Journal of Nursing

Decision Difficulty, Work-Family Conflict, and Social Support for Chinese Nurses in Guangzhou after the Two-Child Policy

Xiayin Jian, Meiling Huang, Thomas KS Wong, Jing Hu, Yingchun Zeng

Abstract


Background: Although mainland China implemented a two-child policy (every legally married may have two children) on January 1, 2016, women in China are becoming increasingly cautious in their decision-making about family planning, due to work-family conflicts and a lack of social support. 

Objective: The aim of this study was to investigate Chinese nurses' intents to have a second child, and to explore the relationship between decision making difficulties in terms of childbearing intents, work-family conflict, and social support for Chinese nurses.

Methods: Data were collected at three different hospital levels in four districts of Guangzhou, from 711 nurses of childbearing age (18-50 years) who had had at least one child. A structured questionnaire was used, composed of the Decisional Conflict Scale (DCS), Work-Family Conflict Scale (WFCS), and Scale of Perceived Social Support (SPSS).

Results: Participants’ mean age was 33.6 years (18-50). The mean scores of decisional conflict by DCS, work-family conflict by WFCS and perceived social support by SPSS were 40.9 (SD = 14.8), 55.83 (SD = 15.18) and 57.85 (SD = 15.77), respectively. Work-family conflict was positively correlated with decisional conflict (P < 0.01), and social support was negatively related to decisional conflict (P < 0.01). By logistic regression analysis, family interference with work (FIW), especially time-based FIW, was a significant predictor of nurses having decisional conflicts in their childbearing intents (OR=1.083, 95% CI: 1.045 to 1.123). Perceived social support was another significant predictor of decisional difficulty (OR=0.981, 95% CI: 0.970 to 0.992).

Discussion: This study found that female nurses, working night shifts and with temporary job contract had higher decisional conflicts in intents of having a second child. The results showed that for Chinese nurses, work-family conflict influences decisional conflicts about having a second child.  

More importance should be attached to fulfill nurse’s needs of bearing children.


Keywords


Decisional conflict, Social support, Two-child policy, Work-family conflict

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References


Brabers, A. E., de Jong, J. D., Groenewegen, P. P., & van Dijk, L. (2016). Social support plays a role in the attitude that people have towards taking an active role in medical decision-making. BMC Health Service Research, 16(1), 502. doi: 10.1186/s12913-016-1767-x.

Begall, K., & Mills, M. (2011). The Impact of Subjective Work Control, Job Strain and Work–Family Conflict on Fertility Intentions: a European Comparison. European Journal of Population, 27(4), 433–456. http://doi.org/10.1007/s10680-011-9244-z.

Berkman, L. F., Liu, S. Y., Hammer, L., Moen, P., Klein, L. C., Kelly, E.,... Buxton, O. M. (2015). Work-family conflict, cardiometabolic risk, and sleep duration in nursing employees. Journal of Occupational Health Psychology, 20(4), 420-433. doi: 10.1037/a0039143.

Carlson, D. S., Kacmar, K. M., & Williams, L. J. (2000). Construction and initial validation of a multi-demensional measure of work–family conflict. Journal of Vocational Behavior, 56(2), 249-276.

Chen, C. R., Chen, C. P., Zhao, S. S., & Duan, G. X. (2010). Investigation and analysis in nurse’s work-family conflict status. Chinese Journal of Nursing, 45(7), 629-631.

China Statistical Year Book. (2016). Population: Birth rate, death rate and natural rate of growth. National Bureau of Statistics of the People’s Republic of China, Retrieved from http://www.stats.gov.cn/tjsj/ndsj/2016/indexch.htm.

China Statistical Year Book. (2017). population: Population age structure and dependency ratio. National Bureau of Statistics of the People’s Republic of China, Retrieved from http://www.stats.gov.cn/tjsj/ndsj/2017/indexch.htm.

Feng, X. T. & Li, F. (2016). Have one more child? Fertility intention and Age structure of people who already had one child in city. Ideological Front, 42(1), 88-95.

Ghislieri, C., Gatti, P., Molino, M., & Cortese, C. G. (2017). Work-family conflict and enrichment in nurses: between job demands, perceived organisational support and work-family backlash. Journal of Nursing Management, 25(1), 65-75. doi: 10.1111/jonm.12442

Hao, J., Wu, D., Liu, L., Li, X., & Wu, H. (2015). Association between Work-Family Conflict and Depressive Symptoms among Chinese Female Nurses: The Mediating and Moderating Role of Psychological Capital. International Journal of Environmental Research and Public Health, 12(6), 6682-6699. doi: 10.3390/ijerph120606682

Huang, L., & Jiang, Q, J. (1996). Research on the correlation between social support and psychosomatic symptoms of cancer patients. Chinese journal of mental health, (4), 160-161.

Leineweber, C., Westerlund, H., Chungkham, H. S., Lindqvist, R., Runesdotter, S.,... Tishelman, C. (2014). Nurses' practice environment and work-family conflict in relation to burn out: a multi-level modelling approach. PLoS One, 9(5), e96991. doi: 10.1371/journal.pone.0096991

Liu, Y. S. (2016). Study on the phenomenon of the decline in the intention of the second child among 80s women under the two-child policy. Master’s Dissertation, Tianjin Normal University. Retrieved from http://www.cnki.net/KCMS /detail/detail.aspx?FileName=1016107815.nh&DbName=CMFD2016 Available from CNKI: Master’s dissertation.

