The mediating role of self-efficacy in the relationship between spirituality and burnout among intensive care unit nurses: a pathway analysis.

Résumé

BACKGROUND: Burnout is a critical issue among intensive care unit (ICU) nurses, impacting both their well-being and excellence in care. Spiritual wellbeing and self-efficacy have been identified as potential protective factors against burnout, yet their interrelationships remain unclear, particularly in the Indonesian nurse's context.OBJECTIVES: This study examines the role of spirituality and self-efficacy in burnout and explores the mediating effect of self-efficacy.METHODS: A cross-sectional correlational design with convenience sampling was conducted among 410 ICU nurses in public hospitals in East Java, Indonesia. Participants completed validated measures of burnout, spirituality and self-efficacy. Partial least squares structural equation modelling was employed to test direct and indirect relationships between variables.RESULTS: Most participants were female, with a mean age of around 31 years and more than two years of ICU experience. Higher workload significantly predicted greater burnout (β = 0.21, p