The nursing profession in South Africa currently faces a climate of uncertainty and change as governments struggle to contain healthcare while improving access, equity and health outcomes. These factors are placing an extra burden on people in a profession that is already encapsulated by an above-average risk environment for burnout and occupational stress. This research emerges from the need to enhance the work wellness of employees in an already burdened profession. Enhancement of work wellness depends on the successful diagnosis of burnout, work engagement and occupational stress. To be able to measure these constructs, it is important to use reliable and valid instruments, taking into account the cultural diversity in a multicultural setting such as South Africa. No validated instruments in this regard exist for the nursing profession in South Africa. Furthermore, little information is available regarding these constructs and the relationship between them, including sense of coherence and coping strategies. The general aim of this study was to validate the Maslach Burnout Inventory (MBI), the Utrecht Work Engagement Scale (UWES) and the Nursing Stress Indicator (NSI) for the nursing profession in South Africa; to analyse the differences between the levels of burnout and engagement of different biographical groups; to identify the major occupational stressors and to investigate the relationships between occupational stress, sense of coherence, coping, burnout and work engagement. A cross-sectional survey design was used, with stratified random samples (N = 818) taken of registered nurses in South Africa. The Maslach Burnout Inventory-Human Services Survey. the Utrecht Work Engagement Scale, the Nursing Stress Indicator, the Orientation to Life Questionnaire, the Coping Orientation for Problem Experienced Questionnaire, as well as a biographical questionnaire, was administered for the purpose of data collection. Cronbach alpha coefficients, exploratory factor analysis, Pearson product-moment correlations, multivariate analysis of variance (MANOVA), one-way analysis of variance (ANOVA), t-tests, descriptive statistics and multiple regression analysis were employed to analyse the data. Exploratory factor analysis with target rotations resulted in a three-factor model of burnout, consisting of exhaustion, depersonalisation and personal accomplishment, and a one-factor model of work engagement. The scales showed acceptable construct equivalence and internal consistencies for all three language groups, except for one item in the engagement scale, where a significant lower score was noticed for the African language speaking group. Practically significant differences were found in the burnout and engagement levels of registered nurses with regard to their age and rank, and in the case of work engagement, also regarding the years spent in nursing. T-tests revealed that burnout and engagement levels were influenced by the occurrence of a medical condition and a lack of specialised training, and in the case of burnout, also by longer working hours (full-time employment). Registered nurses reported significantly high levels of stress relating to staff shortage, inadequate salaries and excessive administrative duties. Lack of organisational support and job demands were the strongest predictors of burnout (emotional exhaustion and depersonalisation), together with a weak sense of coherence. Focus on and ventilation of emotions as a coping strategy was also related to emotional exhaustion. Low levels of burnout were found to be related to high levels of engagement. Multiple regression analysis revealed that occupational stress, a weak sense of coherence, approach coping, focus on and ventilation of emotions, and low seeking of emotional/social support predicted 33% of the variance in emotional exhaustion. Twenty-seven percent of the variance in depersonalisation was predicted by occupational stress, a weak sense of coherence, avoidance coping, focus on and ventilation of emotions, and a low turning to religion. Occupational stress because of job demands, a weak sense of coherence, approach coping strategies, focus on and ventilation of emotion, in the absence of avoidance as a coping strategy, predicted 17% of the variance in personal accomplishment, while low levels of occupational stress because of job demands, a weak sense of coherence, and approach coping strategies predicted 24% of the variance in engagement. Recommendations for future research were made. / Thesis (Ph.D. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.

This study sought to investigate employee burnout within a post-disaster context by exploring teachers’ burnout perceptions and workplace attitudes in the aftermath of the 2010-2011 Christchurch earthquakes. The study hypothesised that burnout dimensions (emotional exhaustion and cynicism) would be related with the extent to which individuals and schools were impacted by the earthquakes, and with the quality of school support for staff and students (i.e., personal disaster impact, school disaster impact and school responsiveness to the disaster), with perceptions of role conflict and role overload, and with turnover intentions. Additionally, a Teacher Burnout Model was proposed whereby emotional exhaustion and cynicism were hypothesised to mediate the relationships between the independent variables (i.e., the disaster-related and role-related variables) and turnover intentions. 125 primary, intermediate and secondary school teachers from the city of Christchurch completed an online survey. Results revealed that high role overload, high role conflict, high school disaster impact, and schools’ ineffective disaster coping responses, were associated with increased levels of emotional exhaustion and cynicism. Although greater impact of earthquakes on teachers’ personal lives was related to higher levels of emotional exhaustion, results revealed a non-significant relationship between personal disaster impact and cynicism. In the Teacher Burnout Model, the relationships between both role stress variables and turnover intentions were mediated by perceptions of emotional exhaustion. This study contributes novel findings to the burnout literature, and provides implications for schools and organisations operating within a disaster context.

