How stress affects presenteeism in public sectors: a dual path analysis of Chinese healthcare workers

How stress affects presenteeism in public sectors: a dual path analysis of Chinese healthcare workers
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DOI:
10.1007/s10389-021-01588-w
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发表时间:
2021-05
影响因子:
4.4
通讯作者:
Jianwei Deng;Zhennan Wu;Mingxu Ma;Zixuan Zang;Tianan Yang
Jianwei Deng;Zhennan Wu;Mingxu Ma;Zixuan Zang;Tianan Yang
中科院分区:
医学4区
文献类型:
--
作者:
Jianwei Deng;Zhennan Wu;Mingxu Ma;Zixuan Zang;Tianan Yang

文献摘要

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目标工作压力是当前组织行为学及其相关研究中的一个重要概念。我们探讨了两种类型的工作压力如何影响出勤率从一个双路径。主题和方法本横断面研究进行了文献研究和问卷调查,以探讨工作压力对出勤率的影响医务人员的基础上,数据集组成的1516个有效样本来自12家医院在中国。结果在最终的结构方程中,挑战性压力对公共服务动机有显著的正向影响,健康状况对公共服务动机有显著的正向影响(β = 0.08;P< 0.05),但对健康有负面影响(β =-0.20;P< 0.01),对出勤率的负面影响不显著(β =-0.00;P> 0.05)。阻碍压力与公共服务动机(β =-0.20;P< 0.001)和健康(β =-0.27;P< 0.001)呈显著负相关,与出勤率呈正相关(β = 0.09;P< 0.01)。公共服务动机的中介作用是不显着的挑战压力,但阻碍压力显着,而这两条路径是显着的健康时,介导的conclusionsFirst,工作压力有显着的影响。第二,不同类型的工作压力对出勤率有不同的影响,阻碍压力的影响更为显著。第三,健康在公共服务动机中起着显著的中介作用。政府和卫生行业应关注医务人员的工作状态,从供给端提高医疗服务质量。
AimJob stress is an important concept in current organizational behavior and relevant studies. We explored how two types of job stress impact on presenteeism from a dual-path.Subject and methodsThis cross-sectional study conducted a literature research and questionnaire survey to explore the influence of job stress on presenteeism among healthcare workers based on a dataset composed of 1516 valid samples from 12 hospitals across China. Structural equation modeling and mediation analysis in SPSS were used to test the roles played by public service motivation and health in the influence of job stress on presenteeism.ResultsIn the final structural model equation, challenge stress had a significant positive impact on public service motivation (β = 0.08;P< 0.05) but a negative impact on health (β = −0.20;P< 0.01), and an insignificant negative effect on presenteeism (β = −0.00;P> 0.05). Hindrance stress was significantly negatively correlated with public service motivation (β = −0.20;P< 0.001) and health (β = −0.27;P< 0.001) and positively correlated with presenteeism (β = 0.09;P< 0.01). The mediating role of public service motivation was insignificant for challenge stress but significant for hindrance stress, while both paths were significant when mediated by health.ConclusionsFirst, job stress has a significant influence on presenteeism. Second, different types of job stress have different effects on presenteeism and hindrance stress plays a more salient role. Third, health plays a significant mediating role compared with public service motivation. The government and health industry should pay attention to healthcare workers’ working status to improve the quality of healthcare service from the supply side.