PSYCHOLOGICAL STABILITY IMPACTS TOWARDS THE INTENTION TO STAY AMONG HEALTHCARE PROFESSIONALS IN MALAYSIA: AN OVERVIEW OF REVIEWS AND DEVELOPMENT OF CONCEPTUAL FRAMEWORK
DOI:
https://doi.org/10.35631/IJEPC.1163071Keywords:
Healthcare, Intention to Stay, Psychological Stability, RetentionAbstract
The healthcare industry in Malaysia encounters a pressing difficulty in retaining the healthcare practitioners, and efforts to improve this challenge would focus on increasing the employee’s intention to stay (ITS), with psychological stability playing pivotal roles in influencing employees' intention to stay. This study analyzes the impact of psychological stability which includes variables of executive functions (EF), motivation, occupational burnout (OB), occupational resilience, and personality on the healthcare professionals' intention to stay. Drawing from the Job Demand-Resource Theory, this research proposes a conceptual framework that integrates psychological factors as key determinants of workforce ITS. The research highlights the importance for healthcare organizations to enforce strategies that foster psychological well-being, and a resilient work environment. These findings provide insightful inputs to human resource management in the healthcare sector, providing practical guidance for enhancing intention to stay and encouraging dedicated personnel.
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Afek, A., Ben-Avraham, R., Davidov, A., Berezin Cohen, N., Ben Yehuda, A., Gilboa, Y., & Nahum, M. (2021). Psychological resilience, mental health, and inhibitory control among youth and young adults under stress. Frontier in Psychiatry, 11(608588), 1-12.
Álvarez-Bueno, C., Hillman, C. H., Cavero-Redondo, L., Sánchez-López, M., Pozuelo Carrascosa, D. P., & Martínez-Vizcaíno, V. (2020). Aerobic fitness and academic achievement: A systematic review and meta-analysis. Journal of Sports Sciences, 38, 582–589.
Amer, S. A. A. M., Fouad, A. M., El-Samahy, M., Anan, M., Saati, A. A., Sarhan, A. A., Alalfy, S. A., & Tawfik, M. Y. (2024). Cognitive function and work resilience of healthcare professionals: A comparative cross-sectional study. Journal of Family and Community Medicine, 31(2), 153–159.
Andersen L.L, Villadsen E & Clausen T. (2020). Influence of physical and psychosocial working conditions for the risk of disability pension among healthy female eldercare workers: Prospective cohort. Scandinavian Journal of Public Health, 2020(48), 460–467.
Bakker, A. B., & Demerouti, E. (2023). Job demands–resources theory: Frequently asked questions. Journal of Occupational Health Psychology, 28(1), 1–15.
Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. I. (2023). Job demands–resources theory: Ten years later. Annual Review of Organizational Psychology and Organizational Behavior, 10, 25–53.
Balconi, M., Angioletti, L., & Crivelli, D. (2020). Neuro-empowerment of executive functions in the workplace: The reason why. Frontiers in Psychology, 11.
Bamonti, P. M., Smith, A., & Smith, H. M. (2022). Cognitive emotion regulation strategies predict burnout in geriatric nursing staff. Journal of Clinical Gerontology and Geriatrics, 45, 1236–1244.
Bardoel, E. A., & Drago, R. (2021). Acceptance and strategic resilience: an application of conservation of resources theory. Group Organizational Management, 46(4).
Barrick, M. R., Mount, M. K., & Li, N. (2013). The theory of purposeful work behavior: the role of personality, higher-order goals, and job characteristics. Academy of Management Review, 38(1), 132–153.
Bell, M., & Sheridan, A. (2020). How organisational commitment influences nurses' intention to stay in nursing throughout their career. International Journal of Nursing Studies Advances, 1-12.
Beno, A., Hensing, G., Lindegård, A., & Jonsdottir, I. H. (2021). Self-reported changes in work situation – a cross-sectional study of patients 7 years after treatment for stress-related exhaustion. BMC Public Health, 21(1), 1-11.
Bibi, P., Ahmad, A., & Majid, A. H. A. (2018). The impact of training and development and supervisor support on employees retention in academic institutions: the moderating role of work environment. Gadjah Mada International Journal Business, 20, 113–131.
Boichuk, J. P., Bommaraju, R., Ahearne, M., Kraus, F., & Steenburgh, T. J. (2019). Managing laggards: The importance of a deep sales bench. Journal of Marketing Research, 56(2), 1-40.
