of an affective component (i.e. exhaustion) and an attitudinal component (i.e. a negative attitude towards recipients and towards one's job performance). However, the discriminant validity of the first component is rather poor since it considerably overlaps with self-reported somatic complaints and psychological strain. It is concluded that the MBI can be employed as a reliable and valid multi-dimensional indicator of burnout in professionals who work with people. The BM assesses the non-specific affective component of burnout (i.e. exhaustion) and should therefore be supplemented by a scale that measures the attitudinal component of the syndrome.     

Coping patterns as predictors of burnout: The function of control and escapist coping patterns

The paper attempts to bring concepts developed in cognitive approaches to stress and coping to a model which predicts burnout as a function of organizational demands and resources. Workers in a mental hospital (N = 177) provided information regarding coping patterns, burnout, and organizational commitment as well as various demands and resources in the work environment. A LISREL analysis confirmed that burnout is best considered a function of coping patterns as well as a function of organizational demands and resources. Control coping cognitions and actions were associated with decreased burnout, while escapist coping strategies were associated with increased burnout. The analysis indicated relationships of coping patterns with organizational commitment could be operating indirectly through the relationships of both coping patterns and commitment with the burnout. The paper discusses implications of these findings for interventions designed to alleviate or prevent burnout.     

Crossover of stress,strain and resources from one spouse to another

The main focus of the study was the crossover of burnout and of coping resources from husbands to wives and vice versa. The study was carried out on 101 couples, male military officers and their wives, who were randomly selected by the Israel Defense Force computer. They filled out questionnaires that measured their level of burnout, job stress, work support, family support concerning work problems, and their sense of control. Findings reveal that the husbands' sense of control and burnout were positively related to the corresponding variables measured for their wives. To establish the crossover effect, the theoretical model was tested by structural equation analysis (LISREL), which showed a positive effect of wives' burnout on husbands' burnout, after controlling for the husbands' own job stress and coping resources. The husbands' burnout likewise affected their wives' burnout. Thus, a crossover of burnout was exhibited from husbands to wives and vice versa. Furthermore, for both sexes, sense of control had the highest impact on their own burnout and on their spouse's burnout, after controlling for their own job stress and resources. Thus, the spouse's sense of control was found to be an additional resistance resource working to the benefit of the other partner. The relevance of these findings to burnout prevention is discussed.     

Exploration of relationships between safety performance and unsafe behavior in the Chinese oil industry

Safety performance is comprised of two components, safety compliance and safety participation. However, relationships between safety performance and unsafe behavior have not been thoroughly investigated. In this work, scales for safety compliance and safety participation were revised for use in the oil industry, and job burnout scale was developed on the basis of the Maslach Burnout Inventory-General Survey (MBI-GS). A structural equation model was then employed to investigate the interactions of these factors for 238 front-line oil workers from the PetroChina Huabei Oilfield Company in China. From the results, it was determined that workers' unsafe behavior could not be reduced significantly solely from these two dimensions of safety performance. Compared with safety participation, safety compliance was found to have a greater influence on unsafe behavior. However, job burnout was found to be a significant moderator between these two components and unsafe behavior. Furthermore, it was determined that oil workers' occupational psychological health conditions must be taken into account to improve organizational safety management and reduce workers’ unsafe behavior.     

Job insecurity and crossover of burnout in married couples

We investigated crossover of burnout between spouses in 98 married couples in an organization undergoing downsizing. Burnout was found to be associated with feelings of job insecurity, self‐control and social undermining. Using SEM, findings supported the crossover of burnout from husbands to wives and the impact of burnout on undermining behavior. They also supported the research hypothesis of a direct relationship between job insecurity and burnout among husbands but not among wives. Sense of control was found to have a negative impact on burnout and on the spouse's undermining behavior and a positive impact on the spouse's sense of control. Copyright © 2001 John Wiley & Sons, Ltd.     

社会支持对智能化矿井矿工违章行为的影响——缓解职业倦怠和心智游移的方法研究*

为明晰智能化矿井矿工的职业倦怠和心智游移水平以及社会支持、职业倦怠和心智游移对矿工违章行为的作用机理,以366名普通矿井矿工和379名智能化矿井矿工为研究对象进行问卷调查,运用AMOS7.0建立社会支持、职业倦怠与心智游移和矿工违章行为之间的结构方程模型（SEM）。结果表明:智能化矿井矿工比普通矿井矿工的职业倦怠水平和心智游移水平高;社会支持和矿工违章行为显著负相关;社会支持不仅可以直接影响矿工违章行为,还可以通过职业倦怠的独立中介作用以及职业倦怠与心智游移的链式中介作用2条路径间接影响矿工违章行为;有效提高矿工的社会支持可以缓解其职业倦怠水平,进而降低心智游移出现频率,最终减少矿工违章行为的发生。研究结果可为智能化矿井的安全生产管理提供科学依据。     

Job demands,job resources,and their relationship with burnout and engagement: a multi‐sample study

