Exploring the influence of core-self evaluations, situational factors, and coping on nurse burnout: A cross-sectional survey study

Stress has become an inherent aspect of the nursing profession. Chronically experienced work stress can lead to burnout. Although situational stressors show a significant influence on burnout, their power to predict the complete syndrome is rather limited. After all, stressors only exist “in the eye of the beholder”. This study aimed to explore how individual vulnerability factors such as core-self evaluations and coping, contribute to burnout in relation to situational stressors within a population of hospital nurses. Cross-sectional data was collected in 2014, using five validated self-report instruments: Dutch Core Self Evaluations Scale, Nursing Work Index Revised, Utrecht Coping List, Ruminative Response Scale, and Utrecht Burnout Scale. 219 of the 250 questionnaires were returned. This database is available here. Core-self evaluations, situational factors and coping each contributed significantly to the predictive capacity of the models of the separate burnout dimensions. Core-self evaluations was significantly related to emotional exhaustion. It was suggested that Core-self evaluations might be placed at the initiation of the loss cycle. However, further research is warranted.压力已成为护理行业的固有属性。长期经历的工作压力可引发职业倦怠（burnout）。尽管情境性应激源对职业倦怠存在显著影响，但其对完整症候群的预测能力却相当有限——毕竟，应激源仅存在于“观察者的眼中”。本研究旨在探讨医院护士群体中，核心自我评价（core-self evaluations）与应对方式等个体易感性因素，在与情境性应激因素的关联下如何对职业倦怠产生作用。研究于2014年收集横断面数据，采用了5份经过信效度检验的自报告工具：荷兰核心自我评价量表（Dutch Core Self Evaluations Scale）、修订版护理工作指数（Nursing Work Index Revised）、乌得勒支应对量表（Utrecht Coping List）、反刍思维反应量表（Ruminative Response Scale）以及乌得勒支职业倦怠量表（Utrecht Burnout Scale）。本次研究共发放250份问卷，回收219份。本数据库可在此处获取。核心自我评价、情境因素与应对方式均对各职业倦怠维度模型的预测能力具有显著贡献。核心自我评价与情绪衰竭显著相关。有研究提出，核心自我评价可能处于倦怠损耗循环的起始环节，但仍需开展进一步研究加以验证。