This study examined the combined influences of organizational characteristics, individual background factors, perceived sources of job stress, and coping resources on job burnout among nurses. Data were collected through a questionnaire survey of a random sample of 2267 nurses working in 43 public hospitals in Hong Kong. The questionnaire included multiple-item scales on eight perceived sources of stress, four measures of coping resources, and three dimensions of job burnout (emotional exhaustion, depersonalization and personal accomplishment). Results obtained from multiple regression analyses showed that all the perceived sources of stress had significant effects on one or more dimensions of job burnout, with job demands and lack of professional recognition having significant effects on all the burnout dimensions. Self-efficacy appeared to be the most effective coping resource as it had significant negative effects on emotional exhaustion and depersonalization and a positive effect on personal accomplishment.
Abdalla, I.A.1991. Social support and gender responses to job stress in an Arab culture. In Handbook on job stress, ed. P.L. Perrewe, 273–288.Corte Madera, CA: Select Press.
2.
Ackerley, G.D., J. Burnell, D.D. Holder, and L.A. Kurdek. 1988. Burnout among licensed psychologists. Professional Psychology: Research and Practice19(6): 624–631.
3.
Akhtar, S., and J.S.Y. Lee. 2002. Confirmatory factor analysis and job burnout correlates of Health Professions Stress Inventory. Psychological Reports90: 243–250.
4.
Bakker, A.B., W.B. Schaufeli, H.J. Sixma, W. Bosveld, and D.V. Dierendonck. 2000. Patient demands, lack of reciprocity, and burnout: A five-year longitudinal study among general practitioners. Journal of Organizational Behavior21: 425–441.
5.
Caplan, R.D., S. Cobb, J.R.P. French, R. Harrison, and S.R. Pinneau. 1980. Job demands and worker health. NIOSH publication no. 75–160. Washington DC: Department of Health, Education, and Welfare.
6.
Carney, J., R. Donovan, M. Yurdin, R. Starr, A. Pernell-Arnold, and E.M. Bromberg. 1993. Incidence of burnout among New York City intensive case managers: Summary of findings. Psychosocial Rehabilitation Journal16(4): 25–38.
7.
Cook, J.D., S.J. Hepworth, T.D. Wall, and P.B. Warr. 1981. The experience of work. London: Academic Press.
8.
Dwyer, D.J., and D.C. Ganster. 1991. The effects of job demands and control on employee attendance and satisfaction. Journal of Organizational Behavior12: 595–608.
9.
Eastburg, M.C., R. Gorsuch, M. Williamson, and C. Ridley. 1994. Social support, personality, and burnout in nurses. Journal of Applied Social Psychology24(14): 1233–1250.
10.
Fisher, C.DE., and R. Gitelson. 1983. A meta-analysis of the correlates of role conflict and ambiguity. Journal of Applied psychology68: 320–333.
11.
Fong, C.M.1993. A longitudinal study of the relationship between overload, social support and burnout among nursing academicians. Journal of Nursing Education32(1): 24–29.
12.
Gaines, J., and J.M. Jermier. 1983. Emotional exhaustion in a high stress organization. Academy of Management Journal26(4): 567–586.
13.
Ganster, D.C.1989. Measurement of worker control. Final report no. 88–79187. Cincinnati: National Institute of Occupational Safety and Health.
14.
Gray-Toft, P., and J.G. Anderson. 1981. Stress among hospital nursing staff: Its causes and effects. Social Science and Medicine15: 639–647.
15.
Gupchup, G.V., and A.P. Wolfgang. 1994. The Health Professions Stress Inventory: Factor structures for pharmacists. Perceptual and Motor Skills79: 515–519.
16.
Hillhouse, J.J., and C.M. Adler. 1997. Investigation stress effect patterns in hospital staff nurses: Results of a cluster analysis. Social Science and Medicine45(12): 1781–1788.
17.
Hobfoll, S. E.1989. Conservation of resources: A new attempt at conceptualising stress. American Psychologist44: 513-524.
18.
Hobfoll, S.E., and J. Freedy. 1993. Conservation of resources: A general stress theory applied to burnout. In Professional burnout: recent developments in theory and research, eds W.B. Schaufeli, C. Maslach, and T. Marek, 115–131. Washington DC: Taylor & Francis.
Jackson, S.E.1984. Organizational practices for preventing burnout. In Handbook of organizational stress coping strategies, eds A.S. Sethi, and R.S. Schuler, 89–111. Cambridge, MA: Ballinger.
21.
Jackson, S.E., R.L. Schwab, and R.S. Schuler, 1986. Toward an understanding of the burnout phenomenon. Journal of Applied Psychology71(4): 630–640.
22.