Liu, Y., Wang, M., Chang, C. H., Shi, J., Zhou, L.,... Shao, R. (2015). Work-family conflict, emotional exhaustion, and displaced aggression toward others: the moderating roles of workplace interpersonal conflict and perceived managerial family support. Journal of Applied Psychology, 100(3), 793-808. doi: 10.1037/a0038387

Lu, Y., Hu, X. M., Huang, X. L., Zhuang, X. D., Guo, P., Feng, L. F.,... Hao, Y. T. (2016). Job satisfaction and associated factors among healthcare staff: a cross-sectional study in Guangdong Province, China. BMJ Open, 6(7), e11388. doi: 10.1136/bmjopen-2016-011388

McTernan, W. P., Dollard, M. F., Tuckey, M. R., & Vandenberg, R. J. (2016). Enhanced Co-Worker Social Support in Isolated Work Groups and Its Mitigating Role on the Work-Family Conflict-Depression Loss Spiral. . International Journal of Environmental Research and Public Health, 13(4), 382. doi: 10.3390/ijerph13040382

Miller, W. B., & Pasta, D. J. (1995). Behavioral intentions: which ones predict fertility behavior in married couples? . Journal of Applied Social Psychology, 25(6), 530–555.

Warren B. Miller, & David J. Pasta. (1995). How does childbearing affect fertility motivations and desires?. Soc Biol, 42(3-4), 185-198.

Nutzi, M., Koch, P., Baur, H., & Elfering, A. (2015). Work-Family Conflict, Task Interruptions, and Influence at Work Predict Musculoskeletal Pain in Operating Room Nurses. Safety and Health at Work, 6(4), 329-337. doi: 10.1016/j.shaw.2015.07.011

O’Connor, A. M. (2010). User manual—Decisional Conflict Scale. Retrieved from http://decisionaid. ohri.ca/ docs/develop/ User_Manuals/UM_Decisional_Sonflect.pdf

Quinn, P. (2016). A Grounded Theory Study of How Nurses Integrate Pregnancy and Full-Time Employment: Becoming Someone Different. Nursing Research, 65(3): 170-8. doi: 10.1097/NNR.0000000000000157.

Rahman, H. A., Abdul-Mumin, K., & Naing, L. (2016). A study into psychosocial factors as predictors of work-related fatigue. British Journal of Nursing, 25(13), 757-763. doi: 10.12968/bjon.2016.25.13.757

Ravangard, R., Yasami, S., Shokrpour, N., Sajjadnia, Z., & Farhadi, P. (2015). The Effects of Supervisors' Support and Mediating Factors on the Nurses' Job Performance Using Structural Equation Modeling: A Case Study. Health Care Management (Frederick), 34(3), 265-276. doi: 10.1097/HCM.0000000000000068

Katie Lee, S. Y., & Knobf, M. T. (2015). Primary breast cancer decision-making among chinese american women: satisfaction, regret. Nursing Research, 64(5), 391.

Unruh, L. Y., Raffenaud, A., & Fottler, M. (2016). Work-Family Conflict Among Newly Licensed Registered Nurses: A Structural Equation Model of Antecedents and Outcomes. Journal of Healthcare Management, 61(2), 129-145

Wang, Y., Chang, Y., Fu, J., & Wang, L. (2012). Work-family conflict and burnout among Chinese female nurses: the mediating effect of psychological capital. BMC Public Health, 12, 915. doi: 10.1186/1471-2458-12-915

Wang, F. (2015). China’s Long Road toward Recognition of Below-Replacement Fertility[A]. Ronald R Rindfuss & Min-ja_Kim_Choe (edited). Low and Lower Fertility Variations across Developed Countries[C].Springer.

Yong, L., Hu, X. M., Huang, X. L., Zhuang, X. D., Pi, G., & Feng, L. F., et al. (2016). Job satisfaction and associated factors among healthcare staff: a cross-sectional study in Guangdong province, China. BMJ Open,6(7), e011388.

Zhang, L. P., & Wang, G. Z. (2015). Study on fertility intention and plan of the second child among Chinese of childbearing age. Population and Economy (6), 43-51.

Zhao, L. (2015). Study on fertility intention among urbanite after adjustment of the two-child policy. Master’s dissertation, Heilongjiang Academy of Social Sciences. Retrieved from http://www.cnki.net/KCMS/ detail/d etail. aspx?FileName=1015623968.nh&DbName=CMFD2016 Available from CNKI: Master’s dissertation

Zhang, H. M. (2007). Study on the influencing factors of work-family conflict in high school teachers. (Doctoral dissertation, Capital Normal University).

Zhang. R., & He. D. M. (2014). Study on the current situation and countermeasures of nursing human resources in tertiary hospitals in guangdong province. Chinese Hospital Management, 34(8), 76-78.

Zhao, X. (2011). Study on relationship between work-family conflict and job satisfaction among nurses. Master’s dissertation, Yanbian University. Retrieved from http://www.cnki.net/KCMS/detail/detail.aspx?FileName=1011245452.nh&DbName=CMFD2012 Available from CNKI: Master’s dissertation

Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 55(3-4), 610-617. doi: 10.1080/00223891.1990.9674095.




DOI: http://dx.doi.org/10.18686/jn.v7i1.142

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