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Toward a mediation model for nurses' well-being and psychological distress effects of quality of leadership and social support at work.

Abstract Given the lack of active nurses in industrialized countries throughout the world, in combination with demographic changes, it is of utmost importance to protect nurses' well-being and to prevent psychological distress, because of their strong association with premature occupational leave. The aim of this study was to investigate the effects of quality of leadership and social support at work on well-being and psychological distress of nurses and to determine whether nurses' overcommitment mediates the relationship between the abovementioned determinants and the outcomes. A cross-sectional survey design was used to gather our data. This study utilized part of the database of the Nurses' Early Exit Study. A total of 34,771 nurses (covering all nurse qualifications) working in hospitals, nursing homes, and home-care institutions in 8 European countries filled out a questionnaire (response rate = 51.4%). For all model variables (job satisfaction, satisfaction with salary, positive affectivity, personal burnout, negative affectivity, quality of leadership, social support from immediate supervisor, social support from near colleagues, and overcommitment), psychometrically sound, that is, valid and reliable measures were used. Outcomes from testing a structural equation mediation model indicated that, respectively, positive and negative influences of leadership quality and social support from supervisor and colleagues on nurses' well-being and psychological distress are partially mediated, that is, reduced, by nurses' overcommitment. Social work environment is highly important in relation to nurses' well-being and psychological distress.
PMID
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Authors

Mayor MeshTerms

Leadership

Social Support

Keywords
Journal Title medicine
Publication Year Start




PMID- 28403079
OWN - NLM
STAT- MEDLINE
DA  - 20170413
DCOM- 20170428
LR  - 20170430
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 15
DP  - 2017 Apr
TI  - Toward a mediation model for nurses' well-being and psychological distress
      effects of quality of leadership and social support at work.
PG  - e6505
LID - 10.1097/MD.0000000000006505 [doi]
AB  - Given the lack of active nurses in industrialized countries throughout the world,
      in combination with demographic changes, it is of utmost importance to protect
      nurses' well-being and to prevent psychological distress, because of their strong
      association with premature occupational leave. The aim of this study was to
      investigate the effects of quality of leadership and social support at work on
      well-being and psychological distress of nurses and to determine whether nurses' 
      overcommitment mediates the relationship between the abovementioned determinants 
      and the outcomes. A cross-sectional survey design was used to gather our data.
      This study utilized part of the database of the Nurses' Early Exit Study. A total
      of 34,771 nurses (covering all nurse qualifications) working in hospitals,
      nursing homes, and home-care institutions in 8 European countries filled out a
      questionnaire (response rate = 51.4%). For all model variables (job satisfaction,
      satisfaction with salary, positive affectivity, personal burnout, negative
      affectivity, quality of leadership, social support from immediate supervisor,
      social support from near colleagues, and overcommitment), psychometrically sound,
      that is, valid and reliable measures were used. Outcomes from testing a
      structural equation mediation model indicated that, respectively, positive and
      negative influences of leadership quality and social support from supervisor and 
      colleagues on nurses' well-being and psychological distress are partially
      mediated, that is, reduced, by nurses' overcommitment. Social work environment is
      highly important in relation to nurses' well-being and psychological distress.
FAU - Van der Heijden, Beatrice I J M
AU  - Van der Heijden BI
AD  - aInstitute for Management Research, Radboud University, Nijmegen bOpen University
      of the Netherlands, Heerlen, The Netherlands cKingston University, London, UK
      dInstitute of Educational Science, University of Regensburg, Regensburg
      eDepartment of Research Methods in Education, Friedrich Schiller University Jena,
      Jena, Germany.
FAU - Mulder, Regina H
AU  - Mulder RH
FAU - Konig, Christoph
AU  - Konig C
FAU - Anselmann, Veronika
AU  - Anselmann V
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Cross-Sectional Studies
MH  - Europe
MH  - Female
MH  - Health Facility Environment/*organization & administration
MH  - Humans
MH  - Job Satisfaction
MH  - *Leadership
MH  - Male
MH  - Nurses/organization & administration/*psychology
MH  - Occupational Diseases/*psychology
MH  - *Social Support
MH  - Stress, Psychological/*psychology
MH  - Surveys and Questionnaires
MH  - Workplace/psychology
PMC - PMC5403076
EDAT- 2017/04/14 06:00
MHDA- 2017/04/30 06:00
CRDT- 2017/04/14 06:00
AID - 10.1097/MD.0000000000006505 [doi]
AID - 00005792-201704140-00012 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Apr;96(15):e6505. doi: 10.1097/MD.0000000000006505.

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