The Mediating Role of Subjective Well-being in Work Productivity in Malaysia’s Healthcare Industry: As an Example of Public Hospitals

Fang Bai; Dr Tara Ahmed Mohammed

doi:10.6918/IJOSSER.202410_7(10).0007

Authors

Fang Bai
Dr Tara Ahmed Mohammed

DOI:

https://doi.org/10.6918/IJOSSER.202410_7(10).0007

Keywords:

Subjective Well-being; Work Productivity; Malaysia’s Healthcare Industry.

Abstract

Malaysia's healthcare industry, particularly its public hospitals, serves as a critical component of the nation's welfare system, providing essential services to the majority of the population. In 2021, over two million patients were admitted to public hospitals, significantly outnumbering those admitted to private facilities. This overwhelming demand has placed considerable stress on nurses, leading to increased workloads and extended working hours. Such conditions can detrimentally affect nurses' work performance and, consequently, the overall quality of patient care. This study examines the factors influencing the work performance of nurses in Malaysia's public health sector, with a specific focus on how the high demands of the profession impact their subjective well-being. The research underscores the importance of addressing both the mental and physical exhaustion experienced by nurses to enhance their performance and ensure the delivery of high-quality healthcare services. By exploring these dynamics, the study aims to provide insights that can inform strategies to support nurses' well-being, ultimately leading to improved patient care and a more resilient healthcare system in Malaysia.

Downloads

Download data is not yet available.

References

[1] Li, B., Li, Z., & Fu, M. (2022). Understanding beginning teachers' professional identity changes through job demands-resources theory. Acta Psychol (Amst), 230, 103760. doi:10.1016/j.actpsy. 2022.103760.

[2] Martínez-Díaz, A., Díaz-Fúnez, P. A., Salvador-Ferrer, C. M., Hernández-Sánchez, B. R., Sánchez-García, J. C., & Mañas-Rodríguez, M. (2023). Mediating effect of job crafting dimensions on influence of burnout at self-efficacy and performance: revisiting health-impairment process of JD-R theory in public administration. Front Psychol, 14, 1137012. doi:10.3389/fpsyg.2023.1137012.

[3] Meirun, T., Bano, S., Javaid, M. U., Arshad, M. Z., Shah, M. U., Rehman, U., . . . Ilyas, M. (2020). Nuances of COVID-19 and Psychosocial Work Environment on Nurses' Wellbeing: The Mediating Role of Stress and Eustress in Lieu to JD-R Theory. Front Psychol, 11, 570236. doi:10.3389/fpsyg.2020. 570236.

[4] Molina-Sánchez, H., Ariza-Montes, A., Ortiz-Gómez, M., & Leal-Rodríguez, A. (2019). The Subjective Well-Being Challenge in the Accounting Profession: The Role of Job Resources. Int J Environ Res Public Health, 16(17). doi:10.3390/ijerph16173073.

[5] Ottaviani Aalmo, G., Spinelli, R., Magagnotti, N., & Visser, R. (2023). Quantitative and qualitative workload assessment in steep terrain forest operations: fostering a safer work environment through yarder automation. Ergonomics, 66(6), 717-729. doi:10.1080/00140139.2022.2123562.

[6] Ouyang, C., Zhu, Y., Ma, Z., & Qian, X. (2022). Why Employees Experience Burnout: An Explanation of Illegitimate Tasks. Int J Environ Res Public Health, 19(15). doi:10.3390/ijerph19158923.

[7] Rhéaume, A., & Mullen, J. (2018). The impact of long work hours and shift work on cognitive errors in nurses. J Nurs Manag, 26(1), 26-32. doi:10.1111/jonm.12513.

[8] Robinson, R. D., Dib, S., McLarty, D., Shaikh, S., Cheeti, R., Zhou, Y., . . . Wang, H. (2020). Productivity, efficiency, and overall performance comparisons between attendings working solo versus attendings working with residents staffing models in an emergency department: A Large-Scale Retrospective Observational Study. Plos one, 15(2), e0228719. doi:10.1371/journal.pone.0228719.

[9] Rohatgi, S., Hanna, T. N., Sliker, C. W., Abbott, R. M., & Nicola, R. (2015). After-Hours Radiology: Challenges and Strategies for the Radiologist. AJR Am J Roentgenol, 205(5), 956-961. doi:10.2214/ajr.15.14605.

[10] Rough, S. S., McDaniel, M., & Rinehart, J. R. (2010a). Effective use of workload and productivity monitoring tools in health-system pharmacy, part 1. Am J Health Syst Pharm, 67(4), 300-311. doi:10.2146/ajhp090217.p1.

[11] Rough, S. S., McDaniel, M., & Rinehart, J. R. (2010b). Effective use of workload and productivity monitoring tools in health-system pharmacy, part 2. Am J Health Syst Pharm, 67(5), 380-388. doi:10.2146/ajhp090217.p2.

[12] Shamsi, M., Iakovleva, T., Olsen, E., & Bagozzi, R. P. (2021). Employees' Work-Related Well-Being during COVID-19 Pandemic: An Integrated Perspective of Technology Acceptance Model and JD-R Theory. Int J Environ Res Public Health, 18(22). doi:10.3390/ijerph182211888.

[13] Sheng, L., Zhao, T., Liu, J., Gao, J., Peng, H., & Xin, S. (2023). Changes of medical staffs' subjective well-being in China (2004-2020): A cross-temporal meta-analysis. Appl Psychol Health Well Being, 15(1), 425-446. doi:10.1111/aphw.12387.

[14] Singh, M., James, P. S., Paul, H., & Bolar, K. (2022). Impact of cognitive-behavioral motivation on student engagement. Heliyon, 8(7), e09843. doi:10.1016/j.heliyon.2022.e09843.

