Vyas Arjun, Butakhieo Nantapong, Vyas Lina
James Cook University Hospital, South Tees NHS Foundation Trust, Middlesbrough TS4 3BW, UK.
Department of Social Sciences and Policy Studies, The Education University of Hong Kong, Hong Kong SAR, China.
Behav Sci (Basel). 2024 Dec 17;14(12):1208. doi: 10.3390/bs14121208.
In recent years, the public health system of the United Kingdom, the National Healthcare System (NHS), has encountered difficulties that have been acknowledged in research studies and public policy discussions, such as resignations and staff shortages. During the COVID-19 pandemic, NHS healthcare workers were confronted with demanding circumstances, exacerbating the constraints of an already struggling system. With this, the authors of this paper aim to better understand the relationships between frustration at work, fear of infection, working hours, and the turnover intention of healthcare workers during the pandemic. This study employed a mixed-methods research approach, as a questionnaire survey was conducted along with an online self-administered interview questionnaire. Using mediation and moderated mediation analyses, it was found that the indirect effect of frustration at work through fear of infection on turnover intention was positively significant. Working hours moderated the mediation effect of fear of infection on the relationship between frustration at work and turnover intention. Surprisingly, the conditional indirect effect of frustration at work on turnover intention through fear of infection was the strongest among those with short working hours. This evidence was supplemented with qualitative results that enhance the understanding of why healthcare workers want to leave the system and the actions that can be taken on the organisational and policy fronts to address this issue.
近年来，英国的公共卫生系统——国民医疗服务体系（NHS）遇到了一些困难，这些困难在研究和公共政策讨论中已得到承认，比如人员辞职和短缺。在新冠疫情期间，NHS医护人员面临着严峻的形势，这加剧了本就举步维艰的系统所面临的压力。鉴于此，本文作者旨在更好地理解疫情期间医护人员的工作挫折感、感染恐惧、工作时长与离职意愿之间的关系。本研究采用了混合研究方法，开展了问卷调查以及在线自填式访谈问卷。通过中介效应和调节中介效应分析发现，工作挫折感通过感染恐惧对离职意愿产生的间接效应呈显著正向。工作时长调节了感染恐惧在工作挫折感与离职意愿关系中的中介效应。令人惊讶的是，在工作时长较短的人群中，工作挫折感通过感染恐惧对离职意愿产生的条件间接效应最为强烈。这一证据得到了定性研究结果的补充，这些结果有助于加深对医护人员为何想要离开该系统的理解，以及在组织和政策层面为解决这一问题可采取的行动。