This study focuses on burnout and its positive antipode—engagement. A model is tested in which burnout and engagement have different predictors and different possible consequences. Structural equation modeling was used to simultaneously analyze data from four independent occupational samples (total N = 1698). Results confirm the hypothesized model indicating that: (1) burnout and engagement are negatively related, sharing between 10 per cent and 25 per cent of their variances; (2) burnout is mainly predicted by job demands but also by lack of job resources, whereas engagement is exclusively predicted by available job resources; (3) burnout is related to health problems as well as to turnover intention, whereas engagement is related only to the latter; (4) burnout mediates the relationship between job demands and health problems, whereas engagement mediates the relationship between job resources and turnover intention. The fact that burnout and engagement exhibit different patterns of possible causes and consequences implies that different intervention strategies should be used when burnout is to be reduced or engagement is to be enhanced. Copyright © 2004 John Wiley & Sons, Ltd.     

Correlates of burnout among public service lawyers

Several hypotheses suggested by the theoretical literature on burnout were empirically tested in an attempt to identify the organizational conditions associated with employee burnout. Public service lawyers in the U.S. (N= 391) completed a survey designed to assess (a) three components of burnout, namely, emotional exhaustion, depersonalization, and feelings of low personal accomplishment; (b) perceptions of several job conditions predicted to be associated these three components of burnout, including workload, role conflict, social support, decision-making policies, and autonomy; and (c) organizational commitment. Results indicate that emotional exhaustion is most strongly associated with role conflict and quantitative workload. Feelings of personal accomplishment were associated with supervisory social support and job level. Depersonalization was associated with role conflict and decision-making policies. Finally, each burnout component is significantly related to organizational commitment.     

The spillover effects of coworker,supervisor, and outsider workplace incivility on work‐to‐family conflict: A weekly diary design

This study used an experience sampling design to examine the spillover effects of experienced workplace incivility from organizational insiders (coworkers and supervisors, respectively) and organizational outsiders (patients and their visitors) on targets' work‐to‐family conflict and to test the mediating effect of burnout and the moderating effect of display rules. Data collected over five consecutive weeks from 84 full‐time nurses showed that within individuals, weekly experiences of coworker incivility and outsider incivility were positively related to weekly experience of work‐to‐family conflict, and burnout mediated these relationships while controlling for initial level of burnout before participants started a week's work. In addition, display rules, defined as the extent to which individuals perceive they are expected to display desired positive emotions and suppress negative emotions at work, moderated the relationship between outsider incivility and burnout; specifically, the positive relationship between weekly outsider incivility and burnout was stronger for individuals who perceived a higher level of display rules. Our findings contribute to the literature by demonstrating the mediating effect of burnout and the moderating effect of perceived display rules in the relationship between workplace incivility from multiple sources and work‐to‐family conflict from a resource perspective.     

Patterns of burnout among managers and professionals: a comparison of models

Using structural equation modeling, this paper compares the intertemporal sequences of the burnout components proposed by Maslach (1982) and Golembiewski (1989) using responses from 354 human resource professionals. The relationship between the burnout components and several critical variables that are theoretically linked to the phenomenon are also investigated. Studying human resource professionals allows us to examine the generalizability of burnout. This group of employees provides a range of services to a largely internal client group, and thus experience strain from interpersonal interactions. Results support Maslach's three-factor sequential model of burnout, although its superiority over the Golembiewski sequential model is not definitive. A post hoc analysis reveals a significant path between emotional exhaustion and personal accomplishment, and an insignificant path between depersonalization and personal accomplishment. Investigation of the relationship between the burnout components and several critical, theoretically linked variables indicates significant paths between (a) role overload and emotional exhaustion, (b) noncontingent punishment and depersonalization, and (c) contingent rewards and personal accomplishment. The work documents the generalizability of burnout to managers and professionals in corporate settings. © 1997 John Wiley & Sons, Ltd.     

When does quality of relationships with coworkers predict burnout over time? The moderating role of work motivation

The present prospective study examines the interplay between the quality of relationships with coworkers and work motivation in predicting burnout. Considering self-determined motivation at work as a potential moderator, we investigated whether relationships with coworkers are equally important to all employees in preventing burnout. A total of 533 college employees participated in this study. Data were collected at two time points, two years apart. Results from structural equation modeling indicated negative main effects for high-quality relationships and self-determined motivation on burnout. A significant interaction effect between these two factors on burnout was also revealed, suggesting that high-quality relationships with coworkers is crucial for those employees who exhibit less self-determined work motivation. Implications for burnout research and management practices are discussed (Deci & Ryan, 1985 ). Copyright © 2009 John Wiley & Sons, Ltd.     

