Central European Business Review 2022, 11(4):47-62 | DOI: 10.18267/j.cebr.299
Effects of Work-Related Stressors and Work Engagement on Work Stress: Healthcare Managers' Perspective
- 1 Dokuz Eylul University, Faculty of Sport Sciences, Department of Recreation, İzmir, Turkey, ipek.aydin@deu.edu.tr
This study identified the effects of Work-Related Stressors (WRSs) and Work Engagement (WE) on managers’ Work Stress (WS). Data were collected from 109 healthcare managers (HMs) from public and private hospitals in İzmir, Turkey, using a structured questionnaire. Exploratory factor analyses were carried out to determine the construct validity of the WRS, WE, and WS scales. Two WRS factors were identified, Support and Control (SC), and Responsibility and Relationship (RR), and one factor each for the WE and WS scales. Correlation analyses indicated a significant positive relationship between the WRS factors and a negative relationship between WE and the other variables. Hierarchical regression analyses were conducted to evaluate the effects on WS of HM demographic variables, WRS dimensions, and WE. The first step showed that age and managerial experience affects WS. The second step showed that RR had a significant positive effect on WS, whereas SC had no effect. Additionally, WE significantly decreased WS.
Implications for Central European audience: The findings suggest that HMs can reduce WS by focusing on RR. In addition, HM willingness, enthusiasm, physical and mental fitness, and effort to achieve goals all affect their WS. Thus, HMs’ perceptions of WE may reduce their perceptions of WS. Managers, therefore, need to consider job satisfaction, which is particularly associated with work stress, to increase WE. Managers should consider their needs and expectations both formally and informally by holding regular evaluations to listen to their employees’ voices.
Keywords: work-related stressors; work engagement; work stress; healthcare managers; hospitals
JEL classification: I10, J81
Received: August 27, 2021; Revised: October 25, 2021; Accepted: November 16, 2021; Prepublished online: January 18, 2022; Published: September 19, 2022 Show citation
References
- Abeer, M. S. (2017). Organisational role stress and work engagement among nurses in a selected hospital in Cairo. American Journal of Nursing Science, 6(1), 53-62.
Go to original source...
- Antonova, E. (2016). Occupational stress, job satisfaction, and employee loyalty in hospitality industry: a comparative case study of two hotels in Russia.
- Ashforth, B. E., & Humphrey, R. H. (1995). Emotion in the Workplace: A Reappraisal. Human Relations, 48(2), 97-125. Advance online publication. https://doi.org/10.1177/001872679504800201
Go to original source...
- Aydin, İ., & Özmutaf, N. M. (2020). Distributed leadership in healthcare: Exploring its impacts on technical quality. International Journal of Healthcare Management. Advance online publication. https://doi.org/10.1080/20479700.2020.1788342
Go to original source...
- Bailey, C., Madden, A., Alfes, K., & Fletcher, L. (2017). The Meaning, Antecedents and Outcomes of Employee Engagement: A Narrative Synthesis. International Journal of Management Reviews, 19(1), 31-53. Advance online publication. https://doi.org/10.1111/ijmr.12077
Go to original source...
- Bakker, A. B., & Demerouti, E. (2017). Job demands-resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273-285. Advance online publication. https://doi.org/10.1037/ocp0000056
Go to original source...
- Balducci, C., Fraccaroli, F., & Schaufeli, W. B. (2010). Psychometric Properties of the Italian Version of the Utrecht Work Engagement Scale (UWES-9). European Journal of Psychological Assessment, 26(2), 143-149. Advance online publication. https://doi.org/10.1027/1015-5759/a000020
Go to original source...
- Bezuidenhout, A., & Cilliers, F. V. N. (2010). Burnout, work engagement and sense of coherence in female academics in higher-education institutions in South Africa. SA Journal of Industrial Psychology, 36(1). Advance online publication. https://doi.org/10.4102/sajip.v36i1.872
Go to original source...
- Blaug, R., Kenyon, A., & Lekhi, R. (2007). Stress at work: A report prepared for the work foundation's principal partners. The Work Foundation.
- Bochatay, N., Muller-Juge, V., Scherer, F., Cottin, G., Cullati, S., Blondon, K. S., Hudelson, P., Maître, F., Vu, N. v, Savoldelli, G. L., & Nendaz, M. R. (2017). Are role perceptions of residents and nurses translated into action? BMC Medical Education, 17(1). https://doi.org/10.1186/s12909-017-0976-2
Go to original source...
- Cannavò, M., la Torre, F., Sestili, C., la Torre, G., & Fioravanti, M. (2019). Work Related Violence As A Predictor Of Stress And Correlated Disorders In Emergency Department Healthcare Professionals. La Clinica Terapeutica, 170(2), e110-e123. https://doi.org/10.7417/CT.2019.2120
Go to original source...
