The influence of burnout on the organizational commitment of healthcare professionals
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Abstract
This article analyzes the influence of burnout syndrome on healthcare professionals’organizational commitment. The extant literature debates the conceptual independence of burnout and organizational commitment. This study contributes to the debate by empirically validating the independence of the two constructs and analyzing the relationship between burnout and three different dimensions of organizational commitment. The analyzed population was formed by doctors and nurses working directly with patients and their families from organizations located in Montes Claros, in the Brazilian state of Minas Gerais. Data was collected using an adapted Maslach Burnout Inventory (MBI) scale (Maslach & Jackson, 1987) and the organizational commitment scale (Meyer et al., 1993), and analyzed using variance-based structural equation modeling. The results suggest that burnout and organizational commitment are independent constructs. Also, it was observed that burnout syndrome negatively affects the employee’s affective and calculative commitment to the organization, whereas there was no evidence of a negative relationship between burnout and normative commitment. Implications for theory development and organizational practice are discussed.
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References
Alikhani, R., Salimi, A., Hormati, A., & Aminnejad, R. (2020). Mental health advice for frontline health care providers caring for patients with COVID-19. Canadian Journal of Anesthesia, 67, pages 1068–1069. https://doi.org/10.1007/s12630-020-01650-3
Almeida, M. H. R. G. (2012). Stress, burnout and coping: Um estudo realizado com psicólogos algarvios. Revista de Administração Faces Journal, 11(2), 131-155. https://doi.org/10.21714/1984-6975FACES2012V11N2ART1217
Anderson, J. C., & Gerbing, D. W. (1988). Structural equation modeling in practice: A review and recommended two-step approach. Psychological Bulletin, 103(3), 411-423. https://doi.org/10.1037/0033-2909.103.3.411
Andrade, T. D., Hoch, R. E. E., Vieira, K. M., & Rodrigues, C. M. C. (2012). Síndrome de Burnout e suporte social no trabalho: A percepção dos profissionais de enfermagem de hospitais públicos e privados. Organizações & Sociedade, 19, 231-251. https://doi.org/10.1590/S1984-92302012000200004
Barbosa, R. M. De S. A., & Guimarães, T. De A. (2005). Síndrome de Burnout: Relações com comprometimento afetivo entre gestores de organização estatal. Revista de Administração Mackenzie, 6(1), 157-179. https://doi.org/10.1590/1678-69712005/administracao.v6n1p158-179
l
Barthauer, L., Kaucher, P., Spurk, D., & Kauffeld, S. (2019) Burnout and career (UN) sustainability: Looking into the Black Box of burnout triggered career turnover intentions. Journal of Vocational Behavior, 117, 1-15. https://doi.org/10.1016/j.jvb.2019.103334
Burke, R. J., & Fiksenbaum, L. (2009). Work hours, work intensity: Risks and rewards. In The Oxford handbook of organizational well being 1ed. (pp. 267-299). Oxford University Press.
Chin, W. W. (2010). How to write up and report PLS analyses. Pp. 655-690 in Esposito, Vinzi V.; Chin, W. W.; Henseler, J.; & Wang, H., eds., Handbook of partial least squares: Concepts, methods, and applications. NY: Springer. Series: Springer Handbook of Computational Studies.
Cole, M. S., Walter, F., Beading, A. G., & O’Boyle, E. H. (2012). Job burnout and employee engagement a meta-analytic examination of constructing proliferation. Journal of Management, 38(5), 1550-1581. https://doi.org/10.1177/0149206311415252
Doargajudhur, M. S., & Dell, P. (2019). Impact of BYOD on organizational commitment: An empirical investigation. Information Technology & People, 32(2), 246-268. https://doi.org/10.1108/ITP-11-2017-0378
Drager, L., Pachito, D., Moreno, C., Tavares, A., Conway, S. G., Assis, M., & Genta, P. R. (2020). Sleep disturbances, anxiety, and burnout during the COVID-19 Pandemic: A nationwide cross-sectional study in Brazilian Healthcare Professionals. MedRxiv. 1-28 https://doi.org/10.1101/2020.09.08.20190603
Enginyurt, O., Cankaya, S., Aksay, K., Tunc, T., Koc, B., Bas, O., & Ozer, E. (2016). Relationship between organisational commitment and burnout syndrome: A canonical correlation approach. Aust Health Rev., 40(2), 181-187. https://doi.org/10.1007/s12630-020-01650-3
Falce, J. L. La, Giacomin, R., Chaves, T. A., & Muylder, C. F. De. (2019). Comprometimento organizacional: Estudo comparativo entre duas organizações de ensino e pesquisa. Gestão e Planejamento, 20, 362-381. https://doi.org/10.1007/10.21714/2178-8030gep.v20.4767
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39. https://doi.org/10.2307/3151312
Gemlik, N., Ayanoǧlu-Şişman, F., & Sigri, U. (2010). The relationship between burnout and organizational commitment among health sector staff in Turkey. Journal of Global Strategic Management, 4(2), 137-150. https://doi.org/10.20460/JGSM.2010415831
Gerbing, D. W., & Anderson, J. C. (1988). An updated paradigm for scale development incorporating unidimensionality and its assessment. Journal of Marketing Research, 25(2), 186. https://doi.org/10.2307/3172650
Guido, L. A., Silva, R. M., Goulart, C. T., Bolzan, M. E. O., & Lopes, L. F. D. (2012). Síndrome de Burnout em residentes multiprofissionais de uma universidade pública. Revista da Escola de Enfermagem da USP, 46 (6),1477-1483. https://doi.org/10.1590/S0080-62342012000600027
Hackett, G. (1981). Survey research methods. Journal of Counseling & Development, 59(9), 599-604. https://doi.org/10.1037/0022-0167.40.2.238
Hair, J. F. J., Hult, G. T. M., & Ringle. (2014). A primer on Partial Least Squares Structural Equation Modeling (PLS-SEM) (Vol. 46). Sage Publications.
