Effect of Work–Family Conflict, Psychological Job Demand, and Job Control on the Health Status of Nurses
Abstract
:1. Introduction
2. Literature Review
3. Methods
3.1. Study Population and Procedures
3.2. Measurements
3.2.1. WFC Assessment
3.2.2. Health Status Assessment
3.2.3. Assessment of Leaving Intentions
3.2.4. Assessment of Other Psychosocial Work Characteristics
3.2.5. Ethical Considerations
3.2.6. Data Analysis
4. Results
5. Discussion
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Taiwan Union of Nurses Association (TUNA). Nursing Staff Statistics. Taiwan Union of Nurses Association: Tappei, Taiwan, 2020. Available online: https://www.nurse.org.tw/publicUI/Eng/Y101.aspx (accessed on 5 January 2021).
- McGrath, A.; Rcid, N.; Boore, J. Occuptional stress in nursing. J. Nurs. Studi. 2003, 40, 555–565. [Google Scholar] [CrossRef]
- Wang, M.-L.; Tsai, L.-J. Work–Family Conflict and Job Performance in Nurses. J. Nurs. Res. 2014, 22, 200–207. [Google Scholar] [CrossRef]
- Cheng, S.-Y.; Lin, P.-C.; Chang, Y.-K.; Lin, Y.-K.; Lee, P.-H.; Chen, S.-R. Sleep quality mediates the relationship between work-family conflicts and the self-perceived health status among hospital nurses. J. Nurs. Manag. 2018, 27, 381–387. [Google Scholar] [CrossRef]
- Raffenaud, A.; Unruh, L.; Fottler, M.; Liu, A.X.; Andrews, D. A comparative analysis of work–family conflict among staff, managerial, and executive nurses. Nurs. Outlook 2020, 68, 231–241. [Google Scholar] [CrossRef] [PubMed]
- Hu, Y.; Lin, P.; Chang, Y.; Hou, W.; Kuo, S.; Lin, Y.; Tung, T. Work stress and work-family conflict contribute to nurse managers’ job burnout from a correlational study. NTJN 2019, 20, 27–37. [Google Scholar]
- Galletta, M.; Portoghese, I.; Melis, P.; Gonzalez, C.I.A.; Finco, G.; D’Aloja, E.; Contu, P.; Campagna, M. The role of collective affective commitment in the relationship between work–family conflict and emotional exhaustion among nurses: A multilevel modeling approach. BMC Nurs. 2019, 18, 1–9. [Google Scholar] [CrossRef] [Green Version]
- Ghislieri, C.; Gatti, P.; Molino, M.; Cortese, C.G. Work-family conflict and enrichment in nurses: Between job demands, perceived organisational support and work-family backlash. J. Nurs. Manag. 2017, 25, 65–75. [Google Scholar] [CrossRef]
- Bernard, R.M.D. Marriage, children burnout contributors. Contemporary OB/GYN 2017, 62, 16–18. Available online: https://search.proquest.com/scholarly-journals/marriage-children-burnout-contributors/docview/1898435312/se-2?accountid=11535 (accessed on 22 February 2021).