Boudreau, J. W., Boswell, W. R., Judge, T. A., and Bretz, R. D., (2001). Personality and cognitive ability as predictors of job search among employed managers. Personality Psychology, 54, 25–50.
Brandt, N. D., Israel, A., Becker, M., & Wagner, J. (2021). The joint power of personality and motivation dynamics for occupational success: Bridging two largely separated fields. European Journal of Personality, 35(4), 480–509.
Brooks, C., Sangiorgi, I., Saraeva, A., Hillenbrand, C., & Money, K. (2023). The importance of staying positive: The impact of emotions on attitude to risk. International Journal of Finance & Economics, 28(3), 3232–3261.
Buchan, J. (2010) Reviewing the benefits of health workforce stability. Human Resources for Health, 8(1), 1-5.
Cano-López, I., Pérez, M. I., & Puig-Pérez, S. (2023). Burnout is related to executive dysfunction in primary healthcare professionals working in rural areas. Revista de Neurologia, 76(3), 91–99.
Chen, C., & Jiang, J. (2022). How Workload Influences Conflict with Team Members: The Perspective of Conservation of Resources Theory. Frontiers in Business, Economics and Management, 5(3), 128-132.
Chen, X., Han, B., Xu, F. X., &Li, Q. P. (2020). Current situation and influencing factors of mental toughness of nurses in China. Nursing Management China, 20, 1845–1849.
Chmielewska, M., Stokwiszewski, J., Filip J., & Hermanowski, T. (2020). Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland. BMC Health Services Research, 20, 1–12.
Cooper, C., & Cooper, C. (2020). Individual Differences and Personality (4th ed.). Routledge.
Deci, E. L., & Ryan, R. M. (2013). Intrinsic Motivation and Self-Determination in Human Behavior. New York, NY: Springer Science & Business Media.
Demerouti, E. (2024). Burnout: a comprehensive review. Zeitschrift für Arbeitswissenschaft, 78, 492–504.
Demerouti, E., Bakker, A. B., Nachreiner, F., & Schaufeli, W. (2001). The Job Demands–Resources Model of burnout. Journal of Applied Psychology, 86, 499-512.
Dessler, G. (2016). Fundamentals of Human Resource Management. Boston, MA: Pearson.
Doan, T., Kanjanakan, P., Zhu, D., Kim, P.B., (2021). Consequences of employee personality in the hospitality context: a systematic review and meta-analysis. International Journal of Contemporary Hospitality Management, 33(10), 3814–3832.
Doebel, S. (2020). Rethinking executive function and its development. Perspectives on Psychological Science, 15(4), 942–956.
Dong, M., Zhou, F. C., Xu, S. W., Zhang, Q., Ng, C. H., Ungvari, G. S., & Xiang, Y. T. (2020). Prevalence of suicide-related behaviors among physicians: A systematic review and meta-analysis. Suicide Life Threat Behavior, 50, 1264–1275.
Dunning, D., Heath, C., and Suls, J. M. (2018). Reflections on self-reflection: contemplating flawed self-judgments in the clinic, classroom, and office cubicle. Perspectives on Psychological Science, 13, 185–189.
El-Menyar, A., Ibrahim, W. H., El Ansari, W., Gomaa, M., Sathian, B., Hssain, A. A., Wahlen, B., Nabir, S., & Al-Thani, H. (2021). Characteristics and predictors of burnout among healthcare professionals: A cross-sectional study in two tertiary hospitals. Postgraduate Medical Journal, 97, 583–589.
Epstein, R. M., & Privitera, M. R. (2017). Physician burnout is better conceptualised as depression – authors’ reply. The Lancet, 389(10077), 1398.
Ewen, R. B. (2010). An introduction to theories of personality (7th ed.). New York, NY: Psychology Press.
Falatah, R. (2021). The impact of the coronavirus disease (COVID-19) pandemic on nurses’ turnover intention: An integrative review. Nursing Reports, 11(4), 787–810.
Farahat, S. A., Amin, O. R., Hamdy, H. S., & Fouad, M. M. (2022). The impact of work-related stress on the cognition domain of executive functioning of health care workers during the COVID-19 pandemic. International Archives of Occupational and Environmental Health, 95(5), 1079–1090.
Feller, L., Feller, G., Ballyram, T., Chandran, R., Lemmer, J., & Khammissa, R. A. G. (2020). Interrelations between pain, stress and executive functioning. British Journal of Pain, 14(3), 188–194
Fischetti, F., Pepe, I., Greco, G., Ranieri, M., Poli, L., Cataldi, S., & Vimercati, L. (2024). Ten-minute physical activity breaks improve attention and executive functions in healthcare workers. Journal of Functional Morphology and Kinesiology, 9(102), 1-13.
