OCCUPATION AND HEALTH ›› 2025, Vol. 41 ›› Issue (1): 87-90.

• Treatise • Previous Articles     Next Articles

Mediating effects of health-related productivity loss in head nurses between occupational stress and humanistic care quality

WANG Xinyi1, ZHANG Shan2, WEI Pan3, LIU Yanmei4, CAO Baohua2   

  1. 1. School of Nursing,Shaanxi University of Chinese Medicine,Xianyang,Shaanxi 712046,China;
    2. Department of Nursing,Air Force Military Medical University,Xi'an,Shaanxi 710032,China;
    3. Department of Cardiovascular,The Second Affiliated Hospital of Air Force Medical University,Xi'an,Shaanxi 710038,China;
    4. First Department of Acupuncture,Shaanxi Hospital of Traditional Chinese Medicine,Xi'an,Shaanxi 710003,China
  • Received:2024-03-20 Revised:2024-04-04 Online:2025-01-01 Published:2025-12-17
  • Contact: CAO Baohua,Professor,E-mail:cbh528@fmmu.edu.cn

Abstract: Objective To analyze the mediating effect of health-related productivity loss between occupational stress and humanistic care quality of head nurses in grade-A tertiary hospitals in Shaanxi Province,and provide new ideas for improving the humanistic care quality of head nurses. Methods Using the convenience sampling method,248 head nurses from twelve grade-A tertiary hospitals in Shaanxi Province were surveyed by the general information questionnaire,Standford presenteeism scale,the nurses' job stressor scale and nursing caring characters assessment tool from November to December 2023,and the data were analyzed. Results The total score of health-related productivity loss among head nurses was (15.53±5.95)points,the total score of humanistic care quality was (129.86±15.56)points,and the total score of occupational stress was (91.93±12.95)points. The humanistic care quality of head nurses was negatively correlated with occupational stress and health-related productivity loss(r= -0.294,-0.279,both P<0.01),while occupational stress was positively correlated with health-related productivity loss(r=0.482,P<0.01). The health-related productivity loss partially mediated the effect between occupational stress and humanistic care quality,accounting for 31.46% of the total effect. Conclusion Occupational stress can negatively predict the humanistic care quality of head nurses,and can indirectly affect the humanistic care quality through health-related productivity loss. The hospital administrators should adopt a variety of interventions to alleviate the occupational stress of head nurses,reduce the incidence of health-related productivity loss,and enhance the quality of their humanistic care.

Key words: Health-related productivity loss, Occupational stress, Humanistic care quality, Head nurse, Mediating effect

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