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Reactions to Increased Workload: Effects on Professional Efficacy of Nurses
Abstract
Les résultats de recherches empiriques impliquant plusiers échantillons de travailleurs différents supportent l’idée que la charge de travail est un stresseur significatif associéà une variété de réactions psychologiques nuisibles, incluant l’épuisement professionnel. La présente étude propose un modèle théorique dans lequel la charge de travail contribue à la détresse et à la dépression. De plus en plus, les organisations vivent des changements en conséquence à des restructurations majeures. Par exemple, face aux restrictions budgétaires, les hôpitaux ont été forcés à la restructuration, aux fusions, à la compression d’effectifs, voire même à la fermeture. La charge de travail des employés, et plus particulièrement des infirmières, a augmenté. Cette étude applique un modèle théorique pour mieux comprendre l’impact de la charge de travail sur les infirmières—et plus particulièrement sur leur détresse, épuisement professionnel, et dépression—à l’emploi d’hôpitaux subissant des compressions d’effectifs. Les participants ( n = 488) sont des infirmières à l’emploi d’hôpitaux ayant vécu des restructurations dans lesquels des unités ont déjàété fermées en conséquence à ces restructurations. Les résultats d’analyses d’équations structurelles montrent que les données correspondent partiellement au modèle et que la charge de travail a contribué de façon substantielle aux niveaux de dépression via les réactions de détresse. D’autres résultats ont démontré que le cynisme, la colère, et l’épuisement émotionnel ont significativement opérationnalisé les réactions de détresse. En liant la colére, le cynisme et l’épuisement émotionnel dans un seul modèle prédisant les niveaux de détresse dus à la charge de travail, cette étude est unique d’un point de vue théorique. Les résultats indiquant que la colère, le cynisme, et l’épuisement émotionnel ont opérationnalisé la détresse dénotent l’importance d’étudier les modèles de réactions négatives et leurs conséquences sur la dépression. Les implications des résultats sont discutées en regard d’interventions pouvant être utilisées par les organisations pour réduire les charges de travail. Research findings support the idea that workload is a significant stressor associated with a variety of deleterious psychological reactions, including burnout, in several different samples of workers. A theoretical model is put forth in the present study in which workload is seen as contributing to distress and depression. Increasingly, organisations are experiencing changes as a result of extensive downsizing, restructuring, and merging. As a result of fiscal restraint, hospitals have been forced to merge, close, downsize, and restructure. Workloads have increased among hospital staff, particularly nurses. This study applies a theoretical model to the understanding of the impact of workload on nurses employed in hospitals experiencing downsizing, particularly on their distress, burnout, and depression. Respondents were 488 nurses who were employed in hospitals that were undergoing restructuring and in which units had already been closed as a result of restructuring. Results of structural equation modeling showed that the data partially fit the model and that workload contributed substantially to levels of depression through distress reactions. Further results showed that cynicism, anger, and emotional exhaustion significantly operationalised distress reactions. This study is unique theoretically in linking anger, cynicism, and emotional exhaustion in a single model that predicts distress levels from workload. The findings that anger, cynicism, and emotional exhaustion operationalised distress indicate the importance of studying patterns of negative reactions and their consequences for depression. Implications of the results are discussed for interventions that can be taken by organisations in order to reduce workloads.
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“Work-related stress is known to compromise efficacy in professional care-givers, therefore also having negative implications for practice with service users (Greenglass et al., 2003).”
From Critical Mindfulness in Social Work: Exploring the Potential of Reflexive Self-Care in the Journey from Student to Social Worker (2022) · cites this paper as Greenglass et al., 2003
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THE DEVELOPMENT AND VALIDATION OF INSTRUMENT OF TEACHERS'WORKLOAD
Harun, M. S., Omar, Z. B., Idris, K., & Basri, R. (2015) · Universiti Putra Malaysia Institutional Repository (Universiti Putra Malaysia) · Cited by 5
Managing stress in schools: teachers coping with special education children
Braun‐Lewensohn, O. (2015) · International Journal on Disability and Human Development · doi:10.1515/ijdhd-2014-0031 · Cited by 5
“Additionally, teachers must contend with chronic work overload, policies that are constantly shifting and the realization that recognition for their accomplishments is not guaranteed [16].”
BackgroundLa configuración del derecho a la desconexión digital del trabajo en Chile y su vulneración
Pessoa, R. M. (2022) · Revista Latinoamericana de Derecho Social · doi:10.22201/iij.24487899e.2022.35.17271 · Cited by 5
Nwankwo, B. E. (2013) · Psychology and social behavior research · doi:10.12966/psbr.06.02.2013 · Cited by 5
임수진, & 김해숙 (2011) · The Korean Journal of Woman Psychology · doi:10.18205/kpa.2011.16.4.003 · Cited by 5
Prediction of nursing burnout—a scoping review of the literature from 1970 to 2021
Leite, C. C. M., & Wooldridge, A. R. (2022) · IISE Transactions on Healthcare Systems Engineering · doi:10.1080/24725579.2022.2149638 · Cited by 7
Psychometric Properties of the Korean Version of the Mental Health Professionals Stress Scale
Lee, E. S., Ryu, V., Lee, J. H., Hong, H., Han, H., & Park, S. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.685423 · Cited by 6
“However, given the finding that excessive workload increases emotional distress and reduces professional efficacy in nurses (65), incompetency in professional tasks may lead to professional self-doubt, which in turn is predicted to adversely impact professionals’ mental health.”
