Early-career burnout among new graduate nurses: A prospective observational study of intra-individual change trajectories
International Journal of Nursing StudiesPublished 9 August 2010
Ann Rudman, Petter Gustavsson
Citations229
SJR quartileQ1
SJR score2.82
SNIP3.21
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
This study showed that negative development of burnout was predicted by not feeling well prepared for a nursing job, lacking study interest, high levels of performance-based self-esteem and depressive mood in the final year of education.
Abstract
An investigation of burnout symptoms over time disclosed numerous development patterns, some of which were stable while others changed significantly. Hence, this study gave a more nuanced picture of burnout development among new graduate nurses, highlighted by eight different trajectories. Regarding the time frame, nearly every second new graduate showed a significant increase in levels of burnout during their second year post graduation.
Keywords
PsychologyHealth ProfessionsNursing
Annual Review of PsychologyJob Burnout
12,387 Citations2001Christina Maslach, Wilmar B. Schaufeli +1 more
The focus on engagement, the positive antithesis of burnout, promises to yield new perspectives on interventions to alleviate burnout.
Journal of Managerial PsychologyThe Job Demands‐Resources model: state of the art
11,890 Citations2007Arnold B. Bakker, Evangelia Demerouti
Journal of Applied PsychologyThe job demands-resources model of burnout.
11,684 Citations2001Evangelia Demerouti, Arnold B. Bakker +2 more
Results confirmed the 2-factor structure (exhaustion and disengagement) of a new burnout instrument--the Oldenburg Burnout Inventory--and suggested that this structure is essentially invariant across occupational groups.
Maslach burnout inventory manual
7,600 Citations1996Christina Maslach, Sue Jackson +1 more
JAMAHospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction
5,188 Citations2002Linda H. Aiken
In hospitals with high patient-to-nurse ratios, surgical patients experience higher risk-adjusted 30-day mortality and failure-to-rescue rates, and nurses are more likely to experience burnout and job dissatisfaction.
Journal of Applied PsychologyA meta-analytic examination of the correlates of the three dimensions of job burnout.
3,137 Citations1996Raymond T. Lee, Blake E. Ashforth
This meta-analysis examined how demand and resource correlates and behavioral and attitudinal correlates were related to each of the 3 dimensions of job burnout, finding that emotional exhaustion was more strongly related to the demand correlates than to the resource correlates.
Psychological BulletinThe rank-order consistency of personality traits from childhood to old age: A quantitative review of longitudinal studies.
3,131 Citations2000Brent W. Roberts, Wendy F. DelVecchio
Meta-analytic techniques used to test whether trait consistency maximizes and stabilizes at a specific period in the life course showed that the longitudinal time interval had a negative relation to trait consistency and that temperament dimensions were less consistent than adult personality traits.
The Burnout Companion to Study and Practice: A Critical Analysis
2,181 Citations2020Wilmar B. Schaufeli, Dirk Enzmann
The Truth about Burnout: How Organizations Cause Personal Stress and What to Do about It
2,016 Citations1997Christina Maslach, Michael P. Leiter
American Psychological Association eBooksHandbook of Occupational Health Psychology
1,316 Citations2010James Campbell Quick
Journal of Advanced NursingTransition shock: the initial stage of role adaptation for newly graduated Registered Nurses
1,067 Citations2008Judy E. Boychuk Duchscher
Transition Shock reinforces the need for preparatory theory about role transition for senior nursing students and the critical importance of bridging undergraduate educational curricula with escalating workplace expectations.
Journal of Affective DisordersThe sensitivity and specificity of the Major Depression Inventory, using the Present State Examination as the index of diagnostic validity
986 Citations2001Per Bech, Niels Anton Rasmussen +3 more
The Major Depression Inventory was found to have a sensitivity and specificity which is acceptable and can be scored diagnostically by the DSM-IV and ICD-10 algorithms as well as by its simple total score.
Typologies and taxonomies: An introduction to classification techniques.
979 Citations1994Kenneth D. Bailey
Medical CareNurse Burnout and Patient Satisfaction
976 Citations2004Doris C. Vahey, Linda H. Aiken +3 more
Improvements in Nurses’ work environments in hospitals have the potential to simultaneously reduce nurses’ high levels of job burnout and risk of turnover and increase patients’ satisfaction with their care.
Journal of Vocational BehaviorBorn to burnout: A meta-analytic path model of personality, job burnout, and work outcomes
897 Citations2010Brian W. Swider, Ryan D. Zimmerman
JONA The Journal of Nursing AdministrationEffects of Hospital Care Environment on Patient Mortality and Nurse Outcomes
804 Citations2009Linda H. Aiken, Sean P. Clarke +3 more
American Journal of Respiratory and Critical Care MedicineBurnout Syndrome in Critical Care Nursing Staff
750 Citations2006Marie Cécile Poncet, Philippe Toullic +7 more
One-third of ICU nursing staff had severe BOS, and areas for improvement identified in the study include conflict prevention, participation in ICU research groups, and better management of end-of-life care.
