Impact of role-, job- and organizational characteristics on nursing unit managers' work related stress and well-being
Abstract
Aim: To study the impact of role, job‐ and organizational characteristics on nurse managers' work related stress and well‐being such as feelings of emotional exhaustion, work engagement, job satisfaction and turnover intention. Background: Various studies investigated role‐, job‐ and organizational characteristics influencing nurse‐related work environments. Research on nurse managers' related work environments define influencing factors, but, a clear understanding of the impact of nurse‐managers' work‐environment characteristics on their work related stress and well‐being is limited. Design: A cross‐sectional design with a survey. Methods: A cross‐sectional survey (N = 365) was carried out between December 2011–March 2012. The questionnaire was based on various validated measurement instruments identified by expert meetings (e.g. staff nurses, nurse managers and executives and physicians). Hierarchical regression analyses were performed using emotional exhaustion, work engagement, job satisfaction and turnover intentions as outcome variables. Results: Study results showed one out of six nursing unit managers have high to very high feelings of emotional exhaustion and two out of three respondents have high to very high work engagement. Hierarchical regression models showed that role conflict and role meaningfulness were strong predictors of nursing unit managers' work related stress and well‐being, alongside with job‐ and organizational characteristics. Conclusion: Several risk factors and stimulating factors influencing nurse unit managers' work related stress and well‐being were identified. Further challenges will be to develop proper interventions and strategies to support nursing unit managers and their team in daily practice to deliver the best and safest patient care.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Chronic exposure to stress and work complexity can negatively affect nurse managers' health, decision-making, and potentially patient and organizational outcomes.
“Chronic exposure to stress and work complexity can negatively affect nurse managers’ health, their decision-making processes and potentially threaten both patient and organizational outcomes (Van Bogaert, 2014).”
From Reducing nurses' stress: A randomized controlled trial of a web-based stress management program for nurses (2016) · cites this paper as Van Bogaert, 2014
Cites
Healthy work: stress, productivity, and the reconstruction of working life
(1990) · Choice Reviews Online · doi:10.5860/choice.28-0381 · Cited by 8,158 · see citing works
(1996) · Consulting Psychologists Press eBooks · Cited by 7,863 · see citing works
The Measurement of Work Engagement With a Short Questionnaire: A Cross-National Study
Schaufeli, W. B., Bakker, A. B., & Salanova, M. (2006) · Educational and Psychological Measurement · doi:10.1177/0013164405282471 · Cited by 7,403 · see citing works
Quinn, R. E., & Rohrbaugh, J. (1983) · Management Science · doi:10.1287/mnsc.29.3.363 · Cited by 3,363 · see citing works
van der Doef, M., & Maes, S. (1999) · Work & Stress · doi:10.1080/026783799296084 · Cited by 2,030 · see citing works
Workplace stress in nursing: a literature review
McVicar, A. J. (2003) · Journal of Advanced Nursing · doi:10.1046/j.0309-2402.2003.02853.x · Cited by 1,121 · see citing works
Coomber, B., & Barriball, K. L. (2006) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2006.02.004 · Cited by 939 · see citing works
Effects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
Aiken, L. H., Clarke, S. P., Sloane, D. M., Lake, E. T., & Cheney, T. (2009) · JONA The Journal of Nursing Administration · doi:10.1097/nna.0b013e3181aeb4cf · Cited by 799 · see citing works
Psychosocial work environment and stress-related disorders, a systematic review
Nieuwenhuijsen, K., Bruinvels, D., & Frings-Dresen, M. (2010) · Occupational Medicine · doi:10.1093/occmed/kqq081 · Cited by 696 · see citing works
The Construct Validity of the Utrecht Work Engagement Scale: Multisample and Longitudinal Evidence
Seppälä, P., Mauno, S., Feldt, T., Hakanen, J., Kinnunen, U. M., Tolvanen, A. J., & Schaufeli, W. B. (2008) · Journal of Happiness Studies · doi:10.1007/s10902-008-9100-y · Cited by 640 · see citing works
Preventing occupational stress in healthcare workers
Ruotsalainen, J. H., Verbeek, J. H. A. M., Mariné, A., & Serra, C. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002892.pub5 · Cited by 627 · see citing works
A longitudinal analysis of the impact of workplace empowerment on work satisfaction
Laschinger, H. K. S., Finegan, J., Shamian, J., & Wilk, P. (2004) · Journal of Organizational Behavior · doi:10.1002/job.256 · Cited by 579 · see citing works
A meta‐analysis of studies of nurses' job satisfaction
Zangaro, G. A., & Soeken, K. L. (2007) · Research in Nursing & Health · doi:10.1002/nur.20202 · Cited by 510 · see citing works
Preventing occupational stress in healthcare workers
