Aprilia Eka D, Adam Muhammad, Zulkarnain Zulkarnain, Mawarpury Marty
Graduate School of Mathematics and Applied Sciences, Universitas Syiah Kuala, Banda Aceh, Indonesia.
Department of Psychology, Faculty of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.
Narra J. 2025 Aug;5(2):e2152. doi: 10.52225/narra.v5i2.2152. Epub 2025 May 14.
Healthcare workers in developing countries, such as Indonesia, experience significant psychological stress due to heavy workloads, limited resources, and systemic inefficiencies, all of which negatively impact their psychological well-being (PWB). The aim of this study was to investigate the direct and indirect effects of quality of work life (QWL) on PWB, with meaningful work (MW) as a mediating variable. A cross-sectional survey was conducted with 285 healthcare professionals from various healthcare facilities, including specialists, general practitioners, and nurses. Data were collected using validated scales to assess QWL, MW, and PWB. Pearson correlation analysis was employed to examine relationships among variables, while mediation analysis tested direct and indirect effects. The results indicate that QWL positively influences PWB both directly (β=0.22, <0.001) and indirectly through MW (β=0.13, <0.001). Furthermore, MW was found to be a strong mediator (β=0.61, <0.001), underscoring its critical role in enhancing purpose and resilience. Specialists reported the highest QWL and PWB, whereas nurses exhibited the lowest levels, highlighting occupational disparities. These findings suggest that enhancing the QWL and fostering MW can significantly improve healthcare professionals' PWB. Accordingly, organizations should prioritize strategies that promote MW and improve work-life conditions to support mental well-being and job satisfaction.
在印度尼西亚等发展中国家，医护人员因工作量大、资源有限和系统效率低下而承受着巨大的心理压力，所有这些都对他们的心理健康产生负面影响。本研究的目的是调查工作生活质量（QWL）对心理健康（PWB）的直接和间接影响，并将有意义的工作（MW）作为中介变量。对来自各种医疗机构的285名医护专业人员进行了横断面调查，包括专科医生、全科医生和护士。使用经过验证的量表收集数据，以评估QWL、MW和PWB。采用Pearson相关分析来检验变量之间的关系，同时进行中介分析以测试直接和间接影响。结果表明，QWL对PWB有直接的正向影响（β=0.22，<0.001），并通过MW产生间接影响（β=0.13，<0.001）。此外，MW被发现是一个强大的中介变量（β=0.61，<0.001），凸显了其在增强目标感和恢复力方面的关键作用。专科医生报告的QWL和PWB最高，而护士的水平最低，突出了职业差异。这些发现表明，提高QWL和促进MW可以显著改善医护专业人员的PWB。因此，组织应优先考虑促进MW和改善工作生活条件的策略，以支持心理健康和工作满意度。
