Practice environment, job satisfaction and burnout of critical care nurses in South Africa

Journal of Nursing Management

Volumn 20, Issue 5, 2012, Pages 685-695

  Klopper, Hester C ^a   Coetzee, Siedine K ^a   Pretorius, Ronel ^a   Bester, Petra ^a  

^a NORTH WEST UNIVERSITY   (South Africa)

Author keywords

Burnout; Critical care nurse; Critical care unit; Job satisfaction; Practice environments

Indexed keywords

ADAPTIVE BEHAVIOR; ADULT; AGED; ARTICLE; BURNOUT; CROSS-SECTIONAL STUDY; ENVIRONMENT; FEMALE; HUMAN; INTENSIVE CARE; JOB SATISFACTION; MALE; MENTAL STRESS; MIDDLE AGED; NURSE; NURSING; PSYCHOLOGICAL ASPECT; PSYCHOMETRY; RISK FACTOR; SOUTH AFRICA; WORKPLACE;

ADAPTATION, PSYCHOLOGICAL; ADULT; AGED; BURNOUT, PROFESSIONAL; CRITICAL CARE; CROSS-SECTIONAL STUDIES; ENVIRONMENT; FEMALE; HUMANS; JOB SATISFACTION; MALE; MIDDLE AGED; NURSES; NURSING; PSYCHOMETRICS; RISK FACTORS; SOUTH AFRICA; STRESS, PSYCHOLOGICAL; WORKPLACE; YOUNG ADULT;

EID: 84864297663     PISSN: 09660429     EISSN: 1365263X     Source Type: Journal    
DOI: 10.1111/j.1365-2834.2011.01350.x     Document Type: Article

References (45)

