Work environment, job satisfaction, stress and burnout among haemodialysis nurses

Hayes, Bronwyn, Douglas, Clint, & Bonner, Ann (2015) Work environment, job satisfaction, stress and burnout among haemodialysis nurses. Journal Of Nursing Management, 23(5), pp. 588-598.

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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.


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.

Impact and interest:

9 citations in Scopus
13 citations in Web of Science®
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ID Code: 62522
Item Type: Journal Article
Refereed: Yes
Additional Information: Article first published online: 30 December 2013
Additional URLs:
Keywords: Haemodialysis Nursing, Job Satisfaction, Job Stress, Burnout, Practice Environment
DOI: 10.1111/JONM.12184
ISSN: 0966-0429
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Nursing
Copyright Owner: Copyright 2013 John Wiley & Sons Ltd
Copyright Statement: This is the peer reviewed version of the following article: Hayes B., Douglas C., Bonner A. (2015) Journal of Nursing Management 23, 588–598. Work environment, job satisfaction, stress and burnout among haemodialysis nurses, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Deposited On: 15 Sep 2013 23:22
Last Modified: 08 Aug 2016 04:45

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