Fleming, K. A., Heintzelman, S. J., & Bartholow, B. D. (2016). Specifying associations between conscientiousness and executive functioning: Mental set shifting, not prepotent response inhibition or working memory updating. Journal of Personality, 84, 348-360.
Flinn, F., & Armstrong, C. (2011). Junior doctors’ extended work hours and the effects on their performance: the Irish case. International Journal for Quality in Health Care, 23(2), 210–217.
Förster, C., Füreder, N., & Hertelendy, A. (2023). Why time matters when it comes to resilience: how the duration of crisis affects resilience of healthcare and public health leaders. Public Health, 215, 39–41.
Galanakis, E., & Tsitouri, M. (2022). Positive psychology in the working environment: Job demands–resources theory, work engagement and burnout—A systematic literature review. Frontiers in Psychology, 13, 1-12.
Głębocka, A. (2019). Stress and dehumanizing behaviors of medical staff toward patients. Advances in Experimental Medicine and Biology, 1133, 97-104.
Glise, K., Wiegner, L.,& Jonsdottir, I. H.(2020). Long-term follow-up of residual symptoms in patients treated for stress-related exhaustion. BMC Psychology, 8(1), 26.
Good, V., Hughes, D. E., & LaBrecque, A. C. (2021). Understanding and motivating salesperson resilience. Marketing Letters, 32(1), 33–45.
Grochowska, A., Gawron, A., & Bodys-Cupak, I. (2022). Stress-inducing factors vs. the Risk of occupational burnout in the work of nurses and paramedics. International Journal of Environmental Research and Public Health, 19(9), 1-15.
Halid, H., Kee, D. M. H., & Rahim, N. F. A. (2024). Perceived human resource management practices and intention to stay in private higher education institutions in Malaysia: The role of organizational citizenship behaviour. Global Business Review, 25(1), 162-179.
Hall, P. A., & Fong, G. T. (2013). Conscientiousness versus executive function as predictors of health behaviors and health trajectories. Annals of Behavioral Medicine, 45(3), 398-399.
Hartzband, P., & Groopman, J. (2020). Physician burnout, interrupted. The New England Journal of Medicine, 382, 2485–2487.
Hayes, L. J., O’Brien-Pallas, L., Duffield, C., Shamian, J., Buchan, J., Hughes, F.,
Herzberg, F., Mausner, B., & Snydermann, B. (1959). The motivation to work. New York: Wiley.
Jarzynkowski, P., Piotrkowska, R. Medrzycka-Dabrowska, W., & Ksiazek, J. (2021). Areas of work life as predictors of occupational burnout of nurses and doctors in operating theaters in Poland-multicenter studies. Healthcare, 10(1), 26.
Jin, M. H., & Lee, M. Y. (2012). The effects of autonomy, experience, and person- organization fit on job satisfaction: The case of public sector. The International Journal of Social Sciences, 6(1), 18–44.
Johanim, J., Fee Yean, T., Adnan, Z., Yahya, K., Yahya, D., & Nassruddin, M. (2012). Promoting employee intention to stay: Do human resource management practices matter? International Journal of Economics and Management, 6, 396–416.
Johnson, A.R., Jayappa, R., James, M., Kulnu, A., Kovayil, R., & Joseph, B., (2020). Do low self-esteem and high stress lead to burnout among health-care workers? Evidence from a tertiary hospital in Bangalore, India. Safety and Health at Work, 11, 347–352.
Judge, T. A., & Zapata, C. P. (2015). The person-situation debate revisited: Effect of situation strength and trait activation on the validity of the big five personality traits in predicting job performance. Academy of Management Journal, 58(4), 1149–1170.
Jurij, R., Rosnita Ismail, I., & Alavi, K. (2021). Turnover intention among aged care workers and retention strategies: A scoping review. Proceeding of the 8th International Conference on Management and Muamalah, (pp. 538-550), The International Conference on Management and Muamalah (ICoMM).
Kamali, M., Azizi, M., Moosazadeh, M., Mehravaran, H., Ghasemian, R., Reskati, M. H., & Elyasi, F. (2022). Occupational burnout in Iranian health care workers during the COVID-19 pandemic. BMC Psychiatry, 22(1), 1-11.
