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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Can the Psychosocial Safety Climate Reduce Ill-Health Presenteeism? Evidence from Chinese Healthcare Staff under a Dual Information Processing Path Lens
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Can the Psychosocial Safety Climate Reduce Ill-Health Presenteeism? Evidence from Chinese Healthcare Staff under a Dual Information Processing Path Lens

机译：社会心理安全气氛能否减少健康不良表现？双重信息处理路径视角下中国医护人员的证据

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摘要

Because of heavy workloads, non-transferable responsibilities, and shift systems, healthcare staff are prone to ill-health presenteeism. Based on social information processing theory, this study explored the influence of the psychosocial safety climate (PSC) on ill-health presenteeism. The mediating effects of perceived instrumental support and perceived emotional support and the moderating effect of organic structure in this process were observed. Using a time-lagged research design, data from 386 healthcare staff were gathered and multiple regression and bootstrapping were used to test each hypothesis. The results showed that: (1) PSC negatively relates to ill-health presenteeism. (2) Both perceived instrumental support and perceived emotional support mediate the relationship between PSC and ill-health presenteeism. The affective information processing path is more effective than the cognitive information processing path, but they do not convey a positive interaction effect on ill-health presenteeism. (3) The organic structure moderates the mediating effect of perceived emotional support but does not exert a significant moderating effect on the mediating process of perceived instrumental support. This study particularly identified PSC as a contextual antecedent of ill-health presenteeism. By combining organizational, work-related, and person-related factors, a more comprehensive theoretical framework for the understanding of ill-health presenteeism is developed, thus informing health promotion management.
机译：由于繁重的工作量，不可转移的责任和轮班制度，医护人员容易出现不适状况。基于社会信息处理理论，本研究探讨了心理社会安全气氛（PSC）对不良健康表现主义的影响。在此过程中，观察到了感知的工具支持和感知的情感支持的中介作用以及有机结构的调节作用。使用时间滞后的研究设计，收集了来自386名医护人员的数据，并使用多元回归和自举检验了每个假设。结果表明：（1）PSC与健康表现主义存在消极关系。 （2）感知的工具支持和感知的情感支持都介导了PSC和不良健康表现主义之间的关系。情感信息处理路径比认知信息处理路径更有效，但它们并未传达对不良健康表现主义的积极交互作用。 （3）有机结构减轻了感知的情感支持的中介作用，但对感知的工具支持的中介过程没有显着的调节作用。这项研究特别确定了PSC是不良健康表现主义的背景前提。通过结合组织，与工作有关和与人有关的因素，发展了一个更全面的理论框架，以理解不良健康表现主义，从而为健康促进管理提供了信息。

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