Sequential Mediation Research Articles

Uncertainty affects cancer-related fatigue among breast cancer women undergoing peripherally inserted central catheter chemotherapy: the chain mediating role of psychological resilience and self-care

BackgroundBreast cancer patients undergoing chemotherapy via peripherally inserted central catheter often experience serious behavioral and psychological challenges, with uncertainty and cancer-related fatigue being prevalent issues that profoundly impact prognosis. Therefore, this study aimed to investigate the relationship between uncertainty and cancer-related fatigue by employing a chain mediation model to examine the potential mediating roles of psychological resilience and self-care.MethodsA cross-sectional study was conducted with 223 breast cancer patients receiving peripherally inserted central catheter chemotherapy at two tertiary affiliated hospitals of China Medical University in Liaoning, China, from February 2021 to December 2022. Participants completed self-reported questionnaires to assess uncertainty, psychological resilience, self-care, and cancer-related fatigue. The collected data were subsequently analyzed using Pearson’s correlation analysis, hierarchical regression analysis, and mediation analysis.ResultsUncertainty exhibited a significant positive correlation with cancer-related fatigue (p < 0.01) and a negative correlation with psychological resilience (p < 0.01) and self-care (p < 0.01). Uncertainty was found to impact cancer-related fatigue through three pathways: psychological resilience mediated the relationship between uncertainty and cancer-related fatigue (mediating effect = 0.240, 95% confidence interval: 0.188 to 0.298, effect ratio = 53.22%); self-care also mediated this relationship (mediating effect = 0.080, 95% confidence interval: 0.044 to 0.121, effect ratio = 17.74%); furthermore, there was a significant joint mediating effect of psychological resilience and self-care on the association between uncertainty and cancer-related fatigue (mediating effect = 0.042, 95% confidence interval: 0.021 to 0.068, effect ratio o = 9.31%).ConclusionThe findings of this study revealed that uncertainty not only directly influenced cancer-related fatigue, but also operated through the mediating effect of psychological resilience, self-care, and sequential mediation of psychological resilience and self-care. Interventions tailored for breast cancer patients receiving peripherally inserted central catheter chemotherapy should target these factors to help alleviate uncertainty, enhance psychological resilience, and improve self-care practices, thereby ameliorating cancer-related fatigue.

An experimental study of the process of felt understanding in intergroup relations: Japanese and Chinese relations in Japan

“Felt understanding” is a crucial determinant of positive interpersonal and intergroup relationships. However, the question of why felt understanding shapes intergroup relations has been neglected. In a pre-registered test of the process in intergroup relations with a sample from East Asia, we manipulated felt understanding (understood versus misunderstood by an outgroup) in an experimental study (N = 476). The results supported the expectation that felt understanding would lead to a more positive intergroup orientation and action intention. The results of parallel mediation analyses showed that felt understanding indirectly predicted intergroup outcomes through felt positive regard, intergroup overlap, and outgroup stereotypes. Furthermore, the results of post-hoc sequential mediation analyses indicated that felt understanding indirectly predicted intergroup outcomes sequentially through felt positive regard and intergroup overlap, followed by outgroup stereotypes.

How transformational leadership shapes employee task performance? A sequential mediation model

PurposeThe purpose of this study was to analyze, through a sequential model, the underlying mechanisms connecting transformational leadership with employee task performance. Specifically, it examined the causal chain of transformational leadership-job characteristics (task variety and task significance)-job engagement-task performance.Design/methodology/approachThe hypotheses were tested on a sample of 320 employees and their supervisors from Spanish young technology and knowledge-intensive small and medium-sized enterprises (SMEs) using structural equations.FindingsThe results show that the effect of transformational leadership on task performance (assessed by supervisors) occurs sequentially via task significance and job engagement. Additionally, job engagement mediates the relationship between task variety and task performance.Practical implicationsFindings highlight the relevance for supervisors to employ a transformational leadership style that leads employees directly and indirectly, through task significance, to be more engaged and achieve higher task performance. They also emphasize the importance of proper job design that allows employees to be fully invested in their job performance.Originality/valueDespite the importance of leadership and employee performance for the survival and growth of these firms, the study of these relationships is largely unexplored. This study proposes and tests a serial model in which supervisor transformational leadership is linked to employee task performance through two sequential mediators: job characteristics (task variety and task significance) and job engagement.

