Relationship between occupational coping self-efficacy and health-related productivity loss in ICU nurses:path analysis of perceived social support
Background Compared with absenteeism,health-related productivity loss has a long-lasting negative effect,and poses a greater harm and loss.The health-related productivity loss is mediated by self-efficacy,and perceived social support has been shown to have an impact on health-related productivity loss,whereas the interaction mechanism among the three remains unclear.Objective To investigate the status of perceived social support,occupational coping self-efficacy and health-related productivity loss among ICU nurses,and to test the mediation role of perceived social support in the relationship between occupational coping self-efficacy and health-related productivity loss.Methods From September to November,2021,purposive sampling technique was adopted to select 468 ICU nurses in 8 tertiary hospitals in Sichuan Province.Subjects were assessed using self-made general information questionnaire,Perceived Social Support Scale(PSSS),Occupational Coping Self Efficacy Scale for Nurses(OCSE-N)and Stanford Presenteeism Scale-6(SPS-6).Pearson correlation analysis was used to examine the correlation among variables.Amos 24.0 was utilized to test the mediation role of perceived social support in the relationship between occupational coping self-efficacy and health-related productivity loss.Results A total of 415 ICU nurses completed the valid questionnaire survey.ICU nurses scored(63.13±11.62)on PSSS,(22.24±6.15)on OCSE-N,and(16.83±4.24)on SPS-6.Health-related productivity loss was detected in 279 ICU nurses(67.23%).Correlation analysis denoted that PSSS total score was positively correlated with OCSE-N total score(r=0.348,P<0.05),and negatively correlated with SPS-6 total score(r=-0.274,P<0.05).OCSE-N total score was negatively correlated with SPS-6 total score(r=-0.421,P<0.05).The direct effect value of occupational coping self-efficacy on health-related productivity loss was-0.401,and perceived social support showed a mediation role in the relationship between occupational coping self-efficacy and health-related productivity loss(the indirect effect value was-0.052,accounting for 11.48%of the total effect).Conclusion The occupational coping self-efficacy of ICU nurses may affect the health-related productivity loss through the action path of perceived social support.
Intensive care unitNursesHealth-related productivity lossSelf-efficacyPerceived social supportMediating effects