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Work stress, burnout, occupational commitment, and social support among Chinese pediatric nurses: A moderated mediation model

  • Author Footnotes
    1 Both authors should be considered joint first author.
    Huiling Liao
    Footnotes
    1 Both authors should be considered joint first author.
    Affiliations
    Department of Pediatric Pulmonology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
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  • Author Footnotes
    1 Both authors should be considered joint first author.
    Ruiling Liang
    Footnotes
    1 Both authors should be considered joint first author.
    Affiliations
    School of Public Administration, Southwestern University of Finance and Economics, Chengdu, China
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  • Huan He
    Correspondence
    Corresponding author at: #555 Liutai Ave, Chengdu, Sichuan 611130, China.
    Affiliations
    School of Public Administration, Southwestern University of Finance and Economics, Chengdu, China
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  • Yuanyuan Huang
    Affiliations
    Department of Pediatric Pulmonology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
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  • Mei Liu
    Affiliations
    Department of Pediatric Pulmonology, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
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  • Author Footnotes
    1 Both authors should be considered joint first author.
Published:October 26, 2022DOI:https://doi.org/10.1016/j.pedn.2022.10.009

      Abstract

      Purpose

      Pediatric nurses are at high risk for burnout, resulting in unsatisfactory care quality. Although job resources like social support can prevent the development of burnout under work stress, the mediating role of personal resources like occupational commitment is not well studied. This study was to examine the mediating role of occupational commitment in the relationship between work stress and burnout, and test if the effect of work stress on occupational commitment varies at different levels of social support among pediatric nurses.

      Methods

      A cross-sectional survey was conducted to collect data of pediatric nurses from 6 hospitals in Chengdu, China. Multiple linear regressions and bias-corrected bootstrap confidence intervals were used to test the proposed model.

      Results

      In this sample of 488 pediatric nurses, work stress was significantly associated with emotional exhaustion (β = 0.278, p < 0.001), depersonalization (β = 0.112, p < 0.001), and personal accomplishment (β = −0.047, p < 0.05). Occupational commitment partly mediated the links of work stress and emotional exhaustion (β = 0.056, 95%CI: 0.034–0.082), and depersonalization (β = 0.026, 95%CI: 0.014–0.041), and fully mediated the relationship between work stress and personal accomplishment (β = −0.059, 95%CI: −0.080 ∼ −0.039). Social support significantly moderated the relationship between work stress and occupational commitment (β = 0.007, p < 0.01).

      Conclusion

      Among pediatric nurses, work stress has an indirect influence on burnout through occupational commitment, and such an effect is weakened when social support is high.

      Practice implications

      Nurse managers could consider developing interventions by promoting both occupational commitment and social support to prevent burnout of employees.

      Keywords

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