title: Effect of professional self-concept on burnout among community health nurses in Chengdu, China: the mediator role of organisational commitment.
abstract: OBJECTIVE
  To examine the associations among professional self-concept, organisational commitment and burnout, and to analyse the mediating role of organisational commitment on the relationship between professional self-concept and burnout among community health nurses in Chengdu, China.
  
  
  BACKGROUND
  Previous studies have focused on work environmental variables that contributed to burnout in nurses. However, no study has explored the mediating effect of organisational commitment on the correlation between professional self-concept and burnout in community health nurses.
  
  
  METHODS
  A cross-sectional descriptive study.
  
  
  METHODS
  This study was conducted at 36 community health centres in Chengdu, China with 485 nurses sampled using a two-stage sampling method. The measures used in our study included Nurses' Self-concept Questionnaire, Organisational Commitment Scale and Maslach Burnout Inventory.
  
  
  RESULTS
  The results of structural equation model techniques indicated that, in the direct approach, positive professional self-concept resulted in increased organisational commitment and reduced burnout. Higher organisational commitment resulted in less burnout. In the indirect approach, organisational commitment performed as a partial mediator on the correlation between professional self-concept and burnout.
  
  
  CONCLUSIONS
  Positive perception of professional self-concept can result in reduced burnout via enhancing organisational commitment.
  
  
  CONCLUSIONS
  It is crucial for nursing administrators to develop effective intervention strategies such as skills escalator training and assertive training, and establishing a supportive working environment to enhance nurses' professional self-concept and organisational commitment, and decrease burnout.
authors.affiliation: Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Xiaoyi
authors.initials: X
authors.lastname: Cao
authors.affiliation: Hemodialysis Center, Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Lin
authors.initials: L
authors.lastname: Chen
authors.affiliation: Department of Hepatobilliary Surgery, Sichuan Cancer Hospital, Chengdu, China.
authors.forename: Lang
authors.initials: L
authors.lastname: Tian
authors.affiliation: Department of Nephrology, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Yongshu
authors.initials: Y
authors.lastname: Diao
authors.affiliation: Department of Nursing, West China Hospital, Sichuan University, Chengdu, China.
authors.forename: Xiuying
authors.initials: X
authors.lastname: Hu
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000523:psychology*; D002681:China; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D064691:Nurses, Community Health / Q000523:psychology*; D012649:Self Concept; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: burnout; community health nurses; mediating effect; organisational commitment; professional self-concept