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Published online: 2024-06-19

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Work engagement of nurses in palliative care — a validation study of the UWES scale-9 and selected socio-demographic and professional determinants

Karol Czernecki1, Michał Graczyk2, Grzegorz Nowicki3, Barbara Ślusarska3

Abstract

Introduction: Commitment to work is one of the more expected attitudes towards work, characterized by respect for the values presented by the employing institution and accompanied by positive emotions such as excitement, enthusiasm, satisfaction, a feeling of full energy, pleasure, or even happiness. The study aimed to test the psychometric properties of the Utrecht Work Engagement Scale (UWES) and to assess the work engagement of nursing staff in palliative care, as well as to determine the association of UWES with selected socio-demographic and occupational determinants.

Participants and methods: This study is cross-sectional and validated in line with the STROBE checklist for research reporting. The survey was conductedin 2023, among nurses working in palliative care centres in Poland using the survey technique Paper And Pencil Interview (PAPI) and Computer Assisted Web Interview (CAWI).

Results: The mean work engagement scores of the UWES-9 version 2 palliative care nurses are as follows: the mean score was 4.26 (M = 4.26; SD = 1.09); Me = 4.56, min–max (0.33–6.00). A regression analysis, in which the overall UWES-9 questionnaire score was the dependent variable and demographic and occupational variables were the independent variables, showed R2 = 0.32 and its significance p < 0.001.

Conclusions: The research carried out showed that the UWES-9 version 2 is a reliable and relevant tool to measure the work engagement of nursing staff providing services in palliative care. Work engagement in the surveyed group of nurses is influenced by the female sex, greater number of full-time jobs, longer tenure, and place of residence.

