A Moderated Mediation Analysis of New Work-Related Stressors, Psychological Distress, and Absenteeism in Health Care During a Pandemic: Is Recognition the Cure for Preventing Falling in Battle?

J Occup Environ Med. 2022 Oct 1;64(10):839-847. doi: 10.1097/JOM.0000000000002619. Epub 2022 Jul 19.

Abstract

Objectives: We aimed to evaluate the effects of new work-related stressors on psychological distress and absenteeism and the role of recognition in these relationships.

Methods: Moderated path analyses were carried out on a sample of 1128 health care workers.

Results: Increased workload related to COVID-19 (coronavirus disease 2019) ( β = 1.511, P ≤ 0.01) and fear of COVID-19 ( β = 0.844, P ≤ 0.01) were directly associated with a higher level of psychological distress and indirectly ( β = 2.306, P ≤ 0.01; and β = 1.289, P ≤ 0.05, respectively) associated with a higher level of absenteeism. Recognition ( β = 0.260, P ≤ 0.001) moderated the association between teleworking and psychological distress. Furthermore, this significant moderation effect had a significant impact on absenteeism ( β = 0.392, P ≤ 0.05). Regardless of the workplace (on site or teleworking), high recognition was beneficial for psychological distress. This effect seems more important when working on site.

Conclusions: The results propose that specific new work-related stressors should be addressed in the context of organizational change (eg, a pandemic).

MeSH terms

  • Absenteeism
  • COVID-19* / epidemiology
  • Delivery of Health Care
  • Humans
  • Mediation Analysis
  • Pandemics
  • Psychological Distress*
  • Stress, Psychological / epidemiology
  • Stress, Psychological / psychology