The relationship between job stress, organizational commitment and constructive thinking with emotional burnout of nurses working in the government hospital of Hormozgan province

Dissertation for receiving a continuous master's degree in Psychology (M.A.)

Trend: General

Abstract

The present study was conducted with the aim of investigating the relationship between job stress, organizational commitment and constructive thinking with emotional burnout of nurses. This design is a descriptive design of the correlation type. The statistical population was nurses working in Hormozgan province, and the statistical sample was selected by random sampling from among the nurses working in Hazrat Abulfazl (AS) hospital in Minab city. The number of sample people was 150 people with postgraduate, bachelor's and bachelor's degrees, and among them 74 were men and 76 were women. The research tools were Moslesh and Jackson emotional burnout questionnaire, HSE job stress questionnaire, Allen and Mayer organizational commitment questionnaire and CTI constructive thinking questionnaire. In this research, the variable criteria of nurses' emotional burnout and job stress, organizational commitment and constructive thinking were used as predictive variables. Pearson's correlation coefficient and multiple regression were used to check the research hypotheses. The obtained results showed that there is a positive and significant relationship between emotional exhaustion and occupational stress. The components of demand and control positively and significantly and the components of support and role predict negatively and significantly the frequency and severity of emotional exhaustion of the studied samples. Also, there is a positive and significant relationship between emotional exhaustion and organizational commitment. The components of emotional and normative commitment have a significant role in predicting the frequency and intensity of emotional burnout, and there is a positive and significant relationship between emotional burnout and constructive thinking. The component of self-attitude has a significant relationship in predicting the frequency and intensity of emotional exhaustion, and other components of constructive thinking do not significantly predict the frequency and intensity of emotional exhaustion. Also, the components of job stress, organizational commitment and constructive thinking combine to predict emotional burnout. Meanwhile, demand and control components positively and significantly and support and role components negatively and significantly predict the frequency and intensity of emotional exhaustion. Other components are not significant in predicting emotional exhaustion. In total, predictor variables and its components do not explain 79% of the variance of emotional exhaustion. Finally, it can be concluded that emotional burnout in nurses is related to job stress, organizational commitment and constructive thinking, and by reducing job stress, creating job satisfaction and creating positive thinking in nurses and developing their adaptive skills, nurses' emotional burnout can be reduced.

Key words: emotional burnout, job stress, organizational commitment, constructive thinking of nurses

Introduction

The need to pay attention to emotional burnout as one of The most important consequences of job stress are among the important issues in organizational behavior studies. Unlike previous studies where emotions were not considered and the workplace was considered a rational environment. Today, researchers have realized that emotions and how they appear can explain the importance of organizational and individual outputs. Stressful and annoying factors in the work environment can cause negative emotional states and moods. These conditions may include situations that cause emotional burnout in employees. Medical centers are one of the most important service providers that play an important role in returning, maintaining and improving the physical and mental health of patients. Among them, nurses make up 50 to 60 percent of the specialized human resources of hospitals. The workload of nurses is very large and they often deal with sensitive life and death situations. The slightest mistake may have irreparable consequences and there are many emergency situations that require instant decision and immediate and precise execution. Such conditions and similar ones have their effect on the nursing profession and often cause emotional burnout of the employees of these professions. Considering the vital nature of the nursing job, this can lead to a decrease in the quality of services, leaving the service and absenteeism, reducing the efficiency of the nurse in establishing proper interaction with the patient and taking care of him, and reducing the quality of medical services and injuries and losses to the patients and causing great and irreparable costs. Emotional burnout is not only for the employees but also for the organization. It causes serious damage. Therefore, it is necessary that the treatment organizations, by identifying the effective factors that cause emotional exhaustion, provide optimal and efficient solutions and solutions to deal with it.Therefore, it is necessary that treatment organizations, by identifying the factors affecting the creation of emotional burnout, provide optimal and efficient solutions and strategies to deal with and cope with emotional burnout.

1-2) Statement of the problem

Emotional burnout [1], as one of the areas of job burnout that Meslash [2] and Jackson [3] have proposed, occurs when multiple pressures occur. Caused by job demands over time, it causes the accumulation of fatigue in a person. One of the obvious signs of emotional burnout is increased absenteeism, resignation and fear of returning to work conditions after resignation and absence (Levin[4] and Salgar[5], 2009). Emotional exhaustion is a feeling of emptiness, helplessness and despair caused by extreme emotional and physiological demands. In this case, the person has a negative view of his work, customers or clients of the organization and colleagues. The fact that the worn out employee is not able to respect the feelings and wishes of others, actually shows that the treatment of such a person has become devoid of humanitarian aspects. Employees who suffer from emotional burnout are very hard on their work and follow the rules and regulations and work methods by compulsion, because they are too tired to be calm. Exhausted employees put a lot of pressure on the mental health and efficiency of their colleagues and subordinates. Victims of emotional exhaustion gain respect or significant knowledge with the hard and unusual work they do in the organization and prove to themselves that they are valuable people. The price of their long-term overtime is a lot of stress and also a rapid decrease in energy that the body cannot replace the wasted energy to the same extent, and these conditions lead to physical and mental problems. When physical reserves are depleted due to continuing stressful work conditions, the individual's emotional forces may be depleted at the same time. An early sign of emotional burnout is when such employees spend longer hours at work. But due to fatigue and flexibility, they achieve less results (Maslach [6], 1982). A study on 219 supervisors and managers of government welfare institutes shows that emotional exhaustion is almost related to job stress. Job stress can be seen as the accumulation of stressful factors and such job-related situations[7] that most people agree on being stressful. For example, one of the stressful situations[8] and related to the job is that, on the one hand, the worker or employee is exposed to a lot of demands or pressures in the work environment, and on the other hand, they have limited time to fulfill these demands, and it is natural that because they cannot fulfill them, they face successive objections from their supervisors.

Advanced emotional exhaustion with energy, dignity, self-efficacy and job attachment. It is low and characterized by an increase in physical stress symptoms, and in many cases when social support is needed, social withdrawal occurs and job performance deteriorates significantly, and the performance of these people is usually poorly evaluated.

Many studies have confirmed that experiencing job-related stress and then emotional exhaustion caused by job stress can have harmful effects on the physical and mental health of individuals. (Seoul[9], Spector[10], Cooper[11], 2005). Nursing is one of the most stressful occupations, so that the National Institute of Occupational Health and Safety (NIOSH) of the United States has introduced it as one of the forty most stressful professions.

Many sources of occupational stress have been identified in the work environment of nurses, and among these are burden, urgency of work, death of patients, independence in practice, lack of social support, poor job fit, insufficient knowledge of the necessary expertise, unsafe workplace, and the rapidly changing health care environment as stressors. Nursing are known. Research in the past has shown that job outputs such as job stress are effective in causing emotional burnout (cited by Tui [16], Adams [17], 1993). One of the effective factors in the performance of nurses in the hospital is having organizational commitment, and organizational commitment is a kind of emotional dependence on the organization. Due to the nature of their job, nurses are highly exposed to emotional burnout.