In the post-COVID period, the work stress experienced by healthcare professionals has become a more questionable problem. Existing studies generally examine factors caused by work stress. Few studies and discussions are identifying the antecedents of work stress.
Objective
This study aims to uncover the underlying factors contributing to work stress among healthcare professionals. Among these antecedents, we examined the effect of innovative work behavior, contextual business performance and discussed the moderating role of ergonomics.
Methods
The study sample consisted of 177 health professionals over 18 working in hospitals operating in Istanbul. We collected data from healthcare professionals through sociodemographic information form, work stress scale, innovative work behavior scale, and contextual business performance scale. We analyzed the data by partial least squares structural equation modeling (PLS-SEM) using the Smart PLS 4.0 software package.
Results
As a result, the research findings suggest contextual business performance, potentially affected by innovative work behaviour and moderated by ergonomics, can be a critical antecedent of work stress.
Conclusion
Health administrators who desire to reduce employees’ work stress need to develop a theoretical and practical understanding of innovative work behaviour, contextual business performance, and ergonomics. Hence, discovering the causal mechanism behind work stress fills an essential gap in the literature.
Che HueiL, Ya-Wen L, Chiu Ming Y, et al.Occupational health and safety hazards faced by healthcare professionals in Taiwan: a systematic review of risk factors and control strategies. SAGE Open Med2020; 8: 2050312120918999.
2.
BiganehJ, Ashtarinezhad A, Behzadipour D, et al.Investigating the relationship between job stress, workload and oxidative stress in nurses. Int J Occup Saf Ergon2022; 28: 1176–1182.
3.
HameedAKhwajaMGZamanU. Configuring optimal contextual performance and task performance in offshore business processing organizations. Bus Proce Manag J2023; 29: 285–307.
4.
BabapourA-RGahassab-MozaffariNFathnezhad-KazemiA. Nurses’ job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC Nurs2022; 21: 1–10.
5.
AkbolatM, Durmuş A, Ünal Ö, et al.The influences of corporate policies for COVID-19 on work stress and anxiety among healthcare employees. Work2022; 73: 1125–1133.
6.
ColemanVIBormanWC. Investigating the underlying structure of the citizenship performance domain. Hum Resour Manag Rev2000; 10: 25–44.
7.
AboagyeAKDaiBBakpaEK. Influence of risk perception on task and contextual performance: a case of work-related musculoskeletal disorders in nurses. Eval Health Prof2022; 45: 126–136.
8.
PalenzuelaPDelgadoNRodríguezJA. Exploring the relationship between contextual performance and burnout in healthcare professionals. Revista de Psicología del Trabajo y de las Organizaciones2019; 35: 115–121.
9.
OrnekOKEsinMN. Effects of a work-related stress model based mental health promotion program on job stress, stress reactions and coping profiles of women workers: a control groups study. BMC Public Health2020; 20: 1–14.
10.
GreensladeJHJimmiesonNL. Distinguishing between task and contextual performance for nurses: development of a job performance scale. J Adv Nurs2007; 58: 602–611.
11.
Van ScotterJMotowidloSJCrossTC. Effects of task performance and contextual performance on systemic rewards. J Appl Psychol2000; 85: 26.
12.
MalikN. Authentic leadership–an antecedent for contextual performance of Indian nurses. Pers Rev2018; 47: 1244–1260.
13.
GhasemiF, Mohammadfam I, Tapak L, et al.Improvement of safety performance of nurses using a participatory ergonomics approach: a case study in a hospital affiliated to the Iranian oil industry. J Occup Hyg Eng2019; 6: 19–26.
14.
PereiraM, Comans T, Sjøgaard G, et al.The impact of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion interventions on office worker productivity: a cluster-randomized trial. Scand J Work, Environ Health2019; 45: 42–52.
LoweBDDempseyPGJonesEM. Ergonomics assessment methods used by ergonomics professionals. Appl Ergon2019; 81: 102882.
17.
DerinOBTokerKGorenerA. The relationship between knowledge sharing and innovative work behaviour: the mediating role of ethical climate. Knowl Manag Res Pract2022; 20: 557–570.
18.
DaniMVGandhiAV. Understanding the drivers of innovation in an organization: a literature review. Int J Innovat Sci2022; 14: 476–505.
19.
RaoushA. Transformational leadership impact on innovative behaviour as perceived by healthcare workers in private hospitals in Jordan. Cogent Bus Manag2023; 10: 2265606.
20.
MuftiMYPudjiartiESDarmantoS. Analysis of second order person-environment fit on innovative work behavior and individual performance. J Bus Manag Account2019; 3: 100–113.
21.
Van ZylLEVan Oort ARispensS, et al.Work engagement and task performance within a global Dutch ICT-consulting firm: the mediating role of innovative work behaviors. Curr Psychol2021; 40: 4012–4023.
