职业幸福感路径：探究社会结构和工作场所成就感如何影响医疗从业者与压力相关的结果。

Professional well-being pathways: examining how social structures and workplace fulfillment influence stress-related outcomes among healthcare practitioners.

作者信息

Yang Guanying, Khan Muhammad Shahid

机构信息

School of Nursing, Dali University, Dali City, 671000, Yunnan Province, China.

Suan Sunandha Rajabhat University, 1 U Thong Nok Rd, Dusit, Dusit District, Bangkok, 10300, Thailand.

出版信息

BMC Health Serv Res. 2025 Aug 29;25(1):1151. doi: 10.1186/s12913-025-13352-x.

DOI:10.1186/s12913-025-13352-x

PMID:40883782

Abstract

BACKGROUND

Healthcare practitioners regularly encounter elevated levels of workplace demands and challenging personal circumstances that can profoundly impact their overall well-being, measured by the EQ-5D Index (0-1). This investigation employed a cross-sectional survey (N = 624) and semi-structured interviews (n = 20) in 2024 across six healthcare institutions in Dali, China, using PLS-SEM to test sequential mediation pathways.

METHODOLOGY

We examined the sequential mediation model: 'occupational/life stressors → social resources → professional engagement → well-being'. Data collection used validated instruments measuring workplace stressors (ERI), challenging life circumstances, professional networks (SCQ), work engagement (MSQ), and well-being indicators (EQ-5D-5 L).

FINDINGS

Occupational demands negatively correlated with well-being (β = -0.339, p < 0.001) and professional social networks (β = -0.375, p < 0.001). Challenging personal circumstances showed negative associations with wellness indicators (β = -0.567, p < 0.001) and professional connections (β = -0.500, p < 0.001). Workplace social resources positively influenced professional engagement (β = 0.753, p < 0.001), which subsequently enhanced well-being (β = 0.227, p < 0.001). Sequential mediation pathways were significant: occupational demands → workplace networks → professional engagement → well-being (β = -0.064, 95% CI [-0.094, -0.038]) and challenging circumstances → workplace networks → professional engagement → well-being (β = -0.085, 95% CI [-0.121, -0.052]).

IMPLICATIONS

Workplace social connections and professional fulfillment may be associated with improved well-being among healthcare practitioners. Interventions focusing on workplace community development and professional engagement could potentially buffer against stressor effects, contributing to enhanced practitioner wellness and service quality.

摘要

背景

医疗从业者经常面临工作要求提高以及具有挑战性的个人情况，这些会对他们的整体幸福感产生深远影响，幸福感通过EQ-5D指数（0 - 1）来衡量。本调查于2024年在中国大理的六家医疗机构开展了一项横断面调查（N = 624）和半结构化访谈（n = 20），采用偏最小二乘结构方程模型（PLS-SEM）来检验序列中介路径。

方法

我们考察了序列中介模型：“职业/生活压力源→社会资源→职业投入→幸福感”。数据收集使用了经过验证的工具，这些工具用于测量工作场所压力源（ERI）、具有挑战性的生活状况、职业网络（SCQ）、工作投入（MSQ）和幸福感指标（EQ-5D-5L）。

结果

职业需求与幸福感（β = -0.339，p < 0.001）和职业社会网络（β = -0.375，p < 0.001）呈负相关。具有挑战性的个人情况与幸福感指标（β = -0.567，p < 0.001）和职业联系（β = -0.500，p < 0.001）呈负相关。工作场所社会资源对职业投入有积极影响（β = 0.753，p < 0.001），职业投入随后又提升了幸福感（β = 0.227，p < 0.001）。序列中介路径显著：职业需求→工作场所网络→职业投入→幸福感（β = -0.064，95%置信区间[-0.094，-0.038]）以及具有挑战性的情况→工作场所网络→职业投入→幸福感（β = -0.085，95%置信区间[-0.121，-0.052]）。