Marine, A., Ruotsalainen, J. H., Serra, C., & Verbeek, J. H. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd002892.pub2 · Cited by 499 · see citing works
Leadership, organizational stress, and emotional exhaustion among hospital nursing staff
Stordeur, S., D'Hoore, W., & Vandenberghe, C. (2001) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2001.01885.x · Cited by 452 · see citing works
Secondary Traumatic Stress in Nurses: A Systematic Review
Beck, C. T. (2010) · Archives of Psychiatric Nursing · doi:10.1016/j.apnu.2010.05.005 · Cited by 446 · see citing works
Hayes, B., Bonner, A., & Pryor, J. (2010) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2010.01131.x · Cited by 345 · see citing works
Causes and consequences of occupational stress in emergency nurses, a longitudinal study
Adriaenssens, J., Gucht, V. D., & Stan Maes, A. (2013) · Journal of Nursing Management · doi:10.1111/jonm.12138 · Cited by 322 · see citing works
Self-citationCameron, K. S., Quinn, R. E., DeGraff, J., et al. (2006) · Edward Elgar Publishing eBooks · doi:10.4337/9781847201560 · Cited by 316 · see citing works
Validation of the Basel Extent of Rationing of Nursing Care Instrument
Schubert, M., Glass, T. R., Clarke, S. P., Schaffert-Witvliet, B., & Geest, S. D. (2007) · Nursing Research · doi:10.1097/01.nnr.0000299853.52429.62 · Cited by 295 · see citing works
Nursing staff teamwork and job satisfaction
Kalisch, B. J., Lee, H., & Rochman, M. F. (2010) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2010.01153.x · Cited by 280 · see citing works
Competing values leadership : creating value in organizations
Cameron, K. S., Quinn, R. E., DeGraff, J., et al. (2006) · Cited by 272 · see citing works
Mark, G., & Smith, A. P. (2010) · Anxiety Stress & Coping · doi:10.1080/10615806.2010.548088 · Cited by 271 · see citing works
The impact of traumatic events on emergency room nurses: Findings from a questionnaire survey
Adriaenssens, J., Gucht, V. D., & Stan Maes, A. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.07.003 · Cited by 238 · see citing works
Self-citationBogaert, P. V., Clarke, S. P., Roelant, E., Meulemans, H., & de Heyning, P. V. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2009.03128.x · Cited by 233 · see citing works
Burnout in nurses – the relationship between social capital in hospitals and emotional exhaustion
Kowalski, C., Ommen, O., Driller, E., Ernstmann, N., Wirtz, M. A., Köhler, T., & Pfaff, H. (2010) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2009.02989.x · Cited by 222 · see citing works
A longitudinal study of job stress in the nursing profession: causes and consequences
Gelsema, T. I., van der Doef, M., Maes, S., JANSSEN, M., Akerboom, S., & Verhoeven, C. (2006) · Journal of Nursing Management · doi:10.1111/j.1365-2934.2006.00635.x · Cited by 215 · see citing works
van der Doef, M., & Stan Maes, A. (1998) · Psychology and Health · doi:10.1080/08870449808407440 · Cited by 214 · see citing works
Factors influencing job satisfaction of front line nurse managers: a systematic review
Lee, H., & Cummings, G. G. (2008) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2008.00879.x · Cited by 213 · see citing works
Exploring the burden of emergency care: predictors of stress‐health outcomes in emergency nurses
Adriaenssens, J., Gucht, V. D., van der Doef, M., & Stan Maes, A. (2011) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2010.05599.x · Cited by 190 · see citing works
Self-citationAddressing the turnover issue among new nurses from a generational viewpoint
Lavoie‐Tremblay, M., O’Brien‐Pallas, L., Gélinas, C., Desforges, N., & Marchionni, C. (2008) · Journal of Nursing Management · doi:10.1111/j.1365-2934.2007.00828.x · Cited by 179 · see citing works
Vigour and dedication in nursing professionals: towards a better understanding of work engagement
Río, C. J., Flores, N., Orgaz, M. B., & Cruz, M. (2010) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2010.05526.x · Cited by 178 · see citing works
Organizational configuration of hospitals succeeding in attracting and retaining nurses
Stordeur, S., D’Hoore, W., & the NEXT‐Study Group (2006) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2006.04095.x · Cited by 178 · see citing works
Leadership and Nurse Retention
Anthony, M. K., Standing, T. S., Glick, J., et al. (2005) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200503000-00008 · Cited by 170 · see citing works
Gunnarsdóttir, S., Clarke, S. P., Rafferty, A. M., & Nutbeam, D. (2007) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2006.11.007 · Cited by 168 · see citing works
Factors influencing intentions to stay and retention of nurse managers: a systematic review
Brown, P. J., Fraser, K. D., Wong, C. A., Muise, M., & Cummings, G. G. (2012) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2012.01352.x · Cited by 158 · see citing works
van der Doef, M., & Maes, S. (1999) · Psychological Reports · doi:10.2466/pr0.1999.85.3.954 · Cited by 146 · see citing works
Stress and coping in nurse managers: two decades of research.