JAMAResident Burnout
734 Citations2004Niku K Thomas
The studies suggest that burnout levels are high among residents and may be associated with depression and problematic patient care, and large, prospective studies are needed to understand and prevent resident burnout.
AJN American Journal of NursingReality Shock: Why Nurses Leave Nursing
664 Citations1975Nancy M. Sargis, Marlene Kramer
Burnout: An Overview of 25 Years of Research and Theorizing
647 Citations2002Wilmar B. Schaufeli, Bram P. Buunk
Medical Entomology and ZoologyStudying Individual Development in an Interindividual Context: A Person-Oriented Approach
630 Citations2002Lars R. Bergman, David Magnusson +1 more
The Journal of Continuing Education in NursingA Process of Becoming: The Stages of New Nursing Graduate Professional Role Transition
588 Citations2008Judy Boychuk Duchscher
The theory of transition presented in this article incorporates a journey of becoming where new nursing graduates progressed through the stages of doing, being, and knowing, which was evolutionary and ultimately transformative for all participants.
Psychology and HealthEmotion work and job stressors and their effects on burnout
504 Citations2001Dieter Zapf, Claudia Seifert +3 more
Research on emotion work, organizational as well as social variables as predictors of job burnout showed that for service professionals, the coincidence of these stressors led to exaggerated levels of emotional exhaustion and depersonalization.
Journal of Advanced NursingA longitudinal cohort study of burnout and attrition in nursing students
461 Citations2003Ian J. Deary, Roger Watson +1 more
Investigating the determinants of, and relationships among, stress, burnout and attrition in nursing students found positive aspects of personality were more likely to lead to aspects of burnout, and personality was a more important indicator of attrition than cognitive ability.
Alcohol and AlcoholismALCOHOL USE AMONG SWEDES AND A PSYCHOMETRIC EVALUATION OF THE ALCOHOL USE DISORDERS IDENTIFICATION TEST
347 Citations2002Hans Bergman
The 'binge drinking' question explained half of the total AUDIT variance and is thus the best item indicator of hazardous or harmful alcohol use in the test.
Statistical Methods in Education and Psychology
338 Citations1979Albert K. Kurtz, Samuel T. Mayo
Journal of Advanced NursingThe theory–practice gap: impact of professional–bureaucratic work conflict on newly‐qualified nurses
328 Citations2006Jill Maben, Sue Latter +1 more
The disparity between nursing as taught and as practised may have profound implications for the future of the profession both in the United Kingdom and internationally, in terms of morale, job satisfaction and retention.
Nursing leadershipWorkplace Empowerment, Work Engagement and Organizational Commitment of New Graduate Nurses
308 Citations2006Julia Cho, Heather Spence Laschinger +1 more
A predictive, non-experimental survey design was used to test a theoretical model in a sample of new graduate nurses, and it was predicted that structural empowerment had a direct positive effect on the areas of work life, which in turn had adirect negative effect on emotional exhaustion.
Journal of Advanced NursingBecoming a nurse: a meta‐study of early professional socialization and career choice in nursing
273 Citations2008Sheri Price
Career choice and early professional socialization are influenced by multiple factors and it is important to consider the role of mentors, peers and role models in the formulation of career expectations, and career choice decisions.
Journal of Advanced NursingPreserving moral integrity: a follow‐up study with new graduate nurses
269 Citations1998Brighid Brooks Kelly
This follow-up study described, explain and interpret how new graduate nurses perceived their adaptation to the 'real world' of hospital nursing and what they perceived as major influences on their moral values and ethical roles in the 2 years following graduation.
Nursing ResearchRelationships of Work and Practice Environment to Professional Burnout
253 Citations2006Michael P. Leiter, Heather K. Spence Laschinger
A nursing worklife model that defined structured relationships among professional practice environment qualities and burnout was tested and provided support for a structural model linking the five worklife factors used to define a fundamental role for nursing leadership in determining the quality of worklife.
International Journal of Nursing StudiesA study of stress and burnout in nursing students in Hong Kong: A questionnaire survey
250 Citations2008Roger Watson, Ian J. Deary +2 more
Students suffered greater levels of psychological morbidity and burnout at the second time wave and this was largely explained by the personality trait of neuroticism, which is largely related to individual personality and coping traits.
