Do job stress, health, and presenteeism differ between Chinese healthcare workers in public and private hospitals: a cross sectional study

Yang, Tianan; Ma, Mingxu; Guo, Yina; Li, Yaxin; Tian, Huilin; Liu, Yuanling; Chen, Qian; Zhang, Shiyang; Deng, Jianwei

doi:10.1080/13548506.2019.1668564

Cited by 15 publications

(7 citation statements)

References 21 publications

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“…Our results indicate that the work engagement level of healthcare workers in tertiary public hospitals in China is not high; furthermore, it is lower than that in Japan, 47 Brazil 48 and Belgium, 49 and even lower than that of rural doctors in China. 50 Studies have indicated that healthcare workers in public hospitals in China experience more presenteeism, 51 are extraordinarily overworked and have lower incomes than their counterparts in Europe and the USA, 52 none of which is conducive to their level of work engagement. Thus in China, attention must be paid to the work engagement level of healthcare workers in tertiary public hospitals.…”

Section: Open Accessmentioning

confidence: 99%

Effects of verbal violence on job satisfaction, work engagement and the mediating role of emotional exhaustion among healthcare workers: a cross-sectional survey conducted in Chinese tertiary public hospitals

et al. 2023

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ObjectiveRecently, Chinese ministries and commissions have issued a series of policies and systems in response to violent injuries to doctors, physical violence have been managed to a certain extent. However, verbal violence has not been deterred and is still prevalent, it has not received appropriate attention. This study thus aimed to assess the impact of verbal violence on the organisational level and identify its risk factors among healthcare workers, so as to provide practical methods for verbal violence reduction and treatment of the complete period.MethodsSix tertiary public hospitals were selected in three provinces (cities) in China. After excluding physical and sexual violence, a total of 1567 remaining samples were included in this study. Descriptive, univariate, Pearson correlation and mediated regression analyses were employed to assess the difference between the variables, emotional responses of healthcare workers to verbal violence and the relationship between verbal violence and emotional exhaustion, job satisfaction, and work engagement.ResultsNearly half of the healthcare workers in China’s tertiary public hospitals experienced verbal violence last year. Healthcare workers who experienced verbal violence had strong emotional response. The exposure of healthcare workers to verbal violence significantly positively predicted the emotional exhaustion (r=0.20, p<0.01), significantly negatively predicted job satisfaction (r=−0.17, p<0.01) and work engagement (r=−0.18, p<0.01), but was not associated with turnover intention. Emotional exhaustion partially mediated the effects of verbal violence on job satisfaction and work engagement.ConclusionsThe results indicate that the incidence of workplace verbal violence in tertiary public hospitals in China is high and cannot be ignored. This study is to demonstrate the organisational-level impact of verbal violence experienced by healthcare workers and to propose training solutions to help healthcare workers reduce the frequency and mitigate the impact of verbal violence.

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Section: Open Accessmentioning

confidence: 99%

Effects of verbal violence on job satisfaction, work engagement and the mediating role of emotional exhaustion among healthcare workers: a cross-sectional survey conducted in Chinese tertiary public hospitals

et al. 2023

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“…It may be related to the medical system of China. Nurses who work in public hospitals experienced more presenteeism ( 55 ). Health workers in China are extraordinarily overworked and have lower incomes than their counterparts in Europe and the United States ( 56 ).…”

Section: Discussionmentioning

confidence: 99%

“…Multivariable linear regression carried out in this study has predicted demographic factors associated with presenteeism, and results revealed that higher presenteeism was predicted by more weekly overtime and >50 years of age. The results may be related to work stress, poor health, and organizational norms ( 55 ). It is noteworthy that presenteeism more likely occurred in older employees.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Emotional Labor on Presenteeism of Chinese Nurses in Tertiary-Level Hospitals: The Mediating Role of Job Burnout

