effect of nurses' job demands and job resources...
TRANSCRIPT
Effect of Nurses’ Job Demands and
Job Resources on Work Engagement based
on JDR model
Jeong-Won, Han
College of Nursing, Kosin University, Amnam-dong, Seo-gu,
Busan, South Korea
Corresponding Author: [email protected]
Abstract. This study investigated the relationships between nurses’ job
demand, job resource, emotional labor, and work engagement. Data obtained
from completed questionnaires were analyzed using SPSS Windows 18.0 and
AMOS 16.0. Job resources did not affect surface acting in emotional labor, job
demand directly affected surface acting in emotional labor. Job resources
directly affected deep acting in emotional labor. Deep acting in nurses’
emotional labor directly affected work engagement. However, surface acting
did not. Job resource richness significantly affected work engagement with
emotional labor as a mediator, whereas job demand did not This has important
implications in that it provides baseline data for a work engagement prediction
model that hospital managers can use for effective human resource management
of nursing staff.
Keywords: Job, demand, resource, engagement
1 Introduction
Hospitals are organizations that include a diverse professional workforce, and nurses
play a central role in satisfying patients and thus are requested to provide high-quality
services to patients by the hospitals [1]. However, nurses experiencing work burnout
and a decrease in work engagement are leaving hospitals due to job stress from first-
hand contact with patients suffering from disease and the demands of their guardians
[2]. High nurse turnover rates account for the largest proportion of hospital
organizational issues—including insufficient nursing staff and lower productivity—
impeding hospital development. Therefore, hospital managers are interested in
improving their work engagement to reduce turnover intention [3].
Work engagement is based on a facilitating behavioral system in which a worker
behaves actively to directly experience the pleasures and rewards and, as a result,
performs creatively at work, and experiences positive outcomes [4]. The job
demands-resources model (JDR) [5] has been proposed to explain the generation and
outcomes of work engagement in an integrated manner. This model proposes that
various job demands and resources in the job environment affect work engagement
and also indirectly affect health and turnover. Although job demands do not always
Advanced Science and Technology Letters Vol.128 (Healthcare and Nursing 2016), pp.14-17
http://dx.doi.org/10.14257/astl.2016.128.03
ISSN: 2287-1233 ASTL Copyright © 2016 SERSC
have negative effects on workers, excessive job demands can be a cause of job stress,
as they often accompany irredeemable negative responses [6]. In contrast, job
resources play a functional role in achieving a performance goal, and stimulate the
growth, learning, and development of an individual [7], help them deal with excessive
job demands, and are essential factors in executing tasks [8]. However, the JDR
proposed has a limitation in that it omits the process by which diverse job demands
and job resources given in a job environment progress to work burnout and work
engagement [9]. In particular, clinical nurses commonly experience work burnout
during the course of interacting with patients and their guardians, and the emotional
labor of controlling their emotions to accommodate the sensitive responses of patients
and expectations of the organization; i.e., a profit, become the major cause of work
burnout. Therefore, the emotional labor of nurses does not necessarily cause negative
work burnout but can lead to either negative work burnout or positive work
engagement, depending on the emotional labor strategy under the given
circumstances.
The purpose of this study was to develop a hypothetical model to explain nurses’
job burnout and job engagement and to examine the mediating effect of emotional
labor in the relationship between nurses’ job demands, job resources, and job
engagement, by testing the goodness of fit of actual data.
2 Methods
Convenience sampling was used for this study. Participants comprised 360 consenting
nurses, working in six general hospitals located in Seoul. SPSS Windows 18.0 (SPSS
Korea data solution Inc.) and AMOS 7.0 (SPSS Korea data solution Inc.) were used
for data analyses. This study analyzed participants’ demographic characteristics using
SPSS Windows 18.0. To verify convergent validity, factor loading, squared multiple
correlation (SMC), standardized residual covariance (SRC), construct reliability (CR),
and average variance extracted (AVE) were used. Discriminant validity aims at
verifying whether factors are independent of one another; in this study we used Root
(√) values of correlation coefficients and AVE values. Since this study had high-
dimensional factors, primary and secondary factor analyses were conducted using
higher-order factor analysis. In order to verify the model’s goodness of fit, chi-square,
chi-square/degrees of freedom (≤3.00), adjusted goodness of fit index (AGFI ≥0.90),
goodness of fit index (GFI ≥0.90), comparative fit index (CFI ≥0.90), root mean
square residual (RMRS ≤0.08), root mean square error of approximation (RMSEA
≤0.08), and normed fit index (NFI ≥0.90) were used.
