Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Environmental Health and Preventive Medicine
Published in: Environmental Health and Preventive Medicine 1/2019

Open Access 01-12-2019 | Research article

How job stress influences job performance among Chinese healthcare workers: a cross-sectional study

Authors: Jianwei Deng, Yilun Guo, Tengyang Ma, Tianan Yang, Xu Tian

Published in: Environmental Health and Preventive Medicine | Issue 1/2019

Login to get access

Abstract

Objectives

Public service motivation refers to the idea of commitment to the public service, pursuit of the public interest, and the desire to perform work that is worthwhile to society. This study investigates how challenge stress and hindrance stress influence job performance among healthcare workers in Chinese public hospitals. It has also examined the mediating effect of public service motivation.

Methods

Data of 1594 healthcare workers were obtained from typical public hospitals in eastern, central, and western China. To test our hypotheses, we used descriptive statistical analysis, correlation analysis, structural equation modeling, and subgroup analysis to investigate the sample.

Results

Challenge stress and hindrance stress were strongly correlated among healthcare workers in Chinese public hospitals (β = 0.59; p < 0.001). Challenge stress was significantly positively associated with public service motivation (β = 0.14; p < 0.001) and job performance (β = 0.13; p < 0.001). Hindrance stress was significantly negatively associated with public service motivation (β = − 0.27; p < 0.001) and job performance (β = − 0.08; p < 0.05). Public service motivation was directly positively associated with job performance (β = 0.58; p < 0.001), and it indirectly mediated the association between job stress and job performance.