- Cavanaugh, M. A., Boswell, W. R., Roehling, M. V., & Boudreau, J. W. (2000). An empirical examination of self-reported work stress among U.S. managers. The Journal of Applied Psychology, 85(1), 65-74. Advance online publication. https://doi.org/10.1037/0021-9010.85.1.65
Go to original source...
- Christian, M. S., Garza, A. S., & Slaughter, J. E. (2011). Work Engagement: A quantitative review and test of its relations with task and contextual performance. Personnel Psychology, 64(1), 89-136. Advance online publication. https://doi.org/10.1111/j.1744-6570.2010.01203.x
Go to original source...
- Cockburn, J., & Pit, S. (1997). Prescribing behaviour in clinical practice: Patients' expectations and doctors' perceptions of patients' expectations-a questionnaire study. BMJ (Clinical Research Ed.), 315(7107), 520-523. Advance online publication. https://doi.org/10.1136/bmj.315.7107.520
Go to original source...
- Cousins, R., MacKay, C. J., Clarke, S. D., Kelly, C., Kelly, P. J., & McCaig, R. H. (2004). 'Management Standards' work-related stress in the UK: Practical development. Work and Stress, 18(2), 113-136. Advance online publication. https://doi.org/10.1080/02678370410001734322
Go to original source...
- Cox, T., & Cox, S. (1993). Occupational health: Control and monitoring of psychosocial and organisational hazards at work. Journal of the Royal Society of Health, 113(4), 201-205. Advance online publication. https://doi.org/10.1177/146642409311300411
Go to original source...
- Cox, T., Griffiths, A., & Randall, R. (2003). The Handbook of Work and Health Psychology (M. J. Schabracq, J. A. M. Winnubst, & C. L. Cooper, Eds.; Second Edition). John Wiley & Sons Ltd.
- Crawford, E. R., Lepine, J. A., & Rich, B. L. (2010). Linking job demands and resources to employee engagement and burnout: A theoretical extension and meta-analytic test. The Journal of Applied Psychology, 95(5), 834-848. Advance online publication. https://doi.org/10.1037/a0019364
Go to original source...
- Demerouti, E., & Bakker, A. B. (2011). The Job Demands-Resources model: Challenges for future research. SA Journal of Industrial Psychology, 37(2). Advance online publication. https://doi.org/10.4102/sajip.v37i2.974
Go to original source...
- Dhawan, N. (2013). An Empirical Analysis of Role Stressors in Banking Sector. The Global E-Learning Journal, 2(2).
- Fiabane, E., Giorgi, I., Sguazzin, C., & Argentero, P. (2013). Work engagement and occupational stress in nurses and other healthcare workers: The role of organisational and personal factors. Journal of Clinical Nursing, 22(17-18), 2614-2624. Advance online publication. https://doi.org/10.1111/jocn.12084
Go to original source...
- Fishta, A., & Backé, E.-M. (2015). Psychosocial stress at work and cardiovascular diseases: An overview of systematic reviews. International Archives of Occupational and Environmental Health, 88(8), 997-1014. Advance online publication. https://doi.org/10.1007/s00420-015-1019-0
Go to original source...
- Ford, M. T., Matthews, R. A., Wooldridge, J. D., Mishra, V., Kakar, U. M., & Strahan, S. R. (2014). How do occupational stressor-strain effects vary with time? A review and meta-analysis of the relevance of time lags in longitudinal studies. Work & Stress, 28(1), 9-30. https://doi.org/10.1080/02678373.2013.877096
Go to original source...
- Fortes-Ferreira, L., Peiro, J. M., Gonzalez-Morales, M. G., & Martin, I. (2006). Work-related stress and well-being: The roles of direct action coping and palliative coping. Scandinavian Journal of Psychology, 47(4), 293-302. https://doi.org/10.1111/j.1467-9450.2006.00519.x
Go to original source...
- Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T., Fineberg, H., Garcia, P., Ke, Y., Kelley, P., Kistnasamy, B., Meleis, A., Naylor, D., Pablos-Mendez, A., Reddy, S., Scrimshaw, S., Sepulveda, J., Serwadda, D., & Zurayk, H. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 376(9756). https://doi.org/10.1016/S0140-6736(10)61854-5
Go to original source...
- Holman, D., Johnson, S., & O'Connor, E. (2018). Stress management interventions: Improving subjective psychological well-being in the workplace. In E. Diener, S. Oishi, & L. Tay (Eds.), Handbook of well-being. DEF Publishers.
