Lin Yin, Li Jia
Child & Adolescent Psychology Department, Hainan Provincial Anning Hospital, Haikou, China.
Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, 19 Xiuhua Rd, Haikou, Hainan, 570311, China.
Arch Public Health. 2025 Jun 12;83(1):149. doi: 10.1186/s13690-025-01631-2.
Female healthcare workers often experience heightened stress and increased turnover intentions due to work-family imbalance, which significantly disrupts the normal functioning of the healthcare system. The work-family balance is a multidimensional construct, and the complex relationships among its various dimensions, stress levels, and turnover intentions remain unclear.
The study was conducted among 436 female healthcare workers in China from May 2022 to January 2023, using the work-family balance scale, perceived stress scale and turnover intention scale. A network analysis and path analysis of the data were conducted through R software and the PROCESS macro in SPSS.
The feedback, adjustment and defense nodes were the important nodes of the work-family balance, perceived stress and turnover intention network. Adjustment, defense and conversion between the two roles are more strongly associated with perceived stress and turnover intention. Moreover, adjustment, defense and conversion play parallel chain mediation roles between perceived stress and turnover intention.
The family and work of female medical staff can be mutually conflicting (adjustment and defense) and reinforcing (feedback). Moreover, once the mutual conflict and intrusion between family and work intensify, female healthcare workers' stress and turnover intention may increase, even if their work can provide resources for their families. This further suggests that hospital management systems could help female healthcare workers adjust their energy allocation between work and family areas by setting precise work hours, reducing work intrusion at home, and lowering stress and turnover intentions.
由于工作与家庭失衡，女性医护人员经常经历更高的压力和更高的离职意愿，这严重扰乱了医疗系统的正常运转。工作与家庭平衡是一个多维度的概念，其各个维度、压力水平和离职意愿之间的复杂关系仍不明确。
2022年5月至2023年1月，在中国436名女性医护人员中开展了此项研究，使用了工作-家庭平衡量表、感知压力量表和离职意愿量表。通过R软件和SPSS中的PROCESS宏对数据进行了网络分析和路径分析。
反馈、调整和防御节点是工作-家庭平衡、感知压力和离职意愿网络的重要节点。两种角色之间的调整、防御和转换与感知压力和离职意愿的关联更强。此外，调整、防御和转换在感知压力和离职意愿之间起平行链式中介作用。
女性医护人员的家庭和工作可能相互冲突（调整和防御）和相互促进（反馈）。此外，一旦家庭和工作之间的相互冲突和干扰加剧，女性医护人员的压力和离职意愿可能会增加，即使她们的工作可以为家庭提供资源。这进一步表明，医院管理系统可以通过设定精确的工作时间、减少工作对家庭的干扰以及降低压力和离职意愿，帮助女性医护人员调整工作和家庭领域之间的精力分配。