Hollet-Haudebert, S., Mulki, J. P., & Fornier, C. (2011). Neglected burnout dimensions: Effect of depersonalization and personal nonaccomplishment on organizational commitment of salespeople. Journal of Personal Selling and Sales Management, 31(4), 411-428. https://doi.org/10.2753/PSS0885-3134310404
Joshi, G., & Sharma, G. (2020). Burnout: A risk factor amongst mental health professionals during COVID-19. Asian journal of psychiatry, 54, 1-3. https://doi.org/10.1016/j.ajp.2020.102300
Kalliath, T. J., O’Driscoll, M. P., & Gillespie, D. F. (1998). The relationship between burnout and organisational commitment in two samples of health professionals. Work & Stress, 12(2), 179-185. https://doi.org/10.1080/02678379808256858
Kline, R. B. (2005). Principles and practice of Structural Equation Modeling (2nd ed.). The Guilford Press.
Maricutoiu, L. P., Sale, C., & Iancu, A. (2017). Work engagement or Burnout: Which comes first? A meta-analysis of longitudinal evidence. Burnout Research, 5, 35-43. http://dx.doi.org/10.1016/j.burn.2017.05.001
Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2, 99-113. https://doi.org/10.1002/job.4030020205
Maslach, C., & Jackson, S. (1987) Burnout research in the social services: A critique. Special issues: Burnout among social workers. Journal of Social Service Research, 10(1), 95-105. http://dx.doi.org/10.1300/J079v10n01_09
Maslach, C., Jackson, S. E., & Leiter, M. P. (1996). The Maslach burnout inventory manual (3rd ed.). Consulting Psychology Press.
Maslach, C., Leiter, M. P., & Schaufeli, W. (2009). Measuring burnout. The Oxford handbook of organizational well being (pp. 86-132). Oxford University Press.
Matsuo, T., Kobayashi, D., Taki, F., Sakamoto, F., Uehara, Y., Mori, N., & Fukui, T. (2020). Prevalence of health care worker burnout during the coronavirus disease 2019 (COVID-19) pandemic in Japan. JAMA Network Open, 3(8), e2017271-e2017271.
Meyer, J. P. (2015). Organizational commitment. Organizational commitment. In Human Resource Management, 3rd ed. vol. 5 of the Wiley Encyclopedia of Management. Edited by D. E. Guest and D. Needle. Chichester: Wiley, pp. 199–201.
Meyer, J. P. (2016). Handbook of employee commitment. Edward Elgar Publishing.
Meyer, J. P., & Allen, N. J. (1991). A three-component concept of organizational commitment. Human Resource Management Review, 1, 64-98. https://doi.org/10.1016/1053-4822(91)90011-Z
Meyer, J. P., & Allen, N. J. (1997). Commitment in the workplace: Theory, research, and application. Sage Publications.
Meyer, J. P., Allen, N. J., & Smith, C. A. (1993). Commitment to organizations and occupations: Extension and test of a three-component conceptual. The Journal of Applied Psychology, 78, 538-551. https://doi.org/10.1037/0021-9010.78.4.538
Meyer, J. P., Becker, T. E., & Vandenberghe, C. (2004). Employee commitment and motivation: A conceptual analysis and integrative model. The Journal of Applied Psychology, 89, 991-1007.
Meyer, J. P., & Maltin, E. R. (2010). Employee commitment and well-being: A critical review, theoretical framework, and research agenda. Journal of Vocational Behavior, 77, 323-337. https://doi.org/10.1016/j.jvb.2010.04.007
Meyer, J. P., Stanley, L. J., & Parfyonova, N. M. (2012). Employee commitment in context: The nature and implication of commitment profiles. Journal of Vocational Behavior, 80(1), 1-16. https://doi.org/10.1016/j.jvb.2011.07.002
Mills, M. J., & Fullagar, C. J. (2017). Engagement within occupational trainees: Individual difference predictors and commitment outcome. Journal of Vocational Behavior, 98, 35-45. https://doi.org/10.1016/j.jvb.2016.09.004
Monteiro, J. K., & Carlotto, M. S. (2014). Preditores da Síndrome de Burnout em Trabalhadores da Saúde no Contexto Hospitalar. Interação Psicológica, Curitiba, Vol. 18, No. 3, 287-295. http://dx.doi.org/10.5380/psi.v18i3.28024
Mowday, R. T., Porter, L. W., & Steers, R. M. (1979). The measurement of organizational commitment. Journal of Vocational Behavior, 14, 224-247. https://doi.org/10.1016/0001-8791(79)90072-1
Netemeyer, R. G., Bearden, W. O., & Sharma, S. (2003). Scaling procedures: Issues and applications. Sage Publications.
