Role Stress and Emotional Exhaustion Among Health Care Workers: The Buffering Effect of Supportive Coworker Climate in a Multilevel Perspective

J Occup Environ Med. 2017 Oct;59(10):e187-e193. doi: 10.1097/JOM.0000000000001122.

Abstract

Objective: The aim of the study was to examine the relationship between role stress, emotional exhaustion, and a supportive coworker climate among health care workers, by adopting a multilevel perspective.

Methods: Aggregated data of 738 health care workers nested within 67 teams of three Italian hospitals were collected. Multilevel regression analysis with a random intercept model was used.

Results: Hierarchical linear modeling showed that a lack of role clarity was significantly linked to emotional exhaustion at the individual level. At the unit level, the cross-level interaction revealed that a supportive coworker climate moderated the relationship between lack of role clarity and emotional exhaustion.

Conclusion: This study supports previous results of single-level burnout studies, extending the existing literature with evidence on the multidimensional and cross-level interaction associations of a supportive coworker climate as a key aspect of job resources on burnout.

MeSH terms

  • Burnout, Professional / epidemiology*
  • Burnout, Professional / etiology
  • Female
  • Hospitals / statistics & numerical data
  • Humans
  • Italy / epidemiology
  • Male
  • Occupational Stress / epidemiology*
  • Occupational Stress / etiology
  • Occupational Stress / psychology
  • Peer Group
  • Personnel, Hospital / psychology*
  • Personnel, Hospital / statistics & numerical data
  • Professional Role / psychology*
  • Social Support*
  • Workplace / psychology