BackgroundThe Effects of Perceived Organizational Support and Job Efficacy on Social Workers’ Job Performance
Choi, S.-Y. (2018) · Asia-pacific Journal of Convergent Research Interchange · doi:10.14257/apjcri.2018.09.05 · Cited by 5
“However, although studies in the field of organization management have confirmed the effects of individual job efficacy on job performance, studies in the field of social work have not examined the effects of job efficacy on job performance[9][10].”
BackgroundMerino‐Soto, C., la Cruz, G. C.-D., Gil-Monte, P. R., & García, A. J. (2021) · Revista Argentina de Ciencias del Comportamiento ( RACC ) · doi:10.32348/1852.4206.v13.n1.20547 · Cited by 4
Cordero, R., Farris, G. F., & DiTomaso, N. (2013) · The Journal of High Technology Management Research · doi:10.1016/j.hitech.2013.02.002 · Cited by 4
“Moreover, this perspective proposes that the greater the work effort, the greater the job performance (Angerer, 2003; Bakker, Demerouiti, & Verbeke, 2004; Cordes & Dougherty, 1993; Greenglass et al., 2003; Hockey & Earle, 2006; King, de Chermont, West, Dawson, & Hebl, 2007; Lee, 1992).”
Background김영중, 정효선, & Yoon, H. H. (2011) · Culinary Science & Hospitality Research · doi:10.20878/cshr.2011.17.2.008 · Cited by 4
Orozco, C. S., Polo-Vargas, J. D., Gutiérrez-Carvajal, O. I., Rentería, G. M. I., & Velasco, A. A. (2019) · DOAJ (DOAJ: Directory of Open Access Journals) · Cited by 4
임상 간호사의 감정노동, 감성지능 및 사회적 지지가 직무스트레스에 미치는 영향
김주현, 이용미, 정혜영, 추현심, 원수진, 권수영, 배혜진, 안혜경, 김은미, & 장현정 (2013) · Cited by 3
Song, H.-H., & Lee, S. (2011) · Korean Journal of Industrial and Organizational Psychology · doi:10.24230/kjiop.v24i1.29-50 · Cited by 3
Leadership-Related Factors Causing Heavy Workload: An Empirical Study among Sanitary Workers
Rajan, D. (2019) · Training & Development Journal · doi:10.5958/2231-069x.2019.00002.7 · Cited by 3
Orozco, C. S., Polo-Vargas, J. D., Gutiérrez-Carvajal, O. I., Rentería, G. M. I., & Velasco, A. A. (2020) · Salud Uninorte · doi:10.14482/sun.35.3.613.621 · Cited by 3
“De igual forma, en la dimensión de estrés de condiciones organizacionales, el 17% se ubicó en nivel “bajo” (8-20) y el 83% nivel “medio” (21-18); ninguno en el nivel “alto” (84-110).”
BackgroundAltay, M., & Turunç, Ö. (2018) · Kafkas Universitesi Veteriner Fakultesi Dergisi · doi:10.9775/kauiibfd.2018.009 · Cited by 3
“Meslektaşlar arasında kolektif çalışma kültürünün zayıf oluşu, çalışma arkadaşlarının birbirini desteklememesi (Vardi, 2009) ve birbiriyle bağdaşmayan görevler de iş yükünü körüklemektedir (Greenglass, 2003).”
Evcılı, F., & Demirel, G. (2022) · Perspectives In Psychiatric Care · doi:10.1111/ppc.13009 · Cited by 4
Metadata
- Authors
- Greenglass, E. R., Burke, R. J., & Moore, K. A.
- Affiliations
- York University (CA)
- Corresponding author
- Greenglass, Esther R.
- Venue
- Applied Psychology
- Publisher
- Wiley
- Published
- 2003-08-18
- Volume
- 52
- Issue
- 4
- Pages
- 580-597
- ISSN
- 0269-994X (ISSN-L)
- 1464-0597
- OpenAlex
- W2052898791
- Cited by
- 176
- References
- 60
- Citations by year
- 2026: 5 · 2025: 8 · 2024: 3 · 2023: 8 · 2022: 10 · 2021: 17 · 2020: 10 · 2019: 6 · 2018: 5 · 2017: 10 · 2016: 10 · 2015: 11 · 2014: 13 · 2013: 8 · 2012: 8
- FWCI
- 3.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Applied Psychology (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Burnout
- Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
- Keywords
- workload, nurses, occupational stress, professional burnout, depression, distress, cynicism, anger, emotional exhaustion, organizational restructuring, workplace interventions, professional efficacy, budget cuts, burnout prevention programs, burnout prevention training
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