scholarly journals Serial-Multiple Mediation of Job Burnout and Fatigue in the Relationship Between Sickness Presenteeism and Productivity Loss in Nurses: A Multicenter Cross-Sectional Study

2022 ◽  
Vol 9 ◽  
Author(s):  
Yuxin Li ◽  
Bingmei Guo ◽  
Yongchao Wang ◽  
Xiaoyan Lv ◽  
Rong Li ◽  
...  

Background:In China, sickness presenteeism, job burnout, and fatigue are common among nurses during the COVID-19 pandemic. We propose the prevalence of sickness presenteeism can adversely affect nurses' physical and mental health, negatively impact their work productivity and quality, and pose a threat to patients' safety. Therefore, this study examines the mechanism of productivity loss caused by sickness presenteeism, fatigue, and job burnout.Objectives:To investigate the serial-multiple mediating effect of job burnout and fatigue in the relationship between sickness presenteeism and productivity loss among nurses.Methods:A multicenter cross-sectional survey was undertaken by administering an online questionnaire from December 2020 to May 2021. Stratified cluster sampling was used to include 3,491 nurses from 14 hospitals in Shandong Province, China. Variables were measured using the Sickness Presenteeism Questionnaire, Stanford Presenteeism Scale, Chalder Fatigue Scale, and Maslach Burnout Inventory. Data analyses were carried out using descriptive statistics, one-way analysis of variance, independent-samples t-test, Pearson correlation analysis, hierarchical regression, and bootstrapping method.Results:From the 3,491 nurses who volunteered in this online survey, only 2,968 valid questionnaires were returned. Sickness presenteeism exhibited a prevalence of 70.6% during the COVID-19 pandemic. The average score of health-related productivity loss was 15.05 ± 4.52, fatigue was 8.48 ± 3.40, and job burnout was 39.14 ± 19.64. Sickness presenteeism was positively associated with fatigue and job burnout while job burnout was positively associated with nurse fatigue. Sickness presenteeism, fatigue, and job burnout were also positively correlated with health-related productivity loss. Statistically significant paths via the single mediation of fatigue and job burnout were established. A statistically significant serial-multiple mediating effect of fatigue and job burnout on the association between sickness presenteeism and productivity loss accounted for 35.12% of the total effect size.Conclusions:There was a high incidence of sickness presenteeism and job burnout among Chinese nurses. High-frequency sickness presenteeism may result in increased productivity loss through the two mediating effects of fatigue and job burnout. Sickness presenteeism may increase fatigue, promote job burnout, and result in increased productivity loss among Chinese nurses during the COVID-19 pandemic.

2015 ◽  
Vol 42 (4) ◽  
pp. 404-420 ◽  
Author(s):  
Stephen Korutaro Nkundabanyanga ◽  
Julius Opiso ◽  
Waswa Balunywa ◽  
Isaac Nabeeta Nkote

Purpose – The purpose of this paper is to establish the relationship between managerial competence, managerial risk-taking behaviour and financial service outreach of microfinance institutions (MFIs). Design/methodology/approach – In this cross-sectional and correlational study, the authors surveyed 52 branches of MFIs from a population of 60 branches of 20 MFIs in eastern Uganda. Two respondents, a branch manager and a senior loan officer, were the units of enquiry for each branch. The authors put forward and tested four hypotheses relating to the significance of the relationship between perceived managerial competence, risk-taking behaviour and financial service outreach using SPSS version 20. The authors established the hypothesized relationships using Pearson correlation coefficients and obtain a mediating effect of risk-taking behaviour using partial corrections and regression analysis. Findings – The results suggest positive and significant relationships between perceived managerial competence, risk-taking behaviour and financial service outreach. However, while the direct relationship between managerial competence and financial service outreach without the mediation effect of risk-taking behaviour of managers was found to be significant, its magnitude reduces when mediation of risk-taking behaviour is allowed. Thus the entire effect does not only go through managerial competence but majorly also, through risk-taking behaviour of managers. Research limitations/implications – This study did not control for environmental factors such as laws and regulations. As such the model may have been under fitted. Nevertheless, the study has introduced a clearer understanding that outreach performance in MFIs rests with competent managers in strategic positions operating in synergy with their risk-taking behaviour. The study informs policy makers that outreach performance of the MFIs depends on the quality of the competence managers have in addition to their risk-taking propensities. Practical implications – Efforts by the stakeholders to improve financial service outreach must be matched with appropriate competences and risk-taking behaviour of managers. Originality/value – The results contribute to extant literature by investigating two explanatory variables for financial service outreach and provide initial evidence of the mediating effect of intrinsic high risk-taking behaviour of managers. Results add to the conceptual improvement in risk-taking behaviour and lend considerable support for the behavioural perspective in the study of financial service outreach of MFIs.