[15] Steffey, M. A., Risselada, M., Scharf, V. F., Buote, N. J., Zamprogno, H., Winter, A. L., & Griffon, D. (2023). A narrative review of the impact of work hours and insufficient rest on job performance. Vet Surg, 52(4), 491-504. doi:10.1111/vsu.13943.

[16] Tomasallo, C. D., Christensen, K. Y., Raymond, M., Creswell, P. D., Anderson, H. A., & Meiman, J. G. (2018). An Occupational Legacy: Malignant Mesothelioma Incidence and Mortality in Wisconsin. J Occup Environ Med, 60(12), 1143-1149. doi:10.1097/jom.0000000000001461.

[17] Tu, B., Huang, C., Sitar, S., & Yang, M. (2022). Mindfulness Practice and Burnout: Evidence From Chinese Social Workers. Front Psychol, 13, 821899. doi:10.3389/fpsyg.2022.821899.

[18] Tummers, L. G., & Bakker, A. B. (2021). Leadership and Job Demands-Resources Theory: A Systematic Review. Front Psychol, 12, 722080. doi:10.3389/fpsyg.2021.722080.

[19] Udushirinwa, C. C., McVicar, A., & Teatheredge, J. (2022). Utilization of Job Demands-Resources (JD-R) Theory to Evaluate Workplace Stress Experienced by Health Care Assistants in a UK In-Patient Dementia Unit after 10 Years of National Financial Austerity (2008-2018). Int J Environ Res Public Health, 20(1). doi:10.3390/ijerph20010065.

[20] Uplekar, M., Creswell, J., Ottmani, S. E., Weil, D., Sahu, S., & Lönnroth, K. (2013). Programmatic approaches to screening for active tuberculosis. Int J Tuberc Lung Dis, 17(10), 1248-1256. doi:10.5588/ijtld.13.0199.

[21] Uribe, J. M., Pinto, D. M., Vecino-Ortiz, A. I., Gómez-Restrepo, C., & Rondón, M. (2017). Presenteeism, Absenteeism, and Lost Work Productivity among Depressive Patients from Five Cities of Colombia. Value Health Reg Issues, 14, 15-19. doi:10.1016/j.vhri.2017.03.001.

[22] Verschoof, S., Kuijer, P. P., & Frings-Dresen, M. H. (2005). Does a rolling floor reduce the physical work demands and workload, and increase the productivity of truck drivers handling packed goods? Appl Ergon, 36(5), 595-600. doi:10.1016/j.apergo.2005.01.017.

[23] Volpp, K. G. (2008). A delicate balance: physician work hours, patient safety, and organizational efficiency. Circulation, 117(20), 2580-2582. doi:10.1161/circulationaha.108.777508.

[24] Wang, B., Zhao, H., Shen, H., & Jiang, Y. (2023). Socioeconomic status and subjective well-being: The mediating role of class identity and social activities. Plos one, 18(9), e0291325. doi:10.1371/journal. pone.0291325.

[25] Winefield, H. R., Boyd, C., & Winefield, A. H. (2014). Work-family conflict and well-being in university employees. J Psychol, 148(6), 683-697. doi:10.1080/00223980.2013.822343.

[26] Yang, N., Lu, J., & Ye, J. (2018). A Novel Framework Based on the Improved Job Demands-Resources (JD-R) Model to Understand the Impact of Job Characteristics on Job Burnout from the View of Emotion Regulation Theory. Psychiatr Danub, 30(1), 26-34. doi:10.24869/psyd.2018.26.

[27] Yang, Y., Zhao, L., & Cui, F. (2022). How Does Public Health Investment Affect Subjective Well-Being? Empirical Evidence from China. Int J Environ Res Public Health, 19(9). doi:10.3390/ijerph19 095035.

[28] Yang, Z., Cai, X., Jiang, Y., Li, G., Zhao, G., Wang, P., & Huang, Z. (2022). What Are the Recipes of an Entrepreneur's Subjective Well-Being? A Fuzzy-Set Approach for China. Int J Environ Res Public Health, 20(1). doi:10.3390/ijerph20010417.

[29] Zakaria, N., Zakaria, N., Alnobani, O., AlMalki, M., El-Hassan, O., Alhefzi, M. I., . . . Jamal, A. (2023). Unlocking the eHealth professionals' career pathways: A case of Gulf Cooperation Council countries. Int J Med Inform, 170, 104914. doi:10.1016/j.ijmedinf.2022.104914.

[30] Zakaria, N. A., Ab-Murat, N., & Che Musa, M. F. (2022). Malaysian dental therapists' job motivation, job satisfaction, intention to leave and perceived future roles. Int J Dent Hyg, 20(2), 225-232. doi:10.1111/idh.12571.

[31] Zautra, A., & Hempel, A. (1984). Subjective well-being and physical health: a narrative literature review with suggestions for future research. Int J Aging Hum Dev, 19(2), 91-110. doi:10.2190/a9rb-7d02-g77k-m3n6.

[32] Zubir, M. Z., Noor, A. A., Mohd Rizal, A. M., Harith, A. A., Abas, M. I., Zakaria, Z., & AF, A. B. (2024). Approach in inputs & outputs selection of Data Envelopment Analysis (DEA) efficiency measurement in hospitals: A systematic review. Plos one, 19(8), e0293694. doi:10.1371/journal. pone.0293694.

[33] Zulkifli, S. N., U, K. M., Yusof, K., & Lin, W. Y. (1994). Maternal and child health in urban Sabah, Malaysia: a comparison of citizens and migrants. Asia Pac J Public Health, 7(3), 151-158. doi:10.1177/101053959400700302.