Influence of Workload, Personality, and Psychological Flexibility on Occupational Stress Among Medical Staff: A Fuzzy-Set Qualitative Comparative Analysis

Abstract

ObjectiveDuring the COVID-19 pandemic, the occupational stress of medical staff has been a major issue. This study aimed to suggest a new strategy to identify high-risk factor sets of occupational stress in medical staff using fuzzy-set qualitative comparative analysis (fs-QCA) and provide ideas for the prevention and intervention of occupational stress.MethodsA total of 1,928 medical staff members were surveyed and tested using the Acceptance and Action Questionnaire-II (AAQ-II), Occupational Stress Inventory-Revised edition (OSI-R), and Eysenck Personality Questionnaire-Revised Short Scale (EPQ-RSC). The fs-QCA was used to explore the high-risk factors for occupational stress among medical staff.ResultsThe psychological strain (PSY) score of the medical staff was 26.8 ± 7.13, and the physical strain (PHS) score was 24.3 ± 6.50. Low psychological flexibility score-introversion-high role overload, introversion-neuroticism-high role overload, and low psychological flexibility score-neuroticism were high-risk factor sets for PSY. Low psychological flexibility score-introversion-high role overload, low psychological flexibility score-introversion-neuroticism, low psychological flexibility score-neuroticism-high role overload, low psychological flexibility score-psychoticism-neuroticism, and psychoticism-neuroticism-high role overload were high-risk factor sets for PHS.ConclusionThere are different combinations of high-risk factors for occupational stress among the medical staff. For occupational stress intervention and psychological counseling, targeted and individualized health intervention measures should be implemented according to specific characteristic combinations of different individuals.

Mediating roles of meaning in life and psychological flexibility in the relationships between occupational stress and job satisfaction, job performance, and psychological distress in teachers

“…This finding can be said to confirm that occupational stress adversely affects mental health and decreases job-related performance and satisfaction. This result concurs with the research suggesting that psychological distress such as depression and anxiety is triggered by occupational stress, that it has a negative correlation with psychological flexibility and that it reduces job performance and job satisfaction (Liberman et al, 2002;Reed, 2016;Devi and Lahkar, 2021;Aldaiji et al, 2022;Quan et al, 2022). Stress can be said to be a psychological problem which influences performance and satisfaction under any circumstances.…”

“…The concepts of meaning in life and psychological flexibility are the two main facets of positive psychology. Quan et al (2022) found an opposite directional relationship between psychological flexibility and psychological distress in the workplace. It was also revealed by another study that there were significant relationships between job satisfaction and burnout and psychological flexibility and that psychological flexibility had an effect on mental flexibility and psychological distress (Chong et al, 2023).…”

“…Unlike negative factors, positive psychological constructs are known to have positive effects on mental health and wellbeing (Yildirim and Belen, 2018;Yildirim et al, 2019;Masoom Ali et al, 2020;Green and Yıldırım, 2022;Yıldırım et al, 2024). The related body of literature on psychological flexibility and meaning in life has demonstrated that the emphasis is placed on the aspect of mental health improvement (Quan et al, 2022;Chong et al, 2023). In addition, it can be said that they also contribute to daily life, work life or family life.…”

The interaction of occupational stress and job burnout on depressive symptoms in railway workers in Fuzhou city

“…To investigate occupational stress, stress response, and resilience among subjects, a Chinese version of the instrument called the revised edition of the occupational stress inventory (OSI-R) proposed by Oispow was used [ 29 ]. This questionnaire comprises the Occupational Roles Questionnaire (ORQ), Personal Stress Questionnaire (PSQ), and Personal Resources Questionnaire (PRQ).…”