Shirey, M. R. (2006) · PubMed · Cited by 144 · see citing works
Stress and burnout in forensic mental health nursing: a literature review
Dickinson, T., & Wright, K. M. (2008) · British Journal of Nursing · doi:10.12968/bjon.2008.17.2.28133 · Cited by 139 · see citing works
BELCASTRO, P. A., Gold, R. S., & Grant, J. (1982) · Criminal Justice and Behavior · doi:10.1177/0093854882009004001 · Cited by 126 · see citing works
Relationships Between Stressors, Work Supports, and Burnout Among Cancer Nurses
Barnard, D., Street, A. F., & Love, A. W. (2006) · Cancer Nursing · doi:10.1097/00002820-200607000-00013 · Cited by 123 · see citing works
TABAK, N., & ORIT, K. (2007) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2007.00665.x · Cited by 116 · see citing works
The pivotal role of nurse managers, leaders and educators in enabling excellence in nursing care
McSherry, R., Pearce, P., GRIMWOOD, K., et al. (2012) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2011.01349.x · Cited by 112 · see citing works
Bogaert, P. V., Clarke, S. P., Wouters, K., Franck, E., Willems, R., & Mondelaers, M. (2012) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2012.05.006 · Cited by 109 · see citing works
Browning, L., Ryan, C. S., Thomas, S., Greenberg, M., & Rolniak, S. (2006) · Psychology Health & Medicine · doi:10.1080/13548500600568290 · Cited by 102 · see citing works
Predictors of Nurse Managers' Health in Canadian Restructured Healthcare Settings
Laschinger, H. K. S., Almost, J., Purdy, N., & Kim, J. H. (2004) · Nursing leadership · doi:10.12927/cjnl.2004.17020 · Cited by 96 · see citing works
Predictors of nurse manager stress: A dominance analysis of potential work environment stressors
Kath, L. M., Stichler, J. F., Ehrhart, M. G., & Sievers, A. (2013) · International Journal of Nursing Studies · doi:10.1016/j.ijnurstu.2013.02.011 · Cited by 92 · see citing works
Gelsema, T. I., van der Doef, M., Stan Maes, A., Akerboom, S., & Verhoeven, C. (2005) · International Journal of Stress Management · doi:10.1037/1072-5245.12.3.222 · Cited by 91 · see citing works
Akerboom, S., & Stan Maes, A. (2006) · Work & Stress · doi:10.1080/02678370600690915 · Cited by 87 · see citing works
Thorpe, K., & Loo, R. (2003) · Journal of Nursing Management · doi:10.1046/j.1365-2834.2003.00397.x · Cited by 81 · see citing works
Occupational Stress and Organizational Commitment in Nurse Administrators
Lee, V., & Henderson, M. C. (1996) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-199605000-00006 · Cited by 78 · see citing works
Situational and dispositional predictors of nurse manager burnout: a time-lagged analysis
Laschinger, H. K. S., & Finegan, J. (2008) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2008.00904.x · Cited by 76 · see citing works
van der Doef, M., & Maes, S. (2002) · Anxiety Stress & Coping · doi:10.1080/1061580021000056500 · Cited by 65 · see citing works
Nurse manager cognitive decision-making amidst stress and work complexity
Shirey, M. R., Ebright, P. R., & McDaniel, A. M. (2012) · Journal of Nursing Management · doi:10.1111/j.1365-2834.2012.01380.x · Cited by 60 · see citing works
Pluralism in PMO Performance: The Case of a PMO Dedicated to a Major Organizational Transformation
Aubry, M., Richer, M., Lavoie‐Tremblay, M., et al. (2011) · Project Management Journal · doi:10.1002/pmj.20269 · Cited by 58 · see citing works
Work empowerment as experienced by head nurses
