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Burnout and Engagement in Health Profession Students: The Relationships Between Study Demands, Study Resources and Personal Resources

Published online by Cambridge University Press:  19 January 2015

Tamara G. Robins ,
Rachel M. Roberts  and
Aspa Sarris
Tamara G. Robins*
Affiliation:
The University of Adelaide, Adelaide, South Australia, Australia
Rachel M. Roberts
Affiliation:
The University of Adelaide, Adelaide, South Australia, Australia
Aspa Sarris
Affiliation:
The University of Adelaide, Adelaide, South Australia, Australia
*
Address for correspondence: Ms Tamara G. Robins, c/–School of Psychology, The University of Adelaide, North Terrace, Adelaide SA 5005, Australia. Email: [email protected]
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Abstract

Burnout has been related to increased suicidal thoughts, lower self-esteem and dropout in university students. Engagement in students, however, has been underexplored. This study uses the Job Demands-Resources (JD-R) model and the Conservational of Resources (COR) model to contribute to the knowledge about burnout and engagement in health profession university students. In particular, the role of personal resources, including psychological flexibility, was examined. Participants were 260 nursing, social work, occupational therapy and psychology students from 10 Australian universities. Regression analyses were used to test the JD-R model with a health profession student sample. The model was extended by including personal resources and testing mediation and moderation hypotheses. Personal resources contributed significant additional variance to the model. Mediation effects of study demands and resources with psychological flexibility were found, while moderation effects were not. The results indicate the validity of the JD-R model in a health profession student population and the important role of personal resources. Further design and evaluation of interventions targeting personal resources and study demands and resources are indicated.

Keywords

burnoutengagementpersonal resourcespsychological flexibilityJob Demands-Resources Model
Type
Articles
Information
The Australasian Journal of Organisational Psychology , Volume 8 , 2015 , e1
Copyright
Copyright © Australasian Psychological Society Ltd 2015 

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References

Akhtar, S., & Lee, J.S. (2010). Job burnout: Toward an integration of two dominant resource-based models. Psychological Reports, 107, 193–208. doi:10.2466/01.14.20.PR0.107.4.193-208CrossRefGoogle ScholarPubMed
Alarcon, G.M., Edwards, J.M., & Menke, L.E. (2011). Student burnout and engagement: A test of the conservation of resources theory. Journal of Psychology: Interdisciplinary and Applied, 145, 211–227. doi:10.1080/00223980.2011.555432Google Scholar
Baer, R., Smith, G.T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006). Using self-report assessment methods to explore facets of mindfulness. Assessment, 13, 27–45. doi:10.1177/1073191105283504Google Scholar
Bakker, A.B., Demerouti, E., & Euwema, M.C. (2005). Job resources buffer the impact of job demands on burnout. Journal of Occupational Health Psychology, 10, 170–180. doi:10.1037/1076-8998.10.2.170Google Scholar
Bakker, A.B., Van Emmerik, H., & Van Riet, P. (2008). How job demands, resources, and burnout predict objective performance: A constructive replication. Anxiety, Stress, & Coping, 21, 309–324. doi:10.1080/10615800801958637Google Scholar
Baron, R.M., & Kenny, D.A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.CrossRefGoogle ScholarPubMed
Bond, F.W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88 (6), 1057–1067. doi:10.1037/0021-9010.88.6.1057Google Scholar
