Fighting fear: the buffering of well-being-HRM on the effects of nurses’ fear of COVID-19 on job stress and patient care

IF 3.3 3区管理学 Q1 INDUSTRIAL RELATIONS & LABOR Personnel Review Pub Date : 2024-09-03 DOI:10.1108/pr-07-2023-0562

Timothy Bartram, Tse Leng Tham, Hannah Meacham, Beni Halvorsen, Patricia Pariona-Cabrera, Jillian Cavanagh, Peter Holland, Leila Afshari

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Abstract

Purpose

Pre-pandemic research demonstrated the challenges of the nursing workforce and the provision of quality of patient care. Such challenges have been significantly intensified during the COVID-19 pandemic, not least in the workplace and fear of staff catching and transmitting COVID-19. We draw on conservation of resources (COR) theory to examine the impact of the fear of COVID-19 on nurses and the role of well-being-HRM (WBHRM) in negating the fear of COVID-19 and its impact on job stress and perceived quality of patient care.

Design/methodology/approach

We collected data from 260 nurses (treating COVID-19 patients) employed in US hospitals across two-waves. Data were analyzed using mediated regression and moderated mediation.

Findings

The results indicated that when nurses report higher levels of fear of COVID-19, this translates into higher levels of nursing job stress. This, in turn, reduces nurses’ perceptions of quality of patient care they can provide. As previous research has found, decreased perceptions of quality of patient care is a significant factor driving intentions to leave the profession. The results demonstrated that WBHRM practices buffer the negative impact of fear of COVID-19 on job stress, and in turn, the perceived quality of patient care.

Originality/value

Our paper contributes to new knowledge for healthcare managers on WBHRM bundles and their efficacy in buffering the effects of fear on job stress and quality of patient care. We contribute new knowledge on fear at work and how to manage employees’ fear through WBHRM practices.

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消除恐惧：福祉-人力资源管理对护士对 COVID-19 的恐惧对工作压力和病人护理的影响的缓冲作用

目的大流行前的研究表明，护理人员队伍和提供病人护理质量面临着挑战。在 COVID-19 大流行期间，这些挑战大大加剧，尤其是在工作场所，人们担心工作人员感染和传播 COVID-19。我们借鉴资源保护（COR）理论，研究了对 COVID-19 的恐惧对护士的影响，以及福祉人力资源管理（WBHRM）在消除对 COVID-19 的恐惧及其对工作压力和患者护理感知质量的影响方面的作用。结果结果表明，当护士报告对 COVID-19 的恐惧程度较高时，护士的工作压力也会随之增加。这反过来又降低了护士对其所能提供的病人护理质量的认知。正如之前的研究发现的那样，对病人护理质量认知的下降是导致护士离职的一个重要因素。研究结果表明，WBHRM 实践缓冲了对 COVID-19 的恐惧对工作压力的负面影响，进而缓冲了对患者护理质量的感知。原创性/价值我们的论文为医疗保健管理者提供了关于 WBHRM 组合及其在缓冲恐惧对工作压力和患者护理质量的影响方面的功效的新知识。我们对工作中的恐惧以及如何通过职业健康与人力资源管理实践管理员工的恐惧贡献了新的知识。

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来源期刊

Personnel Review Multiple-

CiteScore

7.10

自引率

7.70%

发文量

133

期刊介绍： Personnel Review (PR) publishes rigorous, well written articles from a range of theoretical and methodological traditions. We value articles that have high originality and that engage with contemporary challenges to human resource management theory, policy and practice development. Research that highlights innovation and emerging issues in the field, and the medium- to long-term impact of HRM policy and practice, is especially welcome.