22.
XerriMJReidSR. Human resources and innovative behaviour: improving nursing performance. Int J Innov Manag2018; 22: 1850019.
23.
RafiqueMA, Hou Y, Chudhery MAZ, et al.Investigating the impact of pandemic job stress and transformational leadership on innovative work behavior: the mediating and moderating role of knowledge sharing. J Innov Knowl2022; 7: 100214.
24.
Bani-MelhemSZeffaneRAlbaityM. Determinants of employees’ innovative behavior. Int J Contemp Hosp Manag2018; 30: 1601–1620.
25.
SaleemFMalikMIQureshiSS. Work stress hampering employee performance during COVID-19: is safety culture needed?Front Psychol2021; 12: 655839.
26.
LuisDJRuthC-JZhuofanZ. Does stress lead to creativity?: the relationship between occupational stress and individual innovative behavior. Stud Bus Econ2020; 15: 21–30.
27.
AnjumAZhaoY. The impact of stress on innovative work behavior among medical healthcare professionals. Behav Sci2022; 12: 40.
KalakoskiV, Selinheimo S, Valtonen T, et al.Effects of a cognitive ergonomics workplace intervention (CogErg) on cognitive strain and well-being: a cluster-randomized controlled trial. A study protocol. BMC Psychol2020; 8: 1–16.
30.
DodanwalaTCSantosoDSYukongdiV. Examining work role stressors, job satisfaction, job stress, and turnover intention of Sri Lanka’s construction industry. Int J Constr Manag2023; 23: 2583–2592.
31.
PengBPotipiroonW. Fear of losing jobs during COVID-19: can psychological capital alleviate job insecurity and job stress?Behav Sci2022; 12: 168.
32.
SchwepkerCHJrDimitriouCK. Using ethical leadership to reduce job stress and improve performance quality in the hospitality industry. Int J Hosp Manag2021; 94: 102860.
33.
RahmanMFWKistyantoASurjantiJ. Does cyberloafing and person-organization fit affect employee performance? The mediating role of innovative work behavior. Glob Bus Organ Excell2022; 41: 44–64.
34.
ZhouXRasoolSFMaD. The relationship between workplace violence and innovative work behavior: the mediating roles of employee wellbeing. In Healthc2020. MDPI. https://doi.org/10.3390/healthcare8030332.
35.
LamSSSchaubroeckJ. Total quality management and performance appraisal: an experimental study of process versus results and group versus individual approaches. Journal of organizational behavior: the international journal of industrial. Occup Organ Psychol Behav1999; 20: 445–457.
36.
BormanWCMotowidloS. Expanding the criterion domain to include elements of contextual performance. 1993.
37.
BoatcaMEDraghiciACarutasuN. A knowledge management approach for ergonomics implementation within organizations. Procedia-Soc Behav Sci2018; 238: 199–206.
38.
IEA. IEA triennial report: 1997–2000. Santa Monica, CA: I. Press, 2003.
39.
GrecoA, Caterino M, Fera M, et al.Digital twin for monitoring ergonomics during manufacturing production. Appl Sci2020; 10: 7758.
40.
EklundJ. Ergonomics, quality and continuous improvementconceptual and empirical relationships in an industrial context. Ergonomics1997; 40: 982–1001.
41.
KorkuluSBónaK. Ergonomics as a social component of sustainable lot-sizing: A review. Period Polytech Soc Manag Sci2019; 27: 1–8.
42.
De JongJDen HartogD. Measuring innovative work behaviour. Creat Innov Manag2010; 19: 23–36.
43.
LeongCTRasliA. The relationship between innovative work behavior on work role performance: an empirical study. Proced-Soc Behav Sci2014; 129: 592–600.
44.
AusatAMA, Widayani A, Rachmawati I, et al.The effect of intellectual capital and innovative work behavior on business performance. J Econ Bus Account Ventura2022; 24: 363–378.
45.
ÇinarFTokerK. An examination of the effect of loneliness on the innovative behavior of health science faculty students. Chin Med J2019; 132: 171–182.
46.
GrasiaswatyN. The role of work stress on individual work performance: study in civil servants. Jurnal Manajemen dan Pemasaran Jasa2020; 13: 111–126.
47.
ChenY-F. Job stress and performance: a study of police officers in central Taiwan. Soc Behav Pers: An Int J2009; 37: 1341–1356.
48.
SveinsdottirHBieringPRamelA. Occupational stress, job satisfaction, and working environment among Icelandic nurses: a cross-sectional questionnaire survey. Int J Nurs Stud2006; 43: 875–889.
49.
MaoX, Jia P, Zhang L, et al.An evaluation of the effects of human factors and ergonomics on health care and patient safety practices: a systematic review. PloS One2015; 10: e0129948.
