Browse > Article
http://dx.doi.org/10.1016/j.shaw.2020.03.006

Moderated Mediation Effect of Mindfulness on the Relationship Between Muscular Skeletal Disease, Job Stress, and Turnover Among Korean Firefighters  

Lee, Jong-Hyun (Social Science Research Institute, College of Social Sciences, Ajou University)
Lee, Jaeeun (Department of Adult Learning and Counselling, Sangji University)
Lee, Kyung-Sun (Department of Industrial Health, Catholic University of Pusan)
Publication Information
Safety and Health at Work / v.11, no.2, 2020 , pp. 222-227 More about this Journal
Abstract
Background: This study investigated the effect of increased job stress, caused by musculoskeletal disease (MSD) among firefighters, on a firefighter's intention to leave the profession, henceforth referred to as "turnover intention," and verified the moderating effect of mindfulness on such a relationship. Methods: A survey involving a total of 549 Korean male firefighters as participants was conducted herein, and the following results were obtained: the mediation effect of the MSD to turnover intention through job stress was confirmed, and the indirect effect of job stress was verified. Results: We verified the moderated mediation effect of mindfulness on the relation:MSD, job stress, and turnover intention. The conditional indirect effect for middle and high levels of mindfulness is significant. Conclusion: The result of this study is supported by proofs of the relationship between a firefighter's MSD, job stress, and turnover intention, and these case studies reveal the moderated mediation effect of dispositional mindfulness.
Keywords
Firefighter; Job stress; Mindfulness; Moderated mediation effect; Musculoskeletal disease;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Szubert Z, Sobala W. Work-related injuries among firefighters: sites and circumstances of their occurrence. Int J Occup Med Environ Health 2002;15:49-55.
2 Adisesh A. Musculoskeletal disorders. In: The proceedings of ILO international Safety and Health conference 2013. Available from: https://www.ilo.org/safework/events/conferences/WCMS_232617/lang-en/index.htm; 2013.
3 National Institute for Occupational Safety and Health. Criteria for a recommended standard: occupational noise exposure: revised criteria. US Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention; 1998.
4 Carayon P, Smith MJ, Haims MC. Work organization, job stress, and workrelated musculoskeletal disorders. Hum Factor. 1999;41:644-63.   DOI
5 Joksimovic L, Starke D, vd Knesebeck O, Siegrist J. Perceived work stress, overcommitment, and self-reported musculoskeletal pain: across-sectional investigation. Int J Behav Med 2002;9:122-38.   DOI
6 Moran CC, Colless E. Perceptions of work stress in Australian firefighters. Work & Stress 1995;9:405-15.   DOI
7 Kim H, Baek H. A study on job satisfaction and the turnover intention of fire fighters. Korean J Emerg Med Ser 2014;18:96-106.
8 National Fire Agency. Firefighters reinforcements for public safety. Available from: https://www.nfa.go.kr/nfa/news/pressrelease/press/?boardId=bbs_0000000000000010&mode=view&cntId=303. 2018.
9 Beddoe AE, Murphy SO. Does mindfulness decrease stress and foster empathy among nursing students? J Nurs Educ 2004;43:305-12.   DOI
10 Khoury B, Sharma M, Rush SE, Fournier C. Mindfulness-based stress reduction for healthy individuals: a meta-analysis. J Psychosom Res 2015;78:519-28.   DOI
11 Baer RA. Mindfulness training as a clinical intervention: a conceptualand empirical review. Clin Psychol Sci PR 2003;10:125-43.   DOI
12 Kabat-Zinn J, Santorelli S. Mindfulness-based stress reduction professional training resource manual. Worchester, MA: Center for Mindfulness in Medicine Health Care and Society; 1999.
13 Goleman D. A map for inner space. In: Walsh RN, Vaughan F, editors. Beyond ego. Los Angeles: Tarcher, J; 1980. p. 141-50.
