2020
DOI: 10.1136/bmjopen-2020-039711
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The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation

Abstract: ObjectivesHigh levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship behaviour remains largely unexplored. This study aimed to test if the effect of autonomy on organisational citizenship behaviour through the mediating effects of optimism and work engagement.Study designThis was a cross-… Show more

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Cited by 25 publications
(32 citation statements)
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References 37 publications
(43 reference statements)
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“…The strongest independent variable associated with depression symptoms in the regression analysis for the total sample was social support, with higher levels of social support being associated with lower levels of depression symptoms ( Table 6 ). For PHQ-2, the adjusted R 2 value was 18.0% (moderate level of explained variance [ 50 ]). Fear of becoming infected (β = 0.100), fear of infecting relatives (β = 0.107), social support (β = −0.230), and optimism (β = −0.204) were statistically significant and clinically relevant independent variables.…”
Section: Resultsmentioning
confidence: 99%
See 1 more Smart Citation
“…The strongest independent variable associated with depression symptoms in the regression analysis for the total sample was social support, with higher levels of social support being associated with lower levels of depression symptoms ( Table 6 ). For PHQ-2, the adjusted R 2 value was 18.0% (moderate level of explained variance [ 50 ]). Fear of becoming infected (β = 0.100), fear of infecting relatives (β = 0.107), social support (β = −0.230), and optimism (β = −0.204) were statistically significant and clinically relevant independent variables.…”
Section: Resultsmentioning
confidence: 99%
“…Arslan et al [ 49 ] found that optimism correlates negatively with COVID-19 related stress, somatization, anxiety, depression, and overall psychological problems in young Turkish adults. Concerning HCWs during the COVID-19 pandemic, optimism was shown to have a direct positive effect on work engagement and on organizational citizenship behavior [ 50 ], which are both favorable outcomes during a pandemic. Portuguese HCWs with higher levels in the hope/optimism dimension of the Spirituality Scale showed less COVID-19 related anxiety [ 51 ].…”
Section: Introductionmentioning
confidence: 99%
“…Other authors believe that leadership styles and support from superiors in times of health crisis could increase workers’ work engagement [ 33 ], and this in turn would help reduce the risk of developing major depressive episodes [ 34 ]. Thus, Zhang et al [ 35 ] emphasized that the psychological and labor support from superiors, and the improvement of the perception of autonomy of any employee, could increase work engagement [ 34 ], though the authors themselves argue that future research should address this issue in depth.…”
Section: Discussionmentioning
confidence: 99%
“…In fact, they obtained high values in vigor 5.39 (SD = 0.46), dedication 5.51 (SD = 0.41), and total work engagement 5.44 (SD = 0.41), and very high values in absorption 5.43 (SD = 0.45). In another study on another sample of 242 nurses from various health areas of Wuhan, China, total work engagement scores were of 4.83 (SD = 1.01) [ 35 ]. These authors indicate that work engagement may vary depending on the behavior and the level of commitment of the population.…”
Section: Discussionmentioning
confidence: 99%
“…Individual differences in optimism and intolerance of uncertainty under COVID-19 have been shown to impact mental well-being as well as adaptation to the new circumstances imposed by the pandemic. Higher levels of optimism are correlated with better work routine adjustment both in professionals who are working from home (Biron et al, 2020 ) and in health care professionals (Zhang et al, 2020 ). The cultural context also plays a role in individual adjustment, notably collectivism and collective optimism (a shared optimism about a group), as these characteristics favor the sense of mutual obligation in times of crisis and effective coping strategies, like positive reappraisal (Biron et al, 2020 ).…”
Section: Individual Differences Shaped By Cultural Contextmentioning
confidence: 99%