Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study

BMC Nursing

Table 5 Observed (a) and latent variables (b) of the retested model (n = 751)

Burnout:		Loading model 1	Loading model 2
Emotional exhaustion (b) (Cronbach’s alpha:. 90)
1	I feel emotionally drained from my work (a).	.86
2	I feel used up at the end of the workday (a).	.85
14	I feel I’m working too hard on my job (a).	.67
Depersonalisation (b) (Cronbach’s alpha:. 66)
10	I’ve become more callous toward people since I took this job (a)	.51
11	I worry that this job hardening me emotionally (a)	.73
22	I feel patients blame me for some of their problems (a)	39
Personal accomplishment (b) (Cronbach’s alpha: .69)
17	I can easily create a relaxed atmosphere with my patients (a).	.60
18	I feel exhilarated after working closely with my patients (a).	.85
19	I have accomplished many worthwhile things in this job (a).	.67
Work engagement:
Vigor (b) (Cronbach’s alpha: .86)
2	At my job, I feel strong and vigorous (a).		.82
5	When I get up in the morning, I feel like going to work (a).		.82
Dedication (b): (Cronbach’s alpha: .82)
3	I am enthusiastic about my job (a).		.87
4	My job inspires me (a).		.73
Absorption (b) (Cronbach’s alpha:. 64)
6	I feel happy when I am working intensely (a)^a.		.72
9	I am immersed in my work (a).		.60
Outcome variables
Job outcomes: (b) (Cronbach’s alpha: .32)^b
1	Job satisfaction (a).	.60	.64
2	Intention to stay in the hospital (a).	.39	.37
3	Intention to stay in nursing (a).	.28	.26
Nurse – assessed quality of care (b) (Cronbach’s alpha: .73)
1	At the current unit (a).	.88	.88
2	At the last shift (a).	.77	.77
3	In the hospital the last year (a).	.49	.49

^aSuperior fit indices were established by replacing one item of the absorption dimension. ^bJob outcomes’ Cronbach’s alpha coefficient was in our studies low. Inter-item correlations, an alternative measurement technique assessing internal consistency [13], for the indicators of the job outcome dimension ranged from fair to moderate with values between .15 and .21 [47]

ISSN: 1472-6955