Managing Resilience and Exhaustion Among Health Care Workers Through Psychological Self-Care: The Impact of Job Autonomy in Interaction With Role Overload.

Francis Maisonneuve, Anaïs Galy, Patrick Groulx, Denis Chênevert, Colleen Grady, Angela M Coderre-Ball
Author Information
  1. Francis Maisonneuve: Department of Human Resources Management, HEC Montréal, Montréal, QC, Canada. ORCID
  2. Anaïs Galy: Department of Human Resources Management, HEC Montréal, Montréal, QC, Canada. ORCID
  3. Patrick Groulx: Department of Organisations and Human Resources, ESG UQAM, Montréal, QC, Canada. ORCID
  4. Denis Chênevert: Department of Human Resources Management, HEC Montréal, Montréal, QC, Canada. ORCID
  5. Colleen Grady: Department of Family Medicine, Queen's University, Kingston, ON, Canada. ORCID
  6. Angela M Coderre-Ball: Department of Family Medicine, Queen's University, Kingston, ON, Canada. ORCID

Abstract

Purpose: Drawing on the conservation of resources theory, we explore how job autonomy affects resilience and emotional exhaustion through psychological self-care (PSC). In addition, we study the impact of role overload as a boundary condition which dampens the beneficial effects of job autonomy.
Methods: Cross-sectional data was collected through an online survey among Canadian health care workers (HCWs) across multiple organizations. We performed structural equation modeling (SEM) to test the proposed hypotheses (N=860).
Results: Job autonomy had a positive relationship with resilience and negative with emotional exhaustion, both through PSC. However, high role overload hinders these relationships.
Conclusion: Job autonomy combined with reasonable workload allows HCWs to invest in themselves in the form of PSC, which in turn alleviates their emotional exhaustion and fosters their resilience. Accordingly, this helps HCWs in overcoming both current and future adverse events at work. Valuing autonomy and PSC through communication and contextualized human resource management practices will help support HCWs and health care organizations in turn. Indeed, nurturing resilience and reducing emotional exhaustion will provide and protect the needed individual resources to face future disruptive events, consequently leading to strengthen health care organizations.

Keywords

References

  1. Front Psychol. 2021 Oct 13;12:724956 [PMID: 34721186]
  2. Am Psychol. 1989 Mar;44(3):513-24 [PMID: 2648906]
  3. J Appl Psychol. 2003 Oct;88(5):879-903 [PMID: 14516251]
  4. J Occup Health Psychol. 2006 Jan;11(1):100-18 [PMID: 16551178]
  5. Oncol Nurs Forum. 2020 Jan 1;47(1):E25-E34 [PMID: 31845911]
  6. Geriatr Nurs. 2022 Jan-Feb;43:197-205 [PMID: 34922280]
  7. J Occup Med Toxicol. 2015 May 21;10:20 [PMID: 26029246]
  8. Qual Quant. 2018;52(4):1957-1976 [PMID: 29937587]
  9. Int J Aging Hum Dev. 2025 Mar;100(2):227-247 [PMID: 39105268]
  10. J Am Board Fam Med. 2021 May-Jun;34(3):531-541 [PMID: 34088813]
  11. Healthcare (Basel). 2023 Oct 14;11(20): [PMID: 37893810]
  12. Intern Emerg Med. 2024 Nov 29;: [PMID: 39612059]
  13. Int J Nurs Stud. 2021 Apr;116:103286 [PMID: 30827741]
  14. J Nurs Manag. 2022 May;30(4):901-912 [PMID: 35293044]
  15. J Patient Rep Outcomes. 2021 Jun 5;5(1):43 [PMID: 34089412]
  16. BMJ Qual Saf. 2015 Oct;24(10):608-10 [PMID: 26038586]
  17. Front Psychol. 2024 Jan 30;14:1303170 [PMID: 38352966]
  18. J Appl Psychol. 2005 Sep;90(5):972-9 [PMID: 16162069]
  19. Int J Behav Med. 2008;15(3):194-200 [PMID: 18696313]
  20. J Appl Psychol. 2022 Jun;107(6):867-897 [PMID: 34766796]
  21. Psychiatr Danub. 2020 Autumn - Winter;32(3-4):557-562 [PMID: 33370766]
  22. Int J Evid Based Healthc. 2011 Mar;9(1):3-24 [PMID: 21332659]
  23. J Clin Nurs. 2024 Jan;33(1):288-303 [PMID: 35949164]
  24. Eur Heart J Acute Cardiovasc Care. 2020 Apr;9(3):241-247 [PMID: 32342698]
  25. Arch Gerontol Geriatr. 2022 Sep-Oct;102:104745 [PMID: 35714475]
  26. Ann Fam Med. 2019 Jan;17(1):36-41 [PMID: 30670393]

Word Cloud

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