50.
WilsonJR. Fundamentals of ergonomics in theory and practice. Appl Ergon2000; 31: 557–567.
51.
RiceVJ. Ergonomics and health care. Work1994; 4: 156–161.
AslanŞÇelikÖ. Kamu hastanelerinde dış kaynak kullanımı yoluyla personel istihdam edilmesinde karşılaşılan insan kaynakları yönetimi ile ilgili sorunlar ve çözüm önerileri. Sosyal Araştırmalar ve Yönetim Dergisi2018; 1: 1–8.
55.
VuralF, Dura AA, Fil Ş, et al.The factors effecting healthcare employees satisfaction, retention and organizational commitment. Balikesir Sağlik Bil Derg2012; 1: 137–144.
ParasuramanSGreenhausJHGranroseCS. Role stressors, social support, and well-being among two-career couples. J Organ Behav1992; 13: 339–356.
58.
KarabayME. A research study on finding the effects of health sector employees perception of work stress, work-family and work-family-life perceptions over resigning intention. J Administrative Sci2015; 13: 113–134.
59.
ÇimenİYücelC. Yenilikçi davranış ölçeği (YDÖ): türk kültürüne uyarlama çalışması. Cumhuriyet Uluslararası Eğitim Dergisi2017; 6: 365–381.
60.
YildizBNeşeÇ. Algılanan örgütsel desteğin bağlamsal performans üzerindeki etkisinde bireysel şükranın aracı rolü. Pamukkale Üniversitesi Sosyal Bilimler Enstitüsü Dergisi2018; 32: 69–86.
61.
DurandM-J, Vachon B, Hong QN, et al.The cross-cultural adaptation of the work role functioning questionnaire in Canadian French. Int J Rehabil Res2004; 27: 261–268.
62.
IrmakABuminGIrmakR. The cross-cultural adaptation of the work role functioning questionnaire to Turkish. In: HCI international 2011–posters’ extended abstracts: international conference, HCI international 2011, Orlando, FL, USA, July 9–14, 2011, Proceedings, Part I 14. Springer, 2011.
63.
YazıcıoğluYErdoğanS. SPSS applied scientific research methods. Ankara: Detay Publishing, 2004.
64.
HairJF, Black WC, Babin BJ, et al.Multivariate data analysis, Vol. 6. Upper Saddle River, NJ: Pearson Prentice Hall, 2006.
65.
EroğluerKYılmazÖ. Etik liderlik davranışlarının algılanan örgüt iklimi üzerine etkisine yönelik bir uygulama: İş yaşamında yalnızlık duygusunun aracılık etkisi. 2015.
66.
HairJFJr, Matthews LM, Matthews RL, et al.PLS-SEM or CB-SEM: updated guidelines on which method to use. Int J Multivar Data Anal2017; 1: 107–123.
67.
FornellCLarckerDF. Evaluating structural equation models with unobservable variables and measurement error. J Mark Res1981; 18: 39–50.
68.
YıldızE. SmartPLS ile yapısal eşitlik modellemesi reflektif ve formatif yapılar. Ankara: Seçkin Yayıncılık, 2020.
69.
HenselerJRingleCMSarstedtM. A new criterion for assessing discriminant validity in variance-based structural equation modeling. J Acad Mark Sci2015; 43: 115–135.
70.
KaragözY. Nonparametrik tekniklerin güç ve etkinlikleri. Elektronik Sosyal Bilimler Dergisi2010; 9: 18–40.
71.
SilaparasettiVRaoGKhanFR. Structural equation modeling analysis using smart pls to assess the occupational health and safety (OHS) factors on workers’ behavior. Structural equation modeling analysis using smart PLS to assess the occupational health and safety (OHS) factors on Workers’ behavior (July 17, 2017). Humanit Soc Sci Rev, eISSN, 2017; 2395–7654. https://doi.org/10.18510/hssr.2017.524.
72.
DulJ, Bruder R, Buckle P et al.A strategy for human factors/ergonomics: developing the discipline and profession. Ergonomics2012; 55: 377–395.
73.
YunitaPISaputraI. Millennial generation in accepting mutations: impact on work stress and employee performance. Int J Soc Sci Humanit2019; 3: 102–114.
74.
LindegårdA, Larsman P, Hadzibajramovic E, et al.The influence of perceived stress and musculoskeletal pain on work performance and work ability in Swedish health care workers. Int Arch Occup Environ Health2014; 87: 373–379.
75.
ChanKB, Lai G, Ko YC, et al.Work stress among six professional groups: the Singapore experience. Soc Sci Med2000; 50: 1415–1432.
76.
GaillardAW. Comparing the concepts of mental load and stress. Ergonomics1993; 36: 991–1005.