Bond, F.W., Flaxman, P.E., & Bunce, D. (2008). The influence of psychological flexibility on work redesign: Mediated moderation of a work reorganization intervention. Journal of Applied Psychology, 93, 645–654.Google Scholar
Bond, F.W., Flaxman, P.E., van Veldhoven, M.J.P.M., & Biron, M. (2010). The impact of psychological flexibility and acceptance and commitment therapy (ACT) on health and productivity at work. In Houdmont, J. & Leka, S. (Eds.), Contemporary occupational health psychology: Global perspectives on research and practice (vol. 1, pp. 296–313). Somerset, NJ: Wiley-Blackwell.Google Scholar
Bond, F.W., Hayes, S.C., Baer, R.A., Carpenter, K.M., Guenole, N., Orcutt, H.K., . . . Zettle, R.D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire–II: A revised measure of psychological inflexibility and experiential avoidance. Behavior Therapy, 42, 676–688. doi:10.1016/j.beth.2011.03.007Google Scholar
Bond, F.W., Hayes, S.C., & Barnes-Holmes, D. (2006). Psychological flexibility, ACT, and organizational behavior. Journal of Organizational Behavior Management, 26, 25–54. doi:10.1300/J075v26n01_02Google Scholar
Borritz, M., Bultmann, U., Rugulies, R., Christensen, K.B., Villadsen, E., & Kristensen, T.S. (2005). Psychosocial work characteristics as predictors for burnout: Findings from 3-year follow up of the PUMA Study. Journal of Occupational and Environmental Medicine, 47, 1015–1025.Google Scholar
Brooker, J., Julian, J., Webber, L., Chan, J., Shawyer, F., & Meadows, G. (2013). Evaluation of an occupational mindfulness program for staff employed in the disability sector in Australia. Mindfulness, 4, 122–136. doi:10.1007/s12671-012-0112-7Google Scholar
Brown, K.W., & Ryan, R.M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84, 822–848. doi:10.1037/0022-3514.84.4.822Google Scholar
Caplan, R.D., Cobb, S., French, J.R., Harrison, R.U., & Pinneau, S.R. (1975). Job demands and work health. Washington, DC: National Institute of Occupational Safety and Health.Google Scholar
Carver, C.S. (1997). You want to measure coping but your protocol's too long: Consider the Brief COPE. International Journal of Behavioral Medicine, 4, 92–100.CrossRefGoogle ScholarPubMed
Casuso-Holgado, M.J., Cuesta-Vargas, A.I., Moreno-Morales, N., Labajos-Manzanares, M.T., Baron-Lopez, F.J., & Vega-Cuesta, M. (2013). The association between academic engagement and achievement in health sciences students. BMC Medical Education, 13, 33. doi:10.1186/1472-6920-13-33Google Scholar
Cherniss, C. (1992). Long-term consequences of burnout: An exploratory study. Journal of Organizational Behavior, 13, 1–11. doi:10.1002/job.4030130102Google Scholar
Christian, M.S., & Slaughter, J.E. (2007). Work engagement: A meta-analytic review and directions for research in an emerging area. Paper presented at the Academy of Management Annual Meeting.Google Scholar
Clark, H.K., Murdock, N.L., & Koetting, K. (2009). Predicting burnout and career choice satisfaction in counseling psychology graduate students. The Counseling Psychologist, 37, 580–606. doi:10.1177/0011000008319985CrossRefGoogle Scholar
Cohen, J. (1992). Quantitative methods in psychology: A power primer. Psychological Bulletin, 112, 155–159.Google Scholar
Cushway, D., Tyler, P.A., & Nolan, P. (1996). Development of a stress scale for mental health professionals. British Journal of Clinical Psychology, 35, 279–295.Google Scholar
Dahlin, M., Fjell, J., & Runeson, B. (2010). Factors at medical school and work related to exhaustion among physicians in their first postgraduate year. Nordic Journal of Psychiatry, 64, 402–408. doi:10.3109/08039481003759219Google Scholar
Dahlin, M.E., & Runeson, B. (2007). Burnout and psychiatric morbidity among medical students entering clinical training: a three year prospective questionnaire and interview-based study. BMC Medical Education, 7, 6. doi:10.1186/1472-6920-7-6Google Scholar