Karaferis, D., Aletras, V., Raikou, M., & Niakas, D. (2022). Factors influencing motivation and work engagement of healthcare professionals. Materia Socio-Medica, 34(3), 216–224.
Karstad, K., Jørgensen, A. F. B., & Greiner, B. A. (2018). Danish observational study of eldercare work and musculoskeletal disorders (DOSES): A prospective study at 20 nursing homes in Denmark. BMJ Open, 8(2).
Kemie, S. S., & Purba, S. D. (2019). Efek mediasi kepuasan kerja pada pengaruh keterikatan kerja dan manajemen karir terhadap keinginan untuk tetap tinggal di dalam organisasi (studi terhadap para pengajar di Akademi ATCKR). Jurnal Ekonomi Manajemen- Akuntansi, 15(1), 177-194.
Khairana, S., Priatna, S., & Emilisa, N. (2024). Employee engagement sebagai mediator positive emotions dan exhaustion terhadap intention to stay. SOLUSI: Jurnal Ilmiah Bidang Ilmu Ekonomi, 22(4), 480-498.
Khammissa, R. A. G., Nemutandani, S., Shangase, S. L., Feller, G., Lemmer, J., & Feller, L. (2022). The burnout construct with reference to healthcare providers: A narrative review. SAGE Open Medicine, 10, 1-9.
Kim, S. H., Kim, M., & Holland, S. (2020). Effects of intrinsic motivation on organizational citizenship behaviors of hospitality employees: The mediating roles of reciprocity and organizational commitment. Journal of Human Resources in Hospitality & Tourism, 19, 168–195.
Klein, A., Taieb, O., Xavier, S., Baubet, T., & Reyre, A. (2020). The benefits of mindfulness-based interventions on burnout among health professionals. A Systematic Review, 16(1), 35-43.
Kundu, S., Gaba, N., & Gahlawat, N. (2016). Effects of emotional dissonance and display of positive emotions on employees intentions to quit: A study of Indian Service Firms. IITM, Journal of Management and IT, 7, 3–11.
Laborde S, Allen MS, Katschak K, Mattonet K, & Lachner N. (2020). Trait personality in sport and exercise psychology: a mapping review and research agenda. International Journal of Sport and Exercise Psychology, 18(6), 701–716.
Lacombe, M. K., Tanzini, E., Yali, A. M., & O’Neill, S. (2021). Executive functioning and the pursuit of happiness. Learning and Motivation, 76, 1-22.
Lambrou, P., Kontodimopoulos, N., & Niakas, D. (2010). Motivation and job satisfaction among medical and nursing staff in a Cyprus public general hospital. Human Resource for Health, 8(26), 1-9.
Laschinger, H. K. S., & North, N. (2012). Nurse turnover: A literature review – an update. International Journal of Nursing Studies, 49(7), 887–905.
Liaqat, A., Muslim, F., Sajid, H., & Asim, J. (2023). Factors affecting intention to stay: A case of healthcare workers. Journal of ISOSS, 9(1), 309-321.
Lotfi, M., Akhuleh, O. Z., Judi, A., & Khodayari, M. (2022). Turnover intention among operating room nurses during the COVID-19 outbreak and its association with perceived safety climate. Perioperative Care and Operating Room Management, 26, 1-7.
Mahlamäki, T., Rintamäki, T., & Rajah, E. (2019).The role of personality and motivation on key account manager job performance. Industrial Marketing Management. 83, 174–184.
McCrae, R. R., & Costa, P. T., Jr. (2008). The Five-Factor Theory of personality. In O. P. John, R. W. Robins, & L. A. Pervin (Eds.), Handbook of personality: Theory and research (3rd ed., pp. 159–181). Guilford Press.
Meinhardt-Injac, B., Daum M. M., & Meinhardt, G. (2020). Theory of mind development from adolescence to adulthood: Testing the two-component model. British Journal of Developmental Psychology, 38(2), 289-303.
Miao, C. F., Evans, K. R., & Shaoming, Z. (2007). The role of salesperson motivation in sales control systems—Intrinsic and extrinsic motivation revisited. Journal of Business Research, 60(5), 417-425.
Moon, T. W., Hur, W. M., & Hyun, S. S. (2019). How service employees’ work motivations lead to job performance: The role of service employees’ job creativity and customer orientation. Current Psychology, 38(2), 517–532.
Moussa, S., Achkouty, I., Malaeb, D., Ghosn, A., Obeid, S., & Hallit, S. (2023). Personality traits and perceived cognitive function in lebanese healthcare professionals. BMC Psychology, 11(1), 1-7.
