Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural equation model analysis

Objectives This study aims to explore the mediating effect and influence mechanism of organisational commitment on the association among thriving at work and job satisfaction among frontline primary public health workers (PHWs) in China during the COVID-19 pandemic.Design This study is a cross-secti...

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Main Authors: Di Jiang, Jingjing Wang, Lei Guo, Yuanmin Jia, Mo Yi, Zeyi Zhang, Ou Chen, Baosheng Zhao
Format: Article
Language:English
Published: BMJ Publishing Group 2022-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/6/e059032.full
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author Di Jiang
Jingjing Wang
Lei Guo
Yuanmin Jia
Mo Yi
Zeyi Zhang
Ou Chen
Baosheng Zhao
author_facet Di Jiang
Jingjing Wang
Lei Guo
Yuanmin Jia
Mo Yi
Zeyi Zhang
Ou Chen
Baosheng Zhao
author_sort Di Jiang
collection DOAJ
description Objectives This study aims to explore the mediating effect and influence mechanism of organisational commitment on the association among thriving at work and job satisfaction among frontline primary public health workers (PHWs) in China during the COVID-19 pandemic.Design This study is a cross-sectional written survey.Setting We included 20 primary care units in northern provinces of China.Participants A total of 601 PHWs who worked in primary organisations and against COVID-19 on the front line were included.Methods We collected the data from the participants’ written questionnaire (Minnesota Satisfaction Questionnaire, thriving at work scale and organisational commitment scale), and programmed AMOS V.26.0 to develop a structural equation model (SEM) based on the relationships among the three variables.Results The thriving at work scores of the primary PHWs were (M=3.17, SD=0.65), and job satisfaction was (M=3.05, SD=0.69); the scores of their thriving at work, organisational commitment and job satisfaction were all significantly correlated (p<0.01); and the SEM indicated that organisational commitment had a significant partial mediating effect between thriving at work and job satisfaction. The overall effect value was 0.867, and the mediated effect value was 0.422, accounting for 48.7% of the total effect size.Conclusion The thriving at work and job satisfaction scores of primary PHWs in China are moderate, and thriving at work not only affects job satisfaction directly, but also indirectly through organisational commitment. This study suggests that health policy-makers should promote job satisfaction among PHWs through relative inventions aiming to improve their thriving at work and organisational commitment.
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spelling doaj-art-8d849bda5051453f9465b9594132abf62025-01-27T18:15:10ZengBMJ Publishing GroupBMJ Open2044-60552022-06-0112610.1136/bmjopen-2021-059032Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural equation model analysisDi Jiang0Jingjing Wang1Lei Guo2Yuanmin Jia3Mo Yi4Zeyi Zhang5Ou Chen6Baosheng Zhao7Department of Nursing, Peking Union Medical College Hospital Eastern Branch, Beijing, ChinaShanghai Eye Diseases Prevention and Treatment Center, Shanghai Eye Hospital, Tongji University, Shanghai, ChinaCentre for Health Management and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, ChinaSchool of Nursing and Rehabilitation, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, ChinaObjectives This study aims to explore the mediating effect and influence mechanism of organisational commitment on the association among thriving at work and job satisfaction among frontline primary public health workers (PHWs) in China during the COVID-19 pandemic.Design This study is a cross-sectional written survey.Setting We included 20 primary care units in northern provinces of China.Participants A total of 601 PHWs who worked in primary organisations and against COVID-19 on the front line were included.Methods We collected the data from the participants’ written questionnaire (Minnesota Satisfaction Questionnaire, thriving at work scale and organisational commitment scale), and programmed AMOS V.26.0 to develop a structural equation model (SEM) based on the relationships among the three variables.Results The thriving at work scores of the primary PHWs were (M=3.17, SD=0.65), and job satisfaction was (M=3.05, SD=0.69); the scores of their thriving at work, organisational commitment and job satisfaction were all significantly correlated (p<0.01); and the SEM indicated that organisational commitment had a significant partial mediating effect between thriving at work and job satisfaction. The overall effect value was 0.867, and the mediated effect value was 0.422, accounting for 48.7% of the total effect size.Conclusion The thriving at work and job satisfaction scores of primary PHWs in China are moderate, and thriving at work not only affects job satisfaction directly, but also indirectly through organisational commitment. This study suggests that health policy-makers should promote job satisfaction among PHWs through relative inventions aiming to improve their thriving at work and organisational commitment.https://bmjopen.bmj.com/content/12/6/e059032.full
spellingShingle Di Jiang
Jingjing Wang
Lei Guo
Yuanmin Jia
Mo Yi
Zeyi Zhang
Ou Chen
Baosheng Zhao
Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural equation model analysis
BMJ Open
title Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural equation model analysis
title_full Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural equation model analysis
title_fullStr Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural equation model analysis
title_full_unstemmed Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural equation model analysis
title_short Relationships among thriving at work, organisational commitment and job satisfaction among Chinese front-line primary public health workers during COVID-19 pandemic: a structural equation model analysis
title_sort relationships among thriving at work organisational commitment and job satisfaction among chinese front line primary public health workers during covid 19 pandemic a structural equation model analysis
url https://bmjopen.bmj.com/content/12/6/e059032.full
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