Multidimensional mechanisms of occupational stress among healthcare workers: a structural equation modeling analysis from the seventh Guangxi health service survey

Objective: The issue of work-related stress among medical personnel has become a key factor affecting the quality of healthcare services and the sustainable development of the medical industry. Taking healthcare workers in Guangxi as the research object, this study aims to systematically explore the multidimensional influencing factors and intrinsic action mechanisms of their occupational stress based on the structural equation model (SEM), clarify the direct and indirect effects among variables, and thus provide theoretical support and empirical evidence for formulating scientific and effective stress intervention strategies for Guangxi and other regions with similar characteristics. Method: coefficient) and exploratory factor analysis, while AMOS 26.0 was used to conduct confirmatory factor analysis for testing the structural validity of the scales, and construct a structural equation model to carry out path verification and effect analysis of the research hypotheses. Results: < 0.01). Work environment, professional environment, and work experience were the core factors for alleviating healthcare workers' stress, acting on stress levels through both direct and mediating effects. All research hypotheses were supported except for the non-statistically significant path from professional environment to job and personal characteristics. Conclusion: In view of the characteristics of concentrated ethnic minorities and unbalanced urban-rural distribution of medical resources in Guangxi, efforts should be made to optimize the physical and social aspects of the work environment of medical staff, build a harmonious doctor-patient relationship to improve the professional environment, and enhance professional identity and career growth experience to strengthen work satisfaction. It is necessary to build a multi-stakeholder collaborative intervention system involving the government, medical institutions and society, implement resource inclination and differentiated policies for grassroots and ethnic minority medical and health institutions in Guangxi, and formulate targeted pressure reduction measures combined with regional and ethnic characteristics. This can provide practical guidance for alleviating the work pressure of healthcare workers in Guangxi, stabilizing the local medical talent team, and promoting the sustainable development of the medical and health industry in ethnic minority areas.