FACTORS INFLUENCING WORK ENGAGEMENT AMONG DENTAL NURSES IN CHINA
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Keywords
Work engagement, Job stress, Perceived social support, Subjective well-being, Psychological flexibility, Nurse
Abstract
In the background Work engagement is influenced by a multitude of factors. Unknown is the degree of work engagement exhibited by dental nurses. Approaching methods A questionnaire survey with a cross-sectional design was administered to 215 dental nurses. Chinese nurses' work engagement, job stress, psychological flexibility, perceived social support, and subjective well-being were assessed using the Work-related Acceptance and Action Questionnaire, the Multi-dimensional Scale of Perceived Social Support, the Utrecht Work Engagement Scale, the Chinese Nurse Stressors Scale, and the General Well-Being Schedule, respectively. The researchers employed univariate analysis to ascertain the associations between work engagement and demographic and psychological attributes. Utilising hierarchical linear regression, the proportion of work engagement variance explained by work engagement-related factors in the univariate analysis was determined. As a result Work engagement among dental nurses in China was rated as moderate or higher. Positive correlations were found between work engagement and subjective well-being, psychological flexibility, and perceived social support; however, negative correlations were observed with job stress. Age, job stress, subjective well-being, psychological flexibility, and subjective flexibility were all significantly correlated with work engagement, according to the hierarchical regression analysis; however, perceived social support was not. Collectively, these psychological variables accounted for 34.7% of the variance in work engagement. In conclusion, The level of work engagement exhibited by dental nurses in China was deemed satisfactory with regards to vigour, dedication, and assimilation. There was a negative correlation between elevated levels of job tension and decreased work engagement. Work engagement was greater among nurses who reported greater levels of perceived social support, psychological flexibility, and subjective well-being. Gaining insight into the occupational stress experienced by nurses, bolstering social support systems for nurses, alleviating job-related stress, enhancing psychological flexibility, and improving subjective well-being are all imperative in order to augment levels of work engagement among nurses.
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1. Fiorillo L. Oral Health: The First Step to Well-Being. Medicina (Kaunas) 2019;55(10):676. doi: 10.3390/medicina55100676. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 2. American Dental Hygienists’ Association. Dental Hygiene Programs. http://www.adha.org/dental-hygiene-programs. Accessed 25 May 2014. 3. Zhai XT. A comparative study on the education of dental assistants between China and Japan. J Shenzhen Polytech. 2011;4(10):39–41. [Google Scholar] 4. Li HL, Liu D, Bi XQ, et al. Influence of hand-mixed methods on compressive strength of zinc phosphate dental cement. Hua Xi Kou Qiang Yi Xue Za Zhi. 2008;26(2):172–174. [PubMed] [Google Scholar] 5. Li HL, Xie P, Zheng XT, et al. Application of comfort care for dental out-patients. Hua Xi Kou Qiang Yi Xue Za Zhi. 2009;27(4):430–432. [PubMed] [Google Scholar] 6. Hu DM, Tan R, Hu KE. Research Progress on the role and function of nurses in stomatology outpatient department of general hospital. Chin J Modern Nurs. 2013;19(9):1114–1116. doi: 10.3760/cma.j.issn.16742907.2013.09.048. [CrossRef] [Google Scholar] 7. Xun Y, Yuan LL, Gao YQ. Application effect of scenario simulation training method in stomatological specialist nurse training. China Continuing Med Educ. 2021;13(1):62–66. [Google Scholar] 8. Wang YJ, Yuan TT, Guo XY. Effects of rain classroom in continuing education for nurses in oral and maxillofacial surgical ward. Chin J Modern Nurs. 2020;26(19):2541–2543. [Google Scholar] 9. Bakker AB, Demerouti E, Sanz-Vergel AI. Burnout and work engagement: the JD–R approach. Annu Rev Organ Psych. 2014;1(1):389–411. doi: 10.1146/annurev-orgpsych-031413-091235. [CrossRef] [Google Scholar] 10. García-Sierra R, Fernández-Castro J, Martínez-Zaragoza F. Work engagement in nursing: an integrative review of the literature. J Nurs Manag. 