ArticleBMC nursing2023
The relationships among overcommitment, effort-reward imbalance, safety climate, emotional labour and quality of working life for hospital nurses: a structural equation modeling.
Article in BMC nursing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- The effect of emotional intelligence on the acceptance and use of technologies used İn occupational health and safety: A systematic literature review.Work (Reading, Mass.) · 2026Pooled it
- Incidence of effort-reward imbalance among nurses: a systematic review and meta-analysis.Frontiers in psychology · 2024Pooled it
- Evaluation of Work-Related Stress, Moral Reward and Job Satisfaction Among Healthcare Professionals in the Postpandemic Era.Journal of advanced nursing · 2026Article
- The mediating role of emotional exhaustion in the relationship between normative commitment and pay satisfaction among university counselors.Frontiers in psychology · 2026Article
- The effect of hospital safety climate on nurses' turnover intention: the mediating role of work engagement.Frontiers in public health · 2026Article
- The effect of Effort-Reward imbalance on job performance among primary healthcare professionals: the mediating roles of social support and resilience.Scientific reports · 2025Article
- Article
- Psychometric properties and measurement invariance of the medical staff occupational stress scale among Chinese clinical nurses.BMC nursing · 2025Article
- Effort-Reward Imbalance Among Emergency Department Nurses in China: Construction and Evaluation of a Nomogram Predictive Model.Journal of nursing management · 2025Article
- Effects of effort-reward imbalance on emergency nurses' health: a mediating and moderating role of emotional exhaustion and work-family conflict.Frontiers in public health · 2025Article
- Overcommitment, Work-Related Behavior, and Cognitive and Emotional Irritation in Veterinarians: A Comparison of Different Veterinary Working Fields.Healthcare (Basel, Switzerland) · 2024Article
- Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study.International journal of occupational medicine and environmental health · 2024Article
- Factor Affecting the Quality of Work Life Among Nurses: A Systematic Review.Journal of multidisciplinary healthcare · 2024Review
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundQuality of working life (QWL) is a highly important issue for nurses. Nurses with lower QWL tend to have lower job performance and intention to stay. The aim of this study was to apply a theoretical model to examine the structural relationships among overcommitment, effort-reward imbalance (ERI), safety climate, emotional labour and QWL for hospital nurses.
methodsA cross-sectional study design and a simple random sampling method were used to recruit 295 nurses in a teaching hospital and used a structured questionnaire was used to collect data.
resultsOverall, the nurses' QWL was moderate. Our theoretical model showed a good model fit. Overcommintment had a significant direct positive effect on ERI (β = 0.35, p < 0.001) and indirect effects on safety climate (β = -0.149, p = 0.001), emotional labour (β = 0.105, p = 0.001) and QWL (β = -0.061, p = 0.004). Additionally, ERI not only had significant direct effects on safety climate (β = -0.42, p < 0.001), emotional labour (β = 0.30, p < 0.001) and QWL (β = -0.17, p < 0.001) but also indirectly affected QWL through safety climate (β = -0.304, p = 0.001) and emotional labour (β = -0.042, p = 0.005). Both safety climate (β = 0.72, p < 0.001) and emotional labour (β = -0.14, p = 0.003) showed significant direct effects on QWL. Our final model accounted for 72% of the variance in QWL.
conclusionOur results highlight the necessity of improving the QWL of nurses. Policymakers and hospital administrators should develop policies and strategies that encourage nurses to exhibit an appropriate level of commitment, balance effort and reward, establish a climate of safety, and reduce emotional labour to improve the QWL of hospital nurses.
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