Job-related meaningfulness moderates the association between over-commitment and emotional exhaustion in nurses

J Nurs Manag. 2018 Oct;26(7):820-832. doi: 10.1111/jonm.12602. Epub 2018 Jul 31.

Abstract

Aim: To evaluate characteristics of job-related meaningfulness, and to assess its potential to moderate the relationship between over-commitment and emotional exhaustion in nurses.

Background: Increased demands on nurses may induce vulnerability to emotional exhaustion, decrease job satisfaction, and increase their intention to quit the job. The experience of job-related meaningfulness through meaning-centred logotherapy and counseling could be a resource to prevent emotional exhaustion.

Method: Nurses (n = 466; 73% female) at an Austrian tertiary-care hospital participated in a cross-sectional survey for assessment of job-related meaningfulness by the newly developed CERES (Concern, Enthusiasm, Relevance, Efficacy, Satisfaction) scale. CERES was tested for its moderating interaction with over-commitment (assessed by the Effort-Reward Imbalance Questionnaire) to prevent emotional exhaustion (as measured by the Maslach Burnout Inventory) by structural equation modelling.

Results: The CERES scale consisting of five items has satisfactory internal consistency (Cronbach's alpha: .78). Over-commitment correlated significantly (p < .001) with emotional exhaustion. A moderating interaction of CERES with over-commitment on emotional exhaustion was found overall (p < .001), and separately for males (p = .002) and females (p < .001).

Conclusions: CERES is suitable for assessing experienced job-related meaningfulness and it moderates emotionally exhausting effects of over-commitment in nurses.

Implications for nursing management: Nursing managers may improve nurses' awareness of job-related meaningfulness by focusing on meaning-centred feed-back and counselling and thereby strengthening perception of concern, enthusiasm, relevance, efficacy, and satisfaction regarding their caring behaviour.

Keywords: emotional exhaustion; meaningfulness; nurses; occupational stress; over-commitment.

MeSH terms

  • Adult
  • Austria
  • Burnout, Professional / prevention & control
  • Burnout, Professional / psychology
  • Compassion Fatigue / prevention & control*
  • Compassion Fatigue / psychology
  • Cross-Sectional Studies
  • Female
  • Humans
  • Intention
  • Job Satisfaction*
  • Male
  • Middle Aged
  • Nurses / psychology*
  • Surveys and Questionnaires
  • Workplace / psychology
  • Workplace / standards*