Nunnally, J. C., & Bernstein, I. H. (1994). Psychometric theory (3rd ed.). McGraw Hill.
Podsakoff, P. M., MacKenzie, S. B., Lee, J. Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879-903. https://doi.org/10.1037/0021-9010.88.5.879
Ryu, K., & Kim, J. K. (2016). A study on relationships among resilience, stress, burnout and organizational commitment of hospital nurses, The Journal of the Korea Contents Association, 16(7), 439-450. https://doi.org/10.5392/JKCA.2016.16.07.439
Salmela-Aro, K., & Upadyaya, K. (2018). Role of demands-resources in work engagement and burnout in different career stages. Journal of Vocational Behavior, 108, 190-200. https://doi.org/10.1016/j.jvb.2018.08.002
Santos, A. F. Dos, & Santos, M. A. Dos. (2015). Estresse e burnout no trabalho em oncologia pediátrica: Revisão integrativa da literatura. Psicologia: Ciência e Profissão, 35(2), 437-456. https://doi.org/10.1590/1982-370300462014
Schaufeli, W. B., & Salanova, M. (2014). Burnout, boredom and work engagement in the workplace. In M. C. Peters, J. de Jonge, & T. W. Tariq (Eds.), An introduction to contemporary work psychology, pp. 293-320. Chichester: Wiley-Blackwell;
Schuster, M. S., Battistella, L. F., Dias, V. V., & Grohmann, M. Z. (2014). Identificação dos níveis de Burnout em um hospital público e aplicação da Escala Mbi-gs. Revista de Administração Hospitalar e Inovação em Saúde, 11(4), 278-290. https://doi.org/10.21450/rahis.v11i4.2173
Silva, A. H., & Vieira, K. M. (2015). Síndrome de Burnout em estudantes de pós-graduação: Análise da influência da autoestima e relação orientador-orientando. Revista Pretexto, 16(1), 52-68. https://doi.org/10.21714/pretexto.v16i1.2113
Siqueira, M. M. M. (2001). Comprometimento organizacional afetivo, calculativo e normativo: Evidências acerca da validade discriminante de três medidas brasileiras In XXV EnANPAD, ANPAD, Campinas, SP.
Tabachnick, B. G., & Fidell, L. S. (2007). Using multivariate statistics (5th ed.). Pearson/Allyn & Bacon.
Trindade, L. L., & Lautert, L. (2010). Síndrome de Burnout entre os trabalhadores da Estratégia de Saúde da Família. Revista da Escola de Enfermagem da USP, 44(2), 274-9. https://doi.org/10.1590/S0080-62342010000200005
Vandenberghe, C., & Panaccio, A. (2012). Perceived sacrifice and few alternatives’ commitments: The motivational underpinnings of continuance commitment’s subdimensions. Journal of Vocational Behavior, 81(1), 59-72. https://psycnet.apa.org/doi/10.1016/j.jvb.2012.05.002
Williams, L. J., Vandenberg, R. J., & Edwards, J. R. (2009). Structural equation modeling in management research: A guide for improved analysis. The Academy of Management Annals, 3(1), 543-604. https://psycnet.apa.org/doi/10.1080/19416520903065683
World Health Organization. (2019). Burnout an occupational phenomenon. https://www.who.int/news/item/28-05-2019-burn-out-an-occupational-phenomenon-international-classification-of-diseases
Zanatta, A. B., & Lucca, S. R. (2015). Prevalência da síndrome de Burnout em profissionais da saúde de um hospital oncohematológico infantil. Revista da Escola de Enfermagem da USP, 49(2), 253-260. https://doi.org/10.1590/S0080-623420150000200010
Zhou, J., Yang, Y., Qiu, X., Yang, X., Pan, H., Ban, B., Qiao, Z., Wang, L., & Wang, W. (2018). Serial multiple mediation of organizational commitment and job burnout in the relationship between psychological capital and anxiety in Chinese female nurses: A cross-sectional questionnaire survey, International Journal of Nursing Studies, 83, 75-82. https://psycnet.apa.org/doi/10.1016/j.ijnurstu.2018.03.016
Zhou, Y., Lu, J., Liu, X., Zhang, P., & Chen, W. (2014) Effects of core self-evaluations on the job burnout of nurses: The mediator of organizational commitment. pLoS ONE, 9(4), 1-4. https://doi.org/10.1371/journal.pone.0095975