Study on the effect of role stress on work engagement of emergency physicians by improving organizational justice

Wu Rui; Yu Liqun; Yuan Fei

doi:10.3760/j.issn.1673-4777.2025.02.024

Abstract：Objective To analyze the effect of role stress on work engagement of emergency physicians in specialized tertiary comprehensive hospitals by improving organizational justice.To summarize the main experiences and practices from the aspects of emergency medicine talent team construction,discipline construction,and performance distribution,and to provide some suggestions for improving the work engagement of emergency physi-cians in public hospitals.Methods A random cluster sampling method was used to select emergency physicians from Beijing Anzhen Hospital,Capital Medical University and 7 other public tertiary hospitals in Beijing as the research objects.The survey was conducted by means of network electronic questionnaire,and 221 respondents with valid questionnaires were collected as the research objects(hereinafter referred to as subjects).The role stress,work engagement and organizational Justice scale were used to investigate the subjects.SPSS 22.0 was used for descriptive analysis and correlation analysis,and structural equation model was used to verify the theoretical research hypothesis(the negative correlation between role stress and work engagement of emergency physicians,and the moderating effect of organizational justice on the three-dimensional relationship between role stress and work engagement).Results Most of the 211 subjects were female,totaling 128 people,accounting for 57.92％.Most of the emergency physicians had higher education,with master's degree accounting for 48.87％,followed by university,accounting for 29.86％,the two accounted for more than 50.00％,and 75.11％of the subjects were ordinary workers without duties.The proportion of emergency specialists in subjects was 66.06％,and they were the main force engaged in specific emergency work.The results of structural equation model validation showed that the hypotheses were all valid.There was a strong negative correlation between role stress and work engagement in emergency physicians,and organizational justice moderated the relationship between role stress and work engagement.The standardized fit index was 0.812,and the standardized fit index was 0.862,indicating that the model fit was good.Conclusion There is still room for improvement in the work engagement of emergency physi-cians in specialized tertiary comprehensive hospitals,and improving their sense of organizational justice is the key link.Managers can adjust the impact of role stress on work engagement of emergency physicians by increasing salary,improving working environment and other organizational justice measures,so as to improve their work engagement level.