A causal model on assertiveness, stress coping, and workplace environment: Factors affecting novice nurses' burnout
Eiko Suzuki, Yuko Takayama, Chiaki Kinouchi, Chihiro Asakura, Hirotoshi Tatsuno, Takae Machida, Hiroe Yanahara, Hiroko Kitajima, Masae Miwa
Abstract
Abstract Aim This study aimed to develop and test a causal model focused on assertiveness, stress coping, and workplace environment as factors affecting burnout among novice nurses. Design Cross‐sectional study was conducted with novice nurses of 17 hospitals. Methods The Novice Nurse Assertiveness Scale and the Japanese version of Maslach Burnout Inventory. Results Data from 645 female novice nurses were analysed. The mean age, Novice Nurse Assertiveness Scale and Maslach Burnout Inventory were 22.6 ± 3.0, 67.4 ± 10.3 and 13.7 ± 2.5. For the final model, the study adopted a model that includes indirect influences; inappropriate assertiveness and inappropriate coping affected the dissatisfaction with the job and then affected the burnout. The goodness of fit index was GFI = 0.94, AGFI = 0.91, RMSEA = 0.66, and R 2 was .86. The findings validated this as a causal model of assertiveness, stress coping, and the work environment as factors affecting burnout for novice nurses.