2016;24(2):E101–E111. doi: 10.1111/jonm.12312. [PubMed] [CrossRef] [Google Scholar] 11. Van Bogaert P, Clarke S, Willems R, Mondelaers M. Staff engagement as a target for managing work environments in psychiatric hospitals: implications for workforce stability and quality of care. J Clin Nurs. 2013;22(11–12):1717–1728. doi: 10.1111/j.1365-2702.2012.04341.x. [PubMed] [CrossRef] [Google Scholar] 12. Schaufeli WB, Bakker AB. Job demands, job resources, and their relationship with burnout and engagement: a multi-sample study. J Organ Behav. 2004;25:293–315. doi: 10.1002/job.248. [CrossRef] [Google Scholar] 13. Salanova M, Lorente L, Chambel MJ, Martínez IM. Linking transformational leadership to nurses’ extra-role performance: the mediating role of self-efficacy and work engagement. J Adv Nurs. 2011;67(10):2256–2266. doi: 10.1111/j.1365-2648.2011.05652.x. [PubMed] [CrossRef] [Google Scholar] 14. Bakker AB, Demerouti E. The job demands-resources model: state of the art. J Manage Psychol. 2007;22:309–328. doi: 10.1108/02683940710733115. [CrossRef] [Google Scholar] 15. Inoue A, Kawakami N, Tsutsumi A, Shimazu A, Miyaki K, Takahashi M, Kurioka S, Eguchi H, Tsuchiya M, Enta K, Kosugi Y, Sakata T, Totsuzaki T. Association of job demands with work engagement of Japanese employees: comparison of challenges with hindrances (J-HOPE) PLoS ONE. 2014;9(3):e91583. doi: 10.1371/journal.pone.0091583. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 16. Klein CJ, Weinzimmer LG, Cooling M, Lizer S, Pierce L, Dalstrom M. Exploring burnout and job stressors among advanced practice providers. Nurs Outlook. 2020;68(2):145–154. doi: 10.1016/j.outlook.2019.09.005. [PubMed] [CrossRef] [Google Scholar] 17. Mauno S, Ruokolainen M, Kinnunen U, De Bloom J. Emotional labour and work engagement among nurses: examining perceived compassion, leadership and work ethic as stress buffers. J Adv Nurs. 2016;72(5):1169–1181. doi: 10.1111/jan.12906. [PubMed] [CrossRef] [Google Scholar] 18. Bond FW, Bunce D. The role of acceptance and job control in mental health, job satisfaction, and work performance. J Appl Psychol. 2003;88(6):1057–1067. doi: 10.1037/0021-9010.88.6.1057. [PubMed] [CrossRef] [Google Scholar] 19. Martini M, Guidetti G, Viotti S, Loera B, Converso D. Sometimes it drains, sometimes it sustains: the dual role of the relationship with students for university professors. Biomed Res Int. 2019;2019:9875090. doi: 10.1155/2019/9875090. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 20. De Stasio S, Benevene P, Pepe A, Buonomo I, Ragni B, Berenguer C. The interplay of compassion, subjective happiness and proactive strategies on kindergarten teachers' work engagement and perceived working environment fit. Int J Environ Res Public Health. 2020;17(13):4869. doi: 10.3390/ijerph17134869. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 21. Yuan L, Pan B, Wang W, Wang L, Zhang X, Gao Y. Prevalence and predictors of anxiety and depressive symptoms among patients diagnosed with oral cancer in China: a cross-sectional study. BMC Psychiatry. 2020;20(1):394. doi: 10.1186/s12888-020-02796-6. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 22. Fang JQ. Statistical methods of biomedical research. Beijing: Higher Education Press; 2010. p. 284. [Google Scholar] 23. NIST/SEMATECH e-Handbook of Statistical Methods, http://www.itl.nist.gov/div898/handbook/. Accessed 1 June 2021. 24. Schaufeli WB, Bakker AB, Salanova M. The measurement of work engagement with a short questionnaire: a cross-national study. Educ Psychol Meas. 2006;66:701–716. doi: 10.1177/0013164405282471. [CrossRef] [Google Scholar] 25. Zhu Y, Liu C, Guo B, Zhao L, Lou F. The impact of emotional intelligence on work engagement of registered nurses: the mediating role of organisational justice. J Clin Nurs. 2015;24(15–16):2115–2124. doi: 10.1111/jocn.12807. [PubMed] [CrossRef] [Google Scholar] 26. Li XM, Liu YJ. Job Stressors and Burnout among Staff Nurses. Chin J Nurs. 2000;35(11):645–649. [Google Scholar] 27. Yao X, Shao J, Wang L, Zhang J, Zhang C, Lin Y. Does workplace violence, empathy, and communication influence occupational stress among mental health nurses? Int J Ment Health Nurs. 2020 doi: 10.1111/inm.12770. [PubMed] [CrossRef] [Google Scholar] 28. Bond FW, Lloyd J, Guenole N. The work-related acceptance and action questionnaire: initial psychometric findings and their implications for measuring psychological flexibility in specific contexts. J Occup Organ Psychol. 