This study concerned assessments of attitudes towards demented patients among students and nursing staff as well as attitudes towards active euthanasia, wish to transfer to other jobs, ability of empathy and experience of burnout among nursing staff. The study aimed also to relate experience of burnout to attitudes towards demented patients, ability of empathy and experience of work with demented patients. The study was performed by use of questionnaires, scales measuring attitudes towards demented patients, experience of burnout and ability of empathy. Tape-recorded interviews were also included aiming to explore the staffs experience at work. The results showed that a majority of the students and staff held positive attitudes towards demented patients. A small proportion intended to work solely with demented patients. Staff working in psychogeriatric care and somatic long-term care held more positive attitudes than staff working in acute medical care. Proportions of staff with positive attitudes varied depending on age, duration of employment, education and place of work. A larger proportion of staff in geriatric care than in acute care reported a wish to transfer to another job. LPN’s in nursing homes to the largest proportion stated this wish to transfer. A majority of both students and staff expressed negative attitudes towards active euthanasia to severely demented patients in the finale stage of life. However, most favourable attitudes towards active euthanasia were found among students with shorter health care education and among nurse's aides and LPN’s. The staffs empathy was judged as moderately high and there were no differences found in relation to sex, staff category or place of work. Experience of burnout /tedium varied with the place of work and category of staff. Largest proportions at risk to develop burnout were found among those working in somatic long-term care and psychogeriatric care. RN’s showed lower burnout scores than nurse's aides and LPN’s. Experience of burnout was correlated to attitudes towards demented patients, indicating that the lower burnout score the staff have the more positive are the attitudes. Burnout was also related to the staffs ability of empathy i.e. the lower degree of burnout the higher is the empathie ability. Regression analysis showed that "Experience of feed-back at work” and "Time spent at present place of work" were the most important factors for the staffs experience of burnout. / <p>Diss. (sammanfattning) Umeå : Umeå universitet, 1990, härtill 7 uppsatser.</p> / digitalisering@umu

Occupational stress of nurses has been widely researched, for example in specific health care units - intensive care, specific conditions - cancer. Personal characteristics like emotional involvement and depersonalisation of patients are also suggested as stressors for nurses. In South Africa the Department of Health has made a number of changes since 1994. One of the changes involved the restructuring of the different departments to unify the fragmented health services. No comparison study was found for professional and enrolled nurses. The objectives of this study were to determine the construct validity and internal consistency of the Nursing Stress Indicator (NSI) and to identify differences between occupational stressors of professional and enrolled nurses. A cross-sectional survey design was used. An random sample of professional nurses (N = 980) and enrolled (N = 800) nurses of seven of the nine provinces of South Africa were used. The NSI was developed as measuring instrument and administrated together with a biographical questionnaire. Descriptive statistics and inferential statistics were used to analyse the data. Five internally consistent factors were extracted. The first factor was labelled Stress: Patient Care. It relates to stress because of the care nursing staff provide to patients. The second factor was labelled Stress: Job Demands, and refer to the demands associated with the work of the nurse. The third factor indicated a lack of support in the organisation as well as from supervisors and colleagues, and was labelled Stress: Lack of Support. The fourth factor was labelled Stress: Staff Issues, because it included item loadings on things like shortage of staff, and fellow workers not doing their job. The fifth factor contains items concerning working hours, especially overtime, and was labelled Stress: Overtime. The results indicated that a difference in stress levels exists between professional and enrolled nurses. Professional nurses' severity for the different stressors are higher on all five the extracted factors than those of the enrolled nurses. The sources of occupational stress for professional and enrolled nurses were almost the same. One source of stress for professional nurses that the enrolled nurses did not experience is management of staff. Professional nurses (compared with enrolled nurses) obtained practically significant higher scores on two stressors, namely stress because of making a mistake when treating a patient and stress because of disagreement with medical practitioners or colleagues concerning the treatment of a patient. Recommendations for future research were made. / Thesis (M.A. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2004.

