title: The role of holistic care culture in mitigating burnout and enhancing engagement: a study among elderly service workers in Hong Kong.
abstract: OBJECTIVE
  Elderly service work is a labor intensive and emotion demanding occupation. Workers in this field are prone to burnout, a form of emotional exhaustion at work. While their job well-being is associated with a number of job demands, little research has been done in exploring job resources to promote their well-being. Holistic care culture (HCC) was proposed as an organizational culture of holistic caring. This study explored the role of HCC in predicting job well-being and moderating the impact of perceived stress on job well-being.
  
  
  METHODS
  A large-scale questionnaire survey was conducted among 992 elderly service workers of a major social service organization in Hong Kong, with a 93% response rate. Participants completed a standardized self-report questionnaire.
  
  
  RESULTS
  Structural equation modeling found HCC negatively predicted burnout (β = -0.32, p < 0.01) and positively predicted engagement (β = 0.36, p < 0.01). HCC showed significant moderating on the relationship between perceived stress and job well-being in expected directions. The model explained 53.7% and 35.8% of variance in burnout and engagement.
  
  
  CONCLUSIONS
  Findings from this study provides supportive evidence for HCC as a moderator to ameliorate burnout and facilitate engagement among elderly service workers. Further studies of rigorous design on HCC are recommended. Implication of this study for organizational practice was discussed.
authors.affiliation: Department of Social Work and Social Administration, Centre on Behavioral Health, The University of Hong Kong, Pokfulam, Hong Kong.
authors.forename: Siu-Man
authors.initials: SM
authors.lastname: Ng
authors.forename: Ted C T
authors.initials: TC
authors.lastname: Fong
authors.forename: Xiao-Lu
authors.initials: XL
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000328:Adult; D002055:Burnout, Professional / Q000517:prevention & control / Q000523:psychology; D003469:Culture; D005260:Female; D005851:Geriatric Nursing / Q000379:methods*; D018939:Holistic Nursing / Q000379:methods*; D006723:Hong Kong; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D057566:Self Report; D013315:Stress, Psychological / Q000517:prevention & control / Q000523:psychology; D055815:Young Adult