Deary, I.J., Watson, R., & Hogston, R. (2003). A longitudinal cohort study of burnout and attrition in nursing students. Journal of Advanced Nursing, 43, 71–81.Google Scholar
Demerouti, E., Bakker, A.B., Nachreiner, F., & Schaufeli, W.B. (2001). The job demands-resources model of burnout. Journal of Applied Psychology, 86, 499–512. doi:10.1037//0021-9010.85.3.499Google Scholar
DiGiacomo, M., & Adamson, B. (2001). Coping with stress in the workplace: Implications for new health professionals. Journal of Allied Health, 30, 106–111.Google ScholarPubMed
Dutta, A.P., Pyles, M.A., & Miederhoff, P.A. (2005). Stress in health professions students: Myth or reality? A review of the existing literature. Journal of National Black Nurses’ Association, 16, 63–68.Google Scholar
Dyrbye, L.N., Moutier, C., Durning, S.J., Massie, F.S. Jr., Power, D.V., Eacker, A., . . . Shanafelt, T.D. (2011). The problems program directors inherit: Medical student distress at the time of graduation. Medical Teacher, 33, 756–758. doi:10.3109/0142159x.2011.577468CrossRefGoogle ScholarPubMed
Dyrbye, L.N., Thomas, M.R., Massie, F.S., Power, D.V., Eacker, A., Harper, W., . . . Shanafelt, T.D. (2008). Burnout and suicidal ideation among U.S. medical students. Annals of Internal Medicine, 149, 334–341.Google Scholar
Edwards, D., Burnard, P., Bennett, K., & Hebden, U. (2010). A longitudinal study of stress and self-esteem in student nurses. Nurse Educuation Today, 30, 78–84. doi:10.1016/j.nedt.2009.06.008CrossRefGoogle ScholarPubMed
Edwards, P.J., Roberts, I., Clarke, M.J., DiGuiseppi, C., Wentz, R., Kwan, I., . . . Pratap, S. (2009). Methods to increase response to postal and electronic questionnaires. Cochrane Database of Systematic Reviews (3). doi:10.1002/14651858.MR000008.pub4.Google Scholar
Flaxman, P.E., & Bond, F.W. (2010). Worksite stress management training: Moderated effects and clinical significance. Journal of Occupational Health Psychology, 15, 347–358. doi:10.1037/a0020522CrossRefGoogle ScholarPubMed
Frazier, P.A., Tix, A.P., & Barron, K.E. (2004). Testing moderator and mediator effects in counseling psychology research. Journal of Counseling Psychology, 51, 115–134. doi:10.1037/0022-0167.51.1.115Google Scholar
Frese, M. (1999). Social support as a moderator of the relationship between work stressors and psychological dysfunctioning: A longitudinal study with objective measures. Journal of Occupational Health Psychology, 4, 179–192. doi:10.1037/1076-8998.4.3.179CrossRefGoogle ScholarPubMed
Galek, K., Flannelly, K.J., Greene, P.B., & Kudler, T. (2011). Burnout, secondary traumatic stress, and social support. Pastoral Psychology, 60, 633–649. doi:10.1007/s11089-011-0346-7Google Scholar
Glaesmer, H., Rief, W., Martin, A., Mewes, R., Brähler, E., Zenger, M., & Hinz, A. (2012). Psychometric properties and population-based norms of the Life Orientation Test Revised (LOT-R). British Journal of Health Psychology, 17, 432–445. doi:10.1111/j.2044-8287.2011.02046.xGoogle Scholar
Glomb, T.M., Duffy, M.K., Bono, J.E., & Yang, T. (2011). Mindfulness at work. In Joshi, A., Liao, H., & Martocchio, J.J. (Eds.), Research in personnel and human resources management (Vol. 30, pp. 115–157): Emerald Group Publishing Limited.Google Scholar
Goldberg, D.P. (1972). The detection of psychiatric illness by questionnaire: A technique for the identification and assessment of non-psychotic psychiatric illness. London: Oxford University Press.Google Scholar
Hakanen, J.J., Schaufeli, W.B., & Ahola, K. (2008). The Job Demands-Resources model: A three-year cross-lagged study of burnout, depression, commitment, and work engagement. Work & Stress, 22, 224–241. doi:10.1080/02678370802379432Google Scholar
Halbesleben, J.R.B., & Buckley, M.R. (2004). Burnout in organizational life. Journal of Management, 30, 859–879. doi: 10.1016/j.jm.2004.06.004CrossRefGoogle Scholar
