The Nursing Worklife Model: extending and refining a new theory

J Nurs Manag. 2007 Apr;15(3):256-63. doi: 10.1111/j.1365-2834.2007.00670.x.

Abstract

Aims: We tested a modification of Leiter and Laschinger's Nursing Worklife Model by examining the impact of structural empowerment on professional work environment factors that lead to nursing job satisfaction.

Background: The original model explains how five magnet hospital practice domains described by Lake (2002) interact to influence nurses' work lives by either contributing to or mitigating burnout.

Methods: A non-experimental design was used. Five hundred randomly selected nurses in Michigan were surveyed (response rate 66%, n = 332). Instruments included the Conditions for Work Effectiveness Questionnaire-II, the Practice Environment Scale of the Nursing Work Index, and the Index of Work Satisfaction. Path analysis was used to test the model.

Results: The final model fit the data well (chi2 = 96.4, d.f. = 10, NFI: 0.90, CFI: 0.43, RMSEA: 0.18), supporting both hypotheses.

Conclusions: The expanded Nursing Worklife Model demonstrates the role of empowerment in creating positive practice conditions that contribute to job satisfaction.

MeSH terms

  • Adult
  • Burnout, Professional / epidemiology
  • Burnout, Professional / prevention & control
  • Female
  • Humans
  • Job Satisfaction*
  • Male
  • Middle Aged
  • Models, Nursing*
  • Nursing Administration Research
  • Nursing Staff, Hospital* / psychology
  • Organizational Culture
  • Risk Factors