Murdock, K. W., Oddi, K. B., & Bridgett, D. J. (2013). Cognitive correlates of personality links between executive functioning and the big five personality traits. Journal of Individual Differences, 34(2), 97–104.
Murphy, L., Eduljee, N. B., Croteau, K., & Parkman, S. (2017). Extraversion and introversion personality type and preferred teaching and classroom participation: A pilot study. Journal of Psychosocial Research, 12(2), 429-442.
Narayanasami, S., Joseph, M. S., & Parayitam, S. (2024). Disentangling the relationship between Big-Five personality characteristics and work engagement: Evidence from India. Environment and Social Psychology, 9(1), 1-14.
Nasurdin, A. M., Tan, C. L., & Khan, S. N. (2020). The impact of social support on nurses’ motivation: A cross-sectional study in Malaysia. Asia-Pacific Journal of Public Health, 32(8), 430–435.
Nei, D., Snyder, L. A., & Litwiller, B. J. (2015). Promoting retention of nurses. Health Care Management Review, 40(3), 237–253.
Okuda, Y., Iwasaki, S., Deguchi, Y., Nitta, T., Mitake, T., Sakaguchi, A., Niki, A., & Inoue, K. (2020). Burnout and occupational stressors among non-medical occupational health staff. Occupational Medicine, 70, 45–51.
Oudeyer, P. Y., & Kaplan, F. (2009). What is intrinsic motivation? A typology of computational approaches. Frontiers in Neurorobotics, 1(6), 1-14.
Panagioti, M., Panagopoulou, E., Bower, P., Lewith, G., Kontopantelis, E., Chew-Graham, C., Dawson, S., van Marwijk, H., Geraghty, K., & Esmail, A. (2017). Controlled interventions to reduce burnout in physicians: A systematic review and meta-analysis. JAMA Internal Medicine, 177, 195–205.
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V. G., Papoutsi, E., & Katsaounou, P. (2021). Job demands and resources among healthcare workers: A JD–R perspective. International Journal of Environmental Research and Public Health, 18(7), 3435.
Patel, R. S., Sekhri, S., Bhimanadham, N. N., Imran, S., & Hossain, S. (2019). A review on strategies to manage physician burnout. Cureus, 11(6).Planning Division of Health Informatics Centre, Ministry of Health Malaysia. (2024). Health Facts 2024. Ministry of Health Malaysia. Retrieved from https://www.moh.gov.my/moh/resources/Penerbitan/Penerbitan%20Utama/HEALTH%20FACTS/Health_Facts_2024.pdf
Presenza, A., Abbate, T., Meleddu, M., & Sheehan, L. (2020). Start-up entrepreneurs’personality traits. An exploratory analysis of the Italian tourism industry. Current Issues Tour, 23(17), 2146–2164.
Psychiatrica Scandinavica, 128, 3–20.Sandhåland, H., Oltedal, H. A., Hystad, S. W., & Eid, J. (2017). Effects of leadership style and psychological job demands on situation awareness and the willingness to take a risk: a survey of selected offshore vessels. Safety Science, 93, 178-186.
Pu, J., Wang, W., Li, G., Xie, Z., Fan, X., Zhan, N., Xu, Y., & Huang, H. (2024). Psychological resilience and intention to stay among nurses: the mediating role of perceived organizational support. Frontiers in Psychology, 15, 1-8.
Raman, R., & Shaangari, S. (2024). The reasons for staying when so many depart: an exploratory study of junior hospital doctors’ intentions to stay in Ireland. University College Cork.
Renard, M., & Snelgar, R. J. (2016). How can work be designed to be intrinsically rewarding? Qualitative insights from South African non-profit employees. SA Journal of Industrial Psychology/SA Tydskrif vir Bedryfsielkunde, 42(1), 1-12.
Rigoni, D., Demanet, J., & Sartori, G. (2015). Happiness in action: the impact of positive affect on the time of the conscious intention to act. Frontiers in Psychology, 6.
Rudwan, S., & Alhashimia, S. (2018). The relationship between resilience & mental health among a sample of university of nizwa students-sultanate of Oman. European Scientific Journal, 14(2), 288–303.
Rutten, B. P. F., Hammels, C., Geschwind, N., Menne-Lothmann, C., Pishva, E., Schruers, K., Van den Hove, D., Kenis, G., van Os, J., & Wichers, M. (2013). Resilience in mental health: linking psychological and neurobiological perspectives. Acta
Santoso, A. B., & Yuliantika, R. (2022). Pengaruh kepuasan kerja dan kompensasi terhadap intention to stay. Jurnal Ilmiah Manajemen, Ekonomi, & Akuntansi (MEA), 6(3), 1407–1422.