高危岗位矿工工作倦怠影响因素的结构方程模型

为探索高危岗位矿工工作倦怠形成机制,寻求合理的干预对策,在文献研究和实地调研基础上,提出矿工工作倦怠假设模型。采用多阶段分层随机抽样法,对1 800名高危岗位矿工进行问卷调查,并借助结构方程模型(SEM)技术验证假设模型。研究表明:组织管理和角色压力均正向影响工作倦怠,工作特征仅正向影响生理疲乏;社会支持是工作压力源到工作倦怠的中介变量;消极应对是工作压力源到工作倦怠的部分中介变量,其中介效应较社会支持大很多;工作压力源通过影响社会支持再影响应对方式进而正向影响工作倦怠。通过有效干预组织管理和角色压力可减缓工作倦怠。     

The process of burnout in white‐collar and blue‐collar jobs: eight‐year prospective study of exhaustion

This study tested three contrasting theories about the sequential process of the three dimensions of burnout (i.e., exhaustion, cynicism and professional efficacy) as measured by the Maslach Burnout Inventory—General Survey (MBI‐GS). The causal order of the burnout components was investigated by including job stressors as antecedents of burnout in structural equation models (LISREL). The predictive effect of exhaustion on burnout dimensions eight years later was also investigated. The longitudinal models were then tested in two occupational subgroups. The participants were 713 Finnish employees (415 white‐collar and 298 blue‐collar workers) from an international industry enterprise. The best fitting model of the associations between the three burnout dimensions was obtained by a path model where exhaustion predicted cynicism, and cynicism in turn predicted lack of professional efficacy. The symptoms of exhaustion were persistent over time. There were no differences between the two occupational groups in the process of burnout. Also the work‐related antecedents of burnout (job stressors) were very similar in both groups. Copyright © 2002 John Wiley & Sons, Ltd.     

Value congruence,control, sense of community and demands as determinants of burnout syndrome among hospitality workers

Employees working in the hospitality industry are constantly exposed to occupational stressors that may lead employees into experiencing burnout syndrome. Research addressing the interactive effects of control, community and value congruence to alleviate the impact of workplace demands on experiencing burnout is relatively limited. The present study examined relationships among control, community and value congruence, workplace demands and the three components of burnout. A sample of 418 employees working in a variety of hospitality associations including restaurants and hotels in Spain were recruited. Moderation analyses and linear regressions analyzed the predictive power of control, community and value congruence as moderating variables. Results indicate that control, community and value congruence were successful buffers in the relationships between workplace demands and the burnout dimensions. The present findings offer suggestions for future research on potential moderating variables, as well as implications for reducing burnout among hospitality employees.     

The contribution of burnout to work performance

While the notion that ‘burnout’ is related to a decline in work performance is widely recognized, empirical support for this relationship is lacking. The present study, composed of human services personnel, is the first to empirically test the relationships among Maslach's three dimensions of burnout and work performance. A negative relationship was established between one dimension of burnout, emotional exhaustion, and subsequent work performance. However, the results failed to establish relationships among work performance, depersonalization and diminished personal accomplishment. These results provide further support for emotional exhaustion as a key component of the burnout experience. Future directions and implications of these findings are introduced. © 1997 John Wiley & Sons, Ltd.     

Compassion fatigue and compassion satisfaction among family physicians in the Republic of Srpska,Bosnia and Herzegovina

Aims. The aim of this study was to examine self-perceived compassion fatigue and compassion satisfaction among family physicians in Bosnia and Herzegovina and describe potential contributing factors. Methods. The cross-sectional study enrolled 120 family physicians. Professional quality of life compassion satisfaction and fatigue version 5 (ProQOL5) was used to assess compassion satisfaction and two components of compassion fatigue, secondary traumatic stress and burnout. The symptoms of chronic fatigue were evaluated using the Chalder fatigue scale. Results. The majority of family physicians had moderate levels of compassion satisfaction (70%), burnout (75%) and secondary traumatic stress (55.8%). Family physicians with higher levels of secondary traumatic stress reported chronic fatigue (p?=?0.001), longer length of service (p?=?0.024) and residency training (p?=?0.041). Chronic fatigue (p?=?0.001), living in a rural environment (p?=?0.033), larger size of practice (p?=?0.006) and high number of patients with chronic disease (p?=?0.001) were associated with a higher risk of burnout. Conclusion. Family physicians with large practices, long years of experience, a high number of chronically ill patients and experiencing chronic fatigue are at risk of developing compassion fatigue. A systematic exploration of compassion fatigue in relation to working conditions might provide an appropriate starting point for the development of preventive interventions.     

高危岗位矿工心理倦怠对注意执行功能的影响

为探究心智游移在倦怠和注意执行功能间的作用机制,有效减少由负性心理状态引起的不安全行为,降低人因事故发生率。在文献研究的基础上,引入心智游移,采用SART范式和AX-CPT范式,以问卷筛选出的100位国有煤炭企业高危岗位作业人员为研究对象,讨论倦怠、心智游移和个体注意执行功能之间的关系。研究结果表明:高频AX试次会引起惯性反应偏向,被试者需要更多的时间来维持线索字母A和解决无效线索B与有效探针X之间的冲突;高倦怠矿工比低倦怠矿工的注意执行控制功能更易受到高频心智游移的影响;心智游移在倦怠与注意执行功能间起到调节作用。