The effect of perceived organisational support on burnout among community health nurses in China: the mediating role of professional self-concept

Aim To examine the mediating effect of professional self-concept on the association between perceived organisational support and burnout among community health nurses in Chengdu, China. Background Burnout is a common phenomenon among nurses and previous studies have focused on work environmental factors contributing to burnout. Limited studies have examined the effects of perceived organisational support and professional self-concept on burnout among community health nurses. Methods This was a cross-sectional study with 551 community health nurses in Chengdu, China, which included a two-stage sampling method. Structural equation modelling was used to examine the relationships among perceived organisational support, professional self-concept and burnout. Results The final sample included 456 nurses (82.7%). Perceived organisational support was a significant positive direct predictor for professional self-concept and a significant negative direct predictor for burnout. Professional self-concept was a significant negative direct contributor to burnout. Professional self-concept had a mediating effect on the relationship between perceived organisational support and burnout. Conclusions Perceived organisational support may result in reduced burnout by facilitating the development of positive professional self-concept. Implications for nursing management Strategies such as establishing a supportive work environment and professional competence training may be effective methods for burnout prevention and management among community health nurses.