Factors associated with psychological health of female nurses in Malaysian government hospitals
Women's psychological health has become an important issue in the past few decades due to the changes in the workforce demographics and the existence of blurry boundaries between the domains of work and family. However, how a resource-based perspective or favourable conditions influence wome...
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Format: | Thesis |
Language: | English |
Published: |
2020
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Subjects: | |
Online Access: | http://psasir.upm.edu.my/id/eprint/99735/1/SUZANA%20BINTI%20MOHD%20HANIFA%20-%20IR2.pdf http://psasir.upm.edu.my/id/eprint/99735/ |
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Summary: | Women's psychological health has become an important issue in the past few decades
due to the changes in the workforce demographics and the existence of blurry boundaries
between the domains of work and family. However, how a resource-based perspective
or favourable conditions influence women's psychological health have received scant
attention from researchers. Specifically, this research was carried out to investigate the
relationship of schedule control, family-supportive supervision, core self-evaluations,
and work-family conflict with nurses' psychological health (i.e., psychological distress
and life satisfaction). The study likewise examined whether work-family conflict will
have a mediating influence on these relationships.
The present quantitative study utilised a correlational research design. A total of 691
female nurses, who, at the time of the survey, were married with at least one child and
working on shifts in state hospitals under the Ministry of Health (MOH) in Peninsular
Malaysia, were selected using the multistage cluster random sampling. This study
utilised six established instruments, namely, the Schedule Control Scale, Family-
Supportive Supervisor Behaviour Scale, Work-Family Conflict Scale, Core Self-
Evaluations Scale (CSES), The Satisfaction With Life Scale (SWLS), and the General
Health Questionnaire (GHQ). Data obtained from the self-administered questionnaires
were analysed with structural equation modeling (SEM) using analysis of moment
structures (AMOS).
This study revealed that core self-evaluations had a significant association with nurses'
psychological distress as well as life satisfaction. Furthermore, schedule control was not
significantly related to nurses' psychological distress and life satisfaction; whereas,
family-supportive supervision emerged as having a significant direct relationship only
with life satisfaction. This study likewise found that family-supportive supervision and
core self-evaluations had significant associations with nurses' work-family conflict. In addition, work-family conflict only predicted nurses' psychological distress and not their
level of life satisfaction.
Results also showed that work-family conflict significantly mediated the association of
schedule control, family-supportive supervision, and core self-evaluations with nurses'
psychological distress. The mediating structural model of work-family conflict
contributed 41% to the direct model (33.8%) to explain the variance in nurses'
psychological distress. Specifically, work-family conflict partially mediated the
association of core self-evaluations with psychological distress; while, work-family
conflict was found to have an indirect effect on the link between schedule control and
nurses' psychological distress as well as that between family-supportive supervision and
psychological distress. However, work-family conflict did not mediate the relationship
of schedule control, family-supportive supervision, and core self-evaluations with
nurses’ life satisfaction.
Generally, this study highlights the importance of core self-evaluations, familysupportive
supervision and work-family conflict in influencing nurses' psychological
health. The findings of the study also contribute to the body of knowledge, especially on
the significant role of personal resources in shaping nurses' psychological health
compared to contextual resources. Several prospective training and intervention
programs to promote nurses’ psychological health were suggested, including those
aimed at enhancing the personal characteristics of nurses, encouraging supervisors to
engage in family-supportive behaviour, and promoting the creation of family-supportive
work environment for nurses’ well-being. |
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