Jordi Fernández-Castro1, Fermín Martínez-Zaragoza2, Tatiana Rovira3, Silvia Edo3, Ángel Solanes-Puchol2, Beatriz Martín-Del-Río2, Rosa García-Sierra4, Gemma Benavides-Gil2, Eduardo Doval5. 1. Departament de Psicologia Bàsica, Evolutiva i de l'Educació, Universitat Autònoma de Barcelona, Barcelona, Spain. Electronic address: jordi.fernandez@uab.es. 2. Departamento de Psicología de la Salud, Universidad Miguel Hernández, Elche, Spain. 3. Departament de Psicologia Bàsica, Evolutiva i de l'Educació, Universitat Autònoma de Barcelona, Barcelona, Spain. 4. Consorcio Sanitario de Terrasa, Terrasa, Spain. 5. Departament de Psicobiologia i de Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, Barcelona, Spain.
Abstract
BACKGROUND: Work-related stress is a prevalent condition in the nursing profession, and its influence may vary according to changeable individual and situational factors. It is, therefore, important to investigate the real-time momentary changes in these factors and their relationship to emotional exhaustion experienced by nurses. OBJECTIVES: We aim to analyse how their perceptions of demand, control, effort and reward change according to the task performed through real-time assessment and interact with the emotional exhaustion level of ward nurses. DESIGN: The research design was longitudinal. METHOD: A three-level hierarchical model with a repeated measures design was used to assess the momentary self-reports of 96 hospital ward nurses, completed using a smartphone programmed with random alarms. RESULTS: Findings show that demand, effort, and control appraisals depend on the task performed. The task appraised as most demanding, effortful, and controllable was direct care. Reward appraisal depends on the task performed and personal variables, i.e. emotional exhaustion. The situations perceived as more rewarding were rest and direct care. Momentary hedonic tone can be explained by the task performed, demand, reward, emotional exhaustion and by the interaction between emotional exhaustion and demand appraisal. Momentary fatigue can be explained by the task performed, demand, reward, and the emotional exhaustion. CONCLUSIONS: This study highlights the importance of using momentary measures to understand complex and changeable inter-relationships. While also clarifying the targets of intervention programmes aimed at preventing burnout within the nursing profession.
BACKGROUND: Work-related stress is a prevalent condition in the nursing profession, and its influence may vary according to changeable individual and situational factors. It is, therefore, important to investigate the real-time momentary changes in these factors and their relationship to emotional exhaustion experienced by nurses. OBJECTIVES: We aim to analyse how their perceptions of demand, control, effort and reward change according to the task performed through real-time assessment and interact with the emotional exhaustion level of ward nurses. DESIGN: The research design was longitudinal. METHOD: A three-level hierarchical model with a repeated measures design was used to assess the momentary self-reports of 96 hospital ward nurses, completed using a smartphone programmed with random alarms. RESULTS: Findings show that demand, effort, and control appraisals depend on the task performed. The task appraised as most demanding, effortful, and controllable was direct care. Reward appraisal depends on the task performed and personal variables, i.e. emotional exhaustion. The situations perceived as more rewarding were rest and direct care. Momentary hedonic tone can be explained by the task performed, demand, reward, emotional exhaustion and by the interaction between emotional exhaustion and demand appraisal. Momentary fatigue can be explained by the task performed, demand, reward, and the emotional exhaustion. CONCLUSIONS: This study highlights the importance of using momentary measures to understand complex and changeable inter-relationships. While also clarifying the targets of intervention programmes aimed at preventing burnout within the nursing profession.
Authors: Ester Gil-Beltrán; Isabella Meneghel; Susana Llorens; Marisa Salanova Journal: Int J Environ Res Public Health Date: 2020-09-02 Impact factor: 3.390
Authors: Junoš Lukan; Larissa Bolliger; Nele S Pauwels; Mitja Luštrek; Dirk De Bacquer; Els Clays Journal: BMC Public Health Date: 2022-02-05 Impact factor: 3.295
Authors: Fermín Martínez-Zaragoza; Jordi Fernández-Castro; Gemma Benavides-Gil; Rosa García-Sierra Journal: Int J Environ Res Public Health Date: 2020-10-05 Impact factor: 3.390