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References

  1. Nguyen N, Ngo L, Bucic T, et al. Cross-functional knowledge sharing, coordination and firm performance: The role of cross-functional competition. Ind Mark Manag. 2018; 71: 123–134.
  2. Bakker A, Demerouti E. The job demands‐resources model: state of the art. J Manag Psychol. 2007; 22(3): 309–328.
  3. Kanungo R. Measurement of job and work involvement. J App Psychol. 1982; 67(3): 341–349.
  4. Schaufeli W, Salanova M, González-romá V, et al. The measurement of engagement and burnout: a two sample confirmatory factor analytic approach. J Happ Stud. 2002; 3(1): 71–92.
  5. May D, Gilson R, Harter L. The psychological conditions of meaningfulness, safety and availability and the engagement of the human spirit at work. J Occup Organ Psychol. 2004; 77(1): 11–37.
  6. Macey W, Schneider B. The meaning of employee engagement. Industrial Organ Psychol. 2008; 1(1): 3–30.
  7. George J. More engagement is not necessarily better: the benefits of fluctuating levels of engagement. In: Albrecht SL. ed. The handbook of employee engagement: perspectives, issues, research, and practice. Edward Elgar Publishing, Cheltenham 2010: 253–263.
  8. Halbesleben J. The consequences of engagement: the good, the bad, and the ugly. Europ J Work Organ Psychol. 2011; 20(1): 68–73.
  9. Christian MS, Garza A, Slaughter J. Work engagement: a quantitative review and test of its relations with task and contextual performance. Personnel Psychol. 2011; 64(1): 89–136.
  10. Kaissi A. Enhancing physician engagement: an international perspective. Int J Health Serv. 2014; 44(3): 567–592.
  11. Mahiro S, Takashi N, Satoko N. Work engagement and attitudes toward caring for dying patients and families among home-visiting nurses in Japan. Int J Palliat Nurs. 2014; 20(7): 343–348.
  12. Ziedelis A. Perceived calling and work engagement among nurses. West J Nurs Res. 2019; 41(6): 816–833.
  13. Cao X, Chen L. The impact of resilience on turnover intention in dialysis nurses: The mediating effects of work engagement and compassion fatigue. Jpn J Nurs Sci. 2021 [Epub ahead of print]: e12414.
  14. Saito Y, Igarashi A, Noguchi-Watanabe M, et al. Work values and their association with burnout/work engagement among nurses in long-term care hospitals. J Nurs Manag. 2018; 26(4): 393–402.
  15. Holmberg J, Kemani MK, Holmström L, et al. Psychological flexibility and its relationship to distress and work engagement among intensive care medical staff. Front Psychol. 2020; 11: 603986.
  16. Thian J, Kannusamy P, He HG, et al. Relationships among stress, positive affectivity, and work engagement among registered nurses. Psychology. 2015; 06(02): 159–167.
  17. Brunetto Y, Xerri M, Shriberg A, et al. The impact of workplace relationships on engagement, well-being, commitment and turnover for nurses in Australia and the USA. J Adv Nurs. 2013; 69(12): 2786–2799.
  18. von Elm E, Altman DG, Egger M, et al. STROBE Initiative. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008; 61(4): 344–349.
  19. Raosoft. Sample size calculator. http://www.raosoft.com/samplesize.htmlhttp://www.raosoft.com/samplesize.html (20.06.2023).
  20. Pielęgniarki paliatywne odchodzą z hospicjów. https://www.prawo.pl/zdrowie/pielegniarska-opieka-paliatywna-niedoszacowana,521594.html (20.06.2023).
  21. Schaufeli W, Bakker A, Salanova M. The measurement of work engagement with a short questionnaire. Edu Psychol Meas. 2016; 66(4): 701–716.
  22. Schaufeli W. Utrech Work Engagemen Scale (UWES–17). http://www.wilmarschaufeli.nl/downloads/test-manuals/ (15.06.2023).
  23. Schaufeli WB, Salanova M, González-romá V, et al. The measurement of engagement and burnout: a two sample confirmatory factor analytic approach. J Happiness Stud. 2002; 3(1): 71–92.
  24. Schaufeli W, Bakker A. (2003). Ultrecht Work Engagement Scale (UWES). http://www.wilmarschaufeli.nl/downloads/test-manuals/ (15.06.2023).
  25. Bakker A, Bal M. Weekly work engagement and performance: a study among starting teachers. J Occup Organ Psychol. 2017; 83(1): 189–206.
  26. Kwestionariusz UWES. https://www.wilmarschaufeli.nl/publications/Schaufeli/Tests/UWES_PL_17.pdf (10.06.2023).
  27. Szabowska–Walaszczyk A, Zawadzka A, Wojtaś M. Zaangażowanie w pracę i jego korelaty: adaptacja skali UWES autorstwa Schaufeliego i Bakkera. Psychologia Jakości Życia. 2011; 10(1): 57–74.
  28. Kulikowski K, Madej M. Zaangażowanie w pracę – problemy z pomiarem. Eur Manag Stud. 2014; 1(45): 990112.
  29. Sautier L, Scherwath A, Weis J, et al. Erfassung von arbeitsengagement bei patienten mit hämatologischen malignomen: die psychometrischen eigenschaften der deutschen version der utrecht work engagement scale 9 (UWES-9). Die Rehabilitation. 2015; 54(05): 297–303.
  30. Tran TT, Watanabe K, Imamura K, et al. Reliability and validity of the Vietnamese version of the 9-item Utrecht Work Engagement Scale. J Occup Health. 2020; 62(1): e12157.
  31. de Bruin GP, Henn CM. Dimensionality of the 9-item Utrecht Work Engagement Scale (UWES-9). Psychol Rep. 2013; 112(3): 788–799.
  32. Szabowska–Walaszczyk A, Zawadzka A, Wojtaś M. Zaangażowanie w pracę i jego korelaty: adaptacja skali UWES autorstwa Schaufeliego i Bakkera. Psychologia Jakości Życia. 2011; 10(1): 57–74.
  33. Kulikowski K, Madej M. Zaangażowanie w pracę — problemy z pomiarem. Eur Manag Stud. 2014; 12(1): 990112.
  34. Schaufeli W, Bakker A. (2003). Ultrecht Work Engagement Scale (UWES). http://www.wilmarschaufeli.nl/downloads/test-manuals/ (15.06.2023).