Author(s):  
Ali Reza Yusefi ◽  
Reza Faryabi ◽  
Shima Bordbar ◽  
Salman Daneshi ◽  
Parnian Nikmanesh

Background and Purpose: COVID-19 could be a threat to healthcare workers' mental health. This study was conducted to investigate job burnout and its relationship with the resilience level of the personnel in the COVID-19 treatment hospital in southern Iran. Methods: This descriptive-analytical cross-sectional study was conducted in 2021 on 496 personnel of Hazrat Ali Asghar (AS) Hospital selected as the center of COVID-19 in southern Iran. The participants of the study were selected using the census. Data collection tools were the standard Maslach Burnout Inventory (MBI) and Connor-Davidson Resilience Scale (CD-RISC). Data analysis was performed using t-test, ANOVA, Pearson correlation coefficient, and multiple linear regression in SPSS23 at a significance level of 0.05. Results: The mean scores of job burnout and resilience were 76.95 ± 14.36 (of 132) and 71.21 ± 8.24 (of 125), respectively which indicated the moderate level of these two variables. There was a significant inverse correlation between job burnout and resilience (P<0.001, r= - 0.514). Spiritual influences (P<0.001), perception of competence (P=0.001), positive acceptance of change and secure relationships (P= 0.001), trust in individual instincts (P= 0.02), and control (P= 0.03) of resilience aspects were identified as predictors of job burnout. Additionally, there was a statistically significant relationship between job burnout and gender (P=0.001) and occupational group (P= 0.04); and between resilience and gender (P= 0.02) and with marital status (P= 0.03). Conclusion: Job burnout status and personnel resilience were at a moderate level. It was recommended to train employees with resilience-enhancing skills employees according to each of their dimensions.


2020 ◽  
Vol 20 (3) ◽  
pp. 173-179
Author(s):  
Khabazzadeh Fatemeh ◽  
Nimetcan Mehmet ◽  
Alabed Ali A. Alabed

Aim of this study is to determine levels of general health, occupational stress and burnout in nurses who are working in Shohadaye Kargar Hospital of Yazd. A cross- sectional study was conducted among nurses who are working in Shohadaye Kargar Hospital of Yazd in 2017-2018 years. The sample was randomly selected and total 200 nurses were enrolled to the study. The study instruments included Occupational stress questionnaire, Maslach Burnout Inventory and General Health Questionnaire. Collected Data were analyzed by using descriptive test and Pearson correlation coefficient and multivariate regression in SPSS. The findings of research indicated that total levels of occupational stress were high among 58.85 % of nurses. Regarding burnout, 35.93% of nurses had reported high levels of burnout. Less than one percent (0.37 %) of nurses have high mental health problems and 0.44 percent reported mid mental health problem. There was a statistically significant correlation between occupational stress with mental health (p<.001) and job burnout with mental health (p<.001). Occupational stress and job burnout may have undesired influences on nursing mental health and general function.


2018 ◽  
Vol 5 (1) ◽  
pp. 43-47
Author(s):  
Li-Feng Yang ◽  
Jing-Ying Liu ◽  
Yan-Hui Liu

Abstract Objective The aim of this study was to explore whether positive emotion mediates the relationship between job burnout and turnover intentions among Chinese nurses. Methods A cross-sectional survey was conducted in the present study. Full-time registered nurses (n = 150) from Grade A hospitals in Tianjin were surveyed. Pearson correlation, hierarchical regression analyses, and the Sobel test were used in the study. Results The results illustrated that positive emotion mediated the relationship between burnout and nurses’ turnover intention. Conclusions Nursing administrators should pay more attention to the benefits of positive emotions on working motivation. It is helpful to relieve burnout in the working process so that nurses are willing to remain in their current employment.