Hardy, G.E., Shapiro, D.A., Haynes, C.E., & Rick, J.E. (1999). Validation of the General Health Questionnaire-12: Using a sample of employees from England's health care services. Psychological Assessment, 11, 159–165. doi:10.1037/1040-3590.11.2.159Google Scholar
Hobfoll, S.E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44 (3), 513–524. doi:10.1037/0003-066x.44.3.513Google Scholar
Hobfoll, S.E. (2001). The influence of culture, community, and the nested-self in the stress process: Advancing Conservation of Resources theory. Applied Psychology: An International Review, 50, 337–370. doi:10.1111/1464-0597.00062CrossRefGoogle Scholar
Jacobs, S.R., & Dodd, D.K. (2003). Student burnout as a function of personality, social support, and workload. Journal of College Student Development, 44, 291–303. doi:10.1353/csd.2003.0028Google Scholar
Lee, R.T., & Ashforth, B.E. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology, 81, 123–133.Google Scholar
Liao, F.-Y., Yang, L.-Q., Wang, M., Drown, D., & Shi, J. (2013). Team-member exchange and work engagement: Does personality make a difference? Journal of Business & Psychology, 28, 63–77. doi:10.1007/s10869-012-9266-5Google Scholar
Llorens, S., Bakker, A.B., Schaufeli, W.B., & Salanova, M. (2006). Testing the robustness of the job demands-resources model. International Journal of Stress Management, 13, 378–391. doi:10.1037/1072-5245.13.3.378Google Scholar
Llorens, S., Schaufeli, W.B., Bakker, A.B., & Salanova, M. (2007). Does a positive gain spiral of resources, efficacy beliefs and engagement exist? Computers in Human Behavior, 23, 825–841. doi:10.1016/j.chb.2004.11.012Google Scholar
Lloyd, J., Bond, F.W., & Flaxman, P.E. (2013). The value of psychological flexibility: Examining psychological mechanisms underpinning a cognitive behavioural therapy intervention for burnout. Work & Stress, 27, 181–199. doi:10.1080/02678373.2013.782157CrossRefGoogle Scholar
Maslach, C. (2003). Job burnout: New directions in research and intervention. Current Directions in Psychological Science, 12, 189–192. doi:10.1111/1467-8721.01258Google Scholar
Maslach, C., Schaufeli, W.B., & Leiter, M.P. (2001). Job burnout. Annual Review of Psychology, 52, 397–422. doi:10.1146/annurev.psych.52.1.397Google Scholar
Mehrotra, S., Rao, K., & Subbakrishna, D.K. (2000). Factor structure of the mental health professionals stress scale (MHPSS) among clinical psychologists in India. International Journal of Social Psychiatry, 46, 142–150. doi:10.1177/002076400004600207Google Scholar
Moneta, G.B. (2011). Need for achievement, burnout, and intention to leave: Testing an occupational model in educational settings. Personality and Individual Differences, 50, 274–278. doi:10.1016/j.paid.2010.10.002Google Scholar
Onwezen, M.C., van Veldhoven, J.P.M., & Biron, M. (2012). The role of psychological flexibility in the demands-exhaustion-performance relationship. European Journal of Work and Organizational Psychology, 1–14. doi:10.1080/1359432X.2012.742242Google Scholar
Rella, S., Winwood, P.C., & Lushington, K. (2009). When does nursing burnout begin? An investigation of the fatigue experience of Australian nursing students. Journal of Nursing Management, 17, 886–897. doi:10.1111/j.1365-2834.2008.00883.xCrossRefGoogle ScholarPubMed
Riolli, L., & Savicki, V. (2003). Optimism and coping as moderators of the relation between work resources and burnout in information service workers. International Journal of Stress Management, 10, 235–252. doi:10.1037/1072-5245.10.3.235Google Scholar
Salanova, M., Llorens, S., & Schaufeli, W.B. (2011). ‘Yes, I can, I feel good, and I just do it!’ On gain cycles and spirals of efficacy beliefs, affect, and engagement. Applied Psychology: An International Review, 60, 255–285. doi:10.1111/j.1464-0597.2010.00435.xGoogle Scholar