- Zhao, X.; Namasivayam, K.; Beutell, N.J.; Liu, J.; Wang, F. Chronic Regulatory Focus and Work-Family Conflict among Chinese Workers. Int. J. Environ. Res. Public Heal. 2020, 17, 4526. [Google Scholar] [CrossRef]
- Pien, L.C.; Chen, I.S.; Cheng, W.J.; Cheng, Y. Work-to-Family Conflict and its Associations with Workers’ Burnout, Poor Self-Rated Health, and Minor Mental Disorder: A Survey of General Employees in Taiwan. J. Occup Environ. Med. 2020, 62, 588–594. [Google Scholar] [CrossRef] [PubMed]
- Kahn, R.L.; Wolfe, D.M.; Quinn, R.P.; Snoek, J.D.; Rosenthal, R.A. Occupational Stress: Studies in Role Conflict and Ambiguity; Wiley: New York, NY, USA, 1964. [Google Scholar]
- Greenhaus, J.H.; Beutell, N.J. Sources of conflict between work and family roles. Acad. Manage. Rev. 1985, 10, 76–88. [Google Scholar] [CrossRef]
- Zhou, S.; Da, S.; Guo, H.; Zhang, X. Work–family conflict and mental health among female employees: A sequential me-diation model via negative affect and perceived stress. Front. Psychol. 2018, 9, 544. [Google Scholar] [CrossRef]
- Leineweber, C.; Baltzer, M.; Hanson, L.L.M.; Westerlund, H. Work-family conflict and health in Swedish working women and men: A 2-year prospective analysis (the SLOSH study). Eur. J. Public Heal. 2012, 23, 710–716. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Zhang, M.; Griffeth, R.W.; Fried, D.D. Work-family conflict and individual consequences. J. Manag. Psychol. 2012, 27, 696–713. [Google Scholar] [CrossRef]
- Ju, Y.J.; Park, E.-C.; Ju, H.-J.; Lee, S.A.; Lee, J.E.; Kim, W.; Chun, S.-Y.; Kim, T.H. The influence of family stress and conflict on depressive symptoms among working married women: A longitudinal study. Heal. Care Women Int. 2017, 39, 275–288. [Google Scholar] [CrossRef]
- Gisler, S.; Omansky, R.; Alenick, P.R.; Tumminia, A.M.; Eatough, E.M.; Johnson, R.C. Work-life conflict and employee health: A review. J. Appl. Biobehav. Res. 2018, 23, e12157. [Google Scholar] [CrossRef]
- Zurlo, M.C.; Vallone, F.; Smith, A.P. Work-family conflict and psychophysical health conditions of nurses: Gender dif-ferences and moderating variables. Jpn. J. Nurs. Sci. 2020, 17, e12324. [Google Scholar] [CrossRef] [PubMed]
- Wang, Y.; Peng, J. Work–family conflict and depression in Chinese professional women: The mediating roles of job sat-isfaction and life satisfaction. Int. J. Ment. Health Addiction. 2017, 15, 394–406. [Google Scholar] [CrossRef]
- Allen, T.D.; Herst, D.E.L.; Bruck, C.S.; Sutton, M. Consequences associated with work-to-family conflict: A review and agenda for future research. J. Occup. Heal. Psychol. 2000, 5, 278–308. [Google Scholar] [CrossRef]
- Adams, G.A.; Jex, S.M. Relationships between time management, control, work-family conflict, and strain. J. Occup. Heal. Psychol. 1999, 4, 72–77. [Google Scholar] [CrossRef]
- Michel, J.S.; Kotrba, L.M.; Mitchelson, J.K.; Clark, M.A.; Baltes, B.B. Antecedents of work-family conflict: A meta-analytic review. J. Organ. Behav. 2010, 32, 689–725. [Google Scholar] [CrossRef]
- Judge, T.A.; Colquitt, J.A. Organizational Justice and Stress: The Mediating Role of Work-Family Conflict. J. Appl. Psychol. 2004, 89, 395–404. [Google Scholar] [CrossRef] [Green Version]
- Swandarujati, M.; Nurfitri, T.; Anggraeni, A.I. Effect of Organizational Justice on Stress with Work-Family Conflict as a Mediating Variable. J. Res. Manag. 2020, 2, 11–20. [Google Scholar] [CrossRef]
- Pien, L.-C.; Cheng, Y.; Cheng, W.-J. Psychosocial safety climate, workplace violence and self-rated health: A multi-level study among hospital nurses. J. Nurs. Manag. 2018, 27, 584–591. [Google Scholar] [CrossRef]
