A study of the determinants of work-to-family conflict among hospital nurses in Belgium

J Nurs Manag. 2015 Oct;23(7):898-909. doi: 10.1111/jonm.12233. Epub 2014 May 29.

Abstract

Aims: This study examines the relative impact of three sources of work-to-family conflict among hospital nurses: work-family policy use (childcare assistance, schedule flexibility, part-time work), job dimensions (work overload, job autonomy, overtime hours, night shifts, regularity in type of shift, weekend work, hierarchical position, variation in tasks) and organisational support (physician/co-worker support).

Background: Many studies claim that organisational support and job dimensions are more important sources of work-to-family conflict than work-family policy use, a relation that has not been fully investigated. This study attempts to fill this gap by empirically assessing the relative impact of these sources on nurses' work-to-family conflict.

Methods: Four hundred and fifty three Belgian nurses completed a web survey. The sources of work-to-family conflict were analysed using a hierarchical linear regression.

Results: Organisational support influences work-to-family conflict, above and beyond work-family policy use and job dimensions, while policy use has no influence. Physician and co-worker support have a unique decreasing effect, while work overload and overtime hours increase work-to-family conflict.

Conclusions: Organisational support, lack of work overload and absence of overtime hours reduce work-to-family conflict, whereas work-family policy use does not.

Implications for nursing management: To retain and attract nurses by reducing work-to-family conflict, hospitals should not (only) rely on work-family policies but should also invest in organisational support and adapted job dimensions.

Keywords: hospital nurses; job dimensions; organisational support; work-family policy use; work-to-family conflict.

MeSH terms

  • Adult
  • Belgium
  • Conflict, Psychological*
  • Cross-Sectional Studies
  • Family / psychology*
  • Female
  • Humans
  • Linear Models
  • Male
  • Middle Aged
  • Nursing Staff, Hospital / organization & administration
  • Nursing Staff, Hospital / psychology*
  • Organizational Policy
  • Pilot Projects
  • Work Schedule Tolerance / psychology*
  • Workload / psychology*