Journal of Nursing ManagementTowards a comprehensive theory of nurse/patient empowerment: applying Kanter’s empowerment theory to patient care
221 Citations2009HEATHER K. SPENCE LASCHINGER, Stephanie Gilbert +2 more
It is argued that empowered nurses are more likely to empower their patients, which results in better patient and system outcomes and strategies for managers to empower nurses and for nurses to empower patients are suggested.
International Journal of Nursing StudiesNew graduate nurse self-concept and retention: A longitudinal survey
218 Citations2005Leanne Cowin, Cecily Hengstberger‐Sims
The key findings suggest that multiple dimensions of graduate nurse self-concepts rise significantly in the second half of their graduate year and that nurse general self- Concept is a strong predictor of graduate nurses retention.
Journal of Clinical NursingPoor work environments and nurse inexperience are associated with burnout, job dissatisfaction and quality deficits in Japanese hospitals
218 Citations2008Masako Kanai‐Pak, Linda H. Aiken +2 more
Improved nurse staffing and working relationships with physicians may reduce nurse burnout, job dissatisfaction and low nurse-assessed quality of care in Japanese hospitals.
JONA The Journal of Nursing AdministrationEmpowering Nurses for Work Engagement and Health in Hospital Settings
212 Citations2005Heather K. Spence Laschinger, Joan Finegan
A theoretical model was tested which specified the relationships among structural empowerment, 6 areas of worklife that promote employee engagement, and staff nurses' physical and mental health.
JONA The Journal of Nursing AdministrationThe Graduate Nurse Experience
199 Citations2008Regina M. Fink, Mary Krugman +2 more
Qualitative analysis provided sufficient evidence to convert specific open-ended questions on the Casey-Fink Graduate Nurse Experience Survey instrument to a quantitative format for ease of administration and analysis.
Nurse Education Today‘Don’t rock the boat’: Nursing students’ experiences of conformity and compliance
173 Citations2008Tracy Levett‐Jones, Judith Lathlean
Findings show how conformity and compliance are acculturated in practice, and how students can be empowered to speak out against poor practice to become assertive and confident practitioners are presented.
Nursing Administration QuarterlyThe Impact of Staff Nurse Empowerment on Person-Job Fit and Work Engagement/Burnout
168 Citations2006Heather K. Spence Laschinger, Carol Wong +1 more
Overall empowerment had an indirect effect on emotional exhaustion (burnout) through nurses' perceived fit in 6 areas of work life through nurses', which has important implications in the current nursing shortage.
PubMedNew graduate burnout: the impact of professional practice environment, workplace civility, and empowerment.
161 Citations2010Heather K. Spence Laschinger, Joan Finegan +1 more
The results provide a more comprehensive understanding of the impact of workplace conditions on new graduate burnout by demonstrating the additive value of working in collegial work settings in which nurses respected others and refrain from incivility behaviors in their day to day work.
International Journal of Nursing StudiesCaring: The socialisation of pre-registration student nurses: A longitudinal qualitative descriptive study
159 Citations2005Carolyn Mackintosh
An under recognised dichotomy between the caring ethos of professional nursing and the professional socialisation processes student nurses are subject to is identified, which directly mitigate against the individual nurses abilities to care.
Nursing ResearchPredicting Research Use in Nursing Organizations
155 Citations2007Carole A. Estabrooks, William K. Midodzi +2 more
Findings suggest that investigations into mechanisms that influence research utilization must address influences at multiple levels of the organization, and require careful attention to both methodological and interpretative challenges present when dealing with multiple units of analysis.
Journal of Clinical NursingA longitudinal study of stress and psychological distress in nurses and nursing students
149 Citations2008Roger Watson, Eric Gardiner +5 more
Stress, individual traits, adverse life events and psychological distress are all interrelated and may have negative outcomes for the retention of nursing students in programmes of study and newly qualified nurses in the nursing workforce.
Gothenburg University Publications Electronic Archive (Gothenburg University)Performance-based self-esteem : A driving force in burnout processes and its assessment
111 Citations2005Lennart Hallsten, Malin Josephson +1 more
Journal of Professional NursingThe Nature and Implications of Support in Graduate Nurse Transition Programs: An Australian Study
105 Citations2008Megan‐Jane Johnstone, Olga Kanitsaki +1 more
The findings presented in this article strongly suggest that support is critical to the process of graduate nurse transition, and that integration into "the system" is best provided during the first 4 weeks of a graduate nurse Transition program and thereafter at the beginning of each ward rotation.
British Journal of NursingNewly qualified staff nurses' perceptions of the role transition
96 Citations2001Jane Whitehead
It is demonstrated that there is a need for support during the transition phase from student to newly qualified staff nurse and it is recommended that a structured preceptorship programme on qualification is essential.
Human Resources for HealthMonitoring the newly qualified nurses in Sweden: the Longitudinal Analysis of Nursing Education (LANE) study
95 Citations2010Ann Rudman, Marianne Omne-Pontén +2 more
Both high response rates and professional retention imply a potential for a thorough analysis of professional practice and occupational health.
