A causal model on assertiveness, stress coping, and workplace environment: Factors affecting novice nurses' burnout

Nurs Open. 2021 May;8(3):1452-1462. doi: 10.1002/nop2.763. Epub 2021 Jan 23.

Abstract

Aim: This study aimed to develop and test a causal model focused on assertiveness, stress coping, and workplace environment as factors affecting burnout among novice nurses.

Design: Cross-sectional study was conducted with novice nurses of 17 hospitals.

Methods: The Novice Nurse Assertiveness Scale and the Japanese version of Maslach Burnout Inventory.

Results: Data from 645 female novice nurses were analysed. The mean age, Novice Nurse Assertiveness Scale and Maslach Burnout Inventory were 22.6 ± 3.0, 67.4 ± 10.3 and 13.7 ± 2.5. For the final model, the study adopted a model that includes indirect influences; inappropriate assertiveness and inappropriate coping affected the dissatisfaction with the job and then affected the burnout. The goodness of fit index was GFI = 0.94, AGFI = 0.91, RMSEA = 0.66, and R2 was .86. The findings validated this as a causal model of assertiveness, stress coping, and the work environment as factors affecting burnout for novice nurses.

Keywords: assertiveness; burnout; causal model; novice nurse; stress coping; workplace environment.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Assertiveness
  • Burnout, Professional*
  • Burnout, Psychological
  • Cross-Sectional Studies
  • Female
  • Humans
  • Job Satisfaction
  • Nurses*
  • Surveys and Questionnaires
  • Workplace