American journal of health behavior
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Objectives: This study explored the relationships between challenge stress, hindrance stress, and healthcare quality, and the mediating effect of public service motivation (PSM), among healthcare workers in Chinese public hospitals. Methods: Using widely adopted scales to measure all variables, we used descriptive statistical analysis, analysis of variance, correlation analysis, structural equation modeling and subgroup analysis to investigate data from 2066 healthcare workers in 68 Chinese public hospitals. ⋯ PSM was directly positively associated with healthcare quality (β = 0.59; p < .001) and indirectly mediated the relationship of hindrance stress with healthcare quality. Conclusions: Healthcare quality might be improved by limiting hindrance stress, increasing PSM, and controlling challenge stress.