Use this URL to cite or link to this record in EThOS: https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.764794
Title: The mediating role of emotional exhaustion and work engagement on the relationship between job demands/resources and nurses' anxiety, turnover intention, and happiness in Saudi public hospitals
Author: Alomani, Qamra Faris
ISNI:       0000 0004 7658 038X
Awarding Body: Brunel University London
Current Institution: Brunel University
Date of Award: 2016
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Abstract:
This study examines the determining factor of nurses' occupational stress in public hospitals in Saudi Arabia. Despite the increasing number of occupational stress studies in the healthcare industry, occupational stress studies are still at an early stage of development in Saudi Arabia, and further research is recommended. The objectives of this research are: (1) to identify the occupational stress levels among nurses in public-sector hospitals in Saudi Arabia; (2) to examine the influence of job demands on the anxiety and turnover intention of nurses working in public-sector hospitals in Saudi Arabia; (3) to investigate the influence of job resources on the turnover intention and happiness of nurses working in public-sector hospitals in Saudi Arabia; (4) to determine the mediating effects of emotional exhaustion on the relationship between job demands and anxiety and turnover intention on nurses working in public-sector hospitals in Saudi Arabia; and (5) to ascertain the mediating effects of work engagement on the relationship between job resources and the turnover intention and happiness of nurses working in public-sector hospitals in Saudi Arabia. The study was conducted as a two-stage empirical study employing sequential exploratory mixed-methods approach starting with interviews with 15 nurses, analysing the data then revising the questionnaire and distributing to a sample of nurses at five hospitals. The study used thematic analysis to analyse the qualitative data and the Statistical Package for the Social Sciences (SPSS) and AMOS to analyse the 512 questionnaires. The conceptual model was validated through Structural Equation Modelling (SEM), which includes two kinds of models: the measurement model or confirmatory factor analysis (CFA), and the structural model which is conducted to approve the hypotheses and the performance of the suggested conceptual framework. The study findings indicated that the level of nurses' stress is very high and has negative outcomes if the job demands (stressors) exceed the nurses' abilities. Emotional demands, work-family conflict and workload are the main job demands identified. Procedural fairness and perceived organizational support are identified as the main job resources. This study also examines the mediation role of emotional exhaustion and work engagement. More specifically, its shows that emotional exhaustion mediates the relationship between emotional demands, work-family conflict, workload and anxiety, whereas emotional exhaustion only mediates the relation between work-family conflict and turnover intention. Conversely, work engagement mediates the relation between procedural fairness and turnover intention and happiness. Contributions of the study, research and practical implications, and future research directions are also discussed.
Supervisor: Balta, M. ; Valsecchi, R. Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID: uk.bl.ethos.764794  DOI: Not available
Keywords: Nurses ; Stress ; Job demands-resources model
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