Mediated Moderation Effect of Organizational Culture and Social Support in the Emotional Labor and Employee Turnover of Health Care Workers

Work-based musculoskeletal disorders (MSDs) are prevalent among health-care workers, particularly the nursing staff. The authors focused on the perceived social support exchange imbalance or the combination of higher perceived obligation to provide support to and lower perceived available support from the coworkers and examined the association between support exchange imbalance and nurses’ MSDs via anger. Using a sample of 410 nurses from 29 units across two hospitals, the authors found that when individual nurses reported higher support exchange imbalance, they experienced more anger, which in turn was associated with more severe MSD symptoms in low back and upper limbs. The association between support exchange imbalance and anger was exacerbated when nurses perceived that a similar level of support was available within their unit.

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Demographic differences between health care workers who did or did not respond to a safety and organizational culture survey

BMC Research Notes ◽

10.1186/1756-0500-4-328 ◽

2011 ◽

Vol 4 (1) ◽

Cited By ~ 7

Author(s):

Tita A Listyowardojo ◽

Raoul E Nap ◽

Addie Johnson

Keyword(s):

Health Care ◽

Organizational Culture ◽

Health Care Workers ◽

Demographic Differences ◽

Care Workers

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Psychological status of health care workers during the outbreak of Coronavirus disease in China: a cross-sectional study

10.21203/rs.3.rs-18641/v1 ◽

2020 ◽

Author(s):

Xiangrui Song ◽

Chunyan Ni ◽

Wenpeng Cai ◽

Tianya Hou ◽

Bin Lian ◽

...

Keyword(s):

Internal Medicine ◽

Social Support ◽

Health Care ◽

Mental Disorders ◽

Health Care Workers ◽

Psychological Status ◽

Obsessive Compulsive ◽

Cross Sectional ◽

Medicine Department ◽

Care Workers

Abstract Background: Following the outbreak of Coronavirus disease (COVID-19) in Wuhan, China, thousands of health care workers (HCWs) joined in the battle to prevent epidemic. The purposes of this study were to assess the psychological status of health care workers fighting against COVID-19 and compared their status with non-health care workers.Methods: 1521 participants were invited to complete a cross-sectional survey which consisted of a demographic questionnaire, the symptom checklist-90 (SCL-90), the Connor-Davidson Resilience scale (CD-RISC) and Chinese-Version Social support revalued scale (SSRS). SCL-90 was used as a measure of psychological status, CD-RISC was used as a measure of resilience and SSRS was used as a measure of social support. All analyses were completed by SPSS21.0 and two-tailed with significance defined as p <0.05.Results: HCWs showed higher level of obsessive-compulsive symptoms ( p = 0.002), depression ( p =0.011), anxiety ( p = 0.037) and had lower level of subjective support ( p <0.001) as well as strength ( p =0.012). Compared with those who working in other hospital departments, HＣＷｓ working in internal medicine department had high level of obsessive-compulsive, anxiety and interpersonal sensitivity, they also had low level of social support and resilience.Conclusions: HCWs were vulnerable to mental disorders, and health organizations and government should initiate psychological assistant program to keep them immune to mental disorders. HCWs who working in internal medicine department (IMD) were supposed to rebuild their resilience, social support systems, confidence and job satisfaction under the guidance of psychologists.

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How to survive mistreatment by customers

International Journal of Conflict Management ◽

10.1108/ijcma-11-2016-0089 ◽

2017 ◽

Vol 28 (4) ◽

pp. 464-482 ◽

Cited By ~ 10

Author(s):

Xiaohui Wang ◽

Haibo Wang

Keyword(s):

Social Support ◽

Health Care ◽

Emotional Exhaustion ◽

Health Care Workers ◽

Prolonged Exposure ◽

Positive Relation ◽

Front Line ◽

Content Type ◽

Care Workers ◽

Withdrawal Behavior

Purpose The purpose of the present research is to investigate the mechanisms by which conflict with customers (i.e. customer mistreatment) contributes to employees’ work withdrawal. Design/methodology/approach This paper tests its hypotheses by means of a field study of a sample of front-line health care workers in China. Data were collected in three waves over four months; a total of 398 health care workers completed the questionnaires and represented the final sample. A hierarchical multiple regression analysis was performed to test the proposed hypotheses. Findings The results indicate that mistreatment by customers contributes to employees’ work withdrawal, and emotional exhaustion serves as a mediator in this linkage. In addition, social support moderates the positive relation between customer mistreatment and employees’ emotional exhaustion, whereas conscientiousness moderates the positive relation between emotional exhaustion and withdrawal behavior. Research limitations/implications The sample used may not fully justify the generalizability of the research results. Without distinguishing different sources of social support may be another limitation. In addition, this study could be improved by using a multi-source survey design. Practical implications To help employees effectively cope with interpersonal conflict with customers, organizations should take action to promote communication between employees and their supervisors and coworkers. It is also advisable for organizations to adjust their selection strategies and hire front-line employees high in conscientiousness. Originality/value This research presents a resource-based framework to illuminate the detrimental effects of prolonged exposure to customer mistreatment on health care workers’ withdrawal behavior in Chinese context. Furthermore, this study examines factors that may serve to mitigate the harmful effects of customer mistreatment and regards workplace social support and conscientiousness as two different kinds of resources that can play dissimilar roles when employees are coping with customer mistreatment.

