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Title: Burnout onder Beginnende Nederlandse Verpleegkundigen: een Vergelijking van Theoretische Modellen door middel van een Item Response Benadering.
Other Titles: Early Career Burnout Among Dutch Nurses: Comparing Theoretical Models Using an Item Response Approach.
Authors: de Vos, Jan Alexander
Keywords: Burnout
Early career
Item Response
Rasch measurement
Issue Date: 19-Apr-2013
Publisher: Open Universiteit Nederland
Abstract: The subject of this thesis is a research of the relationships among the components of early career burnout. Earlier work from Gustavsson and associates showed that early career burnout among Swedish nurses can be operationalized as a one-dimensional sequential-developmental model. In this work two main dimensions are ordered sequentially, emotional exhaustion and depersonalization. Initial exhaustion develops, due to cynicism and disengagement (depersonalization) into severe exhaustion, i.e. burnout. There is no earlier research that investigated the role of personal accomplishment in early career burnout among nurses, while personal accomplishment is generally stated as an important component of burnout. This study aims to investigate the process of burnout among Dutch nursing graduates and alumni by examining two sequential-developmental models. The model as tested by Gustavsson and associates and a model which includes personal accomplishment as a dimension of burnout. A sample of 237 respondents were recruited from a population of Dutch early career nurses, 209 women and 28 men, who had 0,5 to 3 years of working experience after graduation. The average age was 24 years with a range of 17 to 58 years. The sample was recruited by collaboration with two schools of higher education and a magazine for registered nurses and students. The design was a cross-sectional research. The hypothesis will be tested using an item response approach. Data was analyzed using a Rasch rating scale measurement model. A questionnaire was given to measure background characteristics, burnout and engagement. Burnout was measured with the Dutch version of the Maslach Burnout Inventory, the Utrechtse Burnout Schaal, version C (UBOS, Schaufeli & van Dierendonck, 2000); engagement was measured with the Utrecht Work Engagement Scale (UBES, Schaufeli & Bakker, 2003). Rasch analysis showed that the data adhered well to a sequential-developmental model with two burnout dimensions, emotional exhaustion and depersonalization. The data did not adhere to a sequential-developmental model with three dimensions, i.e. personal accomplishment as a third dimension. Burnout among early career nurses may be operationalized as a process that starts with fatigue as a result of strain and ends with severe exhaustion and depersonalization towards patients. No evidence was found for personal accomplishment as a dimension of early career burnout among nurses. This confirms the results of earlier work of Gustavsson and associates on early career burnout among nurses. This report concludes with recommendations for further research.
Appears in Collections:MSc Psychology

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