Workload, Work Satisfactions and Psychological Well-being Among Nurses in Turkish Hospitals

Ronald J. Burke; Mustafa Koyuncu; Ufuk Durna; Recep Çiçek

Year 2010, Volume: 12 Issue: 3, 41 - 56, 01.09.2010

Ronald J. Burke Mustafa Koyuncu Ufuk Durna Recep Çiçek

Abstract

This exploratory study examined the relationship between self-reports of workload and indicators of work satisfaction and engagement, perceptions of hospital functioning and quality of nursing care, and psychological well-being of nursing staff. Data were collected from 224 staff nurses using anonymously completed questionnaires, a 37% response rate. . Four indicators of workload were considered: length of work shift, frequency of working longer than 12 hours, frequency of working two shifts back-to-back and nurse-to-patient ratio. Hierarchical regression analyses, controlling for both personal demographic and work situation characteristics, indicated that workload accounted for significant increments in explained variance on most outcome measures. Frequency of working more than 12 hours was particularly important in this regard. Explanations for the association of workload with various outcomes are offered along with potentially practical implications.

Keywords

Workload, work satisfactions, psychological well-being, nurses

References

Aiken, L. H., Clarke, S. P., Sloane, D. M., Soc- halski, J. & Silber, J. H. (2002) Hospital nurse staffing and patient mortality, nurse burnout and job dissatisfaction. Journal of the American Medical Asso- ciation, 288, 1987-1993.
Aiken, L. H., Clarke, S. P., Sloane, D. M., & Sochalski, J.. (2001) Nurses’ reports on hospital care in five countries. Health Affairs, 20, 343-353.
Aiken, L. H., Smith, H. L., & Lake, E. (1994) Lower medicare mortality among a set of hospitals known for good nursing care. Medical Care, 32, 771-787.
Armstrong-Stassen, M., Cameron, S. J., & Horsburgh, M. E. (1996) The impact of organizational downsizing on the job satisfaction of nurses. Canadian Journal of Nursing Administration, 9, 8-32.
Bakker, A. B. (2008). Building engagement in the workplace. In R. J. Burke & C. L. Cooper (eds.) The peak performing or- ganization. London: Routledge pp. 50- 72.
Burke, R. J.,(2003) Length of shift, work out- comes, and psychological well-being of nursing staff. International Journal of Public administration, 26, 1637-1646.
Burke, R. J. (1991). Early work and career ex- periences of female and male managers: Reasons for optimism? Canadian Jour- nal of Administrative Sciences, 8, 224- 230.
Carayon, P., & Alvarado, C. J.(2007) Work- load and patient safety among critical care nurses. Critical Care Nursing cli- nics of North America, 19, 121-129.
Carayon, P., & Gurses, A. P. (2005) A human factors engineering conceptual frame- work of nursing workload and patient afety in intensive care nits. Intensive and Critical Care Nursing, 21, 284-301.
Davy, C. (2007) Contributing to the wellbe- ing of primary health care workers in PNG. Journal of Health Organi
Gray-Toft, & Anderson, J.. G. (1983) A hos- pital staff support program: Design and evaluation. International Journal of Nursing Studies, 20, 137-145.
Greenglass, E. R., Burke, R. J., & Moore, K. A. (2003) Reactions to increased work- load: Effects on professional efficacy of nurses. Applied Psychology: An Inter- national Review, 52, 580-597.
Greenglass, E. R., Burke, R. J., & Fiksen- baum, L. (2001) Workload and burnout in nurses. Journal of community and applied social Psychology, 11, 211-215.
Himle, D. P., Jayarante, S., & Thyness, P. (1995) Buffering effects of four social support types on burnout among social workers. Social Work Research and Abstracts, 27, 22-27.
Kaufman, G. M., & Beehr, T. A. (1986) Inte- ractions between job stressors and so- cial support: some counterintuitive results. Journal of Applied Psychology, 71, 522-526.
Kramer, M., & Schmalenberg, C. (1988) Mag- net hospitals: Institutions of excellence. Parts I and II. Journal of Nursing Ad- ministration. 18. 11.
Lee, R. T., & Ashforth, B. E. (1990) On the meaning of Maslach’s dimensions of burnout. Journal of Applied Psycho- logy, 75, 743-747.
Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). The Maslach Burnout Inventory (3rd ed.).Palo Alto, CA: Consulting Psychologists Press.
McDonald, L., & Korabik, K. (1991) Sources of stress and ways of coping among male and female managers. Journal of Social Behavior and Personality, 6, 185- 198.
Moore, S., Kuhrik, M., Kuhrik, N., & Katz, B. (1996) Coping with downsizing: Stress, self-esteem, and social intimacy. Nur- sing Management, 27, 28-30.
Quinn, R. P., & Shepard, L. J. (1974). The 1972-73 Quality of Employment Survey. Ann Arbor, MI: Institute for Social Re- search, University of Michigan.
Schaefer, J. A., & Moos, R. H. (1993) Relati- onship, task and system stressors in the health care workplace. Journal of Com- munity and Applied Social Psychology, 3, 285-298.
Schaufeli, W. B., & Bakker, A. B. (2004). Job demands, job resources and their relati- onship with burnout and engagement: A multi-sample study. Journal of Orga- nizational Behavior, 25, 293-315.
Schaufeli, W. B., Salanova, M., Gonzalez- Roma, V., & Bakker, A. B. (2002). The measurement of engagement and bur- nout: A confirmative analytic approach. Journal of Happiness Studies, 3, 71-92.
Spector, P. E. (1987) Interactive effects of per- ceived control and job stressors in af- fective reactions and health outcomes for clerical workers. Work and Stress, 1, 155-162.
Tyler, P. A. & Cushway, D. (1995) Stress in nurses: The effects of coping and social support. Stress Medicine, 11, 243-251.
van Dam F. S. A. M. (1990) A 14-year inves- tigation into the workload of oncology nurses in the Netherlands Cancer Insti- tute, Cancer Nursing,
Wanous, J. P, & Hudy. M. (2001)m Single- item reliability: A re[placation and ex- tension. Organizational Research Methods, 4, 361-375.
Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063-1070. .
Zeytinoglu, I. U., Denton, M., Davies, S., Baumann, A., Blythe, J., & Boos, L. (2007) Deteriorated external work envi- ronment, heavy workload and nurses’ job satisfaction and turnover intention. Canadian Public Policy, 33, S31-S47.