Due to its negative relation with turnover and the associated costs, job stress is a growing concern within the healthcare industry. By surveying 461 employees of a large Midwestern healthcare system, the present study evaluated perceptions of citizenship pressure (perceived pressure to engage in extra-role job duties) and examined its relationship with job stress and turnover intentions. The sample consisted of direct and indirect patient care providers and was predominately White, females who worked full-time. Hierarchical multiple regression analyses indicated that job stress partially mediates the direct relationship between citizenship pressure and turnover intentions. Specifically, healthcare workers experience job stress and desire leaving positions that make them feel that simply fulfilling their formally prescribed job duties is not enough to be seen as a good employee. Drawing from the theoretical model of psychological resilience, the current study also examined whether employees’ level of trait mindfulness (tendency to focus on experiences without judgment) moderates the identified mediation. Findings from a first- and second-stage moderated mediation analysis suggested that trait mindfulness does not buffer the negative outcomes (i.e., job stress, turnover intentions) associated with citizenship pressure within the healthcare industry. Despite the non-significant results related to mindfulness, significant negative relationships were found between trait mindfulness and each key construct (i.e., citizenship pressure, job stress, turnover intentions). Such findings demonstrate the potential relevance of trait mindfulness in promoting employee resilience within the workplace. Results also contribute to the citizenship pressure literature and highlight the need for additional research, especially within the healthcare industry.

A plethora of extant research focuses on the positive outcomes of organizational citizenship behaviors (OCB). However, there has been a relatively recent shift of focus that sheds light on the changing parameters and workplace perceptions of what such behaviors entail, as well as their adverse outcomes. As organizations and their employees endure changes, work expectations have consequently changed through differing perceptions of job tasks that individuals feel required or obligated to do, even when it is not included in their formal job description. Such feelings point to the concept of citizenship pressure (CP), which this thesis further explores and adds to the relatively little, but growing, research on the construct. Specifically, this thesis explores the relationship between OCB and job-related affective well-being (JAW), and the impact of CP on that relationship. A survey study was conducted to test the hypothesized moderation of CP on the relationship between OCB and JAW. The participants included 59 individuals over the age of 18 who were employed part-time or full-time, either at the time of their participation or within the preceding six months. While the hypothesized model was not significant, supplemental analyses were run on variations of this model. The additional models provided some significant findings that may lead to viable paths for further research. Future research directions, limitations, and practical implications are included.