{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T05:24:31Z","timestamp":1786944271173,"version":"build-2736575974"},"reference-count":43,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Infection control practitioners (ICPs) play a fundamental role in preventing and controlling healthcare-associated infections. ICPs\u2019 work competency is associated with work engagement and perceived organizational support (POS); however, the intercorrelations and mechanisms among Chinese ICPs remain unknown. Based on the job demands-resources (JD-R) model and conservation of resources (COR) theory, this study aimed to test the mediating effect of work engagement on the relationship between POS and work competency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted among 340 ICPs from 87 hospitals in Sichuan Province, China, from June to September 2023. Data were collected via an online questionnaire that included basic characteristics, the perceived organizational support scale, the Utrecht Work Engagement Scale (UWES), and the Infection Control Competency Questionnaire for ICPs. Bootstrap methods, utilizing Hayes\u2019s PROCESS Macro, were employed to test the mediation effect of work engagement on the relationship between POS and work competency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean work competency, POS, and work engagement scores were 66.03\u202f\u00b1\u202f11.11, 42.94\u202f\u00b1\u202f8.09, and 73.89\u202f\u00b1\u202f11.63, respectively. The mediation model demonstrated a robust association between POS and work competency, which was partially mediated by work engagement (total effect\n                      <jats:italic>c<\/jats:italic>\n                      \u202f=\u202f0.739, 95% CI\u202f=\u202f0.621\u20130.857; direct effect\n                      <jats:italic>c<\/jats:italic>\n                      \u2019\u202f=\u202f0.475, 95% CI\u202f=\u202f0.334\u20130.616; indirect effect ab\u202f=\u202f0.264, 95% CI\u202f=\u202f0.170\u20130.374).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study offers new insights into the relationship between POS and work competency, highlighting the mediating role of work engagement. Our findings suggest that enhancing ICPs\u2019 POS and work engagement may be effective in improving their work competency, thereby enhancing patient safety and health outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1856236","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:33:00Z","timestamp":1786941180000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The mediating role of work engagement between perceived organizational support and work competency among Chinese infection control practitioners"],"prefix":"10.3389","volume":"17","author":[{"given":"Wenjing","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Nursing, Sichuan Vocational College of Health and Rehabilitation","place":["Zigong, China"]},{"name":"Department of Hospital Infection Management, Zigong First People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Hospital Infection Management, Zigong First People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chunli","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Hospital Infection Management, Zigong First People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Operating Room, Zigong First People's Hospital","place":["Zigong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Hospital Infection Management, Zigong First People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Hospital Infection Management, Zigong First People's Hospital","place":["Zigong, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"754","DOI":"10.4236\/ojs.2015.57075","article-title":"Variance inflation factor: as a condition for the inclusion of suppressor variable (s) in regression analysis","volume":"5","author":"Akinwande","year":"2015","journal-title":"Open J. Stat."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"86","DOI":"10.1186\/s13756-021-00957-0","article-title":"Knowledge of infection prevention and control among healthcare workers and factors influencing compliance: a systematic review","volume":"10","author":"Alhumaid","year":"2021","journal-title":"Antimicrob. Resist. Infect. Control"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1108\/02683940710733115","article-title":"The job demands-resources model: state of the art","volume":"22","author":"Bakker","year":"2007","journal-title":"J. Manag. Psychol."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"E44","DOI":"10.1111\/jonm.12287","article-title":"Perceived organisational support, organisational commitment and self-competence among nurses: a study in two Italian hospitals","volume":"24","author":"Battistelli","year":"2016","journal-title":"J. Nurs. Manag."