Does physical activity and inflammation mediate the job stress-headache relationship? A sequential mediation analysis in the ELSA-Brasil study

BackgroundEvidence indicates that physical activity reduces stress and promote a myriad of health-enhancing effects through anti-inflammatory mechanisms. However, it is unknown whether these mechanisms interfere in the association between psychosocial job stress and headache disorders. ObjectiveTo test whether physical activity and its interplay with the systemic inflammation biomarkers high-sensitivity C-reactive protein (hs-CRP) and acute phase glycoproteins (GlycA) would mediate the associations between job stress and headache disorders. MethodsWe cross-sectionally evaluated the baseline data from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) regarding job stress (higher demand and lower control and support subscales), migraine and tension-type headache (ICHD-2 criteria), self-reported leisure-time physical activity, and plasma hs-CRP and GlycA levels. Conditional process analyses with a sequential mediation approach were employed to compute path coefficients and 95 % confidence intervals (CI) around the indirect effects of physical activity and biomarkers on the job stress-headache relationship. Separate models were adjusted for sex, age, and depression and anxiety. Further adjustments added BMI smoking status, and socioeconomic factors. ResultsIn total, 7,644 people were included in the study. The 1-year prevalence of migraine and tension-type headache were 13.1 % and 49.4 %, respectively. In models adjusted for sex, age, anxiety, and depression, the association between job stress (lower job control) and migraine was mediated by physical activity [effect = −0.039 (95 %CI: −0.074, −0.010)] but not hs-CRP or GlycA. TTH was associated with higher job control and lower job demand, which was mediated by the inverse associations between physical activity and GlycA [Job Control: effect = 0.0005 (95 %CI: 0.0001, 0.0010); Job Demand: effect = 0.0003 (95 %CI: 0.0001, 0.0007]. Only the mediating effect of physical activity in the job stress-migraine link remained after further adjustments including socioeconomic factors, BMI, smoking, and the exclusion of major chronic diseases. ConclusionIn the ELSA-Brasil study, physical activity reversed the link between job stress and migraine independently of systemic inflammation, while the LTPA-mediated downregulation of GlycA was associated with lower job stress-related TTH.

How does green human resource management foster employees’ environmental commitment: A sequential mediation analysis

Drawing on the social identity theory, this study aims to examine the impact of organizational pride and organizational identification as sequential mediators in the association between green HRM and employee environmental commitment. The study extended prior research by incorporating the sequential mediators of organizational pride and organizational identification. The researchers gathered data from 267 employees of telecommunications companies in Pakistan. They used Smart PLS software version 3.0 to carry out partial least squares structural equation modeling to verify the hypotheses. The results indicate that green HRM leads to organizational pride, which, in turn, leads to increased organizational identification and, consequently, enhances environmental commitment. The findings hold significant value to practitioners and HR managers striving to develop HR practices that support sustainability, contribute to a culture of environmental responsibility, and lead to positive green outcomes for employees.

Understanding College Students' Healthcare Avoidance: From Early Maladaptive Schemas, through Healthcare Institutional Betrayal and Betrayal Trauma Appraisal of Worst Healthcare Experiences.

