The Mediating Effects of COVID-19 Infection Control Fatigue on Quiet Quitting: Focusing on Organisational Justice, Role Ambiguity and Job Satisfaction

IF 3.4 3区医学 Q1 NURSING Journal of Advanced Nursing Pub Date : 2025-03-04 DOI:10.1111/jan.16865

Jaejin Kang, Wonseok Jeong, Seungju Kim

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Abstract

Aim

This study explored the mediating effects of organisational justice, role ambiguity and job satisfaction on the relationship between infection control-associated fatigue and quiet quitting.

Design

This study used an exploratory cross-sectional survey design.

Methods

Between 1 February and 29 February 2024, data were collected from 323 nurses—who worked in general or tertiary hospitals during the pandemic—using an online self-report questionnaire distributed via a popular nursing community platform. Path analysis was used to evaluate the mediating effect of infection control fatigue on quiet quitting.

Results

Correlation analysis showed a negative relationship between quiet quitting and organisational justice and positive relationships with job satisfaction, role ambiguity and infection control fatigue. Infection control-associated fatigue was associated with quiet quitting (B = 0.1117, p < 0.05). Job satisfaction (IE = 0.1397, 95% confidence interval[CI]: 0.0795–0.2031) and organisational justice (IE = −0.0455, 95% CI: −0.0938 to −0.0051) mediated the relationship between infection control-associated fatigue and quiet quitting, whereas role ambiguity did not. The total indirect effect of mediators on quiet quitting was positive (IE_total = 0.0978, 95% confidence interval: 0.0357–0.1623).

Conclusion

Quiet quitting increased among nurses experiencing infection control fatigue during the coronavirus disease 2019 pandemic, with job satisfaction and organisational justice acting as mediators.

Implications for the Profession and/or Patient Care

Increasing job satisfaction and achieving organisational justice may help improve the quality of nursing and mitigate quiet quitting. Hospitals must find ways to improve nurses' work and increase their satisfaction.

No Patient or Public Contribution.

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COVID-19感染控制疲劳对安静辞职的中介作用：基于组织公正、角色模糊和工作满意度的研究

目的：本研究探讨组织公平感、角色模糊性和工作满意度在感染控制相关疲劳与安静辞职关系中的中介作用。设计：本研究采用探索性横断面调查设计。方法：在2024年2月1日至2月29日期间，通过流行的护理社区平台分发在线自我报告问卷，收集大流行期间在综合医院或三级医院工作的323名护士的数据。采用通径分析评价感染控制疲劳对安静戒烟的中介作用。结果：静悄悄离职与组织公平感呈负相关，与工作满意度、角色模糊性和感染控制疲劳呈正相关。感染控制相关的疲劳与安静戒烟相关（B = 0.1117, p total = 0.0978, 95%可信区间：0.0357-0.1623）。结论：在2019冠状病毒病大流行期间，出现感染控制疲劳的护士安静辞职的情况有所增加，工作满意度和组织正义是中介因素。对职业和/或病人护理的影响：提高工作满意度和实现组织公正可能有助于提高护理质量，减少悄然离职。医院必须想办法改善护士的工作，提高他们的满意度。没有病人或公众捐款。

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来源期刊

Journal of Advanced Nursing 医学-护理

CiteScore

6.40

自引率

7.90%

发文量

369

审稿时长

3 months

期刊介绍： The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.