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Akat M, Okur S, Akbulut ÖF, Satıcı SA, Hamarta E. Childhood Psychological Maltreatment, Psychological Flexibility, Family Conflict, and Subjective Happiness in University Students: A Serial Mediation Model. Psychiatr Q 2025:10.1007/s11126-025-10134-w. [PMID: 40180753 DOI: 10.1007/s11126-025-10134-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/18/2025] [Indexed: 04/05/2025]
Abstract
Childhood psychological maltreatment has psychological, behavioral, and emotional repercussions on individuals in adulthood. These reflections play a role in both the internal distress of individuals and the deterioration of their interpersonal relationships. The aim of this study was to examine the serial mediating role of psychological flexibility and family conflict in the relationship between childhood psychological maltreatment and subjective happiness. The study was conducted with 493 university students (61.7% female, 38.3% male), with ages ranging from 18 to 53 years (Mage = 24.02, SD = 6.342). The data of this research was analyzed using structural equation modeling. The findings of the study indicate that psychological flexibility and family conflict have a serial mediating role in the relationship between childhood psychological maltreatment and subjective happiness. The results demonstrated that to improve the subjective happiness of people who have been psychologically abused as children, it is necessary to make them more psychologically flexible and teach them how to deal with family conflict. Overall, these findings emphasize the importance of fostering psychological flexibility and conflict resolution skills as key intervention targets to mitigate the long-term negative effects of childhood psychological maltreatment on subjective happiness. The findings of the study were discussed and interpreted in detail in the light of the relevant literature.
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Affiliation(s)
- Muhammed Akat
- Faculty of Education, Department of Psychological Counseling, Karamanoglu Mehmetbey University, Karaman, Türkiye
| | - Sinan Okur
- Department of Educational Sciences, National Defense University, Turkish Air Force Academy, Istanbul, Türkiye
| | - Ömer Faruk Akbulut
- Quality Coordinatorship Unit, Afyonkarahisar Health Sciences University, 03030, Afyonkarahisar, Türkiye.
| | - Seydi Ahmet Satıcı
- Faculty of Education, Department of Psychological Counseling, Yildiz Technical University, Istanbul, Türkiye
| | - Erdal Hamarta
- Ahmet Kelesoglu Faculty of Education, Department of Psychological Counseling, Necmettin Erbakan University, Konya, Türkiye
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Zhang L, Jin X, Cheng N, Wang R, Liang X, Fan H, Jiang X. Work-family balance mediates self-efficacy and subjective well-being among nurses in Chinese intensive care units: A cross-sectional study. Appl Nurs Res 2025; 82:151932. [PMID: 40086935 DOI: 10.1016/j.apnr.2025.151932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2024] [Revised: 02/18/2025] [Accepted: 02/19/2025] [Indexed: 03/16/2025]
Abstract
BACKGROUND ICU nurses frequently confront lengthy working hours, elevated job intensity, heavy medical responsibilities, round-the-clock shifts, and a comparatively closed working environment. The high-risk, high-intensity, high-stress nature of the profession may prompt nurses to consider resignation, culminating in a significant shortage of nursing staff, adversely affecting the health and well-being of nurses. Necessitating a comprehensive investigation into the factors influencing their subjective well-being and the interrelations among these factors, thereby establishing a theoretical foundation for a more focused intervention program aimed at enhancing the subjective well-being of nurses. METHODS This study employed a cross-sectional design in accordance with STROBE criteria. Two hundred forty-seven ICU nurses from four tertiary general hospitals were intentionally chosen to take an online survey. Metrics encompassed self-efficacy, work-family balance, and subjective well-being. RESULTS The findings demonstrated that self-efficacy strongly influenced nurses' work-family balance and subjective well-being. The work-family balance served as a mediating factor in the association between self-efficacy and subjective well-being. Mediation analysis indicated a substantial overall influence of self-efficacy on subjective well-being (β = 0.758, p < 0.01). In addition, self-efficacy had a direct effect on subjective well-being (β = 0.575, p < 0. 01), on work-family balance (β = 0.458, p < 0. 01), and work-family balance had a direct effect on subjective well-being (β = 0.399, p < 0.01). CONCLUSION This study found that among nurses in ICU have moderate levels of self-efficacy and subjective well-being, which are positively correlated. This suggests that improving the self-efficacy and work-family balance of ICU nurses may help enhance their subjective well-being levels.