Sariraei, S. A., Shkoler, O., Giamos, D., Chênevert, D., Vandenberghe, C., Tziner, A., & Vasiliu, C. (2024). From burnout to behavior: the dark side of emotional intelligence on optimal functioning across three managerial levels. Frontiers in Psychology, 15, 1-24.
Saylik, R., Szameitat, A. J., & Cheeta, S. (2018). Neuroticism related differences in working memory tasks. PLOS One, 13(12).
Shariati, A., Nasiri, F., & Rahmani, F. (2024). Comparison of executive functions in people with high and low resilience. Journal of Psychiatric Research, 179, 238–243.
Shin, J., & Grant, A. M. (2019). Bored by interest: How intrinsic motivation in one task can reduce performance on other tasks. Academic Management Journal, 62, 415–436.
Sowunmi, O. A. (2022). Job satisfaction, personality traits, and its impact on motivation among mental health workers. South African Journal of Psychiatry, 28(0), 1-7.
Spielmann, J., Beavan, A., & Mayer, J. (2023). The relationship of personality and executive functions in high-level soccer athletes: expertise-and gender-specific differences. Frontiers in Sports and Active Living, 5, 1-10.
Taranu, S. M., Ilie, A. C., Turcu, A. M., Stefaniu, R., Sandu, I. A., Pislaru, A. I., Alexa, I. D., Sandu, C. A., Rotaru, T. S., & Alexa-Stratulat, T. (2022). Factors associated with burnout in healthcare professionals. International Journal of Environmental Research and Public Health, 19(22), 1-13.
Troy, A. S., Willroth, E. C., Shallcross, A. J., Giuliani, N. R., Gross, J. J., & Mauss, I. B. (2023). Psychological resilience: an affect-regulation framework. Annual Review Psychology, 74, 547–576.
Turjeman‑Levi, Y., Itzchakov, G., & Engel‑Yeger, B. (2024). Executive function deficits mediate the relationship between employees’ ADHD and job burnout. AIMS Public Health, 11(1), 294–314.
Wang, F., Zhang, Z., & Shi, W. (2024). The impact of work–leisure facilitation on employees’turnover intentions: the perspective of positive emotions. Chinese Management Studies, 18(3), 714–733.
Wu T.-Y., Fox D. P., Stokes C., & Adam C. (2012). Work-related stress and intention to quit in newly graduated nurses. Nurse Education Today, 32(6), 669–674.
Xiao, L. D, Harrington, A., Mavromaras, K., Ratcliffe, J., Mahuteau, S., Isherwood, L., & Gregoric, C. (2021). Care workers' perspectives of factors affecting a sustainable aged care workforce. International Nursing Review, 68(1), 49-58.
Xing, L., 2020. Differential influence of executive function on resilience in adolescence and emerging adulthood [Doctoral Dissertation, University of Macau
Yilmaz, S., & Kafadar, H. (2022). Decision-making under stress: Executive functions, analytical intelligence, somatic markers, and personality traits in young adults. Applied Neuropsychology Adult. 1-14.
Yu, J., Park, J., & Hyun, S. S. (2021). Impacts of the COVID-19 pandemic on employees’ work stress, well-being, mental health, organizational citizenship behavior, and employee-customer identification. Journal of Hospitality Marketing & Management, 30(5), 529–548.
Yuan, M., Cai, W. X., Yin, Z. K., Huo, Y. M., Jinju, S., and Zhang, H. X. (2022). Qualitative study on nurses' demand for professional environment support related to mental toughness. Nursing Management China, 22, 904–908.
Zambrano-Chumo, L., & Guevara, R. (2024). Psychological capital and turnover intention: The mediating role of burnout among healthcare professionals. International Journal of Environmental Research and Public Health, 21(2), 185.
Zawawi, A. A., Khalid, N. D. A., Jamil, N. H. M., & Halim, F. W. (2023). Assessing the influence of organizational communication and management on healthcare employee performance: Evidence from Northern Malaysia. Malaysian Journal of Public Health Medicine, 23(2), 79-87.
Zweig, D., & Webster, J. (2004). What are we measuring? An examination of the relationships between the big-five personality traits, goal orientation, and performance intentions. Personality and Individual Differences, 36(7), 1693–1708
