scholarly journals The association between perceived hospital ethical climate and self-evaluated care quality for COVID-19 patients: the mediating role of ethical sensitivity among Chinese anti-pandemic nurses

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Wenjing Jiang ◽  
Xing’e Zhao ◽  
Jia Jiang ◽  
Huilin Zhang ◽  
Shujuan Sun ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Ethical Climate ◽  
Online Survey ◽  
Linear Regression Analysis ◽  
Care Quality ◽  
Mediation Effect ◽  
Ethical Sensitivity ◽  
Cross Sectional ◽  
Mediating Role

Abstract Background The COVID-19 pandemic called for a new ethical climate in the designated hospitals and imposed challenges on care quality for anti-pandemic nurses. Less was known about whether hospital ethical climate and nurses’ ethical sensitivity were associated with care quality. This study examined the association between the perceived hospital ethical climate and self-evaluated quality of care for COVID-19 patients among anti-pandemic nurses, and explored the mediating role of ethical sensitivity in this relationship. Methods A cross-sectional study was conducted through an online survey. A total of 399 anti-pandemic nurses from ten designated hospitals in three provinces of China were recruited to fill out an online survey. Multiple linear regression analysis and a bootstrap test were used to examine the relationships between ethical climate, ethical sensitivity and care quality. Results Nurses reported mean scores of 4.43 ± 0.577 (out of 5) for hospital ethical climate, 45.00 ± 7.085 (out of 54) for ethical sensitivity, and 5.35 ± 0.661 (out of 6) for self-evaluated care quality. After controlling for covariates, perceived hospital ethical climate was positively associated with self-evaluated care quality (direct effect = 0.710, 95% confidence interval [CI] 0.628, 0.792), and was partly mediated by ethical sensitivity (indirect effect = 0.078, 95% confidence interval [CI] 0.002, 0.145). Conclusions Chinese nurses who cared for COVID-19 patients perceived high levels of hospital ethical climate, ethical sensitivity, and self-evaluated care quality. Positive perceptions of hospital ethical climate were both directly associated with a higher level of self-evaluated care quality and indirectly associated, through the mediation effect of ethical sensitivity among anti-pandemic nurses.

scholarly journals The Association between Perceived Hospital Ethical Climate and Self-evaluated Care Quality for COVID-19 Patients: The Mediating Role of Ethical Sensitivity Among Chinese Anti-pandemic Nurses

2021 ◽  
Author(s):  
Wenjing Jiang ◽  
Xing’e Zhao ◽  
Jia Jiang ◽  
Huilin Zhang ◽  
Shujuan Sun ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Ethical Climate ◽  
Online Survey ◽  
Linear Regression Analysis ◽  
Care Quality ◽  
Mediation Effect ◽  
Ethical Sensitivity ◽  
Cross Sectional ◽  
Mediating Role

Abstract Background: The COVID-19 pandemic called for a new ethical climate in the designated hospitals and imposed challenges on care quality for anti-pandemic nurses. Less was known about whether hospital ethical climate and nurses’ ethical sensitivity were associated with care quality. This study examined the association between the perceived hospital ethical climate and self-evaluated quality of care for COVID-19 patients among anti-pandemic nurses, and explored the mediating role of ethical sensitivity in this relationship.Methods: A cross-sectional study was conducted through an online survey. A total of 399 anti-pandemic nurses from ten designated hospitals in three provinces of China were recruited to fill out an online survey. Multiple linear regression analysis and a bootstrap test were used to examine the relationships between ethical climate, ethical sensitivity and care quality.Results: Nurses reported mean scores of 4.43 ± 0.577 (out of 5) for hospital ethical climate, 45.00 ± 7.085 (out of 54) for ethical sensitivity, and 5.35 ± 0.661 (out of 6) for self-evaluated care quality. After controlling for covariates, perceived hospital ethical climate was positively associated with self-evaluated care quality (direct effect = 0.710, 95% confidence interval [CI]: 0.628, 0.792), and was partly mediated by ethical sensitivity (indirect effect = 0.078, 95% confidence interval [CI]: 0.002, 0.145). Conclusions: Chinese nurses who cared for COVID-19 patients perceived high levels of hospital ethical climate, ethical sensitivity, and self-evaluated care quality. Positive perceptions of hospital ethical climate were both directly associated with a higher level of self-evaluated care quality and indirectly associated, through the mediation effect of ethical sensitivity among anti-pandemic nurses.

