Communication skills, working environment and burnout among oncology nurses

Purpose: To examine the association between communication self-efficacy, working environment perceptions and burnout in an Israeli sample of oncology nurses. Methods: A non-randomized convenience sample of nurses (n = 39) was recruited from six oncology units in a major tertiary medical center in Israel. Measurements included a socio-demographic survey, the Maslach Burnout Inventory, a communication skills self-efficacy inventory and the Working Environment Scale. Findings: Frequent experiences of emotional exhaustion were reported by >60% of participants, cynicism by 28%, and self-actualization by >80%. Several statistically significant associations were demonstrated between communication skills self-efficacy and burnout, as well as between cynicism and reported positive characteristics of the working environment. Conclusions: In our study, emotional exhaustion and self-actualization were found to be separate and distinct experiences that can occur simultaneously. Communication self-efficacy and a positive perception of the working environment appear to buffer the occurrence of emotional exhaustion and promote self-actualization. (C) 2010 Elsevier Ltd. All rights reserved.