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Emotional Labor and Depressive Symptoms Among Healthcare Workers: The Role of Sleep

Workplace Health & Safety ◽

10.1177/21650799211014768 ◽

2021 ◽

pp. 216507992110147

Author(s):

Yuan Zhang ◽

Mazen ElGhaziri ◽

Sundus Siddique ◽

Rebecca Gore ◽

Alicia Kurowski ◽

...

Keyword(s):

Health Care ◽

Depressive Symptoms ◽

Sleep Duration ◽

Health Care Workers ◽

Emotional Labor ◽

Sleep Disturbances ◽

Mental Wellbeing ◽

Cross Sectional Survey ◽

Short Sleep Duration ◽

Care Workers

Background: Depression is the second leading cause of disability worldwide. Health care workers report a higher prevalence of depressive symptoms than the general population. Emotional labor has contributed to poor health and work outcomes. However, the mechanism for the potential association between emotional labor and depressive symptoms has not been well studied. This study examines the relationship between emotional labor and depressive symptoms and whether sleep plays a role in explaining this relationship. Methods: In 2018, health care workers ( n = 1,060) from five public sector facilities in the northeast United States participated in this cross-sectional survey. The survey included questions on participants’ surface-acting emotional labor (masking one’s feelings at work), depressive symptoms, sleep duration and disturbances, and socio-demographic characteristics. Multivariable linear and Poisson regression modeling were used to examine associations among variables. Findings: There was a significant association between emotional labor and depressive symptoms (β = 0.82, p < .001). Sleep disturbances, but not short sleep duration, partially mediated this association. Neither sleep variable moderated this association. Conclusions/Application to Practice: Depressive symptoms were prevalent among health care workers and were associated with emotional masking. Sleep disturbances play an important intermediate role in translating emotional labor to depressive symptoms in these workers. Effective workplace programs are needed to reduce health care workers’ emotional labor to improve their mental health. Sleep promotion should also be emphasized to mitigate the negative effect of emotional labor and promote mental wellbeing.

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1347Mental health status of health care workers during the COVID-19 outbreak: An International Study

International Journal of Epidemiology ◽

10.1093/ije/dyab168.485 ◽

2021 ◽

Vol 50 (Supplement_1) ◽

Author(s):

Christiana Nicolaou ◽

Joanna Menikou ◽

Andrew Gloster ◽

Maria Karekla ◽

Angelos Kassianos

Keyword(s):

Mental Health ◽

Social Support ◽

Health Care ◽

Perceived Stress ◽

Health Care Workers ◽

Perceived Social Support ◽

Educational Background ◽

Depression Symptoms ◽

Health Crisis ◽

Care Workers

Abstract Background The COVID-19 pandemic is a massive health crisis affecting our planet, with over 166,346,635 confirmed cases and 3,449,117 deaths globally till 24 May 2021. The COVID-19 pandemic is a massive health crisis which has brought enormous physical and psychological pressure. Mental health care for health care workers (HCWs), should receive serious consideration. The aim of this study was to determine mental health outcomes of HCWs and to examine known predictors of outcomes during the first pandemic wave. Methods 1,556 HCWs who participated in the COVID-19 IMPACT project, an international online survey examining the behavioral and psychological impacts of COVID-19 among 9,565 people from 78 countries/regions and 18 languages. Outcomes assessed were stress, depression symptoms and sleep changes. Predictors examined included sociodemographic factors, and perceived social support. Results Results demonstrated that, half of the HCWs had moderate levels of perceived stress and depression symptoms. Predictors associated with higher HCWs’ stress and depression symptoms included female gender, not having children, living with parents, lower educational background and having lower social support. Half of the HCWs (n = 800, 51.4%) continued to sleep about the same and one in four slept more or slept less. Positive predictors of sleep changes were being older, widower, not working, living with parents, and having children. Surprisingly, HCWs had less perceived stress and depression and higher levels of perceived social support than the general population. Conclusions The need for establishing ways to mitigate mental health risks and adjust psychological intervention and support of HCWs, seems to be significant as the pandemic continues. Keywords: health care workers, COVID – 19, pandemic, mental health, psychological problems

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