The Interplay of Workplace Emotional Health, Work-Life Balance, and Organizational Citizenship Behavior in Healthcare

Usba  Majeed; Wajeeha  Ghias; Saira Mahmood

Authors

Usba Majeed National Defence University, Islamabad, Pakistan, Pakistan Author https://orcid.org/0009-0007-5542-6104
Wajeeha Ghias National Defence University, Islamabad, Pakistan, Pakistan Author https://orcid.org/0000-0002-6925-7440
Saira Mahmood National University of Modern Languages, Islamabad, Pakistan Author https://orcid.org/0000-0002-7589-4323

Keywords:

Emotional well-being, citizenship behaviour, work-life balance, nurses, doctors, mediation analysis

Abstract

Background of the study: Workplace emotional health is an important dimension that affects the well-being and performance of the healthcare professionals, doctors as well as nurses, due to high social and emotional demands. Work-life balance and organisational citizenship behavior are vital factors in this regard. However, very limited research has been conducted on the role of work-life balance as a mediator between workplace emotional health and organisational citizenship behavior specifically in the healthcare sector of Pakistan.
Methodology: This study utilized an explanatory cross-sectional design. Self-reported surveys were used to collect data on workplace emotional health, work-life balance, and organisational citizenship behaviour. A sample of 203 doctors and nurses aged between 20 and 55+ years participated. Linear regression and mediation analysis (via process macro) were conducted to test the proposed hypotheses.
Results: The findings showed a positive relationship between workplace emotional health and work-life balance. Similarly, work-life balance was positively correlated with organisational citizenship behaviour. A positive relationship was also observed between workplace emotional health and organisational citizenship behaviour. Furthermore, work-life balance was found to partially mediate the relationship between workplace emotional health and organisational citizenship behaviour.
Conclusions: The findings also indicated that practices targeting the amelioration of emotional workplace well-being enhance organisational citizenship behaviour when it is used as an integrated mechanism for promoting both work-life balance.

References

1. Anger, W. K., Dimoff, J. K., & Alley, L. (2024). Addressing Health Care Workers’ Mental Health: A Systematic Review of Evidence-Based Interventions and Current Resources. American Journal of Public Health, 114(S2), 213–226. https://doi.org/10.2105/AJPH.2023.307556

2. Baker, R., Puzi, N. F. H. M., Saudi, N. S. M., Zahari, H. M., Sallehudin, H., Zainol, N. A. M., & Selamat, M. N. (2024). The Influenced of Work-life Balance on Emotional Intelligence, Depression, Anxiety, and Stress. Kurdish Studies, 12(1), 43–57.

3. Banwo, A. O., & Du, J. (2020). When the good outweighs the bad: Organizational citizenship behaviour (OCB) in the workplace. Human Resource Development International, 23(1), 88–97.

4. Beer, P., & Mulder, R. H. (2020). The effects of technological developments on work and their implications for continuous vocational education and training: A systematic review. Frontiers in Psychology, 11, 918.

5. Brough, P., Timms, C., O’Driscoll, M. P., Kalliath, T., Siu, O.-L., Sit, C., & Lo, D. (2014). Work–life balance: A longitudinal evaluation of a new measure across Australia and New Zealand workers. The International Journal of Human Resource Management, 25(19), 2724–2744. https://doi.org/10.1080/09585192.2014.899262

6. Camisasca, M., Pietrantonio, E., Magro, R., Arborea, A., Fabiani, A., Giordano, C., Pietrantonio, M., Guerriero, G., & Sparano, A. (2023). Psychosocial risks: Work-related stress risk assessment in Istat as a goal for the workers’ well-being. Rivista Italiana Di Economia Demografia e Statistica, 181–192.

7. Chattopadhyay, R. (2024). Prolonged organizational citizenship behaviour and its impact on nurses’ mental health: A time to rethink. International Journal of Organization Theory & Behaviour.

8. Chen, Y.-C., Tseng, Y., & Chu, H.-C. (2023). Development of Workplace Emotional Health Scale. Employee Responsibilities and Rights Journal. https://doi.org/10.1007/s10672-023-09446-5

9. Dreer, B. (2024). Teachers’ well-being and job satisfaction: The important role of positive emotions in the workplace. Educational Studies, 50(1), 61–77.