Understanding healthcare avoidance among college students is critical. In this study, we consider two broad cognitive contributors to greater healthcare avoidance: specific early maladaptive schema and negative appraisals of students' prior worst healthcare experiences. From schema theory, we proposed college students holding greater levels of two early maladaptive schema (disconnection/rejection and impaired autonomy/performance EMS) would be more likely to appraise their problematic healthcare experience as both containing healthcare institutional betrayal (HIB) behaviors and as traumatic and betrayal-inducing; both EMS and these appraisals would predict healthcare avoidance. Using a cross-sectional survey in a large, diverse college student sample (n = 1383, 61.1% female, 18.9% African American, 7.2% Asian, 6.4% Hispanic/Latino), as predicted, both EMS were significantly related to healthcare avoidance. Furthermore, a sequential mediation model was supported, indicating students holding greater EMS of disconnection/rejection or impaired autonomy/rejection reported more HIB in their worst healthcare experience, and appraised that experience as more betraying. Taken altogether, this model accounted for 23% of the variance in students' reports of healthcare avoidance. Core beliefs formed early in life may be a foundational lens through which potentially traumatic healthcare experiences are processed in ways that can impact emerging adults' future healthcare engagement. Findings also support the importance of addressing HIB actions and repairing trauma appraisals accrued during problematic healthcare experiences to prevent healthcare avoidance by emerging adults.

Unveiling the psychological mechanisms of mutual help groups for addiction recovery: The role of social identity factors.

The effectiveness of mutual help groups (MHGs) in promoting addiction recovery has been widely acknowledged. However, the psychological mechanisms underlying the impact of MHGs remain somewhat uncertain. Drawing on a social identity perspective, this study investigated a sequential mediation model in which social support is posited as a driving factor that enhances abstinence maintenance through group identification, recovery identity, and self-efficacy. A sample of 820 smokers, participating in a 6-month collective smoking cessation programme which included access to an online help group, completed measures of social support, group identification, smoker/ex-smoker identity, and self-efficacy at the programme's outset. Smoking abstinence was assessed 6 and 9 months later. The findings supported the proposed model, indicating that social support was positively associated with MHG identification, which, in turn, was related to a stronger recovery identity. Subsequently, recovery identity was associated with increased self-efficacy, and indirectly, with smoking abstinence at both measurement times. Additional analyses testing alternative mediation models further supported the validity of the proposed model. These findings suggest that social identity factors play significant roles in accounting for the effectiveness of MHGs for addiction recovery.

Reduced Student Life Satisfaction and Academic Performance: Unraveling the Dark Side of ChatGPT in the Higher Education Context

Little is known about the dark side of ChatGPT adoption in the higher education context; the current study, therefore, adopts the stressor-strain-outcome model to examine how compulsive use of ChatGPT and its consequences, such as loneliness and social avoidance (stressors), lead to the increased level of psychological distress (strain), which, in turn, negatively has the detrimental impacts on student life satisfaction and academic performance (outcomes). Moreover, the recent study also aims to test the moderating role of technostress in the strain-outcome relationship. Drawing on the sample of 2709 higher education students collected across 16 universities in Vietnam using a stratified random sampling approach, results reveal a positive correlation between compulsive use of ChatGPT, loneliness, social avoidance, and psychological distress. Furthermore, psychological distress mediates the relationship between compulsive ChatGPT use, diminished life satisfaction, and reduced academic performance. The study also shows a series of indirect effects of compulsive ChatGPT use on academic performance through sequential mediation pathways involving loneliness and social avoidance. Noticeably, the current research reveals that technostress not only reinforces the negative impacts of psychological distress on student life satisfaction and academic performance but also weakens the positive effect of student life satisfaction and academic performance. Based on the findings of this research, some practical and interventional recommendations are provided.

Interplay between Children's Electronic Media Use and Prosocial Behavior: The Chain Mediating Role of Parent-Child Closeness and Emotion Regulation.

In the contemporary digital milieu, children's pervasive engagement with electronic media is ubiquitous in their daily lives, presenting complex implications for their socialization. Prosocial behavior, a cornerstone of social interaction and child development, is intricately intertwined with these digital experiences. This relation gains further depth, considering the significant roles of parent-child relationships and emotion regulation in shaping children's social trajectories. This study surveyed 701 families to examine the association between children's electronic media use and prosocial behavior, specifically exploring the mediating roles of parent-child closeness and emotion regulation. Structural equation modeling was employed for the analysis. Children's electronic media use negatively correlated with prosocial behavior, parent-child closeness, and emotion regulation. In contrast, a positive association emerged between parent-child closeness, emotion regulation, and prosocial behavior. Emotion regulation also correlated positively with prosocial behavior. Statistical analyses revealed that parent-child closeness and emotion regulation function as both individual and sequential mediators in the relation between electronic media use and prosocial behavior. The study's analyses reveal that fostering children's prosocial behavior in the digital era requires strong family ties, effective emotional management, and balanced digital exposure, which are pivotal for their comprehensive development.