- Cheng, Y.; Chen, I.-S.; Chen, C.-J.; Burr, H.; Hasselhorn, H.M. The influence of age on the distribution of self-rated health, burnout and their associations with psychosocial work conditions. J. Psychosom. Res. 2013, 74, 213–220. [Google Scholar] [CrossRef]
- Cheng, Y.; Chen, I.-S.; Burr, H.; Chen, C.-J.; Chiang, T.-L. Changes in Psychosocial Work Conditions in Taiwanese Employees by Gender and Age from 2001 to 2010. J. Occup. Heal. 2013, 55, 323–332. [Google Scholar] [CrossRef] [Green Version]
- Hsu, H.C. Age Differences in Work Stress, Exhaustion, Well-Being, and Related Factors from an Ecological Perspective. Int. J. Environ. Res. Public Health 2019, 16, 50. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Varma, M.M.; Kelling, A.S.; Goswami, S. Enhancing healthcare quality by promoting work-life balance among nursing staff. J. Hosp. Adm. 2016, 5, p58. [Google Scholar] [CrossRef] [Green Version]
- Pan, S.-Y.; Yeh, Y.-J. The crossover effect of work–family conflict among hotel employees. Int. J. Contemp. Hosp. Manag. 2019, 31, 812–829. [Google Scholar] [CrossRef]
- Dewi, I.G.A.N.P.; Dewi, I.M. Job stress as a mediation on the effect of work-family conflict on turnover intention. Am. J. Human.Soc. Sci. Res. 2019, 3, 197–202. [Google Scholar]
- Rasheed, M.; Iqbal, S.; Mustafa, F. Work-family conflict and female employees’ turnover intentions. Gend. Manag. Int. J. 2018, 33, 636–653. [Google Scholar] [CrossRef]
- Netemeyer, R.G.; Boles, J.S.; McMurrian, R. Development and validation of work–family conflict and family–work conflict scales. J. Appl. Psychol. 1996, 81, 400–410. [Google Scholar] [CrossRef]
- Beck, A.T.; Steer, R.A.; Brown, G.K. Beck Depression Inventory-II, BDI-II (H. Chen, Trans.); Psychological Corporation: Taipei, Taiwan, 2000. [Google Scholar]
- Beck, A.T.; Steer, R.A.; Brown, G.K. Beck Depression Inventory-II. San Antonio 1996, 78, 490–498. [Google Scholar]
- Flinkman, M.; Leino-Kilpi, H.; Salanterä, S. Nurses’ intention to leave the profession: Integrative review. J. Adv. Nurs. 2010, 66, 1422–1434. [Google Scholar] [CrossRef] [PubMed]
- Flinkman, M.; Laine, M.; Leino-Kilpi, H.; Hasselhorn, H.-M.; Salanterä, S. Explaining young registered Finnish nurses’ intention to leave the profession: A questionnaire survey. Int. J. Nurs. Stud. 2008, 45, 727–739. [Google Scholar] [CrossRef]
- Cheng, Y.; Chen, C.-J. Modifying effects of gender, age and enterprise size on the associations between workplace justice and health. Int. Arch. Occup. Environ. Heal. 2012, 87, 29–39. [Google Scholar] [CrossRef] [PubMed]
- Cheng, Y.; Huang, H.-Y.; Li, P.-R.; Hsu, J.-H. Employment Insecurity, Workplace Justice and Employees’ Burnout in Taiwanese Employees: A Validation Study. Int. J. Behav. Med. 2011, 18, 391–401. [Google Scholar] [CrossRef]
- Yeh, W.Y.; Cheng, Y.; Chen, C.J.; Hu, P.; Kristensen, T.S. Psychometric properties of the Chinese version of the Copenhagen Burnout Inventory among Taiwanese employees from two enterprises. Int. J. Behav. Med. 2007, 14, 126–133. [Google Scholar] [CrossRef]
- Cheng, Y.; Luh, W.-M.; Guo, Y.-L. Reliability and validity of the Chinese version of the Job Content Questionnaire in Taiwanese workers. Int. J. Behav. Med. 2003, 10, 15–30. [Google Scholar] [CrossRef]
- Karasek, R.; Theorell, T. Healthy Work: Stress, Productivity, and the Reconstruction of Working Life; Basic Books: New York, NY, USA, 1990. [Google Scholar]
- Rafique, H.; Masood, S.; Ahmad, M. Role of self-compassion in work-family conflict and psychological well-being among working men and women. J. Behav. Sci. 2018, 28, 131–145. [Google Scholar]
