School of Public Health, Jilin University, Changchun, China.
Front Public Health. 2022 Apr 27;10:836113. doi: 10.3389/fpubh.2022.836113. eCollection 2022.
This study aims to evaluate the direct effects of work stress, health status and presenteeism on task performance, and further explore the mediating effects of health status and presenteeism, hoping to provide theoretical basis for improving the performance of medical staff.
A cross-sectional study was conducted among medical staff in Jilin Province, Northeast China. The Challenge and Hindrance-Related Self-Reported Stress scale, Short Form-8 Health Survey scale, Stanford Presenteeism Scale and Task Performance Scale were adopted to assess the work stress, health status, presenteeism and task performance of medical staff.
A total of 4,347 questionnaires were distributed among medical staff, and 4261 were valid, for an effective rate of 98.02%. The mean scores for work stress, health status, presenteeism and task performance were 2.05 ± 0.84, 4.18 ± 0.68, 2.15 ± 0.79 and 4.49 ± 0.64, respectively. The ANOVA results showed that there were significant differences in the task performance scores between different genders, ages, marital statuses, professional titles, departments and work years ( < 0.05). Work stress (β = -0.136, < 0.001) and presenteeism (β = -0.171, < 0.001) were negative predictors of task performance. Health status (β = 0.10; < 0.001) was positive predictor of task performance. Health status (β = -0.070; < -0.001) and presenteeism (β = -0.064; < 0.001) mediated the relationship between work stress and task performance ( < 0.001). Presenteeism mediated the relationship between health status and task performance (β = 0.07; < 0.001).
Work stress and presenteeism had significant negative impact on the task performance of medical staff; health status had a significant positive effect on task performance. Meanwhile, health status and presenteeism played a mediating role in the relationship between work stress and task performance, and presenteeism played a mediating role in the relationship between health status and task performance. Reasonable assignment of tasks can reduce the work stress, but to improve the performance of medical staff, we should pay more attention on improving health, such as making health-related safeguard measures, raising awareness, building a platform, etc.
本研究旨在评估工作压力、健康状况和出勤主义对任务绩效的直接影响,并进一步探讨健康状况和出勤主义的中介作用,以期为提高医务人员绩效提供理论依据。
采用工作压力挑战与阻碍自评量表、健康调查简表 8 项、斯坦福出勤主义量表和任务绩效量表对吉林省医务人员进行横断面调查。
共发放问卷 4347 份,有效问卷 4261 份,有效率 98.02%。医务人员工作压力、健康状况、出勤主义和任务绩效得分分别为(2.05±0.84)、(4.18±0.68)、(2.15±0.79)和(4.49±0.64)。方差分析结果显示,不同性别、年龄、婚姻状况、职称、科室和工作年限的医务人员任务绩效得分差异有统计学意义( < 0.05)。工作压力(β=-0.136, < 0.001)和出勤主义(β=-0.171, < 0.001)是任务绩效的负向预测因子,健康状况(β=0.10, < 0.001)是任务绩效的正向预测因子。健康状况(β=-0.070, < -0.001)和出勤主义(β=-0.064, < 0.001)在工作压力与任务绩效之间起中介作用( < 0.001)。出勤主义在健康状况与任务绩效之间起中介作用(β=0.07, < 0.001)。
工作压力和出勤主义对医务人员的任务绩效有显著的负向影响,健康状况对任务绩效有显著的正向影响。同时,健康状况和出勤主义在工作压力与任务绩效之间起中介作用,出勤主义在健康状况与任务绩效之间起中介作用。合理分配任务可以降低工作压力,但要提高医务人员的绩效,还应更加注重提高健康水平,如制定健康相关保障措施、提高认识、搭建平台等。