Sport tourist perceptions of destination image and revisit intentions: An adaption of Mehrabian-Russell's environmental psychology model

In environmental psychology literature, an individual's perception of the surroundings leads to subsequent behaviors. In this regard, small-scale sport events (SSE) have been used as a marketing tool for tourism development. However, how SSEs are leveraged to improve destination image (DI) for tourists has not been fully understood. Building on Mehrabian-Russell's environmental psychology model, this study examined the relationship between the SSE environmental stimuli and revisit intentions through the sequential mediation of cognitive and affective DI. Data from the 423 respondents were collected from 2023 Wuxi Marathon held in Wuxi, China. Structural equation modeling was employed to analyze the hypothesized framework. The results indicated that the SSE environmental stimuli were positively associated with both cognitive and affective DI, which were positively correlated with revisit intentions. The applicability of the serial mediation of cognitive and affective DI within the relationship was confirmed. This study contributes to the sport and tourism literature by extending the applicability of Mehrabian and Russell's model to SSE settings and identifying the serial mediating effects of cognitive and affective DI.

The Effect of Corporate Social Responsibility on Workplace Safety: The Significance of Employees' Moral Identity.

Corporate social responsibility (CSR) has gained significant attention from researchers and practitioners due to its potential impact on employee attitudes and behaviors. This study investigates the influence of CSR on employee safety behavior, examining the mediating effects of job stress and organizational identification, as well as the moderating role of moral identity. We conducted a three-wave time-lagged survey among 236 South Korean employees. Participants were recruited through a research company using stratified random sampling. Data were collected at three time points, each separated by a 4-5-week interval. Structural equation modeling (SEM) was used to test the hypothesized relationships. The findings support all of the hypothesized relationships. CSR was positively related to safety behavior and negatively related to job stress. Job stress was negatively related to organizational identification, which in turn was positively related to safety behavior. The sequential mediation of job stress and organizational identification was significant. Moral identity moderated the relationship between CSR and job stress, such that the negative effect of CSR on job stress was stronger for employees with a high moral identity. This study contributes to the CSR literature by examining the impact of CSR on safety behavior and the underlying mechanisms and boundary conditions of this relationship. The findings suggest that organizations can promote employee safety behavior by implementing CSR initiatives, which can reduce job stress and enhance organizational identification. Organizations should also consider the role of employees' moral identity when designing and communicating CSR initiatives.

Unveiling the impact of corporate humanistic responsibility on sustainable employee well‐being: Exploring perceived support and shared experiences

AbstractThe significance of employee well‐being within corporate social responsibility (CSR) is widely acknowledged. However, while CSR often emphasizes its societal dimension, its humanistic aspect frequently remains in the background, with limited exploration of its connection to employee well‐being from this perspective. This study seeks to fill this gap by examining the role of corporate humanistic responsibility (CHR) in enhancing employee well‐being, focusing on its influence through perceived organizational support (POS) and homogeneous experiences (HEs), employing an emerging‐enabling process approach. Data were gathered from 236 employees across 70 multinational corporations through a two‐time point survey. The findings indicate that both POS and HE positively mediate the relationship between CHR, life well‐being, and psychological well‐being. However, the sequential mediation did not yield significant impacts on workplace well‐being. The study concludes by discussing the findings, theoretical and practical implications, limitations, and future studies. Through this exploration, a deeper understanding of how CHR can enhance employee well‐being from a humanistic perspective is attained, offering valuable insights for academia and corporate sustainability endeavors.

