Workplace interpersonal relationships and turnover intentions among care workers working in older adult care facilities in Japan: a mediation analysis comparing direct and mediated effects via psychological distress.

IF 3.1 2区 医学 Q1 NURSING
Shinya Takeda, Toshiki Fukuzaki
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引用次数: 0

Abstract

Background: This study aimed to investigate the relationship between workplace interpersonal relationships, psychological distress, and turnover intentions among care workers working in older adult care facilities.

Methods: An anonymous online survey among 811 care workers in Tottori Prefecture, Japan, was conducted between November and December 2023. The data were collected using the Workplace Interpersonal Problems Scale for care workers (WIPS), the K6 scale to assess psychological distress, the Turnover Intention Scale and basic attributes. Responses were obtained from 254 participants with a response rate of 31.3%. The low response rate suggests that selection bias may have affected the results of this study.

Results: The results of the mediation analysis for the WIPS subscale which was adjusted for basic attributes show that the direct effects of insufficient communication and a sense of unfair workload were stronger than the mediating effects of psychological distress (Insufficient communication: direct effect: β = 0.319 [95% CI = 0.192, 0.459]; mediation effect: β = 0.194 [95% CI = 0.105, 0.285]), sense of unfair workload: direct effect: β = 0.314 [95% CI = 0.187, 0.443]; mediation effect: β = 0.190 [95% CI = 0.113, 0.268]). In these other four WIPS subscales, psychological distress was partially mediated (bullying: direct effect: β = 0.207 [95% CI = 0.091, 0.322]; mediation effect: β = 0.204 [95% CI = 0.135, 0.290], different attitudes to care work: direct effect: β = 0.278 [95% CI = 0.140, 0.401]; mediation effect: β = 0.204 [95% CI = 0.128, 0.293], difficulty in guidance for subordinates/new staff: direct effect: β = 0.207 [95% CI = 0.072, 0.329]; mediation effect: β = 0.219[95% CI = 0.141, 0.313], labeling: direct effect: β = 0.198 [95% CI = 0.073, 0.330]; mediation effect: β = 0.211 [95% CI = 0.143, 0.287]).

Conclusions: This study revealed that some workplace interpersonal problems have a stronger direct effect on turnover intentions, whereas others have a stronger mediating effect on turnover intentions through psychological distress. Workplace interpersonal problems are predictors of turnover intentions among care workers working in elderly care facilities, and different workplace interpersonal problems may be targeted for intervention to reduce turnover intentions.

职场人际关系与日本老年护理机构护工离职意向:通过心理困扰比较直接效应与中介效应的中介分析
背景:本研究旨在探讨在老年护理机构工作的护理员的职场人际关系、心理困扰与离职意向的关系。方法:于2023年11 - 12月对日本鸟取县811名护理人员进行匿名在线调查。采用《护理人员职场人际问题量表》(WIPS)、K6心理困扰量表、离职意向量表和基本属性量表收集数据。254名参与者回复,回复率为31.3%。低回复率表明选择偏差可能影响了本研究的结果。结果:经基本属性调整的wps子量表的中介分析结果显示,沟通不足和工作量不公平感的直接效应强于心理困扰的中介效应(沟通不足:直接效应:β = 0.319 [95% CI = 0.192, 0.459];中介效应:β = 0.194 [95% CI = 0.105, 0.285]),不公平工作感:直接效应:β = 0.314 [95% CI = 0.187, 0.443];中介效应:β= 0.190 (95% CI = 0.113, 0.268))。在其他四个wps分量表中,心理困扰被部分介导(欺凌:直接效应:β = 0.207 [95% CI = 0.091, 0.322];中介效应:β = 0.204 [95% CI = 0.135, 0.290],不同护理工作态度:直接效应:β = 0.278 [95% CI = 0.140, 0.401];中介效应:β = 0.204 [95% CI = 0.128, 0.293],下属/新员工指导困难:直接效应:β = 0.207 [95% CI = 0.072, 0.329];中介效应:β = 0.219[95% CI = 0.141, 0.313],标记效应:直接效应:β = 0.198 [95% CI = 0.073, 0.330];中介效应:β= 0.211 (95% CI = 0.143, 0.287))。结论:本研究发现,一些职场人际问题对离职倾向有更强的直接影响,而另一些职场人际问题通过心理困扰对离职倾向有更强的中介作用。职场人际关系问题是养老机构护工离职倾向的预测因子,不同职场人际关系问题可作为干预目标,降低离职倾向。
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来源期刊
BMC Nursing
BMC Nursing Nursing-General Nursing
CiteScore
3.90
自引率
6.20%
发文量
317
审稿时长
30 weeks
期刊介绍: BMC Nursing is an open access, peer-reviewed journal that considers articles on all aspects of nursing research, training, education and practice.
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