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Southern Illinois University

Examining the Effects of Mindfulness on the Relationships between Citizenship Pressure, Job Stress, and Turnover Intentions within Healthcare: A Moderated Mediation Model

Abstract

dc:description.abstract

Due to its negative relation with turnover and the associated costs, job stress is a growing concern within the healthcare industry. By surveying 461 employees of a large Midwestern healthcare system, the present study evaluated perceptions of citizenship pressure (perceived pressure to engage in extra-role job duties) and examined its relationship with job stress and turnover intentions. The sample consisted of direct and indirect patient care providers and was predominately White, females who worked full-time. Hierarchical multiple regression analyses indicated that job stress partially mediates the direct relationship between citizenship pressure and turnover intentions. Specifically, healthcare workers experience job stress and desire leaving positions that make them feel that simply fulfilling their formally prescribed job duties is not enough to be seen as a good employee. Drawing from the theoretical model of psychological resilience, the current study also examined whether employees’ level of trait mindfulness (tendency to focus on experiences without judgment) moderates the identified mediation. Findings from a first- and second-stage moderated mediation analysis suggested that trait mindfulness does not buffer the negative outcomes (i.e., job stress, turnover intentions) associated with citizenship pressure within the healthcare industry. Despite the non-significant results related to mindfulness, significant negative relationships were found between trait mindfulness and each key construct (i.e., citizenship pressure, job stress, turnover intentions). Such findings demonstrate the potential relevance of trait mindfulness in promoting employee resilience within the workplace. Results also contribute to the citizenship pressure literature and highlight the need for additional research, especially within the healthcare industry.

Degree

thesis:*
Name thesis:degree_name
Doctor of Philosophy
Level thesis:degree_level
Campus Only Dissertation
Discipline thesis:degree_discipline
Psychology
Year
2017

Author and committee

dc:creator, dc:contributor.*
Author dc:creator
  • Gilson, Nicole Louise
Contributors dc:contributor
  • Komarraju, Meera

Subjects

dc:subject × 5

Identifiers

dc:identifier.*
Repository record dc:identifier
https://opensiuc.lib.siu.edu/dissertations/1440
OAI identifier oai:identifier
oai:opensiuc.lib.siu.edu:dissertations-2444

Chain of custody

source
Harvested from
Southern Illinois University
Base URL
opensiuc.lib.siu.edu/do/oai/
Last updated
2026-07-24
Source record
OAI-PMH GetRecord
citation

Gilson, Nicole Louise. Examining the Effects of Mindfulness on the Relationships between Citizenship Pressure, Job Stress, and Turnover Intentions within Healthcare: A Moderated Mediation Model. Campus Only Dissertation thesis, 2017. https://opensiuc.lib.siu.edu/dissertations/1440