engleski

Organizational stress, job involvement and job commitment as predictors of subjective health outcome in hospital nurses: A prospective study

The aim of the present study was to examine the effects of the two indices of chronic organizational stress (work conflict and overload, and role ambiguity) job involvement and two indices of job commitment (affective-normative and instrumental commitment) on professional burnout and subjective health complaints. Subjects and procedure: Questionnaire data were collected from 120 hospital nurses from various hospital wards in a two-wave prospective study. There were two measurements, the first one taking place four years before the second one. The first measurement time (Time 1) included measures of organizational stress (Perceived organizational stress inventory ; Hudek-Knežević, Krapić & Rajter, 2005), job involvement (Job involvement scale ; Lodahl & Kejner, 1965) and job commitment (Organizational commitment questionnaire ; Maslić-Seršić, 2000) as well as professional burnout questionnaire MBI ; Maslach burnout Inventory ; Maslach & Jackson, 1986) and subjective health complaints (SCH ; Subjective health complaints scale ; Eriksen, Ihlebaek & Ursin, 1999). At the second measurement time (Time 2) the same variables were measured. Analyses: The results were analyzed using several hierarchical regression analyses. In the first step of each analyses a subjective health outcome variable measured at Time 1 was entered as a control for the same criterion variable of subjective health outcome measured at Time 2, while in the second step the indices of organizational stress, job involvement and job commitment measured at the first measurement point were included as predictors. As criterion variables three indexes of professional burnout and one index of subjective health complaints measured at Time 2 were analyzed. Results: The results show that various combinations of organizational stress, job commitment and job involvement variables predict each of the three indices of professional burnout and subjective health complaints as criterion variables, even after controlling for the same subjective health outcome variable measured four years before. The results will be discussed focusing on the potentially protective role of the variables that proved to significantly predict subjective health.

organizational stress; job involvement; job commitment; professional burnout; physical symptoms

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