Pathways among the nursing practice environment, job burnout, and job satisfaction to intention to leave: a cross-sectional study conducted in Taiwan.

OBJECTIVE: The purpose of this study was to explore the pathways among the practice environment, job burnout, and job satisfaction and their relationships with the intention to leave among clinical nurses. METHOD: A cross-sectional survey was administered to 310 nursing staff members working in regional teaching hospitals in southern Taiwan. The instruments used included the practice environment, job satisfaction, job burnout, and sociodemographic characteristics questionnaires. RESULTS: Structural equation modeling indicated that job satisfaction (ß = -0.167) and job burnout (ß = 0.361) were significantly and directly associated with the intention to leave, whereas the practice environment was significantly and directly associated with job satisfaction (ß = 0.447). The practice environment (ßindirect = -0.075) and job burnout (ßindirect = 0.060) were significantly and indirectly associated with the intention to leave through job satisfaction. CONCLUSION: Job burnout and job satisfaction are directly associated with the intention to leave. Therefore, improving the practice environment and subsequent job burnout could be strategies to improve job satisfaction and decrease the intention to leave.

Pathways among the nursing practice environment, job burnout, and job satisfaction to intention to leave: a cross-sectional study conducted in Taiwan / Caminhos entre o ambiente de prática de enfermagem, esgotamento profissional e satisfação no trabalho até a intenção de sair: um estudo transversal realizado em Taiwan / Impacto de las prácticas de enfermería, agotamiento laboral y satisfacción laboral en la disposición a dejar el trabajo: un estudio transversal realizado en Taiwán

ABSTRACT Objective: The purpose of this study was to explore the pathways among the practice environment, job burnout, and job satisfaction and their relationships with the intention to leave among clinical nurses. Method: A cross-sectional survey was administered to 310 nursing staff members working in regional teaching hospitals in southern Taiwan. The instruments used included the practice environment, job satisfaction, job burnout, and sociodemographic characteristics questionnaires. Results: Structural equation modeling indicated that job satisfaction (β = -0.167) and job burnout (β = 0.361) were significantly and directly associated with the intention to leave, whereas the practice environment was significantly and directly associated with job satisfaction (β = 0.447). The practice environment (βindirect = -0.075) and job burnout (βindirect = 0.060) were significantly and indirectly associated with the intention to leave through job satisfaction. Conclusion: Job burnout and job satisfaction are directly associated with the intention to leave. Therefore, improving the practice environment and subsequent job burnout could be strategies to improve job satisfaction and decrease the intention to leave.

RESUMO Objetivo: O objetivo deste estudo foi explorar os caminhos entre o ambiente de prática, o esgotamento profissional e a satisfação no trabalho e suas relações com a intenção de sair entre enfermeiros clínicos. Método: Foi realizado um estudo transversal com 310 funcionários de enfermagem que trabalham em hospitais universitários regionais no sul de Taiwan. Os instrumentos utilizados incluíram questionários de ambiente de prática, satisfação no trabalho, esgotamento profissional e características sociodemográficas. Resultados: A modelagem de equações estruturais indicou que a satisfação no trabalho (β = -0,167) e o esgotamento profissional (β = 0,361) estavam significativa e diretamente associados à intenção de sair, enquanto o ambiente de prática estava significativa e diretamente associado à satisfação no trabalho (β = 0,447). O ambiente de prática (βindireto = -0,075) e o esgotamento profissional (βindireto = 0,060) estiveram significativa e indiretamente associados à intenção de sair por meio da satisfação no trabalho. Conclusão: O esgotamento profissional e a satisfação profissional estão diretamente associados à intenção de sair. Portanto, a melhoria do ambiente de prática e o subsequente esgotamento profissional poderiam ser estratégias para melhorar a satisfação no trabalho e diminuir a intenção de sair.

RESUMEN Objetivo: Para explorar la relación entre el entorno de práctica de las enfermeras clínicas, el agotamiento del trabajo, la satisfacción laboral y su relación con la tendencia a dejar el trabajo. Métodos: Se realizó una encuesta transversal de 310 enfermeros en hospitales de enseñanza en el sur de Taiwán. Las herramientas utilizadas incluyeron el entorno de la práctica, la satisfacción laboral, el agotamiento laboral y el cuestionario de características sociodemográficas. Resultados: El modelo de ecuaciones estructurales mostró que la satisfacción en el trabajo (β = -0.167) y el agotamiento en el trabajo (β = 0.361) se correlacionaron significativamente directamente con la tendencia a la separación del trabajo, mientras que el entorno de la pasantía se correlacionó significativamente directamente con la satisfacción en el trabajo (β = 0.447). El entorno de práctica (β-indirect = -0.075) y el agotamiento en el trabajo (β-indirect = 0.060) se correlacionaron significativamente e indirectamente con la intención de separación por satisfacción laboral. Conclusión: El agotamiento del trabajo y la satisfacción laboral están directamente relacionados con la tendencia a abandonar el trabajo. Por lo tanto, mejorar el entorno de pasantías y el agotamiento laboral resultante puede ser una estrategia para aumentar la satisfacción laboral y disminuir la tendencia a dejar el trabajo.

Lack of effects of oral probiotics on growth and neurodevelopmental outcomes in preterm very low birth weight infants.

OBJECTIVE: To evaluate growth and neurodevelopmental outcomes in preterm very low birth weight (PVLBW) infants treated with oral probiotics for the prevention of necrotizing enterocolitis (NEC). STUDY DESIGN: A prospective follow-up study was performed in a cohort of PVLBW infants enrolled in a single center with a masked randomized control trial to evaluate the efficacy of oral probiotics in preventing NEC. Growth measures included weight, length, and head circumference. Neurologic and sensory performance was evaluated with standard techniques. Psychometric parameters were measured used the Bayley Scales of Infant Development II (BSID-II). The studies were performed at 3 years corrected age. The primary outcome was death or neurodevelopmental impairment. RESULTS: Of the 367 subjects enrolled in trial, 301 (89.9%) were evaluated (153 in the probiotics group and 148 in the control group). There were no significant differences in growth or in any of the neurodevelopmental and sensory outcomes between the 2 groups. CONCLUSIONS: Oral probiotics given to PVLBW infants at 1 week after birth to reduce the incidence of NEC did not affect growth and neurodevelopmental and sensory outcomes at 3 years corrected age.