The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses’ Burnout

High turnover and understaffing are significant issues plaguing the healthcare system. Some of the leading reasons of turnover include child-bearing and -rearing, stress related to working, and health concerns. With the onset of the coronavirus (COVID-19) pandemic, this problem of turnover worsened...

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Main Authors: Maki Matsuo PhD, RN, Yuko Takayama PhD, PHN, RN, Chiaki Kinouchi PhD, PHN, RN, Eiko Suzuki PhD, RN
Format: Article
Language:English
Published: SAGE Publishing 2023-01-01
Series:Inquiry: The Journal of Health Care Organization, Provision, and Financing
Online Access:https://doi.org/10.1177/00469580221146839
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author Maki Matsuo PhD, RN
Yuko Takayama PhD, PHN, RN
Chiaki Kinouchi PhD, PHN, RN
Eiko Suzuki PhD, RN
author_facet Maki Matsuo PhD, RN
Yuko Takayama PhD, PHN, RN
Chiaki Kinouchi PhD, PHN, RN
Eiko Suzuki PhD, RN
author_sort Maki Matsuo PhD, RN
collection DOAJ
description High turnover and understaffing are significant issues plaguing the healthcare system. Some of the leading reasons of turnover include child-bearing and -rearing, stress related to working, and health concerns. With the onset of the coronavirus (COVID-19) pandemic, this problem of turnover worsened due to increased risk of infection and escalating workload. This study aimed to clarify and validate the effect of burnout on intention to leave among full-time nursing professionals and the structural relationship with sense of coherence (SOC) and striving for work-life balance (S-WLB). Secondary analyses of data obtained from a previous study was carried out; a hypothesized model was tested for goodness of fit and a final model was developed. Burnout directly affected intention to leave ( P  < .001). It also affected intention to leave through SOC and S-WLB ( P  < .01); SOC lessened the effect of burnout on S-WLB, therefore reducing its impact on intention to leave. Effective strategies need to be developed to improve the SOC and WLB of nurses to alleviate the effects of burnout and thus reduce the likelihood of turnover. Improving their ability to grasp and deal with emergencies and ambiguous situations, as well as providing emotional and tangible support can be other ways to retain nursing professionals.
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spelling doaj.art-ae15524688074ca3a4df1b40a11133362023-01-31T15:06:15ZengSAGE PublishingInquiry: The Journal of Health Care Organization, Provision, and Financing0046-95801945-72432023-01-016010.1177/00469580221146839The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses’ BurnoutMaki Matsuo PhD, RN0Yuko Takayama PhD, PHN, RN1Chiaki Kinouchi PhD, PHN, RN2Eiko Suzuki PhD, RN3Tokyo Healthcare University, Tokyo, JapanInternational University of Health and Welfare, Tochigi, JapanChiba Prefectural University of Health Sciences, Chiba, JapanInternational University of Health and Welfare Graduate School, Tokyo, JapanHigh turnover and understaffing are significant issues plaguing the healthcare system. Some of the leading reasons of turnover include child-bearing and -rearing, stress related to working, and health concerns. With the onset of the coronavirus (COVID-19) pandemic, this problem of turnover worsened due to increased risk of infection and escalating workload. This study aimed to clarify and validate the effect of burnout on intention to leave among full-time nursing professionals and the structural relationship with sense of coherence (SOC) and striving for work-life balance (S-WLB). Secondary analyses of data obtained from a previous study was carried out; a hypothesized model was tested for goodness of fit and a final model was developed. Burnout directly affected intention to leave ( P  < .001). It also affected intention to leave through SOC and S-WLB ( P  < .01); SOC lessened the effect of burnout on S-WLB, therefore reducing its impact on intention to leave. Effective strategies need to be developed to improve the SOC and WLB of nurses to alleviate the effects of burnout and thus reduce the likelihood of turnover. Improving their ability to grasp and deal with emergencies and ambiguous situations, as well as providing emotional and tangible support can be other ways to retain nursing professionals.https://doi.org/10.1177/00469580221146839
spellingShingle Maki Matsuo PhD, RN
Yuko Takayama PhD, PHN, RN
Chiaki Kinouchi PhD, PHN, RN
Eiko Suzuki PhD, RN
The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses’ Burnout
Inquiry: The Journal of Health Care Organization, Provision, and Financing
title The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses’ Burnout
title_full The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses’ Burnout
title_fullStr The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses’ Burnout
title_full_unstemmed The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses’ Burnout
title_short The Mediating Role of Sense of Coherence and Striving for Work-Life Balance on Intention to Leave From Nurses’ Burnout
title_sort mediating role of sense of coherence and striving for work life balance on intention to leave from nurses burnout
url https://doi.org/10.1177/00469580221146839
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