Author(s):  
Rosydiah Rahmawati ◽  
Nyilo Purnami ◽  
Makhmudyah Indri Cahyani

Noise Induce Hearing Loss (NIHL) is a work disease that is often found in industrial workers. The use of ear protectors that are in accordance with the standard along with the continuity of optimal use can reduce the risk of hearing loss due to noise in the workplace. Adherence to use ear protectors greatly affect the possibility of a person experiencing a more severe hearing loss. The purpose of this study is to prove the existence of relationship of compliance with the use of ear protectors with hearing loss due to noise in the installation of sterilization and laundry. This study used cross sectional methods. Seventeen samples were taken by consecutive sampling for audiometry examination and measurement of compliance with the use of Ear Protective Equipment. Respondents received an average score of 1.86 indicating that compliance with the use of ear protectors was sufficient. Based on the results of the measurement of the auditory threshold in 17 respondents as many as 4 respondents (23%) normal hearing and as many as 13 respondents (77%) experienced NIHL. The results of statistical tests with Pearson correlation show that the Pearson correlation coefficient number of -0.643, which means that the correlation between compliance variables with noise due to noise is 0.643. Based on the criteria above, the relationship between the two variables is significant because the number of significance is P-value / Sig 0.005 <0.05. So, there is a relation between years of work with Noise Induce Hearing Loss, education and Noise Induce Hearing Loss, and compliance with the use of ear protectors with NIHL


2021 ◽  
Vol 9 (02) ◽  
pp. 07-29
Author(s):  
John K. Mosonik ◽  
Loice C. Maru ◽  
Joyce K. Komen

Growth among Micro, Small and Medium-sized Enterprises (MSME) is of eminence to economic progression in both developed and developing economies, credited for employment creation, driving innovation and contribution to Gross Domestic Product (GDP) in both contexts. Whereas entrepreneurial orientation has been identified to underpin MSME growth, several studies on entrepreneurial orientation -growth nexus have provided mixed results based on the aggregated one-dimensional measure of entrepreneurial orientation. While some report a significant association, some report no significance. The mixed findings imply that the relationship between entrepreneurial orientation and growth is not linear, pointing to other causal factors either internal or external to the enterprise. against this backdrop, this study set out to assess the mediating effect of firm strategic capabilities on the relationship between entrepreneurial orientation and growth of manufacturing sector MSMEs in Kenya. Anchored on the contingency fit view, the resource-based view and the life-cycle theory, the study adopted a positivist approach, employing the explanatory research design of a cross sectional nature. With a target population of 98,607, a stratified sample of 384 MSMEs from the manufacturing sector in Nairobi County was drawn. Data was collected by use of structured questionnaires and analyzed by both descriptive and inferential statistics including Pearson correlation and regression analyses. The study controlled for both age and sub-sector, as they have been previously found to affect firm growth. Results indicate that entrepreneurial orientation has a significant effect on firm strategic capabilities (β = .276, p = .000<.05). The study also found that firm strategic capabilities have a significant effect on MSME growth at 95% confidence level (β = .124, p = .026<.05). Firm strategic capabilities did not however have a significant mediating effect on the relationship between entrepreneurial orientation and MSME Growth (β = .0617, p = 111>.05; LLCI=-.0020; ULCI=.0273). The study concludes that among MSMEs in the manufacturing sector in Kenya, innovative, risk tolerant and proactive owners/managers are likely to achieve growth, regardless of their strategic capabilities. It is recommended that MSME owners/managers innovate, take risks and stay proactive in their businesses in order to grow. It is also recommended that strategic policy decisions of MSMEs should focus on enhancing their positions in respect of innovativeness, proactiveness and risk propensity.