3 Results
Goodness of fit of the study model was χ2
= 378.78, p < 0.001, χ2/df = 2.77, GFI =
0.93, AGFI = 0.89, NFI = 0.92, CFI = 0.94, and RMSEA = 0.06. This study examined
the direct, indirect, and total effects of nurse job demands and job resources on work
engagement, with surface acting and deep acting as mediating variables. The
Advanced Science and Technology Letters Vol.128 (Healthcare and Nursing 2016)
Copyright © 2016 SERSC 15
bootstrapping method was used to test the significance of the indirect effect. No
significant correlation was found between job demand and job resources. While job
resources did not affect surface acting in emotional labor, job demand directly
affected (γ = 0.47, p = 0.004) surface acting in emotional labor, and explained 18% of
surface acting in emotional labor. Additionally, job resources directly affected (γ =
0.48, p = 0.003) deep acting in emotional labor, and explained 26% of deep acting in
emotional labor. Deep acting in nurses’ emotional labor directly affected work
engagement (β = 0.65, p = 0.003); however, surface acting did not. Moreover, job
resource richness significantly affected work engagement (β = 0.34, p = 0.004) with
emotional labor as a mediator, whereas job demand did not. Hence, the direct effect of
deep acting of emotional labor and the indirect effect of job resources explained 45%
of work engagement (Table 1).
4 Discussion
Job demand on nurses was directly positively related to surface acting in emotional
labor, whereas nurses’ job resource richness was directly positively related to deep
acting in emotional labor. This result corresponded with this of study by Song and Liu
[11] regarding service representatives at call centers. In those studies, job demand was
significantly directly positively related to surface acting in emotional labor, and job
resource richness was significantly directly positively related to deep acting in
emotional labor, indicating that job resource richness positively motivates job
performance. Nurses perform their work in the face of undue demands from patients
and their organization by acting differently than would be dictated by their real
emotions because they are employed in a service industry. And the direct effect of
deep acting of emotional labor and the indirect effect of job resources with deep
acting of emotional labor as a mediator. This result was confirmed by Yi et al. [9],
who reported that the emotional labor strategy plays a mediating role in the JDR
regarding work engagement in nurses. That is, deep acting of emotional labor acted as
an important mediating variable in boosting work engagement. Hence, to improve the
quality of nurse services, hospital management must take advantage of education and
other programs that can have a direct effect on work engagement, in addition to
providing sufficient job resources and reducing excessive job demands.
5 Conclusion
This study was conducted to establish a model for an integrated analysis of the
relationships among job demands and resources, work engagement, and the mediating
effect of emotional labor in clinical nurses, and to verify the relationships among
these factors. Job demands was positively related to surface acting of emotional labor.
Job resources was positively related to deep acting of emotional labor. And job
resources indirectly positively affected work engagement through deep acting of
emotional labor as the mediator, demonstrating emotional labor to be a mediating
variable.
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16 Copyright © 2016 SERSC
References
1. Bruke, R., Moodie, S., Donald, S., Fiksenbaum, L.: Job demands, social support, work
satisfaction and psychological well-being among nurses in Spain. ESADE Business
School Research Paper. 233, 1-31 (2012)
2. Laschinger, H. K. S., Leiter, M. P.: The impact of nursing work environments on patient
safety outcomes: The mediating role of burnout engagement. J Nurs Adm. 36, 259-267
(2006)
3. Han, J. W., Woo, H. Y., Ju, E. S., Lim, S. H., Han, S. S.: Effects of nurses’ social capital
on turnover intention: focused on the mediating effects organizational commitment and
organizational cynicism. J Korean Acad Nurs. 43, 517-525 (2013)
4. Salanova, M., Agut, S., Peiró, J. M.: Linking organizational resources and Work
engagement to employee performance and customer loyalty: The mediating role of service
climate. J Appl Psychol. 90, 1217-1227 (2005)
5. Schaufeli, W. B., Bakker, A. B.: Job demands, job resources, and their relationship with
burnout and engagement: A multi-sample study. J Organ Behav. 25, 293-315 (2004)
6. Sonnetag, S., Zijlstra, F. R. H.: Job characteristics and off-job time activities as predictors
of need for recovery, well-being, and fatigue. J Appl Psychol. 91, 330-350 (2006)
7. Demerouti, E., Nachreiner, F., Bakker, A. B., Schaufeli, W. B.: The job demands-
resources model of burnout. J Appl Psychol. 86, 499-512 (2001)
8. Hobfoll, S. E.: Social and psychological resources and adaptation. Rev Gen Psychol. 6,
307-324 (2002)
9. Yi, R., Kim, W. S., Shin, K. H.: The role of emotional; Labor strategies in job demand-
resource model with burnout and engagement - call center employees case-. Kor. J.
Psychol. 9, 573-596 (2006)
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Copyright © 2016 SERSC 17