The protective role of self-efficacy against workplace incivility and burnout in nursing: A time-lagged study

Roberta Fida, Heather K.Spence Laschinger, Michael P. Leiter

Research output: Contribution to journalArticlepeer-review


Background: Incivility has negative consequences in the workplace and remains a prevalent issue in nursing. Research has consistently linked incivility to nurse burnout and, in turn, to poor mental health and turnover intentions. To retain high-quality nurses, it is important to understand what factors might protect nurses from the negative effects of workplace mistreatment. Purpose: The aim of the study was to investigate the role of relational occupational coping self-efficacy in protecting nurses from workplace incivility and related burnout and turnover intentions. Methodology: A two-wave national sample of 596 Canadian nurses completed mail surveys both at Time 1 and one year later at Time 2. Structural equation modeling was used to test the hypothesized model. Results: The model showed a good fit, and most of the hypothesized paths were significant. Overall, the results supported the hypothesized protective effect of relational occupational coping self-efficacy against incivility and later burnout, mental health, and turnover intentions. Conclusion: Relational occupational coping self-efficacy is an important protective factor against negative work behavior. Practice Implications: Organizations should provide nurses with opportunities to build their coping strategies for managing job demands and difficult interpersonal interactions. Similarly, providing exposure to effective role models and providing meaningful verbal encouragement are other sources of efficacy information for building nurses' relational coping self-efficacy.

Original languageEnglish
Pages (from-to)21-29
Number of pages9
JournalHealth Care Management Review
Issue number1
Publication statusPublished - 1 Jan 2018

Bibliographical note

Funding Information:
This study was funded by the Canadian Institutes for Health Research Partnerships for Health Systems Improvement (#122182) with contributions from the Registered Nurses_ Association of Ontario, the Nova Scotia Health Research Foundation (#139405), the Niagara Health System, Health Canada, Alberta InovatesYHealth Solutions, St. Michael_s Hospital (Toronto, ON), VON Canada, Providence Care, Capital Health (Nova Scotia), Fraser Health (British Columbia), Victoria General Hospital (Winnipeg, MB), London Health Sciences Centre (London, ON), Health Force Ontario, and the McGill University Health Centre. Ethics approval was obtained from the University of Western Ontario prior to commencing the study. The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.


  • burnout
  • incivility
  • mental health
  • nursing work environment
  • self-efficacy
  • turnover


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