Song

Liu

et al. 2021

Front. Public Health

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Background: Employees who are physically present but work insufficiently because of illness are deemed as having presenteeism. In the health care setting, the issue has taken on greater importance because of the impairment of the physical and mental health of nurses and the nursing safety of the patients. According to the Job Demand-Resource Model, burnout may link emotional labor with presenteeism. Thus, this study analyzed the role of burnout as a mediating factor between the three types of emotional labor strategies and presenteeism among nurses in tertiary-level hospitals.Methods: A cross-sectional study of 1,038 nurses from six Chinese hospitals was conducted. The questionnaires, including the 14-item emotional labor strategies scale, 22-item Maslach Burnout Inventory scale, 6-item Stanford Presenteeism Scale, and items about demographic characteristics and work-related factors, were used to collect data. A multivariable linear regression was used to predict work-related factors and investigate the correlation of emotional labor, burnout, and presenteeism. The structural equation model was implemented to test the mediating effects of job burnout.Results: The results of the study showed that the average presenteeism score of the participants was 14.18 (4.33), which is higher than in Spanish, Portuguese, and Brazilian nurses. Presenteeism was explained by 22.8% of the variance in the final model in multivariable linear regression (P < 0.01). Presenteeism was found to be positively correlated with surface acting, emotionally expressed demands, deep acting, emotional exhaustion, depersonalization, and low personal accomplishment (P < 0.01). Notably, presenteeism was negatively correlated with deep acting (P < 0.01). In addition, burnout partially mediated the correlation between emotionally expressed demands, deep acting, and presenteeism with a mediatory effect of 24 and 63.31% of the total effect. Burnout completely mediated the association between surface acting and presenteeism, a mediating effect of 86.44% of the total effect.Conclusions: The results of this study suggested that different emotional labor strategies affect presenteeism, either directly or indirectly. Nursing managers should intervene to reduce presenteeism by improving the ability of the nurses to manage emotions, thereby alleviating burnout.

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“…Worries about presenteeism are not limited to potential loss of earnings; the lack of replacement staff; concerns about the resulting burdens on patients, clients, customers, co-workers; and a potential competitive disadvantage [14]. Presenteeism occurs not only when physically or mentally unwell nurses go to work but also when their level of awareness or responsiveness is compromised or when their emotional, behavioral, or cognitive engagement is diminished [11,12,[17][18][19][20]. Nurses are 4 times more likely to exhibit presenteeism than other professions; yet, this threatens patient safety through increased falls, medication errors, and staff-to-patient disease transmission [21].…”

Section: Rationalementioning

confidence: 99%

Presenteeism Among Nurses in Switzerland and Portugal and Its Impact on Patient Safety and Quality of Care: Protocol for a Qualitative Study

Pereira¹,

Querido²,

Bieri³

et al. 2021

JMIR Res Protoc

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Background Nurses dispense direct care in a wide variety of settings and are considered the backbone of the health care system. They often work long hours, face emotional stress, and are at a high risk of psychosocial and somatic illnesses. Nurses sometimes fall sick but work regardless, leading to presenteeism and subsequent risks to quality of care and patient safety due to the increased likelihood of patients falling, medication errors, and staff-to-patient disease transmission. Objective This study aims to understand presenteeism among frontline nurses and nurse managers in acute, primary, and long-term health care settings and to contribute to the development of future interventional studies and recommendations. Methods A qualitative study based on online focus group discussions will explore the perceptions of, attitudes to, and experiences with presenteeism among frontline nurses and nurse managers. Using a pilot-tested interview guide, 8 focus group discussions will involve nurses working in acute care hospitals, primary care settings, and long-term residential care facilities in Switzerland’s French-speaking region and Portugal’s Center region. The data collected will be examined using a content analysis approach via NVivo 12 QSR International software. Results The University of Applied Sciences and Arts Western Switzerland’s School of Health Sciences and the Polytechnic of Leiria’s School of Health Sciences in Portugal have both approved funding for the study. The research protocol has been approved by ethics committees in both countries. Study recruitment commenced in February 2021. The results of the data analysis are expected by September 2021. Conclusions This present study aims to gain more insight into the dilemmas facing nurses as a result of all causes of presenteeism among frontline nurses and nurse managers in different health care settings. The researchers will prepare manuscripts on the study’s findings, publish them in relevant peer-reviewed journals, exhibit them in poster presentations, and give oral presentations at appropriate academic and nonscientific conferences. Regarding further knowledge transfer, researchers will engage with stakeholders to craft messages focused on the needs of nurses and nurse managers and on disseminating our research findings to deal with the issue of nursing presenteeism. International Registered Report Identifier (IRRID) PRR1-10.2196/27963

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Do job stress, health, and presenteeism differ between Chinese healthcare workers in public and private hospitals: a cross sectional study

Cited by 15 publications

References 21 publications

Effects of verbal violence on job satisfaction, work engagement and the mediating role of emotional exhaustion among healthcare workers: a cross-sectional survey conducted in Chinese tertiary public hospitals

Effects of verbal violence on job satisfaction, work engagement and the mediating role of emotional exhaustion among healthcare workers: a cross-sectional survey conducted in Chinese tertiary public hospitals

The Effect of Emotional Labor on Presenteeism of Chinese Nurses in Tertiary-Level Hospitals: The Mediating Role of Job Burnout

Presenteeism Among Nurses in Switzerland and Portugal and Its Impact on Patient Safety and Quality of Care: Protocol for a Qualitative Study

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