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Affiliation(s)
- Lating Zhang
- School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China; Department of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China
| | - Xianzhen Jin
- Department of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China
| | - Na Cheng
- Xijing 986 Hospital Department, Fourth Military Medical University, Xi'an, Shaanxi, China
| | - Ruhua Wang
- Yuncheng Central Hospital affiliated to Shanxi Medical University, Yuncheng, Shanxi, China
| | - Xinhui Liang
- School of Nursing, Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China
| | - Haiyan Fan
- Yuncheng Central Hospital affiliated to Shanxi Medical University, Yuncheng, Shanxi, China
| | - Xue Jiang
- Department of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, Shaanxi, China.
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Tang Q, Wang Y, Zhang C, Zhao Y, Zhou X, Huang J, Yao J. Profiles and Influencing Factors of Work-Family Balance Among Nurses in China: A Cross-Sectional Study Based on Latent Profile Analysis. J Nurs Manag 2025; 2025:8556545. [PMID: 40223892 PMCID: PMC11919027 DOI: 10.1155/jonm/8556545] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2024] [Accepted: 01/18/2025] [Indexed: 04/15/2025]
Abstract
Aim: To profile the work-family balance (WFB) among clinical nurses and identify their influencing factors. Background: WFBs take on various patterns in nurses. Nurses with different characteristics exhibit various patterns of WFB. Methods: A cross-sectional study was performed, involving 1292 nurses from public hospitals in Jiangsu Province from February to April 2024. Latent profile analysis (LPA) was employed to categorize the data, and multinominal logistic regression analysis to determine factors influencing WFB. Results: A total of 1718 questionnaires were distributed, yielding 1292 valid responses (a response rate of 75.2%). The total score of WFB was 44.35 ± 8.693 points. The LPA revealed three profiles of WFB: the family priority group (28.1%), the balanced adaptation group (46.8%), and the challenge coping group (25.1%). The entropy value was high (0.892), indicating a correct classification. Multivariate regression analyses showed that professional title, department, nonclinical work pressure, organizational identification, work meaning, and self-efficacy as factors influencing WFB profiles. Conclusion: The WFB among nurses was at a moderate level with significant heterogeneity and could be divided into three profiles. The challenge coping group presented lower professional titles and higher self-efficacy, and working at surgical, pediatric, and other specialized departments. Managers can tailor intervention strategies based on the characteristics and influencing factors of each profile. Implications for Nursing Management: Nursing managers must consider the characteristics of high-risk groups and factors that affect WFB and take targeted measures to mitigate work-family conflicts (WFC) among nurses and stabilize the nursing workforce.
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Affiliation(s)
- Qian Tang
- School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, China
| | - Yijia Wang
- School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, China
| | - Chi Zhang
- School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, China
| | - Yuefan Zhao
- School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, China
| | - Xinjie Zhou
- School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, China
| | - Jie Huang
- School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, China
| | - Jun Yao
- School of Nursing, Nanjing Medical University, Nanjing, Jiangsu, China
- School of Health Policy and Management, Nanjing Medical University, Nanjing, Jiangsu, China
- Jiangsu Provincial Institute of Health, Nanjing Medical University, Nanjing, Jiangsu, China
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Zhang X, Zhang C, Gou J, Lee SY. The influence of psychosocial work environment, personal perceived health and job crafting on nurses' well-being: a cross-sectional survey study. BMC Nurs 2024; 23:373. [PMID: 38831334 PMCID: PMC11145890 DOI: 10.1186/s12912-024-02041-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2024] [Accepted: 05/24/2024] [Indexed: 06/05/2024] Open
Abstract
BACKGROUND The World Health Organization urged governments to prioritize the health and work well-being of nursing staff by promoting a positive working environment. A safe and healthy physical and psychosocial work environment is a basic human right for nurses. Job crafting is a necessary skill when facing challenging working conditions. OBJECTIVES This cross-sectional correlational research based on the Job Demands-Resources Model aimed to explore the correlation between psychosocial work environment and work well-being among nurses working in the intensive care unit (ICU) and determine whether personal perceived health could mediate the relationship and whether job crafting can moderate the mediating effect. The study hypothesized that: 1. The psychosocial work environment would impact nurses' work well-being; 2. Personal perceived health would play a role as a mediator in the relationship between psychosocial work environment and work well-being; 3. Job crafting would moderate the relationship between personal perceived health and work well-being. METHODS A total of 655 registered nurses (RNs) from 7 ICUs in a teaching hospital in Beijing participated in this study. The RNs completed a battery questionnaire measuring their health, psychosocial work environment, well-being, and job crafting. PROCESS macros analysis was used to test mediating and moderating effects. RESULTS Personal perceived health mediated the relationship between psychosocial work environment and work well-being (b = 0.012, 95% CI [0.008, 0.016]). The moderated mediated analysis revealed that job crafting moderated perceived health's impact on work well-being (b = -0.007, 95% CI [- 0.010, - 0.003]). CONCLUSION A better psychosocial work environment with well-designed work organization and job content through job crafting could positively impact nurses' health and work well-being.
