University of Oulu

Tomietto, M, Paro, E, Sartori, R, et al. Work engagement and perceived work ability: An evidence‐based model to enhance nurses’ well‐being. J Adv Nurs. 2019; 75: 1933– 1942.

Work engagement and perceived work ability : an evidence-based model to enhance nurses’ well-being

Saved in:
Author: Tomietto, Marco1,2; Paro, Eleonora2; Sartori, Riccardo3;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
2Azienda per l'Assistenza Sanitaria n. 5 “Friuli Occidentale”, Pordenone, Italy
3Department of Human Sciences, University of Verona, Verona, Italy
4University of Ferrara, Ferrara, Italy
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.8 MB)
Persistent link:
Language: English
Published: John Wiley & Sons, 2019
Publish Date: 2020-02-21


Aims: The study aims are (a) to test a model developed to estimate the impact of work engagement on work ability as it is perceived by nurses; (b) to test the parameters between work ability and job satisfaction and between job satisfaction and turnover intention.

Design: Cross‐sectional.

Methods: This study involved 1,024 nurses from January–May 2018. The response rate was 70.7%. The Work Ability Index and the Utrecht Work Engagement Scale were used. Path analysis was performed, both in the whole sample and in age categories (<45yy–≥45yy). Model’s parameters and fit indexes were estimated.

Results: The comprehensive model was validated through the multi‐group approach. Fit indexes were adequate in the general model and in the multi‐group testing. Parameters confirmed the association between work engagement and work ability and between work ability and job satisfaction and turnover intention. Parameters highlighted different age‐dependent patterns.

Conclusion: This study states the contribution of work engagement to enhance work ability in nursing profession. Findings contribute in understanding motivational dynamics in nurses and they suggest the use of tailored strategies for different age categories. Further research could address the model to deepen generational patterns in work engagement, work ability, and organizational outcomes.

Impact: The study highlights how to address nursing management to improve nurses’ motivation and work ability and to improve organizational outcomes. Main findings point out different age‐dependent patterns to tailor managerial strategies. Healthcare organizations have new elements to design human resources management and to improve job satisfaction and nurses’ retention.

see all


The authors are grateful to the nurses of the healthcare facility involved in the study. Authors acknowledge the PN Nursing Group.


Bortolin Paola

Brait Rosanna

Coassin Maurizio

Copat Maria

Doimo Ylenia

Doro Romina

Gaudenzi Carla

Minato Angelo

Pessot Giuliana

Pin Stefania

Quas Franca

Turchet Daniela

see all

Series: Journal of advanced nursing
ISSN: 0309-2402
ISSN-E: 1365-2648
ISSN-L: 0309-2402
Volume: 75
Issue: 9
Pages: 1933 - 1942
DOI: 10.1111/jan.13981
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Copyright information: © 2019 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Tomietto, M, Paro, E, Sartori, R, et al. Work engagement and perceived work ability: An evidence‐based model to enhance nurses’ well‐being. J Adv Nurs. 2019; 75: 1933– 1942., 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.