2013;86:331–347. doi: 10.1111/joop.12001. [CrossRef] [Google Scholar] 29. Xu XH, Liu XY, Ou MJ, Xie CJ, Chen YY. Psychological flexibility of nurses in a cancer hospital:preliminary validation of a Chinese version of the work-related acceptance and action questionnaire. Asia Pac J Oncol Nurs. 2018;5(1):83–90. doi: 10.4103/apjon.apjon_62_17. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 30. Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52:30–41. doi: 10.1207/s15327752jpa5201_2. [CrossRef] [Google Scholar] 31. Liu L, Yang YL, Wang ZY, Wu H, Wang Y, Wang L. Prevalence and positive correlates of posttraumatic stress disorder symptoms among Chinese patients with hematological malignancies: a cross-sectional study. PLoS ONE. 2015;10(12):e0145103. doi: 10.1371/journal.pone.0145103. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 32. Duan JH. Results and analysis of the general well-being schedule in Chinese college students. China J Clin Psychol. 1996;4(1):56–57. [Google Scholar] 33. Hua J, Zhu LP, Du WC, Du L, Luo T, Wu ZC. Infant's sex, birth control policy and postpartum well-being: a prospective cohort study in Shanghai, China. BMJ Open. 2016;6(10):e012207. doi: 10.1136/bmjopen-2016-012207. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 34. Wang Q, Liu H, Ren Z, Xiong W, He M, Li N, Fan X, Guo X, Li X, Shi H, Zha S, Zhang X. The associations of family functioning, general well-being, and exercise with mental health among end-stage renal disease patients. Psychiatry Investig. 2020;17(4):356–365. doi: 10.30773/pi.2019.0204. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 35. Lu CQ, Siu OL, Chen WQ, Wang HJ. Family mastery enhances work engagement in Chinese nurses: a cross-lagged analysis. J Vocat Behav. 2011;78(1):100–109. doi: 10.1016/j.jvb.2010.07.005. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 36. Smith CE, Barratt CL, Hirvo A. Burned out or engaged at work? The role of self-regulatory personality profiles. Stress Health. 2020 doi: 10.1002/smi.3015. [PubMed] [CrossRef] [Google Scholar] 37. Veromaa V, Kautiainen H, Korhonen PE. Physical and mental health factors associated with work engagement among Finnish female municipal employees: a cross-sectional study. BMJ Open. 2017;7(10):e017303. doi: 10.1136/bmjopen-2017-017303. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 38. Amano H, Fukuda Y, Baden MY, Kawachi I. Is work engagement associated with healthier dietary patterns? A cross-sectional study. J Occup Health. 2020;62(1):e12149. doi: 10.1002/1348-9585.12149. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 39. Sinval J, Marques-Pinto A, Queirós C, Marôco J. Work engagement among rescue workers: psychometric properties of the Portuguese UWES. Front Psychol. 2018;8:2229. doi: 10.3389/fpsyg.2017.02229. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 40. Lin TC, Lin HS, Cheng SF, Wu LM, Ou-Yang MC. Work stress, occupational burnout and depression levels: a clinical study of paediatric intensive care unit nurses in Taiwan. J Clin Nurs. 2016;25:1120–1130. doi: 10.1111/jocn.13119. [PubMed] [CrossRef] [Google Scholar] 41. Schultz ASH, Hossain S, Johnson JL. Modeling influences on acute care nurses' engagement in tobacco use reduction. Res Nurs Health. 2009;32(6):621–633. doi: 10.1002/nur.20349. [PubMed] [CrossRef] [Google Scholar] 42. Wang XX, Liu L, Zou FT, Hao JH, Wu H. Associations of occupational stressors, perceived organizational support, and psychological capital with work engagement among Chinese female nurses. Biomed Res Int. 2017;2017:5284628. doi: 10.1155/2017/5284628. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 43. Petrović IB, Vukelić M, Čizmić S. Work engagement in Serbia: psychometric properties of the Serbian version of the Utrecht work engagement scale (UWES) Front Psychol. 2017;8:1799. doi: 10.3389/fpsyg.2017.01799. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 44. Simpson MR. Predictors of work engagement among medical-surgical registered nurses. West J Nurs Res. 2009;31(1):44–65. doi: 10.1177/0193945908319993. [PubMed] [CrossRef] [Google Scholar] 45. Ramaci T, Bellini D, Presti G, Santisi G. Psychological flexibility and mindfulness as predictors of individual outcomes in hospital health workers. Front Psychol. 2019;10:1302. doi: 10.3389/fpsyg.2019.01302. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 46. Chou LP, Li CY, Hu SC. Job stress and burnout in hospital employees: comparisons of different medical professions in a regional hospital in Taiwan. BMJ Open. 2014;4:e004185. doi: 10.1136/bmjopen-2013-004185. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 47. Kowalczuk K, Krajewska-Kułak E, Sobolewski M. The effect of subjective perception of work in relation to occupational and demographic factors on the mental health of Polish nurses. Front Psychiatry. 2020;11:591957. doi: 10.3389/fpsyt.2020.591957. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 48. Teng CI, Hsiao FJ, Chou TA. Nurse-perceived time pressure and patient-perceived care quality. J Nurs Manag. 2010;18(3):275–284. doi: 10.1111/j.1365-2834.2010.01073.x. [PubMed] [CrossRef] [Google Scholar] 49. Keykaleh MS, Safarpour H, Yousefian S, Faghisolouk F, Mohammadi E, Ghomian Z. The relationship between nurse's job stress and patient safety. Open Access Maced J Med Sci. 2018;6(11):2228–2232. doi: 10.3889/oamjms.2018.351. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 50. Rainbow JG, Drake DA, Steege LM. Nurse health, work environment, presenteeism and patient safety. West J Nurs Res. 2020;42(5):332–339. doi: 10.1177/0193945919863409. [PubMed] [CrossRef] [Google Scholar] 51. Hayes SC, Luoma JB, Bond FW, Masuda A, Lillis J. Acceptance and commitment therapy: model, processes and outcomes. Behav Res Ther. 2006;44(1):1–25. doi: 10.1016/j.brat.2005.06.006. [PubMed] [CrossRef] [Google Scholar] 52. Solms L, van Vianen AEM, Theeboom T, Koen J, de Pagter APJ, de Hoog M. Challenge and support research network. Keep the fire burning: a survey study on the role of personal resources for work engagement and burnout in medical residents and specialists in the Netherlands. BMJ Open. 2019;9(11):e031053. doi: 10.1136/bmjopen-2019-031053. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 53. Diener E, Oishi S, Tay L. Advances in subjective well-being research. Nat Hum Behav. 2018;2(4):253–260. doi: 10.1038/s41562-018-0307-6. [PubMed] [CrossRef] [Google Scholar] 54. Hwang E. Effects of the organizational culture type, job satisfaction, and job stress on nurses’ happiness: A cross-sectional study of the long-term care hospitals of South Korea. Jpn J Nurs Sci. 2019;16(3):263–273. doi: 10.1111/jjns.12235. [PubMed] [CrossRef] [Google Scholar] 55. Rusu PP, Colomeischi AA. Positivity ratio and well-being among teachers. The mediating role of work engagement. Front Psychol. 2020;11:1608. doi: 10.3389/fpsyg.2020.01608. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 56. Piotrowski A, Sygit-Kowalkowska E, Hamzah I. Work engagement among prison officers. The role of individual and organizational factors in the Polish and Indonesian penitentiary systems. Int J Environ Res Public Health. 2020;17(21):8206. doi: 10.3390/ijerph17218206. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 57. van den Berg JW, Mastenbroek NJJM, Scheepers RA, Jaarsma ADC. Work engagement in health professions education. Med Teach. 2017;39(11):1110–1118. doi: 10.1080/0142159X.2017.1359522. [PubMed] [CrossRef] [Google Scholar] 58. Shimazu A, Schaufeli WB. Is workaholism good or bad for employee well-being? The distinctiveness of workaholism and work engagement among Japanese employees. Ind Health. 2009;47(5):495–502. doi: 10.2486/indhealth.47.495. [PubMed] [CrossRef] [Google Scholar] 59. Okada N, Yabase K, Kobayashi T, Okamura H. Do multiple personal roles promote working energetically in female nurses? A cross-sectional study of relevant factors promoting work engagement in female nurses. Environ Health Prev Med. 2019;24(1):56. doi: 10.1186/s12199-019-0810-z. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 60. Boelhouwer IG, Vermeer W, van Vuuren T. Work ability, burnout complaints, and work engagement among employees with chronic diseases: job resources as targets for intervention? Front Psychol. 2020;11:1805. doi: 10.3389/fpsyg.2020.01805. [PMC free article] [PubMed] [CrossRef] [Google Scholar] 61. Xi YH, Xu YY, Wang Y. Too-much-of-a-good-thing effect of external resource investment-a study on the moderating effect of psychological capital on the contribution of social support to work engagement. Int J Environ Res Public Health. 2020;17(2):437. doi: 10.3390/ijerph17020437. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
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