Abstract
Purpose
Few studies have investigated the impact of psychosocial factors on overwork and employee well-being while taking into account the complex relationships between such factors and the effect of workplace. The present study aimed to examine the association between psychosocial factors of overtime work and work-nonwork balance using a multilevel structural equation modeling (SEM) technique.
Methods
A survey was conducted among nurses working in three hospitals (n = 603) in Japan. After confirming the constructs of the factors by confirmatory factor analysis (CFA) and exploratory factor analysis (EFA), a multilevel SEM was conducted to investigate the direct and indirect effects of involuntary and voluntary overtime work on work-nonwork balance at both individual and workplace levels.
Results
Both involuntary and voluntary overtime work factors were further differentiated into two factors (four factors in total). Involuntary overtime work directly decreased work-nonwork balance on both levels; voluntary overtime work had a direct positive effect. However, voluntary overtime work had a negative indirect effect on work-nonwork balance satisfaction.
Conclusions
The use of multilevel SEM techniques to evaluate the association of clinical factors with work-nonwork balance demonstrated that involuntary overtime work has a negative effect on work-nonwork balance and voluntary overtime work had a positive direct effect but a negative indirect effect.
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Acknowledgments
The authors greatly appreciate all persons who engaged in our questionnaire survey.
Author Contributions
Mayumi Watanabe designed the study, developed the methodology, collected the data, performed the analysis, and wrote the manuscript. Keita Yamauchi designed the study and modified the manuscript.
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Mayumi Watanabe and Keita Yamauchi declare no conflicts of interest.
Ethical Approval
We conformed to the Helsinki Declaration concerning human rights and informed consent, and we followed correct procedures concerning treatment of humans in research. The whole procedure was approved by the Ethics Committee of the Graduate School of Health Management, the University of Keio.
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Watanabe, M., Yamauchi, K. Psychosocial Factors of Overtime Work in Relation to Work-Nonwork Balance: a Multilevel Structural Equation Modeling Analysis of Nurses Working in Hospitals. Int.J. Behav. Med. 23, 492–500 (2016). https://doi.org/10.1007/s12529-016-9563-x
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DOI: https://doi.org/10.1007/s12529-016-9563-x