The road to eco-excellence: How does environmentally specific empowering leadership foster hospitality employees’ green creativity through green creative self-efficacy and green learning orientation

Recent literature in environmental management implies that employee behaviour is imperative for improving environmental sustainability. Despite this, few attempts have been made into how environmentally specific empowering leadership (ESEL) relates to employees’ green creativity. This study aims to uncover how and when ESEL can foster hospitality employees’ green creativity through the sequential mediation path of employee green learning orientation (GLO) and green creative self-efficacy (GCSE), and moderation of green organizational culture (GOC) for the effects of ESEL on green learning orientation and green creative self-efficacy. To test the model, a multi-wave survey process was used to collect and analyze data from 333 employees of three-to-five-star hotels in China using PLS-SEM. The results demonstrated a significant relationship of ESEL with green learning orientation, green creative self-efficacy, and green creativity. Similarly, green learning orientation and green creative self-efficacy showed significant relationships with green creativity. Moreover, results demonstrated that green learning orientation and green creative self-efficacy functioned as sequential mediation path to link ESEL to hospitality employees’ green creativity. Moreover, the impact of ESEL on green learning orientation and green creative self-efficacy was moderated by green organisational culture. Overall, our study contributes to scholarly knowledge on empowering leadership and environmental management by providing new insights into the critical role of ESEL in fostering green creativity. Using the conservation of resources (COR) theory and the resource-based view (RBV) theory as a foundation, this research provides theoretical and practical contributions, implications, and valuable recommendations for scholars and managers in the hospitality discipline.

Failure Sensitivity in Perfectionism and Procrastination: Fear of Failure and Overgeneralization of Failure as Mediators of Traits and Cognitions

The current study investigated perfectionism and procrastination from the trait and cognitive perspectives and addressed how they relate to components of a personal orientation toward failure. A sample of 327 undergraduate students completed three perfectionism measures (i.e., Frost Multidimensional Perfectionism Scale, Hewitt–Flett Multidimensional Perfectionism Scale, and Perfectionism Cognitions Inventory), two procrastination measures (i.e., Lay Procrastination Scale and Procrastinatory Cognitions Inventory), and measures of fear of failure and overgeneralizing failure. Correlational analyses showed that the composite trait dimension of perfectionistic concerns and the cognitive dimension of perfectionistic automatic thoughts had modest links with trait procrastination but much stronger links with the cognitive measure of procrastinatory automatic thoughts. All perfectionism and procrastination measures were significantly correlated with fear of failure and overgeneralization of failure. More extensive analyses showed that fear of failure mediated trait and cognitive pathways between perfectionism and procrastination, and the overgeneralization of failure mediated most pathways. Other evidence supported a sequential mediation between perfectionism and procrastination (i.e., fear of failure followed by the overgeneralization of failure). Overall, the results suggest that procrastinating perfectionists have a cognitive hypersensitivity to failure and a potentially debilitating form of perfectionistic reactivity characterized by overgeneralizing failures to the self. The theoretical and practical implications are discussed.

Savoring Belief, Resilience, and Meaning in Life as Pathways to Happiness: A Sequential Mediation Analysis among Taiwanese University Students.