Salanova, M., Schaufeli, W.B., Martinez, I., & Breso, E. (2010). How obstacles and facilitators predict academic performance: the mediating role of study burnout and engagement. Anxiety, Stress, & Coping, 23, 53–70. doi:10.1080/10615800802609965Google Scholar
Salmela-Aro, K., Tolvanen, A., & Nurmi, J.-E. (2009). Achievement strategies during university studies predict early career burnout and engagement. Journal of Vocational Behavior, 75, 162–172. doi:10.1016/j.jvb.2009.03.009Google Scholar
Schaufeli, W.B., Bakker, A.B., & Salanova, M. (2006). The measurement of work engagement with a short questionnaire: A cross-national study. Educational and Psychological Measurement, 66, 701–716. doi:10.1177/0013164405282471Google Scholar
Schaufeli, W.B., & Enzmann, D. (1998). The burnout companion to study and practice: A critical analysis. Padstow, UK: T.J. International Ltd.Google Scholar
Schaufeli, W.B., Martínez, I.M., Marques Pinto, A., Salanova, M., & Bakker, A.B. (2002). Burnout and engagement in university students: A cross-national study. Journal of Cross-Cultural Psychology, 33, 464–481. doi:10.1177/0022022102033005003Google Scholar
Schaufeli, W.B., & Salanova, M. (2007). Efficacy or inefficacy, that's the question: Burnout and work engagement, and their relationships with efficacy beliefs. Anxiety, Stress & Coping, 20, 177–196. doi:10.1080/10615800701217878Google Scholar
Schaufeli, W.B., Salanova, M., González-Romá, V., & Bakker, A.B. (2002). The measurement of engagement and burnout: A two sample confirmatory factor analytic approach. Journal of Happiness Studies, 3, 71–92. doi:10.1023/a:1015630930326Google Scholar
Scheier, M.F., & Carver, C.S. (1993). On the power of positive thinking: The benefits of being optimistic. Current Directions in Psychological Science, 2, 26–30. doi:10.1111/1467-8721.ep10770572Google Scholar
Scheier, M.F., Carver, C.S., & Bridges, M.W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the Life Orientation Test. Journal of Personality and Social Psychology, 67, 1063–1078. doi:10.1037/0022-3514.67.6.1063Google Scholar
Stallman, H.M. (2010). Psychological distress in university students: A comparison with general population data. Australian Psychologist, 45, 249–257. doi:10.1080/00050067.2010.482109Google Scholar
Tabachnick, B.G., & Fidell, L.S. (2007). Using multivariate statistics (5th ed.). Boston: Pearson/Allyn & Bacon.Google Scholar
Toker, S., & Biron, M. (2012). Job burnout and depression: Unraveling their temporal relationship and considering the role of physical activity. Journal of Applied Psychology. doi:10.1037/a0026914Google Scholar
Xanthopoulou, D., Bakker, A.B., Demerouti, E., & Schaufeli, W.B. (2007). The role of personal resources in the job demands-resources model. International Journal of Stress Management, 14, 121–141. doi:10.1037/1072-5245.14.2.121Google Scholar
Xanthopoulou, D., Bakker, A.B., Demerouti, E., & Schaufeli, W.B. (2009). Work engagement and financial returns: A diary study on the role of job and personal resources. Journal of Occupational and Organizational Psychology, 82, 183–200. doi:10.1348/096317908×285633Google Scholar
Xanthopoulou, D., Bakker, A.B., Dollard, M.F., Demerouti, E., Schaufeli, W.B., Taris, T.W., & Schreurs, P.J.G. (2007). When do job demands particularly predict burnout?: The moderating role of job resources. Journal of Managerial Psychology, 22, 766–786. doi:10.1108/02683940710837714Google Scholar
Young, C., Fang, D., Golshan, S., Moutier, C., & Zisook, S. (2012). Burnout in premedical undergraduate students. Academic Psychiatry, 36, 11–16. doi:http://dx.doi.org/10.1176/appi.ap.10080125CrossRefGoogle Scholar
Yusoff, M.S.B. (2010). A multicenter study on validity of the 30-items Brief COPE in identifying coping strategies among medical students. International Medical Journal, 17, 249–253.Google Scholar