Work environment, job satisfaction, stress and burnout among haemodialysis nurses
Article first published online: 30 DEC 2013
© 2013 John Wiley & Sons Ltd
Journal of Nursing Management
Volume 23, Issue 5, pages 588–598, July 2015
How to Cite
2015) Journal of Nursing Management 23, 588–598. Work environment, job satisfaction, stress and burnout among haemodialysis nurses, , (
- Issue published online: 3 JUL 2015
- Article first published online: 30 DEC 2013
- Manuscript Accepted: 2 SEP 2013
- haemodialysis nursing;
- job satisfaction;
- job stress;
- practice environment
To examine the relationships among nurse and work characteristics, job satisfaction, stress, burnout and the work environment of haemodialysis nurses.
Haemodialysis nursing is characterised by frequent and intense contact with patients in a complex and intense environment.
A cross-sectional online survey of 417 haemodialysis nurses that included nurse and work characteristics, the Brisbane Practice Environment Measure, Index of Work Satisfaction, Nursing Stress Scale and the Maslach Burnout Inventory.
Haemodialysis nurses reported an acceptable level of job satisfaction and perceived their work environment positively, although high levels of burnout were found. Nurses who were older and had worked in haemodialysis the longest had higher satisfaction levels, experienced less stress and lower levels of burnout than younger nurses. The in-centre type of haemodialysis unit had greater levels of stress and burnout than home training units. Greater satisfaction with the work environment was strongly correlated with job satisfaction, lower job stress and emotional exhaustion.
Haemodialysis nurses experienced high levels of burnout even though their work environment was favourable and they had acceptable levels of job satisfaction.
Implications for nursing management
Targeted strategies are required to retain and avoid burnout in younger and less experienced nurses in this highly specialised field of nursing.