Factors influencing new graduate nurse burnout development, job satisfaction and patient care quality: a time‐lagged study
Abstract
Aim: To test a hypothesized model linking new graduate nurses’ perceptions of their manager's authentic leadership behaviours to structural empowerment, short‐staffing and work–life interference and subsequent burnout, job satisfaction and patient care quality. Background: Authentic leadership and structural empowerment have been shown to reduce early career burnout among nurses. Short‐staffing and work–life interference are also linked to burnout and may help explain the impact of positive, empowering leadership on burnout, which in turn influences job satisfaction and patient care quality. Design: A time‐lagged study of Canadian new graduate nurses was conducted. Methods: At Time 1, surveys were sent to 3,743 nurses (November 2012–March 2013) and 1,020 were returned (27·3% response rate). At Time 2 (May–July 2014), 406 nurses who responded at Time 1 completed surveys (39·8% response rate). Descriptive analysis was conducted in SPSS. Structural equation modelling in Mplus was used to test the hypothesized model. Results: The hypothesized model was supported. Authentic leadership had a significant positive effect on structural empowerment, which in turn decreased both short‐staffing and work–life interference. Short‐staffing and work–life imbalance subsequently resulted in nurse burnout, lower job satisfaction and lower patient care quality 1 year later. Conclusion: The findings suggest that short‐staffing and work–life interference are important factors influencing new graduate nurse burnout. Developing nurse managers’ authentic leadership behaviours and working with them to create and sustain empowering work environments may help reduce burnout, increase nurse job satisfaction and improve patient care quality.
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Authentic leadership predicts higher empowerment, which in turn predicts lower levels of Emotional Exhaustion and Cynicism a year later.
“Boamah et al. found that authentic leadership—described as leaders who have high self-awareness, balanced processing, an internalised moral perspective, and transparency—predicted higher empowerment, which in turn predicted lower levels of Emotional Exhaustion and Cynicism a year later [54]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [54]
High structural empowerment leads to lower Emotional Exhaustion and Cynicism via staffing levels and worklife interference.
“high structural empowerment led to lower Emotional Exhaustion and Cynicism via staffing levels and worklife interference [54]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [54]
Emotional Exhaustion and Cynicism predict job dissatisfaction.
“According to two studies, Emotional Exhaustion and Cynicism predicted job dissatisfaction [54, 101]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [54]
Emotional Exhaustion and Cynicism predict low quality of care.
“Emotional Exhaustion and Cynicism predict low quality of care [54]”
From Burnout in nursing: a theoretical review. (2020) · cites this paper as [54]
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Burnout in nursing: a theoretical review.
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Newly graduated nurses’ perceptions of work environment: a cross-sectional study in China.
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- Authors
- Boamah, S. A., Read, E. A., & Spence Laschinger, H. K.
- Affiliations
- Western University (CA)
- University of New Brunswick (CA)
- Arthur Labatt Family School of Nursing The University of Western Ontario London Ontario Canada
- Corresponding author
- Boamah, Sheila A.
- Venue
- Journal of Advanced Nursing
- Publisher
- Wiley
- Published
- 2016-12-21
- Volume
- 73
- Issue
- 5
- Pages
- 1182-1195
- ISSN
- 0309-2402 (ISSN-L)
- 1365-2648
- OpenAlex
- W2554988084
- Cited by
- 276
- References
- 13
- Citations by year
- 2026: 17 · 2025: 27 · 2024: 30 · 2023: 39 · 2022: 53 · 2021: 44 · 2020: 31 · 2019: 10 · 2018: 17 · 2017: 8
- FWCI
- 32.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Advanced Nursing (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Nova Scotia Health Research Foundation (#139405)
- 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
- new nurses, nurse burnout, job satisfaction, quality of care, authentic leadership, structural empowerment, short staffing, work-life interference, nurse managers, early career nurses, nurse retention
- MeSH terms
- Adult, Burnout, Professional, Canada, Female, Humans, Job Satisfaction, Male, Nurses, Personnel Staffing and Scheduling, Power, Psychological, Quality of Health Care, Workplace
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