The Mediating Role of Work Engagement in the Relationship between Work-Life Balance, Workload, and Organizational Citizenship Behavior among Healthcare Workers in Hospitals– A Literature Review

DOI

10.2991/978-94-6239-626-5_68How to use a DOI?

Keywords

Work-life balance; Workload; Work engagement; Organizational Citizenship Behavior; JD-R Theory; Healthcare workers

Abstract

This study aims to develop a conceptual framework regarding the mediating role of work engagement in the relationship between work-life balance, workload, and organizational citizenship behavior (OCB) among healthcare workers in hospitals, by adopting the Job Demands–Resources (JD-R) Theory. The research methodology uses a structured conceptual approach by synthesizing various relevant literature from previous studies to develop and analyze a conceptual model. The results of the literature review show that work-life balance and workload affect OCB both directly and indirectly through the mediation of work engagement. Although good work-life balance increases the motivation and work engagement of healthcare workers, excessive workload can reduce engagement levels and inhibit positive behavior towards the organization. These findings confirm that work engagement functions as a psychological mechanism that bridges the influence of work-life balance and workload on OCB. The originality of this study lies in its integration of the role of work engagement as a mediator that explains the dynamics of the relationship between work demands and work resources among healthcare workers in hospitals, which has rarely been comprehensively studied in Indonesia. From the practical perspective, this study has implications in the implementation of work-life balance policies or management of proportional workloads and enhancement programs focusing on work engagement that may produce stronger positive behavior among healthcare workers promoting better quality hospital services.

Copyright

© 2026 The Author(s)

Open Access

Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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TY  - CONF
AU  - Irana Khristyami
PY  - 2026
DA  - 2026/04/15
TI  - The Mediating Role of Work Engagement in the Relationship between Work-Life Balance, Workload, and Organizational Citizenship Behavior among Healthcare Workers in Hospitals– A Literature Review
BT  - Proceedings of the 1st International Conference on Business, Economic, and Social Sustainability (ICOBES 2025)
PB  - Atlantis Press
SP  - 923
EP  - 934
SN  - 2352-5428
UR  - https://doi.org/10.2991/978-94-6239-626-5_68
DO  - 10.2991/978-94-6239-626-5_68
ID  - Khristyami2026
ER  -