The mediating role of autonomy in the effect of pro-innovation climate and supervisor supportiveness on innovative behavior of nurses

2019 ◽  
Vol 22 (1) ◽  
pp. 41-58 ◽  
Author(s):  
Betül Sönmez ◽  
Aytolan Yıldırım
Keyword(s):  
Organizational Climate ◽  
Linear Regression Analysis ◽  
Professional Autonomy ◽  
Added Value ◽  
Innovative Behavior ◽  
Cross Sectional ◽  
Content Type ◽  
Mediating Role ◽  
Innovation Climate

PurposeThe purpose of this paper is to test the mediating role of autonomy in the effect of a pro-innovation organizational climate and supervisor supportiveness (SS) on the innovative behavior (IB) of nurses.Design/methodology/approachThe sample of this cross-sectional, correlational study consisted of 332 nurses, who were selected, on the basis of the convenience sampling method, from among the nurses working at two public university hospitals in Istanbul. The data of the study were collected between February and May of 2015. Descriptive analysis and linear regression analysis were used for data analysis, and the bootstrapping method was applied to test the significance of the mediating role.FindingsThe model used for examining the mediating role of autonomy was found to be statistically significant, as it explained 36 percent of the variance of IB. When the significance of the mediating role was tested, its effect on both innovation climate and SS was observed to be significant.Originality/valueThe obtained results indicated that a pro-innovation organizational climate and SS functioned as premises for autonomy. In turn, the rise in autonomy level that served to innovative climate and SS increased the IB of the nurses through boosting their autonomy level. From these results, it can be argued that nurses with a high level of professional autonomy can create innovative outputs and provide added value through the IB they practice in providing patient care and general health services.

scholarly journals Impact of Perceived Severity of COVID-19 (SARS-COV-2) on Mental Health of University Students of Pakistan: The Mediating Role of Muslim Religiosity

2021 ◽  
Vol 12 ◽  
Author(s):  
Muhammad Saleem ◽  
Abou Bakar ◽  
Areeha Khan Durrani ◽  
Zubair Manzoor
Keyword(s):  
Mental Health ◽  
Structural Equation ◽  
Online Survey ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Perceived Severity ◽  
Mediating Role ◽  
Muslim Religiosity ◽  
The Impact

Background: Perceived severity of COVID-19 (SARS-COV-2) is known to be associated with mental health of people in general and health professionals in particular in Western societies. However, its association with the mental health of students in Pakistan, which is predominantly a Muslim society, remains unclear so far. Moreover, the role of Muslim religiosity for such an association has not yet been investigated. We aimed to examine the association and report findings on the impact of perceived severity on mental health with a sample of students from all five provinces of Pakistan.Methods: We did a cross-sectional online survey from 1,525 Pakistani students in March 2020 using standardized measurement tools. We then determined the prevalence of perceived severity among students and its impact on their mental health. The strength of associations between these variables was estimated using generalized linear models, with appropriate distribution and link functions. Structural equation modeling through SmartPLS (3.0) software was utilized to analyze the results.Findings: The perceived severity of COVID-19 is significantly associated with mental health of Pakistani students, whereas Muslim religiosity is a strong mediator between perceived severity and mental health of Pakistani students.Conclusions: Though the perceived severity of COVID-19 is associated with mental health, this relationship can be better explained by the role of Muslim religiosity. When tested individually, the perceived severity accounted for only 18% variance in mental health that increased up to 57% by the mediating role of Muslim religiosity. This difference clearly indicates the mediating role of Muslim religiosity in the association between perceived severity and mental health for Pakistani students.

scholarly journals The Mediating Role of Rumination in the Relationship between Loneliness and Depression in University Students during the COVID-19 Pandemic

COVID ◽  
2021 ◽  
Vol 1 (2) ◽  
pp. 447-457
Author(s):  
Ines Luttenbacher ◽  
Jamie S. Breukel ◽  
Maheen M. Adamson
Keyword(s):  
Mental Health ◽  
University Students ◽  
Online Survey ◽  
Self Report ◽  
Key Factors ◽  
Cross Sectional ◽  
Mediating Role ◽  
Final Sample ◽  
The Relationship

Introduction: While mitigation procedures are needed to prevent the continuous spread of COVID-19, they may, in turn, negatively impact individuals’ mental health. Therefore, the current study aimed to investigate the relationships between loneliness, rumination, and depression, as well as the mediating role of rumination in the relationship between loneliness and depression in university students during the COVID-19 pandemic. Methods: A cross-sectional online survey was circulated, collecting a final sample of 288 university students (Mage = 22.01, SD = 3.45, range = 18–55, 75.7% female). Study variables were measured utilizing self-report questionnaires. Results: In line with the hypotheses, rumination partially mediated the relationship between loneliness and depression. Discussion: Therefore, ruminative thoughts may be one of the key factors contributing to lonely university students’ susceptibility to depressive symptoms during the COVID-19 pandemic.

