Original Article

Quality of Nursing Work Life, Work-Family Conflict, and Self-Regulation: A Structural Equation Modeling


The quality of nursing work life is an important index for assessing the professional health of nurses and providing tailored care services to patients. The study investigates the role of work-family conflict and self-regulation in predicting the quality of work-life among nurses. In this retrospective cross-sectional study, 230 nurses were selected randomly from public and private hospitals. They were asked to fill out Work-related Quality of Life Scale-2, Work-Family Conflict Scale, and Self-Regulation Questionnaire. Moreover, structural equation modeling was used to analyze the data by SPSS-19 and LISREL-8.80 software. The results showed that the model had a good fit to the observed data (RMSEA=0.06, GFI=0.93, AGFI=0.87, NFI=93, CFI=95, IFI=95, and P-value=.073) and the final model was verified. The results also revealed that “behavior-based and time-based work-family conflicts”, “assessing the plan’s effectiveness”, “searching for options”, and “implementing the plan” could significantly predict “stress at work”, “general well-being”, “working conditions”, employees’ engagement”, “job career satisfaction”, and “work-home interference” (p<0.05). It is indispensable to design tailored programs and professional health plans for improving family-work interference and self-regulatory actions, as two leading causes for the quality of nursing work life.

1. Xu L, Song R. Influence of work-family-school role conflicts and social support on psychological wellbeing among registered nurses pursuing advanced degree. Appl Nurs Res 2016; 3: 6-12.
2. Leineweber C, Westerlund H, Chungkham HS, Lindqvist R, Runesdotter S, Tishelman C. Nurses’ practice environment and work-family conflict in relation to burn out: a multilevel modeling approach. PLoS ONE 2014; 9:e96991.
3. Kim M, Ryu E. Structural equation modeling
of quality of work life in clinical nurses based on the culture-work-health model. J Korean Acad Nurs 2015; 45(6): 879-89 [In Korean].
4. Simone SD, Lampis J, Lasio D, Serri F, Gianfranco, Cicotto G, Putzu D. Influences of work-family interface on job and life satisfaction. Appl Res Qual Life 2014; 9(4): 831–861.
5. Spence Laschinger HK, Grau AL, Finegan J, Wilk P. Predictors of new graduate nurses’ workplace well-being: Testing the job demands–resources model. Health Care Manage Rev 2012; 37(2): 175-86.
6. AlAzzam M, AbuAlRub RF, Nazzal AH. The
Relationship between work-family conflict and job satisfaction among hospital nurses. Nurs Forum 2017; 52(4): 278-288.
7. Martel JP, Dupuis G. Quality of Work-Life: theoretical and methodological problems, and presentation of a new model and measuring instrument. Soc Indic Res 2006; 77 (2): 333-368.
8. Jacobsen HB, Reme SE, Sembajwe G, Hopcia K, Stoddard AM, Kenwood C, Stiles TC, Sorensen G, Buxton OM. Work-Family Conflict, Psychological Distress and Sleep
Deficiency among Patient Care Workers. Workplace Health Saf 2014; 62(7): 282-291.
9. Makabe S, Takagai J, Asanuma Y, Ohtomo K, Kimura Y. Impact of work-life imbalance on job satisfaction and quality of life among hospital nurses in Japan. Ind Health 2015; 53(2):152-159.
10. 10. Kelly EL, Moen P, Oakes JM, Fan W, Okechukwu C, Davis KD, Hammer LB, Kossek EE, Berkowitz King R, Hanson GC, Mierzwa F, Casper LM. Changing Work and
11. Work- Family Conflict: Evidence from the Work, Family, and Health Network. Am Sociol Rev 2014; 79(3):485–516.
11. Wang ML, Tsai LJ. Work-family conflict and job performance in nurses: the moderating effects of social support. J Nurs Res 2014; 22(3): 200-207. van der Heijden BI, Demerouti E, Bakker AB. Work-home interference among nurses: reciprocal relationships with job demands and health. J Adv Nurs 2008; 62(5): 572–584.