  35. Szabowska-Walaszczyk A, Zawadzka A, Wojtaś M. Zaangażowanie w pracę i jego korelaty: adaptacja skali UWES autorstwa Schaufeliego i Bakkera. Psychologia Jakości Życia. 2011; 10(1): 57–74.
  36. Marsh H, Hau KT, Wen Z. In search of golden rules: comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing hu and bentler's (1999) findings. Struct Equ Modelling. 2004; 11(3): 320–341.
  37. Mickiewicz I, Krajewska-Kułak E, Kędziora-Kornatowska K, et al. Stopień zadowolenia z wykonywanej pracy oraz jakość życia zawodowego pracowników zakładów opieki paliatywnej. Med Paliat. 2011; 3(3): 163–176.
  38. Dąbrowska-Chołostiakow KM, Kocbach T. Kontrola emocji oraz kompetencje społeczne pielęgniarek i pielęgniarzy pracujących w jednostkach opieki paliatywnej — raport z badania przeprowadzonego wśród pracowników zatrudnionych na terenie województwa warmińsko-mazurskiego [Emotional control and social competence of nurses working in palliative care: a research report on workers from the Warmia and Mazury voivodeship]. Palliat Med Pract. 2018; 12(2): 97–105.
  39. Seed S, Walton J. Caring for self. J Hosp Palliat Nurs. 2012; 14(7): E1–E8.
  40. Harris L. Caring and coping. J Hosp Palliat Nurs. 2013; 15(8): 446–454.
  41. Mills J, Wand T, Fraser JA. Exploring the meaning and practice of self-care among palliative care nurses and doctors: a qualitative study. BMC Palliat Care. 2018; 17(1): 63.
  42. Orgambídez A, Borrego Y, Vázquez-Aguado O. Self-efficacy and organizational commitment among Spanish nurses: the role of work engagement. Int Nurs Rev. 2019; 66(3): 381–388.
  43. Garrosa E, Moreno-Jiménez B, Rodríguez-Muñoz A, et al. Role stress and personal resources in nursing: a cross-sectional study of burnout and engagement. Int J Nurs Stud. 2011; 48(4): 479–489.
  44. Lymberakaki V, Sarafis P, Malliarou M. Communication, work engagement and caring provision differences between nurses and physicians. Int J Caring Sci. 2021; 14(1): 100.
  45. Ghazawy E, Mahfouz E, Mohammed E, et al. Nurses’ work engagement and its impact on the job outcomes. Internat J Health Manag. 2019; 14(2): 320–327.
  46. Orgambídez A, Borrego Y, Vázquez-Aguado O. Self-efficacy and organizational commitment among Spanish nurses: the role of work engagement. Int Nurs Rev. 2019; 66(3): 381–388.
  47. Garrosa E, Moreno-Jiménez B, Rodríguez-Muñoz A, et al. Role stress and personal resources in nursing: a cross-sectional study of burnout and engagement. Int J Nurs Stud. 2011; 48(4): 479–489.
  48. Pericak A, Hogg CW, Skalsky K, et al. What influences work engagement among registered nurses: implications for evidence-based action. Worldviews Evid Based Nurs. 2020 [Epub ahead of print].
  49. Garrosa E, Moreno-Jiménez B, Rodríguez-Muñoz A, et al. Role stress and personal resources in nursing: a cross-sectional study of burnout and engagement. Int J Nurs Stud. 2011; 48(4): 479–489.
  50. Head B, Middleton A, Zeigler C. Work satisfaction among hospice and palliative nurses. J Hosp Palliat Nurs. 2019; 21(5): E1–E11.
  51. Schmude Av, Kern M. Zufriedenheit von mitarbeitenden in hospizarbeit und palliativversorgung – eine quantitative studie. Zeitschrift für Palliativmedizin. 2017; 18(06): 305–309.
  52. Schaufeli W, Shimazu A, Hakanen J, et al. An ultra-short measure for work engagement. Europ J Psychol Assess. 2019; 35(4): 577–591.
  53. Perry S, Fairbanks R. Tempest in a teapot: Standardisation, and workarounds in everyday clinical work. In: Wears R, Hollnagel E, Braithwaite E. ed. Resilient health care: the resilience of everyday clinical work. Ashgate, Farnham, Surrey 2015: 163–176.
  54. Thorne T, Duan Y, Slubik S, et al. Impact of the COVID-19 pandemic on health, well-being, and quality of work-life outcomes among direct care nursing staff working in nursing home settings: protocol for a systematic review. JMIR Res Protoc. 2023; 12: e40390.
  55. Terakado A, Matsushima E. Work stress among nurses engaged in palliative care on general wards. Psychooncology. 2015; 24(1): 63–69.
  56. Harris L. Caring and coping. J Hospic Palliat Nurs. 2013; 15(8): 446–454.
  57. Peters L, Cant R, Sellick K, et al. Is work stress in palliative care nurses a cause for concern? A literature review. Int J Palliat Nurs. 2012; 18(11): 561–567.
  58. Frey R, Robinson J, Wong C, et al. Burnout, compassion fatigue and psychological capital: Findings from a survey of nurses delivering palliative care. Appl Nurs Res. 2018; 43: 1–9.
  59. Saiga E, Yoshioka S. Factors influencing the happiness of Japanese nurses: association with work engagement and work a holism. Kawasaki J Med Welf. 2021; 26: 81–93.
  60. Burleson B. The experience and effects of emotional support: what the study of cultural and gender differences can tell us about close relationships, emotion, and interpersonal communication. Personal Relationships. 2003; 10(1): 1–23.
  61. Andersson E, Salickiene Z, Rosengren K. To be involved — a qualitative study of nurses' experiences of caring for dying patients. Nurse Educ Today. 2016; 38: 144–149.
  62. Burke RJ, Dolan SL, Fiksenbaum L. Part-time versus full-time work: an empirical evidence-based case of nurses in Spain. Evidence-based HRM. 2014; 2(2): 176–191.
  63. Dall'Ora C, Griffiths P, Ball J, et al. Association of 12 h shifts and nurses’ job satisfaction, burnout and intention to leave: findings from a cross-sectional study of 12 European countries. BMJ Open. 2015; 5: e008331.



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