The role of assertiveness, personal control, and participation in the prediction of nurse Burnout

Abstract

The research reported here considered a critical problem facing today's hospital: burnout and commitment of nurses. A review of the literature revealed that nurse communication, particularly participation or collaboration in patient care decisions, had rarely been considered in models of nurse commitment. A model was proposed in which nurse participation and assertiveness were key predictors of emotional exhaustion, commitment and intent to remain, and the theoretical construct of personal control was used as a moderating variable in predicting these outcomes. The model was tested on a sample of nurses from a large hospital Results were generally supportive of the proposed model. Implications of the model for theory were discussed in terms of the role of personal control and the importance of nurse assertiveness, and applications for nurse and physician training were considered.