2020 ◽  
Vol 38 (3) ◽  
Author(s):  
Mozhgan Rivaz ◽  
Fatemeh Asadi ◽  
Parisa Mansouri

Objective. To determine the relationship between ethical climate and burnout in nurses working in Intensive Care Units (ICUs). Methods. This cross-sectional and multi-center study was conducted among 212 nurses working in adult ICUs of six hospitals affiliated to Shiraz University of Medical Sciences, Iran in 2019. The participants were selected using systematic random sampling technique. Data was collected using valid instruments of Olson’s Hospital Ethical Climate Survey (HECS) and Maslach Burnout Inventory (MBI). Results. Ethical climate was favorable (3.5±0.6). The intensity (32.2±12.4) and frequency (25.5±12.4) of burnout were high. Ethical climate had significant and inverse relationships with frequency of burnout (r =-0.23, p=0.001) and with intensity of burnout (r=-0.186, p=0.007). Ethical climate explained 5.9% of burnout. Statistically significant  relationships were also found between these factors: age with ethical climate (p=0.001), work shifts with burnout (p=0.02), and gender and with intensity frequency of burnout in ICU nurses (p=0.038). The results of Spearman correlation coefficient showed significant and inverse relationships between ethical climate and job burnout (r=-0.243, p<0.001). Conclusion. Nurses in ICUs perceived that ethical climate was favorable however, burnout was high. Therefore, burnout can be affected by many factors and it is necessary to support ICU nurses since they undertake difficult and complicated task. It is recommended to assess factors that increase burnout and adopt specific measures and approaches to relieve nursing burnout.


2020 ◽  
Author(s):  
Lifang Zhou ◽  
Weiai Guo ◽  
Li Song ◽  
Guanrong Zhang ◽  
Mi Zhong ◽  
...  

BACKGROUND Job burnout is an occupational illness with high prevalence among nurses in China. The job burnout status among hemodialysis nurses should be given more attention because of they handle sophisticated machinery, and there is a high risk of infection in hemodialysis nursing. OBJECTIVE The level and influencing factors of job burnout among hemodialysis nurses in mainland China were investigated. METHODS This was a cross-sectional study conducted in all 31 provinces of mainland China in 2019. Data from nurses responsible for direct care in 2738 hemodialysis units were analyzed. An effective response rate of 99.00% (10570/10677) was achieved. Hemodialysis nurse burnout was measured by the Maslach Burnout Inventory. Working atmosphere and interpersonal relationships with colleagues were each measured by a single question. Multiple linear regression analysis was used to explore the factors related to nurse burnout. Structural equation modeling was used to explore the effect of the working environment, individual factors, and specialist nurse training on the HD nurse burnout and the intention to leave. RESULTS The total burnout score was 38.69 (SD17.47), indicating that the level of job burnout among hemodialysis nurses in mainland China was relatively low. Hemodialysis nurses experienced low-level burnout on the emotional exhaustion and depersonalization subscale and high-level burnout on the personal accomplishment subscale. Statistically significant differences in burnout levels were associated with working atmosphere, interpersonal relationships with colleagues, specialist nurse training, number of children, night shift, and marital status. CONCLUSIONS The burnout level of HD nurses in mainland China was relatively low. Working atmosphere, interpersonal relationships with colleagues, and training of specialist nurses are the most important influencing factors regarding job burnout in hemodialysis nurses. Therefore, it is suggested that improving the working atmosphere and interpersonal relationship processing ability and providing more training opportunities for nurses can alleviate job burnout in nurses.


2014 ◽  
Vol 35 (4) ◽  
pp. 305-315 ◽  
Author(s):  
Panagiotis Gkorezis ◽  
Eugenia Petridou ◽  
Panteleimon Xanthiakos

Purpose – Leader-member exchange (LMX) has been proposed as a core mechanism which accounts for the impact of various antecedents on employee outcomes. As such, the purpose of this paper is to examine the mediating effect of LMX regarding the relationship between leader positive humor and employees’ perceptions of organizational cynicism. Design/methodology/approach – Data were collected from 114 public employees. In order to examine the authors’ hypotheses hierarchical regression analysis was conducted. Findings – As hypothesized, results demonstrated that LMX mediates the relationship between leader positive humor and organizational cynicism. Research limitations/implications – Data were drawn from public employees and, therefore, this may constrain the generalizability of the results. Also, the cross-sectional analysis of the data cannot directly assess causality. Originality/value – This is the first empirical study to examine the mediating effect of LMX in the relationship between leader humor and employees’ perceptions of organizational cynicism.


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