Hospital Staff Well-Being: Examining Workload, Distributive Justice, and the Moderating Role of Social Support
Abstract
This study investigates the influence of workload and distributive justice on employee well-being, with social support examined as a moderating variable. Grounded in the Job Demands–Resources (JD-R) Model and Equity Theory, the research focuses on private hospital staff in Indramayu, Indonesia a high-pressure healthcare setting. A quantitative explanatory design was employed, using web-based self-report questionnaires completed by 178 respondents. Data were analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) version 4.0. The findings reveal that workload negatively and significantly affects employee well-being, while perceptions of distributive justice positively influence it. Furthermore, social support moderates both relationships by buffering the adverse effects of workload and amplifying the benefits of distributive justice. Employees who experience both fairness and strong social support tend to report higher psychological resilience and job satisfaction.
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References
Adriaenssens, J., De Gucht, V., & Maes, S. (2015). Causes and consequences of occupational stress in emergency nurses: A longitudinal study. Journal of Nursing Management, 23(3), 346–358.
Alamir, I., Ayoubi, R. M., Massoud, H., & Al Hallak, L. (2019). Transformational leadership, organizational justice and organizational outcomes: A study from the higher education sector in Syria. Leadership & Organization Development Journal, 40(7), 749–763. https://doi.org/10.1108/LODJ-01-2019-0033
Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. I. (2014). Burnout and work engagement: The JDR approach. Annual Review of Organizational Psychology and Organizational Behavior, 1, 389–411. https://doi.org/10.1146/annurev-orgpsych-031413-091235
Colquitt, J. A., Conlon, D. E., Wesson, M. J., Porter, C. O. L. H., & Ng, K. Y. (2001). Justice at the millennium: A meta-analytic review of 25 years of organizational justice research. Journal of Applied Psychology, 86(3), 425–445. https://doi.org/10.1037/0021-9010.86.3.425
De Fátima Nery, V., Neiva, E. R., & Mendonça, H. (2016). The changing context and the organizational justice impact on the employee well-being. Paideia, 26(65), 317–324. https://doi.org/10.1590/1982-43272665201609
Gunduz, M., & Örnekl, D. D. Y. (2020). Pengaruh keadilan organisasi terhadap kesejahteraan karyawan.
Hamzah, W. (2019). Pengaruh beban kerja dan dukungan sosial terhadap kelelahan kerja. Jurnal Ilmiah, 7(2), 336–343.
Hejase, H. J., El Dirani, A., Haidar, Z., Alawieh, L., Ahmad, Z. A., & Sfeir, N. (2024). The impact of employee well-being on organizational effectiveness: Context of Lebanon. International Journal of Human Resource Studies, 14(2), 15. https://doi.org/10.5296/ijhrs.v14i2.22142
Meliani, A., Heriyadi, H., Rosnani, T., & Saputra, P. (2024). Workload on SOEs employee performance: Mediating effects of work stress and burnout. Journal of Management and Digital Business, 4(3), 697–712. https://doi.org/10.53088/jmdb.v4i3.1322
Nahum-Shani, I., & Bamberger, P. A. (2011). Explaining the variable effects of social support on work-based stressor-strain relations: The role of perceived pattern of support exchange. Organizational Behavior and Human Decision Processes, 114(1), 49–63. https://doi.org/10.1016/j.obhdp.2010.09.002
Nahum-Shani, I., Bamberger, P. A., & Bacharach, S. B. (2011). Social support and employee well-being: The conditioning effect of perceived patterns of supportive exchange. Journal of Health and Social Behavior, 52(1), 123–139. https://doi.org/10.1177/0022146510395024
Putri, E. A., Dewi, I., Ibrahim, K., & Pratama, A. A. (2024). Work family conflict dan beban kerja terhadap stres kerja dimoderasi dukungan sosial pada Bank NTB Syariah. Jurnal Motivasi. http://jurnal.um-palembang.ac.id/motivasi
Rafsanjani Nurdiana, S. M. (2023). Pengaruh beban kerja dan kemampuan kerja terhadap kinerja karyawan perpanjangan program keluarga berencana dengan kesejahteraan karyawan sebagai variabel intervening di Kabupaten Lamongan.
Rasminingsih, N. K. N., Wibawa, I. W. S., & Fahrianto, R. I. (2021). Pengaruh beban kerja dan work family conflict terhadap kinerja karyawan yang dimoderasi dukungan sosial. E-Jurnal Manajemen Universitas Udayana, 10(12), 1388. https://doi.org/10.24843/ejmunud.2021.v10.i12.p07
Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52(1), 141–166.
Wahyuni, D. P., Pratami, A. F., Permanik, E. D., Siddiq, D. M., Syahroni, B., & Setapa, M. (2024). The role of CEO altruism in moderating the relationship of workload and work-related fatigue with employee retention in furniture manufacturing small and medium enterprises. International Journal of Business, Economics and Sustainable Development, 5(3), 328–338. https://journal.rescollacomm.com/index.php/ijbesd/index
Wilson, M. G., DeJoy, D. M., Vandenberg, R. J., Richardson, H. A., & McGrath, A. L. (2010). Work characteristics and employee health and well-being: Test of a model of healthy work organization. Journal of Occupational and Organizational Psychology, 83(3), 565–585. https://doi.org/10.1348/096317909X470690
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