1. Aiken L.H., Clarke S.P., Sloane D.M., Sochalski J. & Silber J.H. (2002) Hospital nurse staffing and patient mortality, nurse burnout and job dissatisfaction. Journal of the American Medical Association288, 1987-1993.
2. Aiken L., Clarke S., Sloane D., Lake E. & Cheney T. (2008) Effects of hospital care environment on patient mortality and nurse outcomes. Journal of Nursing Administration38 (5), 223-229.
3. Andrews D.R. & Dziegielewski S.F. (2005) The nurse manager: job satisfaction, the nursing shortage and retention. Journal of Nursing Management13, 286-295.
4. Bauman A. (2007) Positive Practice Environments: Quality Workforce=Quality Patient Care. Information and Action Tool Kit. International Council of Nurses, Geneva.
5. Bruyneel L., Van den Heede K., Diya L., Aiken L. & Sermeus W. (2009) Predictive validity of the International Hospital Outcomes Study Questionnaire: an RN4CAST pilot study. Journal of Nursing Scholarship41 (2), 202-210.
6. Chan A.O.M. & Huak C.Y. (2004) Influence of work environment on emotional health in a health care setting. Occupational Medicine534, 207-212.
7. Coomber B. & Barriball L.K. (2007) Impact of job satisfaction components on intent to leave and turnover for hospital-based nurses: a review of the research literature. International Journal of Nursing Studies44, 297-314.
8. Davis B.A., Ward C., Woodall M., Schultz S. & Davis H. (2007) Comparison of job satisfaction between experienced medical-surgical nurses and experienced critical care nurses. MedSurg Nursing16 (5), 311-316.
9. Galanakis M., Moraitou M., Garivaldis F.J. & Stalikas A. (2009) Factorial structure and psychometric properties of the Maslach Burnout Inventory (MBI) in Greek Midwives. Europe's Journal of Psychology4, 52-70.
10. Gershon R.M., Stone P.W., Bakken S. & Larsen E. (2004) Measurement of organizational culture and climate. Journal of Nursing Administration34, 33-40.
11. Gillespie R., Kyriacos U. & Mayers P. (2006) The critical care nursing workforce in Western Cape Hospitals - a descriptive study. South African Journal of Critical Care22 (2), 50-56.
12. Hall L.M., Doran D., Tregunno D. et al. (2003) Indicators of Nurse Staffing and Quality Nursing Work Environments: A Critical Synthesis of the Literature. Faculty of Nursing, University of Toronto, Toronto, ON.
13. Hanrahan N., Aiken L., McClaine L. & Hanlon A. (2010) Relationship between psychiatric nurse work environments and nurse burnout in acute care general hospitals. Issues in Mental Health Nursing31 (3), 198-207.
14. Hasselhorn H.M., Tackenberg P. & Müller B.H. (2003) Report No 7:2003. Working Conditions and Intent to Leave the Profession Among Nursing Staff in Europe. A Research Project Initiated by SALTSA and Funded by the European Commission (QLK6-CT-2001-00475). University of Wuppertal, Wuppertal.
15. Hayes L.J., O'Brien-Pallas L., Duffield C. et al. (2006) Nurse turnover: a literature review. International Journal of Nursing Studies43, 237-263.
16. Heath J., Johanson W. & Blake N. (2004) Healthy work environments: a validation of the literature. Journal of Nursing Administration34 (11), 524-530.
17. Hospital Association of South Africa (2009) Private Hospital Review 2009. Available at:, accessed 14 February 2011.
18. Kanai-Pak M., Aiken L., Sloane D. & Lusine P. (2008) Poor work environments and nurse inexperience are associated with burnout, job dissatisfaction and quality deficits in Japanese hospitals. Journal of Clinical Nursing17 (24), 3324-3329.
19. Kekana H.P.P., du Rand E.A. & van Wyk N.C. (2007) Job satisfaction of registered nurses in a community hospital in South Africa. Curationis30 (2), 24-35.
20. Kokkinos C.M. (2000) Burnout in Greek Primary School Teachers: Cross Cultural Data on the Maslach Burnout Inventory. Paper presented at the XXXVIIth International Congress of Psychology, Stockholm, Sweden.
21. Lake E.T. (2002) Development of the Practice Environment Scale of the Nursing Work Index. Research in Nursing & Health25 (3), 176-188.
22. Laschinger H.K.S. (2008) Effect of empowerment on professional practice environments, work satisfaction, and patient care quality: further testing of the Nursing Worklife Model. Journal of Nursing Care Quality20 (2), 25-41.
23. Lauritsen J.M. (2008) Epidata Data Entry. Data Management and Basic Statistical Analysis system. EpiData Association, Odense.
24. Manojlovich M. & DeCicco B. (2007) Healthy work environments, nurse-physician communication and patients' outcomes. American Journal of Critical Care16, 536-543.
25. Maslach C. & Jackson S.E. (1986). Maslach Burnout Inventory Manual, 2nd edn. Consulting Psychologists Press, Palo Alto, CA.
26. Maslach C., Jackson S.E. & Leiter M.P. (1996) Maslach Burnout Inventory Manual, 3rd edn. Consulting Psychologists Press, Palo Alto, CA.
27. Moola S., Ehlers V.J. & Hattingh S.P. (2008) Critical care nurses' perceptions of stress and stress-related situations in the workplace. Curationis31 (2), 74-83.
28. Moore J.E. (2002) One road to turnover: an examination of work exhaustion in technology professionals. Management Information Systems Quarterly24 (1), 141-168.
29. Munro B.H. (2005) Statistical Methods for Healthcare Research, 5th edn. Lippincott, Williams & Wilkins, London.
30. Nunnally J.C. & Bernstein R.L. (1994). Psychometric Theory, 3rd edn. McGraw-Hill, New York, NY.
31. Pillay R. (2009) Work satisfaction of professional nurses in South Africa: a comparative analysis of the public and private sectors, Human Resources for Health7 (15), Available at:
32. Poghosyan L., Aiken L.H. & Sloane D.M. (2009) Factor structure of the Maslach burnout inventory: an analysis of data from large scale cross-sectional surveys of nurses from eight countries. International Journal of Nursing Studies46, 894-902.
33. Pretorius R. (2010) Positive Practice Environments in Critical Care Units in South Africa: A grounded Theory. Unpublished doctoral study, North-West University, Potchefstroom, South Africa.
34. Pretorius R. & Klopper H.C. (2011) Positive practice environments in critical care units in South Africa. International Nursing Review, doi: 10.1111/j.1466-7657.2011.00923.x.
35. Ritter D. (2010) The relationship between healthy work environments and retention of nurses in a hospital setting. Journal of Nursing Management19, 27-32.
36. Schmalenberg C. & Kramer M. (2009) Nurse-physician relationships in hospitals: 20000 nurses tell their story. Critical Care Nurse29, 74-83.
37. Scribante J. & Bhagwanjee S. (2007) National audit of critical care resources in South Africa - research methodology. South African Medical Journal97 (12), 1308-1310.
38. Sermeus W., Aiken L.H., van den Heede K. et al. (2011) Nurse forecasting in Europe (RN4CAST): rationale, design and methodology. BMC Nursing10 (6), Available at:
39. Shirey M.R. (2006) Authentic leadership, organisational culture and healthy work environmentsCritical Care Nursing Quarterly32 (3), 189-198.
40. South African Government Information. (2007) Occupation Specific Dispensation (OSD) in the public service. Available at:, accessed 25 February 2011.
41. South African Nursing Council. (2007) Age statistics. Available at:, accessed 15 February 2011.
42. Terre Blanche M., Durrheim K. & Painter D. (2006) Research in Practice, Applied methods for the social sciences. 2nd edn, UCT Press, Cape Town, South Africa.
43. Tourangeau A., Doran D., Pringle D. et al. (2006) Nurse Staffing and Work Environments: Relationships with Hospital Level Outcomes. Final Report - March 2006. Faculty of Nursing, University of Toronto, Toronto, ON.
44. Van Rensburg H.C.J (2004) Health and Health Care in South Africa.Van Schaik, Pretoria
45. Williams G.D. & Clark T. (2001) A consensus driven method to measure the required number of intensive care nurses in Australia. Australian Critical Care14, 106-115.