Conclusions

This study provides important empirical evidence on the effects of job stress and public service motivation on job performance among healthcare workers in Chinese public hospitals. Job performance may be raised by limiting hindrance stress, which provides moderate challenge stress and increases public service motivation.
Literature
1.
Burke RJ, Greenglass ER. Hospital restructuring, work-family conflict and burnout among nursing staff. Psychol Health. 2001;16:583–94.CrossRef
2.
Gonge H, Jensen LD, Bonde JP. Are psychosocial factors associated with low back pain among nursing personnel? Work Stress. 2002;16:79–87.CrossRef
3.
Johnston M, Pollard B. Length of nurses’ working shift: stress and information processing. In: Biondi C Psychology in Hospital. Rome, Nuova Editrice Spada; 1991. p. 101–5.
4.
Motowidlo SJ, Manning MR. Occupational stress: its causes and consequences for job performance. J Appl Psychol. 1986;71:618–23.CrossRef
5.
Leveck ML, Jones CB. The nursing practice environment, staff retention and quality of care. Res Nurs Health. 1996;19:331–43.CrossRef
6.
Cohen S. After effects of stress on human performance and social behavior: a review of research and theory. Psychol Bull. 1980;88:82–108.CrossRef
7.
Cavanaugh MA, Boswell WR, Roehling MV, Boudreau JW. An empirical examination of self-reported work stress among U.S. managers. J Appl Psychol. 2000;85:65–74.CrossRef
8.
Yang T, Guo Y, Ma M, Li Y, Tian H, Deng J. Job stress and presenteeism among Chinese healthcare workers: the mediating effects of affective commitment. Int J Env Res Public Heal. 2017;14:978–89.CrossRef
9.
Bandura A. Social foundations for thought and action: a social cognitive theory. Englewood Cliffs: PrenticeHall; 1986.
10.
Liou KT. The effect of professional orientation on job stress. Rev Public Pers Adm. 1994;14:52–63.CrossRef
11.
Nabirye RC, Katleen C. Occupational stress, job satisfaction and job performance among hospital nurses in Kampala, Uganda. J Nurs Manag. 2011;19:760–8.CrossRef
12.
Aninany GA, Howard N, John EW, Apam B, Helen P, Svetla L, Eunice KK, Easmon O. Can performance-based incentives improve motivation of nurses and midwives in primary facilities in northern Ghana? A quasi-experimental study. Glob Health Action. 2016;9:1–10.
13.
Scott PG, Pandey SK. Red tape and PSM findings from a national survey of managers in state health and human services agencies. Rev Public Pers Adm. 2005;25:155–80.CrossRef
14.
Lin L, Siu OL, Shi K, Bai XW. Challenge and hindrance job demands, job resource, and their relationships with vigor and emotional exhaustion. Int Confer Manag Sci Eng. 2009;29:14–6.
15.
Goleman D. Emotional intelligence. New York: McGraw-Hill; 2000.
16.
Palma R, Sepe E. Structural equation modelling: a silver bullet for evaluating PSM. Qual Quant. 2017;51:729–44.CrossRef
17.
Taylor J. Organizational influences, PSM, and work outcomes: an Australian study. Int Public Manag J. 2008;11:67–88.CrossRef
18.
Coursey D, Pandey SK. PSM and support for citizen participation: a test of Perry and Vandenabeele's reformulation of PSM theory. Public Adm Rev. 2012;72:572–82.CrossRef
19.
NHFP Commission. China health and family planning statistical digest. Beijing: Peking Union Medical College Press; 2015.
20.
Darwish AY. Organizational commitment: a mediator of the relationships of leadership behavior with job satisfaction and performance in a non-western country. J Manag Psychol. 2000;15:6–28.CrossRef
21.
Stevens JM, Beyer JM, Trice HM. Assessing personal role and organizational predictors of managerial commitment. Acad Manag J. 1978;21:380–96.
22.
Somers MJ, Birnbaum D. Assessing self-appraisal of job-performance as an evaluation device - are the poor results a function of method or methodology. Hum relat. 1991;44:1081–91.CrossRef
23.
Bollen KA, Long JS. Testing structural equation models. Bull Soc Meth. 1993;23:66–7.
24.
Hu LT, Bentler PM. Fit indices in covariance structure modeling: sensitivity to models. Sociol Methodol. 1998;13:290–312.
25.
Mackinnon DP, Lockwood CM, Hoffman JM, West SG, Sheets V. A comparison of methods to test mediation and other intervening variable effects. Psychol Methods. 2002;7:83–97.CrossRef
26.
Liu B, Yang K, Yu W. Work-related stressors and health-related outcomes in public service: examining the role of PSM. Am Rev Public Adm. 2014;3:1–24.
27.
Zhang XQ, Wang HQ, Chen XY. A survey of medical staffs in China. Sci Technol Rev. 2009;27:118–9.
28.
Goetzel RZ, Long SR, Ozminkowski RJ. Health, absence, disability, and presenteeism cost estimates of certain physical and mental health conditions affecting U.S. employers. J Occup Environ Med. 2004;46:398–412.CrossRef
29.
Yang T, Zhu M, Chen Q, Liu Y, Deng J. Is the global occupational stress equally addressed? A systematic literature review on effective stress interventions. Evid-based Med Public Health. 2016;2:1–33.
30.
Bakker AB. A job demands-resources approach to public service motivation. Public Adm Rev. 2015;75:723–32.CrossRef
31.
Itzhaki M, Bluvstein I, Bortz AP, Kostistky H, Noy DB, Filshtinsky V, et al. Mental health nurse’s exposure to workplace violence leads to job stress, which leads to reduced professional quality of life. Front Psychiatry. 2018;9:59–68.CrossRef
32.
Lancet T. Violence against doctors: why China? Why now? What next? Lancet. 2014;383:1013.CrossRef
33.
Huang Y, Chen J, Lin P, Lin Z, Jiang Y. Female doctor’s work stressors and relationship with their mental health. J Chin Prev Med. 2012;13:55–8.
34.
Wallace JC, Edwards BD, Arnold T, Frazier ML, Finch DM. Work stressors, role-based performance, and the moderating influence of organizational support. J Appl Psychol. 2009;94:254–67.CrossRef
35.
Pan J, Qin X, Li Q, Messina JP, Delamater PL. Does hospital competition improve health care delivery in China? China Econ Rev. 2015;33:179–99.CrossRef
36.
Li L, Fu H. China's health care system reform: progress and prospects. Int J Health Plann Mgmt. 2017;32:240–53.CrossRef
37.
Millar R, Chen Y, Wang M, Fang L, Liu J. It’s all about the money? A qualitative study of healthcare worker motivation in urban China. Int J Equity Health. 2017;16:120–31.CrossRef
38.
Lo W, Chien L, Hwang F, Huang N, Chiou S. From job stress to intention to leave among hospital nurses: a structural equation modelling approach. J Adv Nurs. 2017;74:677–88.CrossRef
39.
Kim S. Factors affection state government information technology employee turnover intentions. Am Rev Public Adm. 2004;35:137–56.CrossRef
40.
Vandenabeele W. The mediating effect of job satisfaction and organizational commitment on self-reported performance: more robust evidence of the PSM-performance relationship. Int Rev Adm. 2009;75:11–34.CrossRef
41.
Giauque D, Ritz A, Varone F, Anderfhren S. Resigned but satisfied: the negative impact of public service motivation and red tape on work satisfaction. Public Adm. 2012;90:175–93.CrossRef
42.
Grant AM, Campbell EM. Doing good, doing harm, being well and burniong out: the interactions of perceived prosocial and antisocial impact in service work. J Occup Organ Psychol. 2007;80:665–91.CrossRef
43.
Abualrub RF. Job stress, job performance, and social support among hospital nurses. J Nurs Scholarsh. 2004;36:73–8.CrossRef
44.
Yang T, Ma M, Zhu M, Liu Y, Chen Q, Zhang S, et al. Challenge or hindrance: does job stress affect presenteeism among Chinese healthcare workers? J Occup Health. 2018;60:163–71.CrossRef
45.
Gouldner AW. The norm of reciprocity: a preliminary statement. Am Sociol Rev. 1960;25:161–78.CrossRef
46.
Arson FB, Allan J, Johnston D, Johnston M, Choudhry C, Jones M. Stress amongst nurses working in a healthcare telephone-advice service: relationship with job satisfaction, intention to leave, sickness absence, and performance. J Adv Nurs. 2012;68:1624–35.CrossRef
47.
Vandenabeele W. Government calling: PSM as an element in selecting government as an employer of choice. Public Adm. 2008;86:1089–105.
48.
Taylor J. PSM, civic attitudes, and actions of public, nonprofit, and private sector employees. Public Adm. 2010;88:1083–98.CrossRef
Metadata
Title
How job stress influences job performance among Chinese healthcare workers: a cross-sectional study
Authors
Jianwei Deng
Yilun Guo
Tengyang Ma
Tianan Yang
Xu Tian
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Environmental Health and Preventive Medicine / Issue 1/2019
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI
https://doi.org/10.1186/s12199-018-0758-4

Other articles of this Issue 1/2019

Environmental Health and Preventive Medicine 1/2019 Go to the issue

Short communication

Outbreak investigation of lead neurotoxicity in children from artificial jewelry cottage industry

Research article

Perceived social support and presenteeism among healthcare workers in China: the mediating role of organizational commitment

Research article

Association between human T cell leukemia virus 1 (HTLV-1) infection and advanced periodontitis in relation to hematopoietic activity among elderly participants: a cross-sectional study

Research article

Having few remaining teeth is associated with a low nutrient intake and low serum albumin levels in middle-aged and older Japanese individuals: findings from the NIPPON DATA2010

Review article

Medical empirical research on forest bathing (Shinrin-yoku): a systematic review

Research article

Comparison of hepatitis B vaccine efficacy in Japanese students: a retrospective study