Existential Vacuum and External Locus of Control as Predictors of Burnout among Nurses
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Participants and Settings
2.3. Study Scales
2.3.1. Existence Scale
2.3.2. Locus of Control Scale
2.3.3. Burnout Scale
2.4. Data Analysis
3. Results
3.1. Association of Demographic Factors on Burnout
3.2. Levels of the Selected Variable
3.3. Predictors of Psychological Burnout
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Hu, Q.; Schaufeli, W.B.; Taris, T.W. How are changes in exposure to job demands and job resources related to burnout and engagement? A longitudinal study among Chinese nurses and police officers. Stress Health 2017, 33, 631–644. [Google Scholar] [CrossRef]
- Schaufeli, W.B. Applying the Job Demands-Resources model: A ‘how to’ guide to measuring and tackling work engagement and burnout. Organ. Dyn. 2017, 2, 120–132. [Google Scholar] [CrossRef]
- Laengle, S.; Wurm, C. (Eds.) Living Your Own Life: Existential Analysis in Action; Routledge: New York, NY, USA, 2018. [Google Scholar]
- Heintzelman, S.J. Meaning in Life in Context. In Subjective Well-Being and Life Satisfaction; Routledge: New York, NY, USA, 2017; pp. 293–310. [Google Scholar]
- Kundi, M.; Wurst, E.; Längle, A. Existential analytical aspects of mental health. Eur. Psychother. 2003, 4, 87–96. [Google Scholar]
- Frankl, V.E. Man’s Search for Meaning. An Introduction to Logotherapy; Random House/Rider: London, UK, 2004; pp. 34–96. [Google Scholar]
- Rotter, J.B. Generalized expectancies for internal versus external control of reinforcement. Psychol. Monogr. Gen. Appl. 1966, 80, 1–28. [Google Scholar] [CrossRef] [Green Version]
- Caliendo, M.; Cobb-Clark, D.A.; Uhlendorff, A. Locus of control and job search strategies. Rev. Econ. Stat. 2015, 97, 88–103. [Google Scholar] [CrossRef] [Green Version]
- Sahraian, A.; Omdivar, B.; Ghanizadeh, A.; Bazrafshan, A. Association of job stress with locus of control in Nurses. Shiraz E-Med. J. 2014, 15, e20588. [Google Scholar] [CrossRef]
- Arkan, B.; Avdal, E.U.; Sar, H.Y. Locus of Control and Self-Directed Learning Relation on Nursing Students. Int. J. Caring Sci. 2016, 9, 514–519. [Google Scholar]
- EL-Sayed, R.; Mohammad, M.; Abdel-Aleem, A. Relationship between Head Nurses’ Locus of Control and Staff Nurses’ Job Empowerment. Med. J. Cairo Univ. 2014, 82, 313–339. [Google Scholar]
- García, G.; Montañés, P.; Megías, J. Perception of economic crisis among Spanish nursing students: Its relation to burnout and engagement. Nurse Educ. Today 2017, 52, 116–120. [Google Scholar] [CrossRef]
- Khoshouei, M.S. Prediction of Procrastination Considering Job Characteristics and Locus of Control in Nurses. J. Holist. Nurs. Midwifery 2017, 27, 27–35. [Google Scholar] [CrossRef]
- Jha, R.K.; Bano, B. Impact of Locus of Control on Job Stress: An Empirical Study. Int. J. Decis. Mak. Supply Chain Logist. 2012, 3, 87–95. [Google Scholar]
- World Health Organization. Burn-Out an “Occupational Phenomenon”: International Classification of Diseases. 2019. Available online: https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases (accessed on 5 July 2021).