13. Brown JM, Miller WR, Lawendowski LA. The self-regulation questionnaire. In: VandeCreek L, Jackson TL, editors. Innovations in clinical practice: A sourcebook.Vol. 17. Sarasota, FL: Professional Resource Press/Professional Resource Exchange, 1999: pp 281–292.
14. Lewis P, Kimiecik J, Horn T, Zulling KJ, Ward RM. Can Becoming My Self Influence My Health?: Exploring the Effects of a Eudaimonic-Enhancement Process on Psychological Indicators of Well- Being and Physical Activity. Appl Res Qual Life 2014; 9(3): 643-665.
15. Shi R, Zhang S, Xu H, Liu X, Miao D. Regulatory focus and burnout in nurses: The mediating effect of perception of transformational leadership. Int J Nurs Pract 2015; 21(6): 858-67.
16. Osman MK, Georgiana K. The effect of psychological capital on conflicts in the work-family interface, turnover and absence intentions. Int J Hosp Manag 2014; 43: 132-143.
17. Kuiper R, Pesut D, Kautz D. Promoting the self-regulation of clinical reasoning skills in nursing students. Open Nurs J 2009; 3:76–85.
18. Nützi M, Koch P, Baur H, Elfering A. Work– family conflict, task interruptions, and influence at work predict musculoskeletal pain in operating room nurses. Saf Health Work 2015; 6(4): 329–337.
19. Sirgy MJ, Lee, D. Work-life balance: a quality-of-life model. Appl Res Qual Life 2016; 11(4): 1059-1082.
20. Cullen JC, Hammer LB. Developing and testing a theoretical model linking work-family conflict to employee safety. J Occup Health Psychol 2007; 12(3): 266-278.
21. Mueller, R. Basic fundamentals structural equation modeling: introduction LISREL and EQS softwares. NY: Springer-Verlage, 2011.
22. Van Laar DL, Edwards J, Easton S. The Work-Related Quality of Life (WRQoL) Scale for Healthcare Workers. J Adv Nurs 2007; 60:325-333.
23. Edwards J, Van Laar DL, Easton S, Kinman G. The Work-Related Quality of Life (WRQoL) scale for Higher Education Employees. Qual High Edu 2009; 15(3): 207-219.
24. Carlson DS, Kacmar KM, Williams LJ. Construction and Initial Validation of a Multidimensional Measure of Work–Family Conflict. J Vocat Behav 2000; 56(2): 249–276.
25. Lim DH, Morris ML, McMillan HS. Construct validation of the translated version of the work–family conflict scale for use in Korea. Hum Resour Dev Q 2011; 22(4): 519-543.
26. Neal DJ, Carey KB. A follow-up psychometric
analysis of the self-regulation questionnaire. Psychol Addict Behav 2005; 19(4): 414–422.
27. Pu J, Hou H, Ma R, Sang J. The effect of psychological capital between work-family conflict and job burnout in Chinese
university teachers: Testing for mediation and moderation. J Health Psychol 2017; 22(14):1799-1807.
28. Hao J, Wu D, Liu L, Li X, Wu H. Association between Work- Family Conflict and Depressive Symptoms among Chinese Female Nurses: The Mediating and Moderating Role of Psychological Capital. Int J Environ Res Public Health 2015; 12(6): 6682-6699.
29. Wang Y, Chang Y, Fu J, Wang L. Work-family conflict and burnout among Chinese female nurses: the mediating effect of psychological capital. BMC Public Health 2012; 12(915): 1-8.
30. Laschinger HK, Fida R. New nurses burnout and workplace wellbeing: The influence of authentic leadership and psychological capital. Burnout Res 2014; 1(1): 19-28.
IssueVol 10 No 3 (2018) QRcode
SectionOriginal Article(s)
Conflict, Job satisfaction, Nurses, Quality of life, Work performance

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
RAHIMIAN BOOGAR I, TALEPASAND S, BARATI MASHHADI B. Quality of Nursing Work Life, Work-Family Conflict, and Self-Regulation: A Structural Equation Modeling. Int J Occup Hyg. 2018;10(3):114-123.