In recent decades, scholarly interest has grown in the psychological components of happiness. Savoring belief, or the capacity to attend to, appreciate, and enhance the positive experiences in one's life, along with resilience and meaning in life, have emerged as significant predictors of enhanced happiness among diverse populations. This research examined the interrelationships among savoring belief, resilience, meaning in life, and happiness. A sample of 561 students from 75 universities in Taiwan, comprising 361 female and 200 male participants with an average age of 20.88 years, participated in an online survey. The study employed various instruments, including the Savoring Belief Inventory, the Subjective Happiness Scale, the Brief Resilience Scale, and the Meaning in Life Questionnaire. These instruments were translated into Traditional Chinese using a back-translation method and subsequently validated for accuracy by specialists in the field. Analysis of the data using Hayes' PROCESS Model 6 revealed several key insights: (1) savoring belief positively influenced happiness, resilience, and meaning in life with resilience further enhancing happiness and meaning in life; (2) resilience served as a significant mediator in the relationship between savoring belief and happiness; (3) meaning in life significantly mediated the relationship between savoring belief and happiness; (4) a sequential mediation model illustrated the mediating effects of resilience and meaning in life on the relationship between savoring belief and happiness. This study illustrates that, much like a garden requires water, sunlight, and care to flourish, our happiness is cultivated through enhancing our ability to savor the good moments, rebound from challenges, and find deep significance in our lives. We can significantly boost well-being by fostering these qualities-savoring belief, resilience, and a sense of meaning. These findings are particularly relevant for educators, highlighting the critical need to develop these traits in students to promote greater happiness and fulfillment in their lives. Discussions included theoretical implications, educational implications, and avenues for future research.

Pre‐service teachers' inclination to integrate AI into STEM education: Analysis of influencing factors

AbstractIn the ever‐evolving AI‐driven education, integrating AI technologies into teaching practices has become increasingly imperative for aspiring STEM educators. Yet, there remains a dearth of studies exploring pre‐service STEM teachers' readiness to incorporate AI into their teaching practices. This study examined the factors influencing teachers' willingness to integrate AI (WIAI), especially from the perspective of pre‐service STEM teachers' attitudes towards the application of AI in teaching. In the study, a comprehensive survey was conducted among 239 pre‐service STEM teachers, examining the influences and interconnectedness of Technological Pedagogical Content Knowledge (TPACK), Perceived Usefulness (PU), Perceived Ease of Use (PE), and Self‐Efficacy (SE) on WIAI. Structural Equation Modeling (SEM) was employed for data analysis. The findings illuminated direct influences of TPACK, PU, PE, and SE on WIAI. TPACK was found to directly affect PE, PU, and SE, while PE and PU also directly influenced SE. Further analysis revealed significant mediating roles of PE, PU, and SE in the relationship between TPACK and WIAI, highlighting the presence of a chain mediation effect. In light of these insights, the study offers several recommendations on promoting pre‐service STEM teachers' willingness to integrate AI into their teaching practices. Practitioner notesWhat is already known about this topic? The potential of AI technologies to enrich learning experiences and improve outcomes in STEM education has been recognized. Pre‐service teachers' willingness to integrate AI into teaching practice is crucial for shaping the future learning environment. The TAM and TPACK frameworks are used to analyse teacher factors in technology‐supported learning environments. Few studies have been conducted for examining factors of pre‐service teachers' willingness to integrate AI into teaching practices in the context of STEM education. What this paper adds? A survey was designed and developed for exploring pre‐service STEM teachers' WIAI and its relationships with factors including TPACK, PE, PU, and SE. TPACK, SE, PU, and PE have direct impact on pre‐service STEM teachers' WIAI. SE, PU, and PE have been identified as mediating variables in the relationship between TPACK and WIAI. Two sequential mediation effects, TPACK → PE → SE → WIAI and TPACK → PU → SE → WIAI, among pre‐service STEM teachers were further identified. Implications of this study for practice and/or policy Pre‐service STEM teachers are encouraged to explore and utilize AI technology to enhance their confidence and self‐efficacy in integrating AI into teaching practices. Showcasing successful cases and practical experiences is essential for fostering awareness of AI integration in STEM education. It is recommended to introduce AI education courses in teacher training programs. Offering internship and practicum opportunities related to AI technologies can enhance their practical skills in integrating AI into education.

