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Nurses' Practice Environment and Work-Family Conflict in Relation to Burn Out: A Multilevel Modelling Approach

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  • Constanze Leineweber
  • Hugo Westerlund
  • Holendro Singh Chungkham
  • Rikard Lindqvist
  • Sara Runesdotter
  • Carol Tishelman

Abstract

Objectives: To investigate associations between nurse work practice environment measured at department level and individual level work-family conflict on burnout, measured as emotional exhaustion, depersonalization and personal accomplishment among Swedish RNs. Methods: A multilevel model was fit with the individual RN at the 1st, and the hospital department at the 2nd level using cross-sectional RN survey data from the Swedish part of RN4CAST, an EU 7th framework project. The data analysed here is based on a national sample of 8,620 RNs from 369 departments in 53 hospitals. Results: Generally, RNs reported high values of personal accomplishment and lower values of emotional exhaustion and depersonalization. High work-family conflict increased the risk for emotional exhaustion, but for neither depersonalization nor personal accomplishment. On department level adequate staffing and good leadership and support for nurses reduced the risk for emotional exhaustion and depersonalization. Personal accomplishment was statistically significantly related to staff adequacy. Conclusions: The findings suggest that adequate staffing, good leadership, and support for nurses are crucial for RNs' mental health. Our findings also highlight the importance of hospital managers developing policies and practices to facilitate the successful combination of work with private life for employees.

Suggested Citation

  • Constanze Leineweber & Hugo Westerlund & Holendro Singh Chungkham & Rikard Lindqvist & Sara Runesdotter & Carol Tishelman, 2014. "Nurses' Practice Environment and Work-Family Conflict in Relation to Burn Out: A Multilevel Modelling Approach," PLOS ONE, Public Library of Science, vol. 9(5), pages 1-9, May.
    • Handle: RePEc:plo:pone00:0096991
    DOI: 10.1371/journal.pone.0096991
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    References listed on IDEAS

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    1. Geurts, Sabine & Rutte, Christel & Peeters, Maria, 1999. "Antecedents and consequences of work-home interference among medical residents," Social Science & Medicine, Elsevier, vol. 48(9), pages 1135-1148, May.
    2. Peter Van Bogaert & Sean Clarke & Ella Roelant & Herman Meulemans & Paul Van de Heyning, 2010. "Impacts of unit‐level nurse practice environment and burnout on nurse‐reported outcomes: a multilevel modelling approach," Journal of Clinical Nursing, John Wiley & Sons, vol. 19(11‐12), pages 1664-1674, June.
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    Cited by:

    1. Marci D Cottingham & Jamie J Chapman & Rebecca J Erickson, 2020. "The Constant Caregiver: Work–family Spillover among Men and Women in Nursing," Work, Employment & Society, British Sociological Association, vol. 34(2), pages 281-298, April.
    2. Lei Huang & Ya Wang & Hao Huang, 2021. "Factors associated with family cohesion and adaptability among Chinese registered nurses," Journal of Clinical Nursing, John Wiley & Sons, vol. 30(1-2), pages 113-125, January.
    3. Maxime Vachon & Marie Papineau & Gilles Dupuis & Pasquale Roberge, 2019. "Associations Between Systemic Quality of Life and Burnout Among French Canadian Workers," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(3), pages 1193-1210, April.

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