},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e049857","DOI":"10.1136\/bmjopen-2021-049857","article-title":"Factors affecting healthcare workers' compliance with social and behavioural infection control measures during emerging infectious disease outbreaks: rapid evidence review","volume":"11","author":"Brooks","year":"2021","journal-title":"BMJ Open"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1037\/1076-8998.7.1.57","article-title":"Testing a conservation of resources model of the dynamics of emotional labor","volume":"7","author":"Brotheridge","year":"2002","journal-title":"J. Occup. Health Psychol."},{"key":"ref7","author":"Chen","year":"2019"},{"key":"ref8","first-page":"281","article-title":"Current status of post competency of nosocomial infection control personnel in different grades of medical institutions of Shanghai in 2021","volume":"33","author":"Cui","year":"2023","journal-title":"Chin. J. Nosocomio."},{"key":"ref9","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1037\/0021-9010.86.3.499","article-title":"The job demands-resources model of burnout","volume":"86","author":"Demerouti","year":"2001","journal-title":"J. Appl. Psychol."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1186\/s12913-018-3277-5","article-title":"Knowledge, practice and associated factors of infection prevention among healthcare workers in Debre Markos referral hospital, Northwest Ethiopia","volume":"18","author":"Desta","year":"2018","journal-title":"BMC Health Serv. Res."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1037\/0021-9010.71.3.500","article-title":"Perceived organizational support","volume":"71","author":"Eisenberger","year":"1986","journal-title":"J. Appl. Psychol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1146\/annurev-orgpsych-012119-044917","article-title":"Perceived organizational support: why caring about employees counts","volume":"7","author":"Eisenberger","year":"2020","journal-title":"Annu. Rev. Organ. Psychol. Organ. Behav."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"233","DOI":"10.1111\/j.1467-9280.2007.01882.x","article-title":"Required sample size to detect the mediated effect","volume":"18","author":"Fritz","year":"2007","journal-title":"Psychol. Sci."},{"key":"ref14","first-page":"7","volume-title":"Handbook of Stress and Burnout in Health Care","author":"Gorgievski","year":"2008"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1765","DOI":"10.2147\/RMHP.S269315","article-title":"Strategies to prevent healthcare-associated infections: a narrative overview","volume":"13","author":"Haque","year":"2020","journal-title":"Risk Manag Healthc Policy"},{"key":"ref16","doi-asserted-by":"crossref","first-page":"2321","DOI":"10.2147\/IDR.S177247","article-title":"Healthcare-associated infections\u2014an overview","volume":"11","author":"Haque","year":"2018","journal-title":"Infect. Drug Resist."},{"key":"ref17","first-page":"25","volume-title":"The Ecology of Stress","author":"Hobfoll","year":"1988"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"533293","DOI":"10.3389\/fpsyg.2021.533293","article-title":"Relationship between proactive personality and job performance of Chinese nurses: the mediating role of competency and work engagement","volume":"12","author":"Hu","year":"2021","journal-title":"Front. Psychol."},{"key":"ref19","first-page":"943","article-title":"Current status of post competency of nosocomial infection prevention and control professional in 36 hospitals of Sichuan Province and influencing factor","volume":"33","author":"Huang","year":"2023","journal-title":"Chin. J. Nosocomio."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"421","DOI":"10.3389\/fpubh.2020.00421","article-title":"How to protect medical staff in the COVID-19 battlefield after work","volume":"8","author":"Huang","year":"2020","journal-title":"Front. Public Health"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1186\/s13054-020-2841-7","article-title":"Special attention to nurses' protection during the COVID-19 epidemic","volume":"24","author":"Huang","year":"2020","journal-title":"Crit. Care"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1016\/j.apjtb.2017.01.019","article-title":"Nosocomial infections: epidemiology, prevention, control, and surveillance","volume":"7","author":"Khan","year":"2017","journal-title":"Asian Pac. J. Trop. Biomed."},{"key":"ref23","first-page":"176","article-title":"The effect of organizational factors on job engagement","volume":"2","author":"Li","year":"2006","journal-title":"Chin. J. Appl. Psychol."},{"key":"ref24","first-page":"281","article-title":"Perceived organizational support of the employees","volume":"2","author":"Ling","year":"2006","journal-title":"Acta Psychol. Sin."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"160","DOI":"10.5588\/pha.16.0027","article-title":"Highlighting the need for more infection control practitioners in low-and middle-income countries","volume":"6","author":"Lipke","year":"2016","journal-title":"Public Health Action"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.jhin.2022.02.005","article-title":"A systematic review and meta-analysis of disease burden of healthcare-associated infections in China: an economic burden perspective from general hospitals","volume":"123","author":"Liu","year":"2022","journal-title":"J. Hosp. Infect."