Journal of Nursing EducationThe Effect of Problem-Based Learning on Nursing Students' Perceptions of Empowerment
93 Citations2005Heidi M. Siu, Heather K. Spence Laschinger +1 more
The results of this study are the first to support the applicability of Kanter's theory of structural empowerment to nursing education settings.
Personality and Individual DifferencesThe HP5 inventory: definition and assessment of five health-relevant personality traits from a five-factor model perspective
93 Citations2003Petter Gustavsson, Erik G. Jönsson +2 more
Journal for Nurses in Staff DevelopmentThe Exploration of the Lived Experience of the Graduate Nurse Making the Transition to Registered Nurse During the First Year of Practice
88 Citations2009Louann B. Zinsmeister, Deborah J. Schafer
The findings of this study provide information for staff development instructors, nurse managers, and nurse administrators in identifying practice environment characteristics and initiatives that promote a positive transition period for graduate nurses and increased retention in initial areas of nursing practice.
Multivariate Behavioral ResearchYou Can't Classify All of the People All of the Time
85 Citations1988Lars R. Bergman
It was argued that the concept of antitype (= rare pattern) has theoretical significance and could be studied within the presented framework and indicated that belonging to a residue is a property of individuals that has a significant stability over time.
Journal of Advanced NursingThe first year as a staff nurse: the experiences of a first cohort of Project 2000 nurses in a demonstration district
80 Citations1996Melanie Jasper
The findings suggest that the vision of the United Kingdom Central Council in proposing Project 2000 courses is likely to be realized and that more attention needs to be paid to the personal and professional development needs of Project 2000 nurses, both at the end of the course and in their first post-qualifying year.
Journal of Advanced NursingStatus passage into nursing: another view of the process of socialization into nursing
69 Citations1990Mary Bradby
Transition into the occupational role of nurse is described and the status passage includes the anticipations, entry, reporting of contrasts and changes which are often accompanied by surprise, and reality shock before making sense of the passage some months later.
Journal of Advanced NursingNurses who work outside nursing
69 Citations2004Christine Duffield, Linda OʼBrien Pallas +1 more
While personal characteristics accounted for a large component of tenure in nursing, those managing the nursing workforce should consider professional practice issues and the balance between work life and home life.
Journal of Professional NursingCareer commitment in nursing
58 Citations1992Diane L. Gardner
A longitudinal, repeated-measures descriptive survey was used to measure career commitment and explore its relationship to turnover and work performance in 320 newly employed registered nurses at one hospital.
Journal of Advanced NursingNurse socialization: issues and problems
57 Citations1991Ann Wilson, Richard Startup
It is recommended that a more unified approach be adopted to reduce the conflict which learners experience and in accordance with Project 2000, the teaching staff should act as practitioners and thereby be perceived as a professional role model with clinical credibility.
International Journal of Nursing StudiesEarly career burnout among nurses: Modelling a hypothesized process using an item response approach
55 Citations2010Petter Gustavsson, Lennart Hallsten +1 more
Among early-career nursing professionals burnout may be operationalized as a one-dimensional sequential-developmental model, which resembles the results found in the literature on transition and socialization.
Journal of Nursing Care QualityNew Nursesʼ Perceptions of Nursing Practice and Quality Patient Care
54 Citations2004Suzanne Boswell, Lois Lowry +1 more
Assessment of new nurses' perceptions of nursing practice and their expectations for meeting professional goals found comprehensive orientation, continuing education, and mentoring were important values identified by this group of nurses.
Collegian Journal of the Royal College of Nursing AustraliaA longitudinal study of student and experienced nurses' self-concept
42 Citations2006Leanne Cowin, Rhonda Craven +2 more
JONA The Journal of Nursing AdministrationA Partnership Between Nursing Education and Practice
36 Citations2004Joan Roche, Erin T. Lamoureux +1 more
The structure, process, and outcomes of this partnership was designed to increase the faculty of the school of nursing and add to the educational expertise in the department of staff development in the health system’s major acute care hospital.
The Health Care ManagerAttrition in Nursing
32 Citations2005Stephen M. Crow, Steven A. Smith +1 more
Using data from the National Science Foundation's National Survey of College Graduates, the initial evaluation suggests that, at points during the career, the individual confronts potential problems and issues which can lead to career attrition.
WorkCan scales assessing psychological and social factors at work be used across different occupations?
20 Citations2009Ingrid Wännström, Ulla Peterson +3 more
Nine of the 24 analysed scales functioned well across all occupational groups and could thus be used for valid comparisons across professions, and the majority of the remaining scales showed MI at least across some groups.