It is important to have a productive and healthy police service in South Africa and to research suicide ideation and burnout. The objectives of this research were to determine the relationship between suicide ideation, work stress and coping; to determine if work stress and coping can be used to predict suicide ideation; to determine the casual factors of suicide ideation; to determine if t he Maslach Burnout Inventory - General Survey (MBI-GS) is a valid and reliable instrument to measure burnout; to determine the relationship between work stress and burnout and to determine if coping strategies can moderate or mediate the relationship between work stress an burnout. A cross-sectional survey design was used. A random sample (n = 340) was taken from police stations in the Western Cape. The Adult Suicide Ideation Questionnaire (ASIQ), MBI-GS, Police Stress Inventory (PSI), COPE questionnaire and a biographical questionnaire were administered. The results showed that job stress can indeed cause suicide ideation, but that an individual's coping response is a critical component in the determining of the impact of a stressor. Suicide ideation correlates statistically significant with job demands and a lack of resources, and job stress and coping can be used to predict suicide ideation in the SAPS. Avoidance, alcohol misuse, the presence of a medical condition, a previous suicide attempt, and rank are variants which could predict suicide ideation in the SAPS. The MBI-GS is a reliable and valid measuring instrument. Job stress leads to higher levels of exhaustion, which in turn leads to higher levels o f cynicism and lower levels of professional efficacy. Coping strategies c an moderate or mediate the relationship between job stress and burnout. Recommendations for the prevention and management of suicide ideation and burnout have been made, as well as recommendations with regard to future research on suicide ideation and burnout in the SAPS in the Western Cape. / Thesis (M.A. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2004.

Not much research regarding burnout amongst clergy in South Africa has been done. Recently a shift in the direction of positive psychology or salutogenesis took place and which highlighted two relatively new constructs, namely sense of coherence and engagement. Previous research in the "Nederduitse Gereformeerde Kerk" (NG Church) found a correlation between sense of coherence and burnout. In the "Nederduitsch Hervormde Kerk van Afrika" (NH Church) however, no research regarding burnout within a salutogenic paradigm was ever done. The general objective of this research was to determine the levels and relationship of sense of coherence, coping, burnout and engagement amongst ministers of the NH Church. A cross-sectional research design was used. The Orientation to Life Questionnaire (OLQ), COPE-Questionnaire (COPE), Maslach Burnout Inventory-Human Services Survey (MBI-HSS) and the Utrecht Work Engagement Scale (UWES) were used as measuring instruments on a stratified random (proportional) sample (n = 200) of ministers of the NH Church and from which 87 useable responses were received. Structural equation modelling was applied on the MBI-HSS to confirm a three-factor model with best fit. Cronbach alpha coefficients, inter-item correlation coefficients and factor analysis were used to determine the reliability and validity of the measuring instruments. Descriptive statistics, Pearson-product correlation coefficients, canonical correlation coefficients, and analysis of variance were used to analyse the data. The results showed that high levels of sense of coherence, approach coping and high levels of engagement are related to low levels of burnout, while venting of emotions are related to high levels of burnout. It was also found that sense of coherence and coping predicted emotional exhaustion, depersonalisation and personal accomplishment. Furthermore, it was found that levels of emotional exhaustion for ministers in the age group 25-29, were consistently lower than that of any other age group in the sample, while levels for the age group 50-65 were also lower than that for ministers in the age groups 30-39 and 40-49, but still higher than levels for age group 25-29. Limitations of the study and recommendations regarding the organisation and future research were indicated. / Thesis (MA (Industrial Psychology))--North-West University, Potchefstroom Campus, 2004.

