The role of holistic care culture in mitigating burnout and enhancing engagement: a study among elderly service workers in Hong Kong

Aging Ment Health. 2011 Aug;15(6):712-9. doi: 10.1080/13607863.2011.556602.

Abstract

Objectives: Elderly service work is a labor intensive and emotion demanding occupation. Workers in this field are prone to burnout, a form of emotional exhaustion at work. While their job well-being is associated with a number of job demands, little research has been done in exploring job resources to promote their well-being. Holistic care culture (HCC) was proposed as an organizational culture of holistic caring. This study explored the role of HCC in predicting job well-being and moderating the impact of perceived stress on job well-being.

Method: A large-scale questionnaire survey was conducted among 992 elderly service workers of a major social service organization in Hong Kong, with a 93% response rate. Participants completed a standardized self-report questionnaire.

Results: Structural equation modeling found HCC negatively predicted burnout (β = -0.32, p < 0.01) and positively predicted engagement (β = 0.36, p < 0.01). HCC showed significant moderating on the relationship between perceived stress and job well-being in expected directions. The model explained 53.7% and 35.8% of variance in burnout and engagement.

Conclusion: Findings from this study provides supportive evidence for HCC as a moderator to ameliorate burnout and facilitate engagement among elderly service workers. Further studies of rigorous design on HCC are recommended. Implication of this study for organizational practice was discussed.

MeSH terms

  • Adolescent
  • Adult
  • Burnout, Professional* / prevention & control
  • Burnout, Professional* / psychology
  • Culture
  • Female
  • Geriatric Nursing / methods*
  • Holistic Nursing / methods*
  • Hong Kong
  • Humans
  • Male
  • Middle Aged
  • Models, Statistical
  • Self Report
  • Stress, Psychological / prevention & control
  • Stress, Psychological / psychology
  • Young Adult