Job demands, burnout, and engagement among nurses: A multi-level analysis of ORCAB data investigating the moderating effect of teamwork

• Multilevel analysis was used to test the Job Demands-Resources model among nurses.
• Teamwork was conceptualized and measured as a department-level, shared resource.
• Job demands were found to explain both burnout and engagement.
• Department-level teamwork was found to explain engagement, but not burnout.
• We found no evidence of a moderating effect of teamwork on individual perceptions of job demands.

According to the Job Demands-Resources (JD-R) model, burnout and engagement are psychological reactions that develop when individual characteristics interact with work characteristics. This study tests the JD-R model using multilevel analysis to test the main and moderating effects of teamwork effectiveness among 1156 nurses in 93 departments from seven European countries. Workload, emotional and organizational demands were positively associated with emotional exhaustion, depersonalization, and negatively with vigor. Emotional and organizational demands were negatively associated with dedication. Teamwork effectiveness was positively associated with engagement. We found no evidence for the moderating effect of teamwork effectiveness in reducing individual perceptions of demands.