The recent worldwide shift in focus from goods production to service provision in Western countries has resulted in the expansion of the service sector. The front-line worker has become a central figure in the new workplace, forming an important link between the company and the customer. The nature of the interaction between customer service staff and clients influences the perceived quality of service rendered by the company. Call centre work requires a high degree of personal contact with the public and the performance of emotional labour. Previous research found emotional labour to be a significant predictor of burnout. Given the above scenario, the lack of empirical research that systematically investigates burnout in a customer services environment in South Africa is a source of concern. The objectives of this study were to determine the construct validity and internal consistency of the Maslach Burnout Inventory - General Survey (MBI-GS) (Schaufeli, Leiter, Maslach & Jackson, 1996) in a customer services environment, and to compare the relationship of burnout with various demographic characteristics. A cross-sectional survey design was used. The study population consisted of an accidental sample of customer services personnel (N = 228). The Maslach Burnout Inventory - General Survey (MBI-GS) was used to determine the level of burnout in the participants. A biographical questionnaire was used to gather additional information. Structural equation modelling (SEM) methods as implemented by AMOS were used to test the factorial model for the MBI-GS. Cronbach alpha coefficients and inter-item correlation coefficients were used to assess the internal consistency and construct validity of the MBI-GS. Descriptive statistics were used to analyse the data. T-tests and one-way analysis of variance (ANOVA) were used to determine differences between the sub-groups in the sample. Tukey tests were done to indicate which groups differed significantly when ANOVAS were done. The results confirmed a three-factor model of burnout, consisting of Exhaustion, Cynicism and Professional Efficacy. All three factors showed acceptable internal consistencies. The results also showed that customer service staff who measured high on exhaustion and cynicism (compared with those who measured low) experienced less job satisfaction. / Thesis (M.A. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2004.

The global shortage of registered nursing practitioners is widely reported in the literature. This shortage can be attributed to a decrease in enrolments for nursing studies, fewer students graduating from nursing education programmes, more nurses leaving the profession shortly after completion of their studies, and other factors. Burnout amongst registered nurses may contribute to the above and can also serve as an indication of the reason these shortages in the nursing profession occur. The South African National Defence Force (SANDF) is also affected by the shortage of registered nurses. This shortage is increased by the involvement of the SANDF in peacekeeping missions outside South Africa. A need therefore exists for sufficient numbers of registered nursing personnel to qualify from the South African Military Health Services (SAMHS) Nursing College. In order to increase the number of students qualifying from this college and, to retain them after qualifying, research is needed regarding the occurrence of non-completion of studies at the college and the tendency to leave the SANDF shortly after qualifying. The objective of this study was to identify possible stressors (job demands and/or job resources) in the military nursing-student environment, to investigate their effects on students (burnout or engagement), and to assess whether it has any influence on their academic performance. A cross-sectional survey design was used. A sample of 167 nursing students (completing the four-year integrated nursing diploma) at second, third and fourth-year levels was obtained. The Clinical Environmental Characteristics Scale (CECS), developed by the authors, and the Wellness Survey (WS), together with a biographical questionnaire, were administered. The Wellness Survey (WS) include scales from three inventories, namely the Maslach Burnout Inventory - General Survey (MBI-GS - Maslach, Jackson & Leiter, 1996), Cognitive vii Weariness Scale (CWS - Van Horn, Taris, Schaufeli & Schreurs, in press) and Utrecht Work Engagement Scale (UWES - Shaufeli, Salanova, Gonzalez-Romh, & Bakker, 2002). Descriptive statistics, exploratory and confirmatory factor analysis, Pearson correlations and structural equation modelling were used to analyse the results. The results showed that job demands (consisting of overload, organisational influences and work-life balance) had a strong relationship with burnout (consisting of exhaustion, cynicism and cognitive weariness). A negative relationship was found between burnout and academic performance. Job resources (consisting of social support, growth and advancement, contact with others and organisational support) had a strong relationship with work engagement (consisting of vigour and dedication) and a significant negative relationship with performance (academic results). A negative relationship was also shown to exist between work engagement and academic performance. Recommendations for future research are made. / Thesis (M.A. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.