The Influence of COVID-19 Stress on Psychological Well-Being Among Vietnamese Adults: The Role of Self-Compassion and Gratitude

2021 ◽  
Author(s):  
Helpe Pape
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Human Life ◽  
Well Being ◽  
World Health ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Mediating Role ◽  
Self Compassion

COVID-19 has become an epidemic affecting all aspects of human life. Vietnam is now encountering the COVID-19 second wave, which puts the mental health of Vietnamese people at risk. Due to the adverse psychological effects of the COVID-19 global pandemic on human psychological well-being in these challenging times, the aims of this study are to examine the relationship between self-compassion and psychological well-being and the role of gratitude and COVID-19 stress as a multimediators model in a cross-sectional study. Participants include 509 Vietnamese adults (Mage = 31.71; SD = 7.28 years) recruited through an online survey. A 26-item Self-Compassion Scale was used to measure self-compassion, gratitude was measured by the 6-item Gratitude in the COVID-19, psychological well-being was measured by the World Health Organization Well-Being Index, and the COVID-19 Stress Scale was used to measure stress and fears symptoms caused by the pandemic. The results support 3 main findings: (a) self-compassion has a direct influence on the psychological well-being (effect = 0.50, p < .001, 95% confidence interval [CI; 0.43, 0.57]), (b) the mediating role of gratitude in this model was significant (effect = 0.07, 95% CI [0.04, 0.10]), and (c) the mediating role of COVID-19 stress and fears in this model was also significant (effect = 0.02, 95% CI [0.01, 0.04]). The study’s results also show that increasing self-compassion and gratitude could help to improve psychological well-being and reduce the influence of COVID-19 stress and fears on the individuals’ mental health.

scholarly journals When COVID-19 Is the Invader and Internal Communication Is the Hero: Understanding the Influence of Internal Communication on Individual Performance and Evaluating the Mediating Role of Perceived Support

2021 ◽  
Vol 11 (4) ◽  
pp. 136
Author(s):  
Daniel Roque Gomes ◽  
Patricia Lourenço ◽  
Neuza Ribeiro
Keyword(s):  
Individual Performance ◽  
Internal Communication ◽  
Mediation Effect ◽  
Cross Sectional ◽  
Mediating Role ◽  
Perceived Organisational Support ◽  
Improved Performance ◽  
The Individual ◽  
The Impact

Objective: The main objective of this study was to evaluate the impact of internal communication (IC) of organisations on the quality of the individual–organisation relationship, specifically with regard to the effects generated with respect to individual performance (IP) in a pandemic framework. In this sense, the study intends to evaluate the effects of IC on the employee’s IP, having as a mediator perceived organisational support (POS). Methodology: To achieve the aforementioned objectives, a cross-sectional quantitative study was prepared, data for which were collected during a period of confinement that took place between 9 February and 15 March 2021. A total of 340 individuals of both sexes participated in the study. Genders were 67.6% female and 32.4% male, with ages ranging from 25 years to over 61 years, from all districts of Portugal and the Islands. Results: The main results obtained showed that IC was positively and significantly correlated with POS and also with IP, and that there was also a total mediation effect of POS in the relationship between IC and IP. Practical implications: These results seem to support the need for organisations to invest in their internal communication practices as a way of stimulating strong and fruitful relationships between workers and the organisation. Internal communication seems to be a relevant indicator for the management of proximity relationships with workers, especially in adverse contexts, like the ones experienced during the pandemic crisis. Well-developed internal communication supports and practices seem to be a valid path towards developing bonds leading to improved performance.

scholarly journals THREAT OF COVID-19 AND PERCEIVED STRESS: THE MEDIATING ROLE OF CHALLENGE, UNCONTROLLABILITY AND STRESSFULNESS

2021 ◽  
Vol 71 (5) ◽  
pp. 1571-76
Author(s):  
Ahmad Bilal ◽  
Minahil Aamir
Keyword(s):  
Perceived Stress ◽  
Online Survey ◽  
Cross Sectional Survey ◽  
Stress Appraisal ◽  
Cross Sectional ◽  
Mediating Role ◽  
Cohen’S D ◽  
Social Media Platforms ◽  
Cohen's D