14 Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Personality Soc Psychol 2003;84(4):822-48.   DOI
15 Cohen-Katz J, Wiley SD, Capuano T, Baker DM, Shapiro S. The effects of mindfulness-based stress reduction on nurse stress and burnout: a quantitative and qualitative study. Holist Nurs Pract 2004;18:302-8.   DOI
16 Kabat-Zinn J. Mindfulness-based interventions in context: past, present, and future. Clin Psychol Sci PR 2003;10:144-56.   DOI
17 Chiesa A, Serretti A. Mindfulness-based stress reduction for stress management in healthy people: a review and meta-analysis. J Altern Complement Med 2009;15:593-600.   DOI
18 Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits: a meta-analysis. J Psychosom Res 2004;57:35-43.   DOI
19 Smith BW, Ortiz JA, Steffen LE, Tooley EM, Wiggins KT, Yeater EA, et al. Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters. J Consult Clin Psychol 2011;79:613-7.   DOI
20 Setti I, Argentero P. The role of mindfulness in protecting firefighters from psychosomatic malaise. Traumatology 2014;20:134-41.   DOI
21 Hayes AF. Introduction to mediation, moderation, and conditional process analysis second edtion: a regression-based approach. New York, NY: The Guilford Press; 2017.
22 Kim DS, Park JK, Kim KS. Development of the risk assessment methodology guide for evaluating work-related musculoskeletal disorders. Occup Saf Health Res Inst 2008;11:871-86.
23 Chang SJ, Koh SB, Kang DM, Kim SA, Kang MG, Lee CG, et al. Developing an occupational stress scale for Korean employees. Korean J Occup Environ Med 2005;17:297-317.   DOI
24 Won D, Kim KH. Validation of Korean version of five-factor mindfulness questionnaire. Kor J Psychol Health 2006;11:871-86.
25 Bear RA, Smith GT, Hopkins J, Krietemeyer J, Toney L. Using self-report assessment methods to explore facets of mindfulness. Assessment 2006;13:27-45.   DOI
26 Hellgren J, Sjoberg A, Sverke M. Intention to quit: effects of job satisfaction and job perception. In: Avallone F, Arnold J, de Witte K, editors. Feelings work in europe. Milano: Guerini; 1997. p. 415-23.
27 Johnson PO, Neyman J. Tests of certain linear hypotheses and their application to some educational problems. Stat Res Memoirs 1936;1:57-93.
28 Johnson PO, Fay LC. The JohnsoneNeyman technique, its theory and application. Psychometrika 1950;15:349-67.   DOI
29 Potthoff RF. On the JohnsoneNeyman technique and some extensions thereof. Psychometrika 1964;29:241-56.   DOI
30 Coffey KA, Hartman M. Mechanisms of action in the inverse relationship between mindfulness and psychological distress. Complement Health Pract Rev 2008;13:79-91.   DOI
31 Kabat-Zinn J, Lipworth L, Burney R. The clinical use of mindfulness meditation for the self-regulation of chronic pain. J Behav Med 1985;8:163-90.   DOI
32 Siegel RD, Germer CK, Olendzki A. Mindfulness: what is it? Where did it come from?. In: Clinical handbook of mindfulness. New York, NY: Springer; 2009. p. 17-35.
33 Beaton R, Murphy S, Pike K. Work and nonwork stressors, negative affective states, and pain complaints among firefighters and paramedics. Int J Stress Manag 1996;3:223-37.   DOI
34 Morone NE, Rollman BL, Moore CG, Qin L, Weiner DK. A mindebody program for older adults with chronic low back pain: results of a pilot study. Pain Med 2009;10:1395-407.   DOI
35 Randolph PD, Greak BL, Caldera YM, Tacone AM. The long-term combined effects of medical treatment and a mindfulness-based behavioral program for the multidisciplinary management of chronic pain in west Texas. Pain Dig 1999;9:103-12.