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Original Article

Occupational Stress and Coping Styles as Factors Affecting the Burnout of Clinical Nurses

Kyoung Ja Kwon1, Seung-Hee Lee2
Journal of Korean Academy of Nursing Administration 2012;18(4):383-393.
Published online: December 31, 2012

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Correspondence: Lee, Seung-Hee. Department of Nursing, University of Ulsan, 93, Daehak-ro, Nam-gu, Ulsan 680-749, Korea. Tel: 82-52-259-2710, Fax: 82-52-259-1236, seunglee@ulsan.ac.kr
• Received: August 2, 2012   • Revised: October 19, 2012   • Accepted: November 26, 2012

Copyright © 2012 Korean Academy of Nursing Administration

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  • Purpose
    The aim of this study was to investigate the effects of occupational stress and coping styles on burnout of clinical nurses.
  • Methods
    The participants in this study were 397 nurses, working at the hospitals in Seoul, Gangwon, and Gyongbuk provinces. Data were collected using a structured questionnaire from November, 2009 to January, 2010. The SPSS WIN 13.0 version program was used for data analysis.
  • Results
    The most significant predictors of burnout were positive reappraisal and work load. Work load, resource inadequacy, role ambiguity, and indifference coping style positively correlated with burnout. Positive reappraisal and problem-focused coping styles negatively correlated with burnout.
  • Conclusion
    The study results indicate that it is important to reduce work load, resource inadequacy, and role ambiguity in nurses and to strengthen their positive reappraisal and problem-focused coping styles to prevent burnout. This could be achieved with job redesign, modification of shift work systems, and by offering burnout prevention program.
  • Key Words: Occupational stress; Coping; Burnout; Nurse

This research was supported by Ulsan University Research Fund, 2011 (2011-0835).

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Table 1
General Characteristics of Participants (N=397)
jkana-18-383-i001.jpg
Table 2
Occupational Stress, Copying and Burnout (N=379)
jkana-18-383-i002.jpg
Table 3
Occupational Stress, Coping and Burnout according to Characteristics of Participants (N=397)
jkana-18-383-i003.jpg
Table 4
Correlation Occupational Stress, Coping and Burnout (N=397)
jkana-18-383-i004.jpg

OS=Occupational Stress; RA=Role Ambiguity; RC=Role Conflict; WL=Work Load; RI=Resource Inadequacy; CO=Coping; PF=Problem Focused; SS=Social Support; HO=Hopeful; PO=Positive; IN=Indifference; TR=Tension Release; BU=Burnout; EE=Emotional Exhaustion; DE=Depersonalization; PA=Reduced Personal Accomplishment.

*p<.05; **p<.01; ***p<.001.

Table 5
Factors Predicting Nursing Burnout (N=397)
jkana-18-383-i005.jpg

*Marital state dummy coded to unmarried=1, married=0; †Level of education dummy1 coded to university=1, the others=0; ‡Level of education dummy2 coded to graduated over=1, the others=0; §Number of Beds in hospital dummy coded to ≥500=1, 300-<500=0; ∥Position dummy coded to manager=1, staff nurse=0; Shift pattern dummy coded to rotating shifts=1, day shift only=0.

Figure & Data

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    Occupational Stress and Coping Styles as Factors Affecting the Burnout of Clinical Nurses
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    DOI: https://doi.org/10.11111/jkana.2012.18.4.383
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    Occupational Stress and Coping Styles as Factors Affecting the Burnout of Clinical Nurses
    Occupational Stress and Coping Styles as Factors Affecting the Burnout of Clinical Nurses

    General Characteristics of Participants (N=397)

    Occupational Stress, Copying and Burnout (N=379)

    Occupational Stress, Coping and Burnout according to Characteristics of Participants (N=397)

    Correlation Occupational Stress, Coping and Burnout (N=397)

    OS=Occupational Stress; RA=Role Ambiguity; RC=Role Conflict; WL=Work Load; RI=Resource Inadequacy; CO=Coping; PF=Problem Focused; SS=Social Support; HO=Hopeful; PO=Positive; IN=Indifference; TR=Tension Release; BU=Burnout; EE=Emotional Exhaustion; DE=Depersonalization; PA=Reduced Personal Accomplishment.

    *p<.05; **p<.01; ***p<.001.

    Factors Predicting Nursing Burnout (N=397)

    *Marital state dummy coded to unmarried=1, married=0; †Level of education dummy1 coded to university=1, the others=0; ‡Level of education dummy2 coded to graduated over=1, the others=0; §Number of Beds in hospital dummy coded to ≥500=1, 300-<500=0; ∥Position dummy coded to manager=1, staff nurse=0; Shift pattern dummy coded to rotating shifts=1, day shift only=0.
    Table 1 General Characteristics of Participants (N=397)

    Table 2 Occupational Stress, Copying and Burnout (N=379)

    Table 3 Occupational Stress, Coping and Burnout according to Characteristics of Participants (N=397)

    Table 4 Correlation Occupational Stress, Coping and Burnout (N=397)

    OS=Occupational Stress; RA=Role Ambiguity; RC=Role Conflict; WL=Work Load; RI=Resource Inadequacy; CO=Coping; PF=Problem Focused; SS=Social Support; HO=Hopeful; PO=Positive; IN=Indifference; TR=Tension Release; BU=Burnout; EE=Emotional Exhaustion; DE=Depersonalization; PA=Reduced Personal Accomplishment.

    *p<.05; **p<.01; ***p<.001.

    Table 5 Factors Predicting Nursing Burnout (N=397)

    *Marital state dummy coded to unmarried=1, married=0; †Level of education dummy1 coded to university=1, the others=0; ‡Level of education dummy2 coded to graduated over=1, the others=0; §Number of Beds in hospital dummy coded to ≥500=1, 300-<500=0; ∥Position dummy coded to manager=1, staff nurse=0; Shift pattern dummy coded to rotating shifts=1, day shift only=0.

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

    J Korean Acad Nurs Adm : Journal of Korean Academy of Nursing Administration

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