Objective: To find out the mediating role of challenge, uncontrollability, and stressfulness in predicting perceived stress from threat during COVID-19 pandemic in the general public. Study Design: Cross-sectional survey. Place and Duration of Study: Bahawalpur City, from Mar to May 2020. Methodology: A total of 360 participants (men=154, women=206) were recruited from different cities of Punjab province. The stress appraisal measure, perceived stress scale, and coping scale were administered through Google forms using social media platforms. The participation in the online survey implied signing the written informed consent available in the survey. Results: The primary and secondary appraisals of challenge (IE=0.84, SE=0.27, 95% LL=0.31, 95% UL=1.40), uncontrollability (IE=1.03, SE=0.36, 95% LL=0.34, 95% UL=1.76), and stressfulness (IE=-0.28, SE=0.12, 95% LL=-0.56, 95% UL=-0.08) fully mediated the relationship between threat of COVID-19 and perceived stress. Additionally, there was statistically significant positive relationship between threat of COVID-19 and use of coping strategies (r=0.14, p<0.01). The statistics of women regarding appraisals of threat, uncontrollability, stressfulness and perceived stress (2.94 ± 0.88); (2.49 ± 0.84); (2.87 ± 0.73); (19.92 ± 6.08), were found to be slightly higher on as compared to men (2.76 ± 0.82); (2.25 ± 0.81); (2.58 ± 0.76); (18.41 ± 5.37) respectively with p=0.01, Cohen’s d=0.21); p=0.001, Cohen’s d=0.29); p=0.001, Cohen’s d=0.38); (p=0.01, Cohen’s d=0.26). Conclusion: The threat of COVID-19 significantly led to the experience of perceived stress through the mediating role of primary and secondary appraisals of challenge, uncontrollability, and stressfulness.

Job resources and employees' intention to stay: the mediating role of meaningful work and work engagement

2021 ◽  
pp. 1-17
Author(s):  
Israel Sánchez-Cardona ◽  
María Vera ◽  
Jesús Marrero-Centeno
Keyword(s):  
Work Engagement ◽  
Structural Equation ◽  
Online Survey ◽  
Meaningful Work ◽  
Job Resources ◽  
Equation Modeling ◽  
Intention To Stay ◽  
Cross Sectional ◽  
Mediating Role

Abstract Based on the Job Demands Resources Model (JD-R), this study investigates the mediating role of meaningful work and work engagement in the association between job resources and employees' intention to stay. A cross-sectional study was conducted through an online survey of 217 employees from different organizations in Puerto Rico. We examined a serial mediation analysis through structural equation modeling. The results indicate that job resources are positively related to meaningful work, while meaningful work is positively associated with work engagement. Further, job resources are indirectly associated with the intention to stay through meaningful work and work engagement. This study contributes to understanding the role of meaningful work and engagement in the JD-R model's motivational-driven process and how these mechanisms promote positive work outcomes in terms of the retention of human capital. Designing jobs and strategies at the workplace to develop meaning and engagement seems crucial to retain employees.

Lower education and living in countries with lower wealth are associated with higher disease activity in rheumatoid arthritis: results from the multinational COMORA study

2015 ◽  
Vol 75 (3) ◽  
pp. 540-546 ◽  
Author(s):  
Polina Putrik ◽  
Sofia Ramiro ◽  
Andras P Keszei ◽  
Ihsane Hmamouchi ◽  
Maxime Dougados ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Disease Activity ◽  
Female Gender ◽  
Mediation Effect ◽  
Cross Sectional ◽  
Individual Level ◽  
Mediating Role ◽  
Country Level ◽  
The Relationship

ObjectivesTo investigate the relationship of socioeconomic status (SES) on an individual and country level with disease activity in rheumatoid arthritis (RA) and explore the mediating role of uptake of costly biological disease-modifying antirheumatic drugs (bDMARDs) in this relationship.MethodsData from a cross-sectional multinational study (COMOrbidities in RA) were used. Contribution of individual socioeconomic factors and country of residence to disease activity score with 28-joint assessment (DAS28) was explored in regression models, adjusting for relevant clinical confounders. Next, country of residence was replaced by gross domestic product (GDP) (low vs high) to investigate the contribution of SES by comparing R2 (model fit). The mediating role of uptake of bDMARDs in the relationship between education or GDP and DAS28 was explored by testing indirect effects.ResultsIn total, 3920 patients with RA were included (mean age 56 (SD 13) years, 82% women, mean DAS28 3.7 (1.6)). After adjustment, women (vs men) and low-educated (vs university) patients had 0.35 higher DAS28. Adjusted country differences in DAS28, compared with the Netherlands (lowest DAS28), varied from +0.2 (France) to +2.4 (Egypt). Patients from low GDP countries had 0.98 higher DAS28. No interactions between individual-level and country-level variables were observed. A small mediation effect of uptake of bDMARDs in the relationship between education and DAS28 (7.7%) and between GDP and DAS28 (6.7%) was observed.ConclusionsFemale gender and lower individual or country SES were independently associated with DAS28, but did not reinforce each other. The association between lower individual SES (education) or lower country welfare (GDP) with higher DAS28 was partially mediated by uptake of bDMARDs.

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