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Multicenter Study
, 19 (1), 625

Public Service Motivation as a Mediator of the Relationship Between Job Stress and Presenteeism: A Cross-Sectional Study From Chinese Public Hospitals

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Multicenter Study

Public Service Motivation as a Mediator of the Relationship Between Job Stress and Presenteeism: A Cross-Sectional Study From Chinese Public Hospitals

Jianwei Deng et al. BMC Health Serv Res.

Abstract

Background: Job stress is a strong indicator of presenteeism, but few studies have examined its diverse effects and mediators on presenteeism. This study explored the relationships between job stress, public service motivation (PSM) and presenteeism and how job stress and PSM influence presenteeism in a large national sample of Chinese healthcare workers.

Methods: A cross-sectional survey including 1392 healthcare workers from 11 Class A tertiary hospitals in eastern, central and western China was used in the analysis. Descriptive statistical analysis, correlation analysis and structural equation modeling were used to test the research hypothesis.

Results: Hindrance stress was inversely associated with PSM (β = - 0.27; P < 0.001) but significantly positively associated with presenteeism (β = 0.35; P < 0.001). PSM was directly inversely associated with presenteeism (β = - 0.35; P < 0.001). PSM partially mediated the relation of hindrance stress with presenteeism.

Conclusions: The findings suggest that efforts to prevent presenteeism among healthcare workers in China should emphasize PSM improvement and reduction of hindrance stress.

Keywords: Big data; Challenge stress; Healthcare service; Hindrance stress; PSM; Presenteeism.

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Proposed model of how challenge stress, hindrance stress, and PSM affect presenteeism
Fig. 2
Fig. 2
Final model illustrating how challenge stress and hindrance stress influence PSM and presenteeism (Notes. *** p < 0.001). (numbers not in bold are standardized regression coefficients and numbers in bold explain variability; chi square, 1381.091; degrees of freedom, 164, p  < 0.001; root mean square error of approximation, 0.073; normed fit index, 0.917; comparative fit index, 0.926; *** p  <  0.001)

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References

    1. Yang T, Lei R, Jin X, et al. Supervisor support, Coworker Support and Presenteeism among Healthcare Workers in China: The Mediating Role of Distributive Justice. Int J Environ Res Public Health. 2019;16:817. doi: 10.3390/ijerph16050817. - DOI - PMC - PubMed
    1. Hemp P. Presenteeism: at work--but out of it. Harv Bus Rev. 2004;82:49–58. - PubMed
    1. Goetzel RZ, Long SR, Ozminkowski RJ, et al. 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. doi: 10.1097/01.jom.0000121151.40413.bd. - DOI - PubMed
    1. Elstad JI, Vabø M. Job stress, sickness absence and sickness presenteeism in nordic elderly care. Scand J Public Health. 2008;36:467–474. doi: 10.1177/1403494808089557. - DOI - PubMed
    1. Yang T, Zhu M, Xie X. The determinants of presenteeism: a comprehensive investigation of stress-related factors at work, health, and individual factors among the aging workforce. J Occup Health. 2016;58:25–35. doi: 10.1539/joh.15-0114-OA. - DOI - PubMed

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