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"100039","DOI":"10.1016\/j.ijnsa.2021.100039","article-title":"The factors contributing to missed care and non-compliance in infection prevention and control practices of nurses: a scoping review","volume":"3","author":"McCauley","year":"2021","journal-title":"Int J Nurs Stud Adv."},{"key":"ref28","author":"Meng","year":"2016"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"227","DOI":"10.2478\/ijme-2018-0018","article-title":"Employee engagement and performance: a systematic literature review","volume":"54","author":"Motyka","year":"2018","journal-title":"Int. J. Manag. Econ."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1146\/annurev-orgpsych-110721-040030","article-title":"Common method bias: it\u2019s bad, it\u2019s complex, it\u2019s widespread, and it\u2019s not easy to fix","volume":"11","author":"Podsakoff","year":"2024","journal-title":"Annu. Rev. Organ. Psychol. Organ. Behav."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1002\/job.248","article-title":"Job demands, job resources, and their relationship with burnout and engagement: a multi-sample study","volume":"25","author":"Schaufeli","year":"2004","journal-title":"J. Organ. Behav."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1023\/a:1015630930326","article-title":"The measurement of engagement and burnout: a two-sample confirmatory factor analytic approach","volume":"3","author":"Schaufeli","year":"2002","journal-title":"J. Happiness Stud."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1186\/s12912-023-01623-z","article-title":"Enhancing the work engagement of frontline nurses during the COVID-19 pandemic: the mediating role of affective commitment and perceived organizational support","volume":"22","author":"Shan","year":"2023","journal-title":"BMC Nurs."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"055","DOI":"10.37641\/riset.v5i1.160","article-title":"Work engagement as mediator of competence and self-efficacy of service quality","volume":"5","author":"Surya","year":"2023","journal-title":"Riset"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"551","DOI":"10.2147\/RMHP.S395918","article-title":"Relationships between perceived organizational support, psychological capital and work engagement among Chinese infection control nurses","volume":"16","author":"Tian","year":"2023","journal-title":"Risk Manag Healthc Policy"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1186\/s13756-022-01165-0","article-title":"Infection prevention and control policies in hospitals and prevalence of highly resistant microorganisms: an international comparative study","volume":"11","author":"van Dijk","year":"2022","journal-title":"Antimicrob. Resist. Infect. Control"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"701","DOI":"10.1017\/ice.2018.60","article-title":"The prevalence of healthcare-associated infections in mainland China: a systematic review and meta-analysis","volume":"39","author":"Wang","year":"2018","journal-title":"Infect. Control Hosp. Epidemiol."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1007\/s10551-016-3379-0","article-title":"The interactive effect of authentic leadership and leader competency on followers\u2019 job performance: the mediating role of work engagement","volume":"153","author":"Wei","year":"2018","journal-title":"J. Bus. Ethics"},{"key":"ref39","year":"2016"},{"key":"ref40","year":"2020"},{"key":"ref41","first-page":"1421","article-title":"Current situation and influencing factors of post competency of infection prevention and control practitioners from 96 hospitals in Anhui Province","volume":"32","author":"Xu","year":"2022","journal-title":"Chin. J. Nosocomio."},{"key":"ref42","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1186\/s12911-017-0470-0","article-title":"How the public uses social media WeChat to obtain health information in China: a survey study","volume":"17","author":"Zhang","year":"2017","journal-title":"BMC Med. Inform. Decis. Mak."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"420","DOI":"10.1186\/s12879-024-09288-y","article-title":"Exploring variations in IPC competencies: a cross-sectional study among healthcare professionals in Northwest China","volume":"24","author":"Zhao","year":"2024","journal-title":"BMC Infect. Dis."}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1856236\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:33:06Z","timestamp":1786941186000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2026.1856236\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,17]]},"references-count":43,"alternative-id":["10.3389\/fpsyg.2026.1856236"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2026.1856236","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,17]]},"article-number":"1856236"}}