Development of a Burnout Causal Model for Nurses Caring for Patients with Intractable Neurological Illness

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  • 神経難病患者をケアする看護師におけるバーンアウト因果モデルの作成と検証
  • シンケイ ナンビョウ カンジャ オ ケア スル カンゴシ ニ オケル バーンアウト インガ モデル ノ サクセイ ト ケンショウ

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Abstract

Purpose: The purpose of the present study was to develop a Burnout Causal Model, to verify the fitness of this model and to provide suggestions for improving work-related environments for nurses caring for patients with intractable neurological illness.<br>Methods: Subjects comprised 385 nurses working in the intractable neurological illness ward. The study was conducted by self-administered questionnaire sent by mail. A Burnout Causal Model was examined via Structural Equation Modeling.<br>Results and Conclusion: There were 248 valid responses. Job stressors influencing burnout were “Quantitative workload” and “Conflict with superiors.” Among nurses with less than 3 years of experience nursing patients with intractable neurological illness, “Verbal abuse” influenced burnout directly, whereas “Difficulty of involvement” influenced burnout indirectly. “Uncertainties regarding prospects of care” indirectly influenced burnout in nurses with 3 or more years of experience nursing patients with intractable neurological illness. Burnout led to turnover/reshuffle intention. “Conflict with colleagues” directly influenced turnover/reshuffle intention in nurses with less than 3 years of experience, compared to “Quantitative workload” and “Verbal abuse” for nurses with 3 or more years of experience. Among nurses with less than 3 years of experience nursing patients with intractable neurological illness, turnover/reshuffle intention is strengthened if workplace supports are weak. Supports in the workplace are thus important for nurses with little experience. These findings indicate that measures need to be based on years of experience nursing patients with intractable neurological illness.

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