The effect of perceived organisational support on burnout among community health nurses in China: the mediating role of professional self-concept

J Nurs Manag. 2016 Jan;24(1):E77-86. doi: 10.1111/jonm.12292. Epub 2015 Feb 26.

Abstract

Aim: To examine the mediating effect of professional self-concept on the association between perceived organisational support and burnout among community health nurses in Chengdu, China.

Background: Burnout is a common phenomenon among nurses and previous studies have focused on work environmental factors contributing to burnout. Limited studies have examined the effects of perceived organisational support and professional self-concept on burnout among community health nurses.

Methods: This was a cross-sectional study with 551 community health nurses in Chengdu, China, which included a two-stage sampling method. Structural equation modelling was used to examine the relationships among perceived organisational support, professional self-concept and burnout.

Results: The final sample included 456 nurses (82.7%). Perceived organisational support was a significant positive direct predictor for professional self-concept and a significant negative direct predictor for burnout. Professional self-concept was a significant negative direct contributor to burnout. Professional self-concept had a mediating effect on the relationship between perceived organisational support and burnout.

Conclusions: Perceived organisational support may result in reduced burnout by facilitating the development of positive professional self-concept.

Implications for nursing management: Strategies such as establishing a supportive work environment and professional competence training may be effective methods for burnout prevention and management among community health nurses.

Keywords: burnout; community health nurses; mediating effect; perceived organisational support; professional self-concept.

MeSH terms

  • Adult
  • Burnout, Professional / prevention & control
  • Burnout, Professional / psychology*
  • China
  • Cross-Sectional Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nurses, Community Health / psychology*
  • Organizational Culture*
  • Perception*
  • Self Concept*
  • Social Support
  • Surveys and Questionnaires