Hyun-Jung Kim; Young-Hee Yom

doi:10.4040/jkan.2014.44.3.259

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Original Article
Structural Equation Modeling on Burnout in Clinical Nurses based on CS-CF Model: Hyun-Jung Kim, Young-Hee Yom; Journal of Korean Academy of Nursing 2014;44(3):259-269.
DOI: https://doi.org/10.4040/jkan.2014.44.3.259
Published online: June 30, 2014

¹Department of Nursing, Daewon University College, Jechon, Graduate School, Chung-Ang University, Seoul, Korea.

²Red Cross College of Nursing, Chung-Ang University, Seoul, Korea.

Address reprint requests to: Yom, Young-Hee. Red Cross College of Nursing, Chung-Ang University, 224-1 Heukseok-dong, Dongjak-gu, Chung-Ang University, Seoul 156-755, Korea. Tel: +82-2-820-5700, Fax: +82-2-824-7691, yhyom@cau.ac.kr

• Received: January 20, 2014 • Revised: February 7, 2014 • Accepted: May 1, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to construct and test a structural equation modeling on burnout of clinical nurses based on CS-CF model.
Methods
A survey using a structured questionnaire was conducted with 557 clinical nurses. Data were analyzed using structural equation modeling.
Results
The modified hypothetical model yielded the following χ²=289.70, p<.001, RMSEA=.09, GFI=.93, TLI=.91, CFI=.94, PCFI=.65, AIC=363.21, SRMR=.05 or less and showed good fit indices. Nursing work environment, patient safety culture and resilience showed indirect effects on burnout while compassion fatigue and compassion satisfaction had direct effects.
Conclusion
Results of this study suggest that compassion fatigue must be decreased and compassion satisfaction has to be increased, while burnout is lowered by enhancing the clinical nursing work environment, patient safety culture and resilience. In addition, more variables and longitudinal studies are necessary to validate the clear cause-and-effect relationship between the relevant variables.
Keywords: Environment; Nurses; Fatigue; Burnout

This manuscript is based on a part of the first author's doctoral dissertation from Chung-Ang University.

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Figure 1

Conceptual framework.

Figure 2

Path diagram of the model.

Table 1

Descriptive Statistics of Study Variable (N=557)

Table 2

Parameter Estimates and SMC of Modified Structural Model

CR=Critical ratio; SMC=Squared multiple correlation.

Table 3

Effect of Predictor Variables in the Modified Model

^*p<.05; ^†p<.01; β=Standardized regression coefficients; SMC=Squared multiple correlation.

Figure & Data

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