Expanding the occupational health methodology: A concatenated artificial neural network approach to model the burnout process in Chinese nurses

Abstract

Artificial neural networks are sophisticated modelling and prediction tools capable of extracting complex, non-linear relationships between predictor (input) and predicted (output) variables. This study explores this capacity by modelling non-linearities in the hardiness-modulated burnout process with a neural network. Specifically, two multi-layer feed-forward artificial neural networks are concatenated in an attempt to model the composite non-linear burnout process. Sensitivity analysis, a Monte Carlo–based global simulation technique, is then utilised to examine the first-order effects of the predictor variables on the burnout sub-dimensions and consequences. Results show that (1) this concatenated artificial neural network approach is feasible to model the burnout process, (2) sensitivity analysis is a prolific method to study the relative importance of predictor variables and (3) the relationships among variables involved in the development of burnout and its consequences are to different degrees non-linear.

Abstract

Practitioner Summary: Many relationships among variables (e.g. stressors and strains) are not linear, yet researchers use linear methods such as Pearson correlation or linear regression to analyse these relationships. Artificial neural network analysis is an innovative method to analyse non-linear relationships and in combination with sensitivity analysis superior to linear methods.

Keywords:

• burnout
• artificial neural network
• hardiness
• health services
• sensitivity analysis

Disclosure statement

No potential conflict of interest was reported by the authors.

Additional information

Funding

This research was supported by Programa cooperación UAM – Banco Santander.