10. Edeh, F. O., & Ikpor, I. M. (2025). Work-life balance in the service sector: Predicting organisational citizenship behaviour. European Journal of International Management, 25(1), 122–137.

11. Eriyanti, H. F., & Noekent, V. (2021). Effect Work-Life Balance on Organizational Commitment: Is The Role of Organizational Citizenship Behaviour? Management Analysis Journal, 10(4), 376–383.

12. Fan, Q., Wider, W., & Chan, C. K. (2023). The brief introduction to organizational citizenship behaviours and counterproductive work behaviours: A literature review. Frontiers in Psychology, 14, 1181930.

13. Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39-50.

14. Győrffy, Z., Radó, N., Pölczman, L., Sükösd, A., & Boros, J. (2023). Creating work-life balance among physicians in the age of digitalization: The role of self-consciousness and communication–a qualitative study. BMC Health Services Research, 23(1), 1141.

15. Harikaran, S., & Thevanes, N. (2018). The relationships among work-life balance, organizational citizenship behaviour and organizational performance: A review of literature. IOSR Journal of Business and Management, 20(8), 25–31.

16. Henderson, A. A., Foster, G. C., Matthews, R. A., & Zickar, M. J. (2020). A Psychometric Assessment of OCB: Clarifying the Distinction Between OCB and CWB and Developing a Revised OCB Measure. Journal of Business and Psychology, 35(6), 697–712. https://doi.org/10.1007/s10869-019-09653-8

17. Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513.

18. Hobfoll, S. E., Freedy, J., Lane, C., & Geller, P. (1990). Conservation of social resources: Social support resource theory. Journal of Social and Personal Relationships, 7(4), 465–478.

19. Hayes, A. F., & Rockwood, N. J. (2017). Regression-based statistical mediation and moderation analysis in clinical research: Observations, recommendations, and implementation. Behaviour Research and Therapy, 98, 39-57.

20. Hsieh, C.-C., Li, H.-C., Liang, J.-K., & Chiu, Y.-C. (2024). Empowering teachers through principals’ emotional intelligence: Unlocking the potential of organizational citizenship behaviour in Taiwan’s elementary schools. Acta Psychologica, 243, 104142.

21. Iqbal, Z., Ghazanfar, F., Hameed, F., Mujtaba, G., & Swati, M. A. (2022). Ambidextrous leadership and change‐oriented organizational citizenship behaviour: Mediating role of psychological safety. Journal of Public Affairs, 22(1), e2279.

22. Liu, S.-C., Luu, T. T., Pham, N. T., & Tang, A. D. (2024). Internal CSR and work-family facilitation: A dual mechanism of organizational citizenship behaviours and moderating role of emotional intelligence. Journal of Hospitality and Tourism Management, 58, 394–408.

23. Liu, Z., Chen, C., Cui, H., & Hu, Y. (2023). The relationship between nurses’ social network degree centrality and organizational citizenship behaviour: The multiple mediating effects of job satisfaction and work engagement. Heliyon, 9(9).

24. MacNeil, M., Bodtorf, Z., & McCorkel, C. (2024). Impact of the COVID-19 Pandemic on Turnover Rates Among Staff in Community Mental Health and Substance Use Organizations. Community Mental Health Journal, 1–7.

25. Muhammad, R. (2023). The Association Between Work-life Balance and Employee Mental Health: A systemic review. Asia Pacific Journal of Health Management, 18(3), 263–280.

26. Obrenovic, B., Jianguo, D., Khudaykulov, A., & Khan, M. A. S. (2020). Work-family conflict impact on psychological safety and psychological well-being: A job performance model. Frontiers in Psychology, 11, 475.

27. Soelton, M. (2023). How Did It Happen: Organizational Commitment and Work-Life Balance Affect Organizational Citizenship Behaviour. JDM (Jurnal Dinamika Manajemen), 14(1), 149–164.

28. Vijayalakshmi, P. (2023). Psychological empowerment and life satisfaction: The mediating effect of organisational citizenship behaviour. International Journal of Business Innovation and Research, 31(3), 339–355.