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The Relationship Between Job Demands, Burnout and Intention to Leave Among Inpatient Registered Nurses During the COVID-19 Pandemic
The Relationship Between Job Demands, Burnout and Intention to Leave Among Inpatient Registered Nurses During the COVID-19 Pandemic
상세정보
- 자료유형
- 학위논문 서양
- 최종처리일시
- 20260202105642
- ISBN
- 9798265478672
- DDC
- 610.73
- 서명/저자
- The Relationship Between Job Demands, Burnout and Intention to Leave Among Inpatient Registered Nurses During the COVID-19 Pandemic
- 발행사항
- [Sl] : University of California, Los Angeles, 2025
- 발행사항
- Ann Arbor : ProQuest Dissertations & Theses, 2025
- 형태사항
- 200 p
- 주기사항
- Source: Dissertations Abstracts International, Volume: 87-06, Section: B.
- 주기사항
- Advisor: Heilemann, MarySue;Li, Jian.
- 학위논문주기
- Thesis (N.P.)--University of California, Los Angeles, 2025.
- 초록/해제
- 요약The COVID-19 pandemic intensified the mental health and organizational pressures faced by inpatient registered nurses (RNs), contributing to widespread burnout and turnover intentions. This study assessed job demands, operationalized as current work environment and increased workload since the COVID-19 pandemic, their associations with mental health and moral resilience among inpatient RNs, and how these elements related to burnout and intention to leave (ITL). A cross-sectional online survey was conducted among inpatient RNs from four hospitals in Los Angeles County between April and November 2023; 380 RNs completed the study. Self-reported Likert-type items assessed current work environment, workload, and ITL, while validated instruments measured burnout, anxiety, depression, and moral resilience. Multiple regression and mediation/moderation analyses (PROCESS Models 4 and 5) examined hypothesized relationships. Poor/fair work environments were strongly associated with higher anxiety (β = 1.35, p .001) and depression (β = 0.97, p .001), as were heavier workloads (anxiety β range = 0.77-1.38, p .01; depression β = 0.55, p = .01; β = 0.85, p .001). Anxiety symptoms were strongly associated with burnout (β = 2.35, p .001) and significantly mediated the relationships between job demands and burnout. Job demands were also associated with intention to leave the current job (ITL-1), with poor/fair work environments (β = 2.26, p .001) and heavy workload (β = 1.08, p .001) showing strong effects. Both anxiety (β = 0.18, p = .004) and depression (β = 0.23, p = .001) mediated these associations. For intention to leave the profession (ITL-2), poor/fair work environments (OR = 4.37, p = .01) and heavy workload (OR = 2.33, p = .03) were significantly associated, with depression emerging as the primary mediator. Moral resilience demonstrated a consistent protective effect, reducing burnout, ITL-1, and ITL-2 independent of job demands and mental health symptoms. However, moderation analyses indicated that moral resilience did not significantly alter the strength of associations between job demands and any outcome. Findings highlight the need for organizational interventions that strengthen work environments, improve workload conditions, and support nurses' mental health and moral resilience to promote workforce sustainability.
- 일반주제명
- Nursing
- 일반주제명
- Public health
- 일반주제명
- Psychology
- 일반주제명
- Medicine
- 키워드
- Burnout
- 키워드
- COVID-19
- 키워드
- Job demands
- 키워드
- Moral resilience
- 기타저자
- University of California, Los Angeles Nursing 0597
- 기본자료저록
- Dissertations Abstracts International. 87-06B.
- 전자적 위치 및 접속
- 로그인 후 원문을 볼 수 있습니다.
MARC
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■020 ▼a9798265478672
■035 ▼a(MiAaPQ)AAI32398644
■040 ▼aMiAaPQ▼cMiAaPQ
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■1001 ▼aTan, Dave Stephen Farao .
■24510▼aThe Relationship Between Job Demands, Burnout and Intention to Leave Among Inpatient Registered Nurses During the COVID-19 Pandemic
■260 ▼a[Sl]▼bUniversity of California, Los Angeles▼c2025
■260 1▼aAnn Arbor▼bProQuest Dissertations & Theses▼c2025
■300 ▼a200 p
■500 ▼aSource: Dissertations Abstracts International, Volume: 87-06, Section: B.
■500 ▼aAdvisor: Heilemann, MarySue;Li, Jian.
■5021 ▼aThesis (N.P.)--University of California, Los Angeles, 2025.
■520 ▼aThe COVID-19 pandemic intensified the mental health and organizational pressures faced by inpatient registered nurses (RNs), contributing to widespread burnout and turnover intentions. This study assessed job demands, operationalized as current work environment and increased workload since the COVID-19 pandemic, their associations with mental health and moral resilience among inpatient RNs, and how these elements related to burnout and intention to leave (ITL). A cross-sectional online survey was conducted among inpatient RNs from four hospitals in Los Angeles County between April and November 2023; 380 RNs completed the study. Self-reported Likert-type items assessed current work environment, workload, and ITL, while validated instruments measured burnout, anxiety, depression, and moral resilience. Multiple regression and mediation/moderation analyses (PROCESS Models 4 and 5) examined hypothesized relationships. Poor/fair work environments were strongly associated with higher anxiety (β = 1.35, p .001) and depression (β = 0.97, p .001), as were heavier workloads (anxiety β range = 0.77-1.38, p .01; depression β = 0.55, p = .01; β = 0.85, p .001). Anxiety symptoms were strongly associated with burnout (β = 2.35, p .001) and significantly mediated the relationships between job demands and burnout. Job demands were also associated with intention to leave the current job (ITL-1), with poor/fair work environments (β = 2.26, p .001) and heavy workload (β = 1.08, p .001) showing strong effects. Both anxiety (β = 0.18, p = .004) and depression (β = 0.23, p = .001) mediated these associations. For intention to leave the profession (ITL-2), poor/fair work environments (OR = 4.37, p = .01) and heavy workload (OR = 2.33, p = .03) were significantly associated, with depression emerging as the primary mediator. Moral resilience demonstrated a consistent protective effect, reducing burnout, ITL-1, and ITL-2 independent of job demands and mental health symptoms. However, moderation analyses indicated that moral resilience did not significantly alter the strength of associations between job demands and any outcome. Findings highlight the need for organizational interventions that strengthen work environments, improve workload conditions, and support nurses' mental health and moral resilience to promote workforce sustainability.
■590 ▼aSchool code: 0031.
■650 4▼aNursing
■650 4▼aPublic health
■650 4▼aPsychology
■650 4▼aMedicine
■653 ▼aBurnout
■653 ▼aCOVID-19
■653 ▼aIntention to leave
■653 ▼aJob demands
■653 ▼aMoral resilience
■653 ▼aRegistered nurses
■690 ▼a0569
■690 ▼a0621
■690 ▼a0564
■690 ▼a0573
■71020▼aUniversity of California, Los Angeles▼bNursing 0597.
■7730 ▼tDissertations Abstracts International▼g87-06B.
■790 ▼a0031
■791 ▼aN.P.
■792 ▼a2025
■793 ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17360942▼nKERIS▼z이 자료의 원문은 한국교육학술정보원에서 제공합니다.