Employees in South African organisations are faced with increasing work pressures as economic and business factors (such as globalisation) lead to extensive restructuring, cost cutting and initiatives to continuously improve organisational processes. These conditions are conducive to the occurrence of burnout in the South African private sector. Burnout has been extensively researched in areas such as health services and law enforcement, however, the subject has received less focus in the private sector. Given the negative impact of burnout on employees and organisations, it becomes valuable to study burnout in this context. The aim of this study was to investigate the relationship between job demands, job resources, cognition and burnout. A cross-sectional survey design was used. Stratified random samples (N = 80) were taken from employees at a South African metals manufacturing company. The Maslach Burnout Inventory (MBI), Cognitive Flexibility Scale (CFS) and Job Demands-Resources Scale (JDRS) were administered. The reliability of the measuring instruments was assessed with the use of Cronbach alpha coefficients. Descriptive statistics (e.g., means and standard deviations) were used to analyse the data. Pearson correlations and multiple regression analyses were used to assess the relationships between job demands, job resources, burnout and cognition. The correlation coefficients indicated that cynicism is negatively related to growth opportunities and organisational support. Professional efficacy was positively related to organisational support, growth opportunities, advancement and cognitive flexibility. Multiple regression analysis showed that job demands, job resources, and cognitive flexibility predicted 18% of the variance in the exhaustion of employees. Job demands, job resources, and cognitive flexibility predicted 28% of cynicism and 44% of the variance in professional efficacy. Recommendations for future research were made. / Thesis (M.Com. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.

The nursing profession in South Africa currently faces a climate of uncertainty and change as governments struggle to contain healthcare while improving access, equity and health outcomes. These factors are placing an extra burden on people in a profession that is already encapsulated by an above-average risk environment for burnout and occupational stress. This research emerges from the need to enhance the work wellness of employees in an already burdened profession. Enhancement of work wellness depends on the successful diagnosis of burnout, work engagement and occupational stress. To be able to measure these constructs, it is important to use reliable and valid instruments, taking into account the cultural diversity in a multicultural setting such as South Africa. No validated instruments in this regard exist for the nursing profession in South Africa. Furthermore, little information is available regarding these constructs and the relationship between them, including sense of coherence and coping strategies. The general aim of this study was to validate the Maslach Burnout Inventory (MBI), the Utrecht Work Engagement Scale (UWES) and the Nursing Stress Indicator (NSI) for the nursing profession in South Africa; to analyse the differences between the levels of burnout and engagement of different biographical groups; to identify the major occupational stressors and to investigate the relationships between occupational stress, sense of coherence, coping, burnout and work engagement. A cross-sectional survey design was used, with stratified random samples (N = 818) taken of registered nurses in South Africa. The Maslach Burnout Inventory-Human Services Survey. the Utrecht Work Engagement Scale, the Nursing Stress Indicator, the Orientation to Life Questionnaire, the Coping Orientation for Problem Experienced Questionnaire, as well as a biographical questionnaire, was administered for the purpose of data collection. Cronbach alpha coefficients, exploratory factor analysis, Pearson product-moment correlations, multivariate analysis of variance (MANOVA), one-way analysis of variance (ANOVA), t-tests, descriptive statistics and multiple regression analysis were employed to analyse the data. Exploratory factor analysis with target rotations resulted in a three-factor model of burnout, consisting of exhaustion, depersonalisation and personal accomplishment, and a one-factor model of work engagement. The scales showed acceptable construct equivalence and internal consistencies for all three language groups, except for one item in the engagement scale, where a significant lower score was noticed for the African language speaking group. Practically significant differences were found in the burnout and engagement levels of registered nurses with regard to their age and rank, and in the case of work engagement, also regarding the years spent in nursing. T-tests revealed that burnout and engagement levels were influenced by the occurrence of a medical condition and a lack of specialised training, and in the case of burnout, also by longer working hours (full-time employment). Registered nurses reported significantly high levels of stress relating to staff shortage, inadequate salaries and excessive administrative duties. Lack of organisational support and job demands were the strongest predictors of burnout (emotional exhaustion and depersonalisation), together with a weak sense of coherence. Focus on and ventilation of emotions as a coping strategy was also related to emotional exhaustion. Low levels of burnout were found to be related to high levels of engagement. Multiple regression analysis revealed that occupational stress, a weak sense of coherence, approach coping, focus on and ventilation of emotions, and low seeking of emotional/social support predicted 33% of the variance in emotional exhaustion. Twenty-seven percent of the variance in depersonalisation was predicted by occupational stress, a weak sense of coherence, avoidance coping, focus on and ventilation of emotions, and a low turning to religion. Occupational stress because of job demands, a weak sense of coherence, approach coping strategies, focus on and ventilation of emotion, in the absence of avoidance as a coping strategy, predicted 17% of the variance in personal accomplishment, while low levels of occupational stress because of job demands, a weak sense of coherence, and approach coping strategies predicted 24% of the variance in engagement. Recommendations for future research were made. / Thesis (Ph.D. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2006.