- Huang, Y., Xu, S., Hua, J., Zhu, D., Liu, C., Hu, Y., Liu, T., & Xu, D. (2015). Association between job strain and risk of incident stroke. Neurology, 85(19), 1648-1654. https://doi.org/10.1212/WNL.0000000000002098
Go to original source...
- 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. (2014). Association of Job Demands with Work Engagement of Japanese Employees: Comparison of Challenges with Hindrances (J-HOPE). PLoS ONE, 9(3), e91583. https://doi.org/10.1371/journal.pone.0091583
Go to original source...
- Kahn, R. L., Byosiere, P., & Dunnette, M. D. (1992). Stress in organisations. In L. M. Hough (Ed.), Handbook of industrial and organisational psychology (pp. 571-650). Consulting Psychologists Press.
- Karasek, R. A. (1979). Job Demands, Job Decision Latitude, and Mental Strain: Implications for Job Redesign. Administrative Science Quarterly, 24(2), 285-308.
Go to original source...
- Karasek, R., & Theorell, T. (1990). Healthy work : Stress, productivity and the reconstruction of working life. Basic books.
- Kartal, N. (2018). Evaluating the relationship between work engagement, work alienation and work performance of healthcare professionals. International Journal of Healthcare Management, 11(3), 251-259. https://doi.org/10.1080/20479700.2018.1453969
Go to original source...
- Keashly, L., Hunter, S., & Harvey, S. (1997). Abusive interaction and role state stressors: Relative impact on student residence assistant stress and work attitudes. Work & Stress, 11(2), 175-185. https://doi.org/10.1080/02678379708256833
Go to original source...
- Knight, C., Patterson, M., Dawson, J., & Brown, J. (2017). Building and sustaining work engagement - a participatory action intervention to increase work engagement in nursing staff. European Journal of Work and Organizational Psychology, 26(5), 634-649. https://doi.org/10.1080/1359432X.2017.1336999
Go to original source...
- Lambert, E. G., Hogan, N. L., Camp, S. D., & Ventura, L. A. (2006). The impact of work-family conflict on correctional staff. Criminology & Criminal Justice, 6(4), 371-387. https://doi.org/10.1177/1748895806068572
Go to original source...
- Macey, W. H., & Schneider, B. (2008). The Meaning of Employee Engagement. Industrial and Organisational Psychology, 1(1). https://doi.org/10.1111/j.1754-9434.2007.0002.x
Go to original source...
- Mark, G., & Smith, A. P. (2012). Effects of occupational stress, job characteristics, coping, and attributional style on the mental health and job satisfaction of university employees. Anxiety, Stress & Coping, 25(1), 63-78. https://doi.org/10.1080/10615806.2010.548088
Go to original source...
- Matthys, J., Elwyn, G., van Nuland, M., van Maele, G., de Sutter, A., de Meyere, M., & Deveugele, M. (2009). Patients' ideas, concerns, and expectations (ICE) in general practice: impact on prescribing. British Journal of General Practice, 59(558), 29-36. https://doi.org/10.3399/bjgp09X394833
Go to original source...
- Mauno, S., Kinnunen, U., & Ruokolainen, M. (2007). Job demands and resources as antecedents of work engagement: A longitudinal study. Journal of Vocational Behavior, 70(1), 149-171. https://doi.org/10.1016/j.jvb.2006.09.002
Go to original source...
- Morse, T., Fekieta, R., Rubenstein, H., Warren, N., Alexander, D., & Wawzyniecki, P. (2008). "Doing the Heavy Lifting: Health Care Workers Take Back Their Backs." NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy, 18(2), 207-219. https://doi.org/10.2190/NS.18.2.j
Go to original source...
- Nunnally, J. C. (1967). Psychometric Theory. McGraw Hill.
- Nyberg, S. T., Fransson, E. I., Heikkilä, K., Ahola, K., Alfredsson, L., Bjorner, J. B., Borritz, M., Burr, H., Dragano, N., Goldberg, M., Hamer, M., Jokela, M., Knutsson, A., Koskenvuo, M., Koskinen, A., Kouvonen, A., Leineweber, C., Madsen, I. E. H., Magnusson Hanson, L. L., … Kivimäki, M. (2014). Job Strain as a Risk Factor for Type 2 Diabetes: A Pooled Analysis of 124,808 Men and Women. Diabetes Care, 37(8), 2268-2275. https://doi.org/10.2337/dc13-2936
Go to original source...
- Paunonen, S. v., & Ashton, M. C. (2001). Big Five factors and facets and the prediction of behaviour. Journal of Personality and Social Psychology, 81(3), 524. https://doi.org/10.1037/0022-3514.81.3.524
Go to original source...
- Rick, J., & Briner, R. B. (2000). Psychosocial Risk Assessment: Problems and Prospects. Occupational Medicine, 50(5), 310-314. https://doi.org/10.1093/occmed/50.5.310
Go to original source...