Jackson, S.E., J.A. Turner, and A.P. Brief. 1987. Correlates of burnout among public service lawyers. Journal of Occupational Behavior8: 339–349.
23.
Kahn, W.A.1993. Caring for the caregivers: Patterns of organizational caregiving. Administrative Science Quarterly38: 539–563.
24.
Karasek, R.A.1979. Job demands, job decision latitude, and mental strain: Implications for job redesign. Administrative Science Quarterly24: 285–306.
25.
Karasek, R.A., K.P. Triantis, and S.S. Chaudhry. 1982. Coworker and supervisor support as moderators of associations between task characteristics and mental strain. Journal of Occupational Behavior3: 181–200.
26.
Lee, R.T., and B.E. Ashforth. 1990. On the meaning of Maslach's three dimensions of burnout. Journal of Applied Psychology75(6): 743–747.
27.
Lee, R.T., and B.E. Ashforth. 1996. A meta-analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology81: 123–133.
28.
Leiter, M.P., and C. Maslach. 1988. The impact of interpersonal environment on burnout and organizational commitment. Journal of Organizational Behavior9(4): 297–308.
29.
Litt, M.D.1988. Cognitive mediators of stressful experience: Self-efficacy and perceived control. Cognitive Therapy and Research12(3): 241–260.
30.
Maslach, C.1982. Burnout: a social psychological analysis. In The burnout syndrome: Current research, theory, interventions, ed. J.W. Jones, 30–53. Park Ridge, IL: London House Press.
31.
Maslach, C.1986. Burnout: the cost of caring. New York: Prentice-Hall.
32.
Maslach, C., and S.E. Jackson. 1981. The measurement of experienced burnout. Journal of Occupational Behavior2: 99–113.
33.
Maslach, C., and S.E. Jackson. 1984. Burnout in organizational setting. In Applied social psychology annual, ed. S. Oskamp, 133–153. Englewood Cliffs, NJ: Prentice-Hall.
34.
Maslach, C., and S.E. Jackson. 1985. The role of sex and family variables in burnout. Sex Roles12(7/8): 837–851.
Maslach, C., W.B. Schaufeli, and M.P. Leiter. 2001. Job burnout. Annual Review of Psychology52: 397–422.
37.
Pines, A., and E. Aronson. 1988. Career burnout: Causes and cures. New York: The Free Press.
38.
Pretty, G.M.H., M.E. McCarthy, and V.M. Catano. 1992. Psychological environments and burnout: Gender considerations within the corporation. Journal of Organizational Behavior13: 701–711.
39.
Rijk, A.E., P.M. Le Blanc, and W.B. Schaufeli. 1998. Active coping and need for control as moderators of the job demand-control model: Effects on burnout. Journal of Occupational and Organizational Psychology71: 1–18.
40.
Rizzo, J., R.J. House, and S.I. Lirtzman. 1970. Role conflict and ambiguity in complex organizations. Administrative Science Quarterly15: 150–163.
41.
Ross, R.R., E.M. Altmaier, and D.W. Russell. 1989. Job stress, social support, and burnout among counselling center staff. Journal of Counselling Psychology36(4): 464–470.
42.
Rousseau, D.M.1978. Characteristics of departments, positions, and individuals: Contexts for attitudes and behaviour. Administrative Science Quarterly23: 521–540.
43.
Russell, D.W., E. Altmaier, and D. Van Velzen. 1987. Job-related stress, social support, and burnout among classroom teachers. Journal of Applied Psychology72: 269–274.
44.
Schwab, R.L., and E.F. Iwanicki. 1982. Who are our burned out teachers?Educational Research Quarterly7: 5–16.
45.
Sherer, M., J.E. Maddux, B. Mercandante, S. Prentice-Dunn, B. Jacobs, and R.W. Rogers. 1982. The self-efficacy scale: Construction and validation. Psychological Reports51: 663–671.
46.
Shirom, A.1989. Burnout in work organizations. In International review of industrial and organizational psychology, eds C.L. Cooper and I. Robertson, 25–48. Chichester, England: Wiley.
47.
Turnipseed, D.L.1994. An analysis of the influence of work environment variables and moderators on the burnout syndrome. Journal of Applied Social Psychology24(9): 782–800.
48.
Wolfgang, A.P.1988. The Health Professions Stress Inventory. Psychological Reports62: 220–222.
49.
Wood, R., and A. Bandura. 1989. Impact of conceptions of ability on self-regulatory mechanisms and complex decision making. Journal of Personality and Social Psychology56: 407–415.
50.
Yiu-Kee, C., and C.S.K. Tang. 1995. Existential correlates of burnout among mental health professionals in Hong Kong. Journal of Mental Health Counseling17(2): 220–229.
