Emotional Exhaustion and Professional Practice Environment: Analysis by Structural Equation Modeling

Tuesday, 23 July 2013: 10:45 AM

EdinÍis Guirardello, PhD
Nurse Department, State University of Campinas, Campinas, S„o Paulo, Brazil, Brazil
Marcia Raquel Panunto, RN
Nursing Department, Faculty of Medical Sciences, State University of Campinas, Campinas, Brazil

Learning Objective 1: To understand the relationship between the nurse work environments and nurse outcomes in the adult intensive care nurses in Brazil.

Learning Objective 2: To know that the multivariate analysis using the LISREL can be used evaluate the relationship between the nurse work environment and nurse outcomes.

Purpose: The aim of this cross-sectional quantitative study was to evaluate the professional practice environment of nurses and verify its relation with burnout, quality of care, job satisfaction, and intention to leave the job in the next twelve months.

Methods: The sample was composed of 129 adult intensive care nurses from 17 brazilian hospitals and, for the multivariate analysis, the LISREL (Linear Structure Relations) was used, through which was performed structural equation modeling (SEM) because it believes that it is able to measure, explain and predict the degree of relationship between the statistical variables by establishing causal relationships for each set of dependent variables.

Results: The path analysis showed that the characteristics of the practice environment influence job satisfaction, perception of quality of care and intention to leave the job, when mediated by emotional exhaustion. Nurses with little autonomy, low control over the work environment and poor relations with physicians revealed a higher level of emotional exhaustion, which can negatively influence their perception of quality of care, job satisfaction and intention to leave the job.

Conclusion: It is noteworthy that the mediating position of emotional exhaustion can negatively affect the care outcomes, there is therefore the need to adopt strategies that minimize this feeling in nursing.