Early career burnout among nurses: modelling a hypothesized process using an item response approach.
J Petter Gustavsson1, Lennart Hallsten, Ann Rudman
1Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden. petter.gustavsson@ki.se
International Journal of Nursing Studies
|January 15, 2010
Summary
Early career burnout in nurses follows a sequential developmental model, progressing from exhaustion to dysfunctional coping. This model correlates with increased low mood, poor job performance, and health issues.
Area of Science:
- Occupational Health Psychology
- Nursing Professional Development
- Psychometrics
Background:
- Cherniss's grounded theory identified competence crisis and negative attitudes in new graduates, leading to early career burnout.
- The model posits a sequential progression from initial exhaustion, through dysfunctional coping (cynicism, disengagement), to burnout.
Purpose of the Study:
- To psychometrically test Cherniss's sequential-developmental burnout model.
- To validate the model in early-career nursing professionals.
Main Methods:
- Utilized a psychometric approach with a Rasch measurement model analysis.
- Assessed 933 early-career Swedish nursing professionals three years post-graduation.
Main Results:
- Data supported a one-dimensional sequential-developmental burnout model.
- Burnout progression correlated with increased low mood, decreased job performance, and health problems.
Conclusions:
- Early career burnout in nurses can be operationalized as a one-dimensional sequential model.
- Findings align with literature on professional transition and socialization.
- Discusses implications for nursing students' transition into professional practice.
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