The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation

Objectives High levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship beha...

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Main Authors: Yang Liu, Hui Zhang, Yi Zhao, Leiwen Tang, Jing Shao, Zhihong Ye, Dandan Chen, Ping Zou, Shuanghong Lin
Format: Article
Language:English
Published: BMJ Publishing Group 2020-09-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/10/9/e039711.full
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author Yang Liu
Hui Zhang
Yi Zhao
Leiwen Tang
Jing Shao
Zhihong Ye
Dandan Chen
Ping Zou
Shuanghong Lin
author_facet Yang Liu
Hui Zhang
Yi Zhao
Leiwen Tang
Jing Shao
Zhihong Ye
Dandan Chen
Ping Zou
Shuanghong Lin
author_sort Yang Liu
collection DOAJ
description Objectives High levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship behaviour remains largely unexplored. This study aimed to test if the effect of autonomy on organisational citizenship behaviour through the mediating effects of optimism and work engagement.Study design This was a cross-sectional study.Setting The study was conducted in the Wuhan Jinyintan Hospital in China.Participants In total, 242 nurses who came from multiple areas of China to work at the Wuhan Jinyintan hospital during the COVID-19 epidemic participated in this study.Methods A serial mediation model (model 6) of the PROCESS macro in SPSS was adopted to test the hypotheses, and a 95% CI for the indirect effects was constructed by using Bootstrapping.Results The autonomy–organisational citizenship behaviour relationship was mediated by optimism and work engagement, respectively. In addition, optimism and work engagement mediated this relationship serially.Conclusion The findings of this study may have implications for improving organisational citizenship behaviour. The effects of optimism and work engagement suggest a potential mechanism of action for the autonomy–organisational citizenship behaviour linkage. A multifaceted intervention targeting organisational citizenship behaviour through optimism and work engagement may help improve the quality of nursing care among nurses supporting patients with COVID-19.
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spelling doaj-art-8371a2181cba47ad88504d537111551e2025-01-08T14:40:09ZengBMJ Publishing GroupBMJ Open2044-60552020-09-0110910.1136/bmjopen-2020-039711The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediationYang Liu0Hui Zhang1Yi Zhao2Leiwen Tang3Jing Shao4Zhihong Ye5Dandan Chen6Ping Zou7Shuanghong Lin8Department of Clinical Diagnosis, Tangdu Hospital, Fourth Military Medical University, Xi`an, China3 Department of Computer Science and Centre for Medical Image Computing, University College London, London, UKDepartment of Thoracic Surgery and Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease & National Clinical Research Center for Respiratory Disease, Guangzhou, Guangdong, ChinaDepartment of Nursing, Zhejiang University School of Medicine Sir Run Run Shaw Hospital, Hangzhou, Zhejiang, ChinaSchool of Nursing, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaDepartment of Nursing, Zhejiang University School of Medicine, Sir Run Run Shaw Hospital, Hangzhou, China1 Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaSchool of Nursing, Nipissing University, Toronto, Ontario, CanadaDepartment of Nursing, Hubei NO.3 People`s Hospital of Jianghan University, Wuhan, ChinaObjectives High levels of organisational citizenship behaviour can enable nurses to cooperate with coworkers effectively to provide a high quality of nursing care during the outbreak of COVID-19. However, the association between autonomy, optimism, work engagement and organisational citizenship behaviour remains largely unexplored. This study aimed to test if the effect of autonomy on organisational citizenship behaviour through the mediating effects of optimism and work engagement.Study design This was a cross-sectional study.Setting The study was conducted in the Wuhan Jinyintan Hospital in China.Participants In total, 242 nurses who came from multiple areas of China to work at the Wuhan Jinyintan hospital during the COVID-19 epidemic participated in this study.Methods A serial mediation model (model 6) of the PROCESS macro in SPSS was adopted to test the hypotheses, and a 95% CI for the indirect effects was constructed by using Bootstrapping.Results The autonomy–organisational citizenship behaviour relationship was mediated by optimism and work engagement, respectively. In addition, optimism and work engagement mediated this relationship serially.Conclusion The findings of this study may have implications for improving organisational citizenship behaviour. The effects of optimism and work engagement suggest a potential mechanism of action for the autonomy–organisational citizenship behaviour linkage. A multifaceted intervention targeting organisational citizenship behaviour through optimism and work engagement may help improve the quality of nursing care among nurses supporting patients with COVID-19.https://bmjopen.bmj.com/content/10/9/e039711.full
spellingShingle Yang Liu
Hui Zhang
Yi Zhao
Leiwen Tang
Jing Shao
Zhihong Ye
Dandan Chen
Ping Zou
Shuanghong Lin
The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation
BMJ Open
title The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation
title_full The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation
title_fullStr The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation
title_full_unstemmed The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation
title_short The relationship between autonomy, optimism, work engagement and organisational citizenship behaviour among nurses fighting COVID-19 in Wuhan: a serial multiple mediation
title_sort relationship between autonomy optimism work engagement and organisational citizenship behaviour among nurses fighting covid 19 in wuhan a serial multiple mediation
url https://bmjopen.bmj.com/content/10/9/e039711.full
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