- Schaufeli, W. B., Salanova, M., González-romá, V., & Bakker, A. B. (2002). The measurement of engagement and burnout: A two sample confirmatory factor analytic approach. Journal of Happiness Studies, 3(1), 293-315. https://doi.org/10.1023/A:1015630930326
Go to original source...
- Schaufeli, W., & Salanova, M. (2007). Work engagement: An emerging psychological concept and its implications for organisations. In S. W. Gilliland, D. D. Steiner, & D. P. Skarlicki (Eds.), Research in social issues in management (Volume 5): Managing social and ethical issues in organisations (Vol. 5, pp. 135-177). Information Age Publishers.
- Shaw, J. B., Fields, M. W., Thacker, J. W., & Fisher, C. D. (1992). The availability of personal and external coping resources: their impact on job stress and employee attitudes during organisational restructuring (No. 25).
- Spence Laschinger, H. K., Finegan, J., Shamian, J., & Almost, J. (2001). Testing Karasek's demands-control model in restructured healthcare settings: effects of job strain on staff nurses' quality of work life. ONA: The Journal of Nursing Administration, 31(5), 233-243. https://doi.org/10.1097/00005110-200105000-00003
Go to original source...
- Stansfeld, S., & Candy, B. (2006). Psychosocial work environment and mental health-a meta-analytic review. Scandinavian Journal of Work, Environment & Health, 32(6), 443-462. https://doi.org/10.5271/sjweh.1050
Go to original source...
- Sutherland, V. J., & Cooper, C. L. (1990). Psychology and health series, Vol. 5. Understanding stress: A psychological perspective for health professionals (1st ed.). Chapman & Hall.
- Taouk, Y., Spittal, M. J., Milner, A. J., & LaMontagne, A. D. (2020). All-cause mortality and the time-varying effects of psychosocial work stressors: A retrospective cohort study using the HILDA survey. Social Science & Medicine, 266, 113452. https://doi.org/10.1016/j.socscimed.2020.113452
Go to original source...
- Timms, C., Brough, P., O'Driscoll, M., Kalliath, T., Siu, O. L., Sit, C., & Lo, D. (2015). Flexible work arrangements, work engagement, turnover intentions and psychological health. Asia Pacific Journal of Human Resources, 53(1), 490-510. https://doi.org/10.1111/1744-7941.12030
Go to original source...
- Tutuncu, O., Cobaner, A. A., Guzelgoz, O., Cetin, A., Malkoc, M., & Mollahaliloglu, S. (2014). The effects of health transformation program on patient-healthcare personnel communication and interaction in Turkey. Quality & Quantity, 48(6), 3433-3446. https://doi.org/10.1007/s11135-013-9965-7
Go to original source...
- Unsworth, K. L., & Mason, C. M. (2012). Help yourself: The mechanisms through which a self-leadership intervention influences strain. Journal of Occupational Health Psychology, 17(2), 11-2. https://doi.org/10.1037/a0026857
Go to original source...
- van Bogaert, P., Adriaenssens, J., Dilles, T., Martens, D., van Rompaey, B., & Timmermans, O. (2014). Impact of role-, job- and organisational characteristics on Nursing Unit Managers' work-related stress and well-being. Journal of Advanced Nursing, 70(11), 2622-2633. https://doi.org/10.1111/jan.12449
Go to original source...
- vander Elst, T., Cavents, C., Daneels, K., Johannik, K., Baillien, E., van den Broeck, A., & Godderis, L. (2016). Job demands-resources predicting burnout and work engagement among Belgian home health care nurses: A cross-sectional study. Nursing Outlook, 64(6), 542-556. https://doi.org/10.1016/j.outlook.2016.06.004
Go to original source...
- van Dorssen-Boog, P., de Jong, J., Veld, M., & van Vuuren, T. (2020). Self-Leadership Among Healthcare Workers: A Mediator for the Effects of Job Autonomy on Work Engagement and Health. Frontiers in Psychology, 11, 1420. https://doi.org/10.3389/fpsyg.2020.01420
Go to original source...
- Wallace, J. E., Lemaire, J. B., & Ghali, W. A. (2009). Physician wellness: a missing quality indicator. The Lancet, 374(9702), 1714-1721. https://doi.org/10.1016/S0140-6736(09)61424-0
Go to original source...
- Weigl, M., Müller, A., Vincent, C., Angerer, P., & Sevdalis, N. (2012). The association of workflow interruptions and hospital doctors' workload: a prospective observational study. BMJ Quality & Safety, 21(5), 399-407. https://doi.org/10.1136/bmjqs-2011-000188
Go to original source...
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