Suominen, T., Savikko, N. M., Puukka, P. J., Doran, D. I., & Leino‐Kilpi, H. (2005) · Journal of Nursing Management · doi:10.1111/j.1365-2934.2004.00523.x · Cited by 45 · see citing works
Application of the Clinical Nurse Leader Role in an Acute Care Delivery Model
Smith, S. L., Manfredi, T., Hagos, O., Drummond-Huth, B., & Moore, P. D. (2006) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200601000-00008 · Cited by 44 · see citing works
Predictors and Outcomes of Nurse Leader Job Stress Experienced by AWHONN Members
Kath, L. M., Stichler, J. F., Ehrhart, M. G., & Schultze, T. A. (2012) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2012.01430.x · Cited by 34 · see citing works
First-Line Nurse Managers in the Expanded Role
Everson-Bates, S. (1992) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-199203000-00012 · Cited by 33 · see citing works
The nurse’s workload in care situations
Nuikka, M., Paunonen, M., Hänninen, O., et al. (2001) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2001.01676.x · Cited by 28 · see citing works
Pisanti, R. (2012) · PubMed · Cited by 15 · see citing works
dos Santos, K., Kupek, E. J., Cunha, J. B., & Blank, V. L. G. (2011) · Revista Brasileira de Epidemiologia · doi:10.1590/s1415-790x2011000400008 · Cited by 11 · see citing works
Comparing variations in labor costs for two vs. one full-time nurse manager.
Carroll, C. A., Lacey, & Cox, K. S. (2005) · PubMed · Cited by 11 · see citing works
Where Will Tomorrow's Nurse Managers Come From?
Silvetti, C., Rudan, V. T., Frederickson, K. C., et al. (2000) · JONA The Journal of Nursing Administration · doi:10.1097/00005110-200004000-00002 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Hersch, R. K., Cook, R. F., Deitz, D. K., Kaplan, S., Hughes, D., Friesen, M. A., & Vezina, M. (2016) · Applied Nursing Research · doi:10.1016/j.apnr.2016.04.003 · Cited by 159 · see citing works
Kiptulon, E. K., Elmadani, M., Limungi, G. M., Simon, K., Tóth, L., Horvath, E., Szőllősi, A., Galgalo, D. A., Maté, O., & Siket, A. U. (2024) · BMC Health Services Research · doi:10.1186/s12913-024-12003-x · Cited by 93 · see citing works
- Authors
- Van Bogaert, P., Adriaenssens, J., Dilles, T., Martens, D., Van Rompaey, B., & Timmermans, O.
- Affiliations
- Department of Nursing and Midwifery Sciences Centre for Research and Innovation in Care University of Antwerp Wilrijk Belgium
- Leiden University (NL)
- University of Antwerp (BE)
- AZ Turnhout (BE)
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2014-05-19
- Volume
- 70
- Issue
- 11
- Pages
- 2622-2633
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2053339514
- Cited by
- 104
- References
- 64
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 9 · 2023: 10 · 2022: 8 · 2021: 15 · 2020: 7 · 2019: 13 · 2018: 9 · 2017: 10 · 2016: 9 · 2015: 4
- FWCI
- 21.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Nursing › Research and Theory › Nursing education and management
- Social Sciences › Psychology › Social Psychology › Stress and Burnout Research
- Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Burnout
- Keywords
- nurse managers, occupational stress, well-being, emotional exhaustion, work engagement, job satisfaction, turnover intention, role conflict, job characteristics, organizational characteristics, work environment
- MeSH terms
- Adult, Belgium, Cross-Sectional Studies, Female, Humans, Job Satisfaction, Male, Middle Aged, Stress, Psychological, Nurse's Role
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review