Impact of policies and salary satisfaction on quality of life during COVID-19 pandemic: a moderated mediation model

Abstract Background Health-care professionals caring for patients with COVID-19 infection experience substantial challenges that can negatively affect their quality of life (QOL). Understanding how policies and salary satisfaction influence QOL is crucial for ensuring the well-being of this workforc...

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Main Authors: Ching-Yuan Ma, Hsiang-Yun Lan, Wei-Ping Li, Hui-Hsun Chiang
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-025-03323-2
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author Ching-Yuan Ma
Hsiang-Yun Lan
Wei-Ping Li
Hui-Hsun Chiang
author_facet Ching-Yuan Ma
Hsiang-Yun Lan
Wei-Ping Li
Hui-Hsun Chiang
author_sort Ching-Yuan Ma
collection DOAJ
description Abstract Background Health-care professionals caring for patients with COVID-19 infection experience substantial challenges that can negatively affect their quality of life (QOL). Understanding how policies and salary satisfaction influence QOL is crucial for ensuring the well-being of this workforce. This study investigated the association between the national epidemic prevention policy satisfaction (NEPPs) and the QOL of health-care professionals in Taiwan; we focused on the mediating role of hospital epidemic prevention policy satisfaction (HEPPs) and the moderating effect of salary satisfaction. Methods A cross-sectional online survey was conducted with 287 health-care professionals who had been caring for patients with suspected or confirmed COVID-19 infection for at least 3 months at a medical center in northern Taiwan. Study variables included NEPPs, HEPPs, salary satisfaction, and QOL. Pearson correlation and moderated mediation analyses were conducted using the PROCESS macro in SPSS 26.0 to examine the associations among these variables. Results HEPPs partially mediated the association between NEPPs and QOL. Moreover, salary satisfaction moderated this association, with the positive effects being more pronounced at higher levels of salary satisfaction. Conclusions Level of satisfaction of both national and hospital-level policies are crucial for understanding QOL among frontline health-care workers. Additionally, salary satisfaction enhances the positive impact of these policies, highlighting the importance of financial incentives alongside effective policies. Policymakers should prioritize improving both policy effectiveness and financial support to protect the well-being of health-care professionals during public health crises.
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spelling doaj-art-4200b672774c4ac79f35fef6a41bfeb32025-08-20T03:03:27ZengBMCBMC Nursing1472-69552025-07-012411810.1186/s12912-025-03323-2Impact of policies and salary satisfaction on quality of life during COVID-19 pandemic: a moderated mediation modelChing-Yuan Ma0Hsiang-Yun Lan1Wei-Ping Li2Hui-Hsun Chiang3Department of Nursing, Tri-Service General HospitalSchool of Nursing, National Defense Medical CenterDepartment of Nursing, Tri-Service General HospitalSchool of Nursing, National Defense Medical CenterAbstract Background Health-care professionals caring for patients with COVID-19 infection experience substantial challenges that can negatively affect their quality of life (QOL). Understanding how policies and salary satisfaction influence QOL is crucial for ensuring the well-being of this workforce. This study investigated the association between the national epidemic prevention policy satisfaction (NEPPs) and the QOL of health-care professionals in Taiwan; we focused on the mediating role of hospital epidemic prevention policy satisfaction (HEPPs) and the moderating effect of salary satisfaction. Methods A cross-sectional online survey was conducted with 287 health-care professionals who had been caring for patients with suspected or confirmed COVID-19 infection for at least 3 months at a medical center in northern Taiwan. Study variables included NEPPs, HEPPs, salary satisfaction, and QOL. Pearson correlation and moderated mediation analyses were conducted using the PROCESS macro in SPSS 26.0 to examine the associations among these variables. Results HEPPs partially mediated the association between NEPPs and QOL. Moreover, salary satisfaction moderated this association, with the positive effects being more pronounced at higher levels of salary satisfaction. Conclusions Level of satisfaction of both national and hospital-level policies are crucial for understanding QOL among frontline health-care workers. Additionally, salary satisfaction enhances the positive impact of these policies, highlighting the importance of financial incentives alongside effective policies. Policymakers should prioritize improving both policy effectiveness and financial support to protect the well-being of health-care professionals during public health crises.https://doi.org/10.1186/s12912-025-03323-2COVID-19Epidemic prevention policiesSalary satisfactionQuality of lifeHealth-care personnel
spellingShingle Ching-Yuan Ma
Hsiang-Yun Lan
Wei-Ping Li
Hui-Hsun Chiang
Impact of policies and salary satisfaction on quality of life during COVID-19 pandemic: a moderated mediation model
BMC Nursing
COVID-19
Epidemic prevention policies
Salary satisfaction
Quality of life
Health-care personnel
title Impact of policies and salary satisfaction on quality of life during COVID-19 pandemic: a moderated mediation model
title_full Impact of policies and salary satisfaction on quality of life during COVID-19 pandemic: a moderated mediation model
title_fullStr Impact of policies and salary satisfaction on quality of life during COVID-19 pandemic: a moderated mediation model
title_full_unstemmed Impact of policies and salary satisfaction on quality of life during COVID-19 pandemic: a moderated mediation model
title_short Impact of policies and salary satisfaction on quality of life during COVID-19 pandemic: a moderated mediation model
title_sort impact of policies and salary satisfaction on quality of life during covid 19 pandemic a moderated mediation model
topic COVID-19
Epidemic prevention policies
Salary satisfaction
Quality of life
Health-care personnel
url https://doi.org/10.1186/s12912-025-03323-2
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