- Fornalski, K.W.; Dobrzyński, L. The Healthy Worker Effect and Nuclear Industry Workers. Dose-Response 2010, 8, 125–147. [Google Scholar] [CrossRef] [PubMed]
- Li, C.-Y.; Sung, F.-C. A review of the healthy worker effect in occupational epidemiology. Occup. Med. 1999, 49, 225–229. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Amstad, F.T.; Meier, L.L.; Fasel, U.; Elfering, A.; Semmer, N.K. A meta-analysis of work–family conflict and various outcomes with a special emphasis on cross-domain versus matching-domain relations. J. Occup. Heal. Psychol. 2011, 16, 151–169. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Hollanda, P. Antecedents and Outcomes of Work-Family Conflict and Work-Family Enrichment: A Longitudinal, Multilevel, and Multimethod Study. In Contributions to Management Science; Metzler, J.B., Ed.; Springer: Cham, Switzerland, 2019; pp. 223–249. [Google Scholar]
Variable | Mean/n | SD/% |
---|---|---|
Work experience (years) | 6.79 | 5.26 |
Age (years) | 28.50 | 5.29 |
20~30 | 143 | 71.5% |
≥31 | 57 | 28.5% |
Educational level | ||
Nursing high school and junior college | 93 | 46.5% |
University and above | 107 | 53.5% |
Work shift | ||
Fixed day shift | 25 | 12.5% |
Night and rotating shift | 175 | 87.5% |
Work-family conflict | 3.66 | 0.77 |
Low (≤3) | 49 | 24.5% |
High (>3) | 151 | 75.5% |
Job control | ||
High | 53 | 26.5% |
Medium | 81 | 40.5% |
Low | 66 | 33.0% |
Psychological work demands | ||
High | 79 | 39.5% |
Medium | 54 | 27.0% |
Low | 67 | 33.5% |
Workplace justice | ||
High | 59 | 29.5% |
Medium | 60 | 30.0% |
Low | 81 | 40.5% |
Depression | ||
Normal | 105 | 52.5% |
Mild depression | 37 | 18.5% |
Moderate depression | 32 | 16.0% |
Severe depression | 26 | 13.0% |
Self-reported health | ||
Good | 138 | 69.0% |
Poor | 62 | 31.0% |
Leaving intentions | ||
Low | 91 | 45.5% |
High | 109 | 54.5% |
Variable | 1 | 2 | 3 | 4 |
---|---|---|---|---|
1. WFCs | 1 | |||
2. Job control | −0.135 | 1 | ||
3. Psychological work demands | 0.377 ** | 0.076 | 1 | |
4. Leaving intentions | 0.350 ** | −0.224 ** | 0.318 ** | 1 |
Variable | Poor SRH | Depression | High Leaving Intentions | |||
---|---|---|---|---|---|---|
OR | 95% CI | OR | 95% CI | OR | 95% CI | |
High WFC (ref. low) | 2.819 * | (1.140, 6.972) | 2.809 ** | (1.329, 5.939) | 1.634 | (0.793, 3.370) |
Job control | ||||||
High | 1 | 1 | 1 | |||
Medium | 1.290 | (0.578, 2.877) | 0.833 | (0.392, 1.773) | 1.626 | (0.748, 3.535) |
Low | 0.944 | (0.412, 2.163) | 1.076 | (0.496, 2.336) | 2.756 * | (1.222, 6.215) |
Psychological work demands | ||||||
Low | 1 | 1 | 1 | |||
Medium | 1.328 | (0.536, 3.292) | 0.388 * | (0.171, 0.882) | 1.624 | (0.733, 3.596) |
High | 2.630 * | (1.120, 6.175) | 0.849 | (0.391, 1.845) | 3.777 ** | (1.677, 8.504) |
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Pien, L.-C.; Cheng, W.-J.; Chou, K.-R.; Lin, L.-C. Effect of Work–Family Conflict, Psychological Job Demand, and Job Control on the Health Status of Nurses. Int. J. Environ. Res. Public Health 2021, 18, 3540. https://doi.org/10.3390/ijerph18073540
Pien L-C, Cheng W-J, Chou K-R, Lin L-C. Effect of Work–Family Conflict, Psychological Job Demand, and Job Control on the Health Status of Nurses. International Journal of Environmental Research and Public Health. 2021; 18(7):3540. https://doi.org/10.3390/ijerph18073540
Chicago/Turabian StylePien, Li-Chung, Wan-Ju Cheng, Kuei-Ru Chou, and Li-Chiu Lin. 2021. "Effect of Work–Family Conflict, Psychological Job Demand, and Job Control on the Health Status of Nurses" International Journal of Environmental Research and Public Health 18, no. 7: 3540. https://doi.org/10.3390/ijerph18073540