The influence of subjective socioeconomic status on inclination to offline collective action: a sequential mediation framework of group relative deprivation and online collective behavioral intentions

This study investigates the influence of subjective socioeconomic status (SES) on the inclination towards collective action among college students while exploring the mediating roles of group relative deprivation and intentions of online collective behavior. A sample of 250 undergraduate students from diverse Chinese universities participated in a survey, anonymously completing measures of subjective SES, group relative deprivation, intention of online collective behavior, and intention of offline collective action. Utilizing Model 6 of the SPSS PROCESS macro, the data was analyzed to examine sequential mediation effects. Results indicate a significant negative predictive relationship between SES and offline collective behavior intention (β=-0.843, p&lt;0.001). Mediation analysis reveals a sequential mediating mechanism, with SES exerting an indirect effect on offline collective behavior dispositions through group relative deprivation (β=-0.423, p&lt;0.001), further influencing the intention of online collective behavior (β=0.657, p&lt;0.01). The sequential mediation model explains 21.9% of the total effect. This study contributes to understanding the complex mechanisms underlying the impact of subjective SES on collective action intentions, emphasizing the importance of considering subjective perceptions in predicting collective behavior. These findings have implications for theoretical frameworks and practical interventions aimed at fostering collective action in various societal contexts.

Impact of Performance Expectancy on Adaptive Performance: through Serial Mediation Mechanism

Performance Expectancy has an effect on the adaptive performance of managers in small and medium-sized businesses in Pakistan. This study looks at how this expectation work together. The research also looks at how mobile usage can act as a mediator, as well as how productivity also mediates in the same way. In this study, the researchers wanted to study that how usage of mobile and productivity helps managers change their performance at work. The people this study is aimed at are managers or owners of small and medium-sized businesses (SMEs) that are listed with the Chambers of Commerce in Pakistan's major cities. As part of the full study, 406 responses were gathered, which is a 75% answer rate. Structure Equation Modeling (SEM) was used to build measurement and structure models that were used to test the theory. The findings showed that there were progressive mediators in the link between Performance expectancy and adaptive performance. There was a strong and good direct effect of performance expectation on adaptive performance. This link was also affected by sequential mediators, such as the usage and productivity. There is a positive and statistically significant link between all the variables. The study's results will help academics, the banking industry, SMEDA, and practitioners understand how important it is to use mobile devices and how performance expectation affect flexible performance. Researchers should focus on doing an empirical study in the future to look into how information quality, system quality of mobile devices, and mobile payments affect the change in the system. Small and medium-sized businesses (SMEs) and big businesses in Pakistan might be compared as part of this study.

Relationship Between Perceived Control and Job Burnout : Sequential Mediation Effect of Distress Tolerance and Emotional Dysregulation

Relationship Between Perceived Control and Job Burnout : Sequential Mediation Effect of Distress Tolerance and Emotional Dysregulation

Sequential Mediation Effects of Organizational Support and Collaboration on Missed Nursing Care.

It is necessary to find ways to mediate the relationship between role overload and missed nursing care in settings where nursing staffing is inadequate. This study aimed to identify the single and multiple sequential mediation effects of organizational support, nurse-physician collaboration, and nurse-nurse collaboration on the relationship between role overload and missed nursing care. Data were collected from 237 registered Korean nurses working in general wards in October 2022. The measures used were the modified role overload scale, nurse-physician collaboration scale, nurse-nurse collaboration scale, a short version of the Perceived Organizational Support Scale, and the modified Missed Nursing Care Scale. Data were analyzed using PROCESS macro in SPSS. A hypothesis test was performed using Model 81, proposed by Hayes, which includes serial multiple mediators. Organizational support, nurse-physician collaboration, and nurse-nurse collaboration showed a mediation effect on missed nursing care. Organizational support, nurse-physician collaboration, and nurse-nurse collaboration showed significant multiple sequential mediation effects on the relationship between role overload and missed nursing care. When the indirect effect sizes of nurse-physician collaboration were compared with those of nurse-nurse collaboration in both single and multiple sequential mediation paths, the indirect effect of nurse-physician collaboration was greater than that of nurse-nurse collaboration on the relationship between role overload and missed nursing care. As an alternative strategy to reduce missed nursing care in situations with insufficient nursing staffing, organizational support should precede nurse-physician and nurse-nurse collaboration. In particular, improving nurse-physician collaboration shows promise in mitigating missed nursing care.