- Loonstra, B.; Brouwers, A.; Tomic, W. Feelings of existential fulfilment and burnout among secondary school teachers. Teach. Teach. Educ. 2009, 25, 752–757. [Google Scholar] [CrossRef]
- Steger, M.F. Experiencing meaning in life: Optimal functioning at the nexus of well-being, psychopathology, and spirituality. In The Human Quest for Meaning: Theories, Research, and Applications, 2nd ed.; Wong, P.T.P., Ed.; Routledge: New York, NY, USA, 2012. [Google Scholar]
- Ulrichová, M. Logo therapy and Existential Analysis in Counselling Psychology as Prevention and Treatment of Burnout Syndrome. Procedia Soc. Behav. Sci. 2012, 69, 502–508. [Google Scholar] [CrossRef] [Green Version]
- Nindl, A.; Längle, A.; Gamsjäger, E.; Sauer, J. The Relationship between Existential Fulfillment and burnout. Eur. Psychother. 2003, 4, 145–149. [Google Scholar]
- Hunnibell, L.S.; Reed, P.; Quinn, M.; Fitzpatrick, J. Self-Transcendence and Burnout in Hospice and Oncology Nurses. J. Hosp. Palliat. Nurs. 2008, 10, 172–179. [Google Scholar] [CrossRef]
- Tomic, W.; Tomic, E. Existential Fulfillment and burnout among principals and teachers. J. Beliefs Value 2008, 29, 11–27. [Google Scholar] [CrossRef]
- Tomic, M. Workload, Existential Fulfillment, and Work Engagement Among City Council Members. In Logotherapy and Existential Analysis, Proceedings of the Viktor Frankl Institute Vienna 2016; Springer: Cham, Switzerland, 2016. [Google Scholar]
- Alfuqaha, O.A.; Alkawareek, M.Y.; Alsharah, H.S. Self-evaluation and professional status as predictors of burnout among nurses in Jordan. PLoS ONE 2019, 14, e0213935. [Google Scholar] [CrossRef]
- Hair, J.F.; Black, W.C.; Babin, B.J.; Anderson, R.E. Multivariate Dad Analysis, 7th ed.; Pearson new international edition; Pearson Education Limited: Essex, NJ, USA, 2014. [Google Scholar]
- Al Mutair, A.; Al Mutairi, A.; Chagla, H.; Alawam, K.; Alsalman, K.; Ali, A. Examining and adapting the psychometric properties of the Maslach burnout inventory-health services survey (MBI-HSS) among healthcare professionals. Appl. Sci. 2020, 10, 1890. [Google Scholar] [CrossRef] [Green Version]
- Ebadi, A.; Zarshenas, L.; Rakhshan, M.; Zareiyan, A.; Sharifnia, S.; Mojahedi, M.J. Principles of Scale Development in Health Science; Jame-e-Negar: Tehran, Iran, 2017. [Google Scholar]
- Polit, D.F.; Yang, F. Measurement and the Measurement of Change: A Primer for the Health Professions; Wolters Kluwer: Philadelphia, PA, USA, 2016. [Google Scholar]
- Ahmad, S.; Zulkurnain, N.N.; Khairushalimi, F.I. Assessing the validity and reliability of a measurement model in Structural Equation Modeling (SEM). J. Adv. Math. Comput. Sci. 2016, 22, 1–8. [Google Scholar] [CrossRef]
- George, D. Spss for Windows Step By Step: A Simple Study Guide And Reference; Allyn & Bacon: Boston, MA, USA, 2011. [Google Scholar]
- Chen, J.; Li, J.; Cao, B.; Wang, F.; Luo, L.; Xu, J. Mediating effects of self-efficacy, coping, burnout, and social support between job stress and mental health among young Chinese nurses. J. Adv. Nurs. 2020, 76, 163–173. [Google Scholar] [CrossRef]
- Kim, W.H.; Ra, Y.A.; Park, J.G.; Kwon, B. Role of burnout on job level, job satisfaction, and task performance. Leadersh. Organ. Dev. J. 2017, 38, 630–645. [Google Scholar] [CrossRef]
- Alfuqaha, O.; Alsharah, H. Burnout among Nurses and Teachers in Jordan: A comparative study. Arch. Psychiatry Psychother. 2018, 20, 55–65. [Google Scholar] [CrossRef]
- Tavakoli, N.; Shaker, S.H.; Soltani, S.; Abbasi, M.; Amini, M.; Tahmasebi, A.; Hosseini Kasnavieh, S.M. Job Burnout, Stress, and Satisfaction among Emergency Nursing Staff after Health System Transformation Plan in Iran. Emergency (Tehran) 2018, 6, e41. [Google Scholar] [PubMed]
- Bartosiewicz, A.; Januszewicz, P. Readiness of polish Nurses for prescribing and the level of professional burnout. Int. J. Environ. Res. Public Health 2019, 16, 35. [Google Scholar] [CrossRef] [Green Version]