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Affiliation(s)
- Xin Zhang
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Chen Zhang
- Department of Nursing, Chinese Academy of Medical Sciences & Fuwai Hospital, Beijing, China
| | - Jiayan Gou
- School of Nursing, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China
| | - Shih-Yu Lee
- School of Nursing, Hungkuang University, No. 1018, Sec. 6, Taiwan Boulevard, Taichung, 43302, Taiwan, China.
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Cavagnis L, Russo C, Danioni F, Barni D. Promoting Women's Well-Being: A Systematic Review of Protective Factors for Work-Family Conflict. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:6992. [PMID: 37947550 PMCID: PMC10649984 DOI: 10.3390/ijerph20216992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/30/2023] [Revised: 10/12/2023] [Accepted: 10/25/2023] [Indexed: 11/12/2023]
Abstract
Work-family conflict is a prominent issue, especially in our society, where people are expected to fulfil many roles simultaneously. Work and family life demands significantly impact an individual's overall well-being, especially for women, since they typically balance caregiving for children and elderly relatives with careers. Therefore, highlighting which factors might protect women from experiencing work-family conflict is essential to enhance women's and their family's well-being. Thus, the main aim of the present study was to systematically review previous research on women's coping strategies and protective factors which can reduce the negative effects of work-family conflict. Following the PRISMA guidelines, we conducted a literature search of three databases (PubMed, PsycINFO, and Scopus). After the screening and the eligibility phases, we included a final set of 13 studies. Most of these studies adopted a cross-sectional design (N = 10), and a few adopted a longitudinal one (N = 3). Results highlighted the role of different personal (e.g., hardiness, self-esteem, locus of control) and relational factors (e.g., family and work support) that significantly reduce the negative effects of work-family conflict in women's lives. Findings, practical implications, and future research directions are discussed.
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Affiliation(s)
- Lucrezia Cavagnis
- Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy;
| | - Claudia Russo
- Experimental and Applied Psychology Laboratory, Department of Human Sciences, European University of Rome, 00163 Rome, Italy;
| | - Francesca Danioni
- Family Studies and Research University Centre, Catholic University of Milan, 20123 Milan, Italy;
| | - Daniela Barni
- Department of Human and Social Sciences, University of Bergamo, 24129 Bergamo, Italy;
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Pan Y, Sun G. Exploring work-life balance among professional women in mainland China: A qualitative study. Front Psychol 2022; 13:938664. [PMID: 36438353 PMCID: PMC9682124 DOI: 10.3389/fpsyg.2022.938664] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Accepted: 10/10/2022] [Indexed: 11/11/2022] Open
Abstract
This article introduces a qualitative study utilizing semi-structured interviews to explore the barriers and resources of professional women to attain work-life balance (WLB) in the context of mainland China. Interviews were conducted with full-time employed women who had received higher education and possessed professional qualifications (N = 20). The findings reveal underlying factors in work and non-work domains which influence the achievement of work-life balance among Chinese professional women. Participants were found to perceive and attain their work-life balance differently according to their personal traits. The findings also highlight social and family support resources for Chinese professional women from the perspective of Confucianism. This study contributes to current knowledge on work and life issues through the lens of professional women's work-life balance perceptions and experiences in mainland China.
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Affiliation(s)
- Ying Pan
- International Business School Suzhou, Xi'an Jiaotong-Liverpool University, Suzhou, China
- Management School, University of Liverpool, Liverpool, United Kingdom
- *Correspondence: Ying Pan
| | - Gong Sun
- School of Business, Changshu Institute of Technology, Changshu, China
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