- Ramirez-Baena, L.; Ortega-Campos, E.; Gomez-Urquiza, J.L.; la Fuente-Solana, D.; Emilia, I. A multicentre study of burnout prevalence and related psychological variables in medical area hospital nurses. J. Clin. Med. 2019, 8, 92. [Google Scholar] [CrossRef] [Green Version]
- Kay, J. Influence of Existential Fulfillment on Job Burnout among Kenya Universities Professional Counsellors. Ed. Consort. J. Psychol. Guid. Couns. 2019, 1, 1–9. [Google Scholar]
- Alfuqaha, O.A.; Al-Hairy, S.S.; Al-Hemsi, H.A.; Sabbah, A.A.; Faraj, K.N.; Assaf, E.M. Job rotation approach in nursing profession. Scand. J. Caring Sci. 2021, 35, 659–667. [Google Scholar] [CrossRef] [PubMed]
Construct | EE | DP | PA | CR | AVE | Alpha | Test-Retest |
---|---|---|---|---|---|---|---|
Emotional exhaustion (EE) | 0.77 | 0.93 | 0.59 | 0.82 | 0.80 | ||
Depersonalization (DP) | 0.55 | 0.67 | 0.91 | 0.45 | 0.86 | 0.84 | |
Personal accomplishment (PA) | 0.49 | 0.39 | 0.75 | 0.92 | 0.56 | 0.89 | 0.81 |
Demographic Data | Descriptive | Frequency (%) | M ± SD | t-Test/F-Distribution | p-Value |
---|---|---|---|---|---|
Gender | Male | 61 (33.7) | 3.22 ± 0.28 | 0.46 | 0.64 |
Female | 120 (66.3) | 3.20 ± 0.40 | |||
Work position | Surgical Ward | 68 (37.6) | 3.20 ± 0.34 | ||
Medical Ward | 43 (23.8) | 3.15 ± 0.37 | 0.65 | 0.58 | |
Intensive Care Unit | 48 (26.5) | 3.26 ± 0.43 | |||
Emergency Room | 22 (12.2) | 3.21 ± 0.28 | |||
Experience (Years) | 1–5 Y | 85 (47) | 3.22 ± 0.46 | 0.36 | 0.7 |
6–10 Y | 57 (31.5) | 3.17 ± 0.26 | |||
≥11 Y | 39 (21.5) | 3.23 ± 0.30 | |||
Educational level | Diploma Degree | 33 (18.2) | 3.19 ± 0.32 | ||
Bachelor’s Degree | 120 (66.3) | 3.21 ± 0.40 | 0.03 | 0.96 | |
Postgraduate Degree | 28 (15.5) | 3.21 ± 0.36 |
Variables | Construct | M ± SD | Overall Level |
---|---|---|---|
Existential vacuum | Self-distance | 1.85 ± 0.42 | Severe |
Self-transcendence | 2.15 ± 0.47 | Moderate | |
Freedom | 2.19 ± 0.47 | Moderate | |
Responsibility | 2.23 ± 0.40 | Moderate | |
Total | 2.10 ± 0.35 | Moderate | |
Locus of control | Internal locus of control | 0.53 ± 0.18 | ----- |
External locus of control | 0.60 ± 0.17 | ----- | |
Psychological burnout | Emotional exhaustion | 3.74 ±0.49 | Severe |
Depersonalization | 3.35 ± 0.93 | Moderate | |
Personal accomplishment | 2.56 ± 0.60 | Moderate | |
Total | 3.21 ± 0.36 | Moderate |
Variables | Descriptive | n | % |
---|---|---|---|
Existential vacuum | Severe existential vacuum (1–1.99) | 73 | 40.3 |
Moderate existential vacuum (2–2.99) | 105 | 57.9 | |
Mild existential vacuum (3–4) | 3 | 1.8 | |
Psychological burnout | Severe burnout (3.68–5) | 12 | 5.5 |
Moderate burnout (2.34–3.67) | 168 | 93.9 | |
Mild burnout (1–2.33) | 1 | 0.6 |
Model | R | R² | R Change | Unstandardized Coefficients | t-Test | p-Value | |
---|---|---|---|---|---|---|---|
B | Std. Error | ||||||
1 a | 0.764 | 0.584 | 0.584 | 2.209 | 0.065 | 33.813 | <0.001 ** |
0.297 | 0.019 | −15.837 | <0.001 ** | ||||
1.437 | 0.119 | 12.125 | <0.001 ** | ||||
2 b | 0.826 | 0.682 | 0.099 | −0.255 | 0.017 | −14.638 | <0.001 ** |
−0.245 | 0.033 | −7.438 | <0.001 ** |
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Alfuqaha, O.A.; Al-olaimat, Y.; Abdelfattah, A.S.; Jarrar, R.J.; Almudallal, B.M.; Abu ajamieh, Z.I. Existential Vacuum and External Locus of Control as Predictors of Burnout among Nurses. Nurs. Rep. 2021, 11, 558-567. https://doi.org/10.3390/nursrep11030053
Alfuqaha OA, Al-olaimat Y, Abdelfattah AS, Jarrar RJ, Almudallal BM, Abu ajamieh ZI. Existential Vacuum and External Locus of Control as Predictors of Burnout among Nurses. Nursing Reports. 2021; 11(3):558-567. https://doi.org/10.3390/nursrep11030053
Chicago/Turabian StyleAlfuqaha, Othman A., Yazan Al-olaimat, Ahmad Sami Abdelfattah, Rand Jamal Jarrar, Bashar Mazin Almudallal, and Zaid Ibrahim Abu ajamieh. 2021. "Existential Vacuum and External Locus of Control as Predictors of Burnout among Nurses" Nursing Reports 11, no. 3: 558-567. https://doi.org/10.3390/nursrep11030053