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Kida R, Ogata Y, Nagai S. Uneven distribution of stressful working conditions among Japanese nurses: a secondary analysis of nurses with and without children. INDUSTRIAL HEALTH 2024; 62:195-202. [PMID: 38148024 PMCID: PMC11170084 DOI: 10.2486/indhealth.2023-0117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 12/18/2023] [Indexed: 12/28/2023]
Abstract
Supportive measures for employees raising children may have increased workloads on other nurses, causing psychological stress. This study aimed to clarify the differences in working conditions and psychological status among female Japanese nurses based on child-rearing attributes. We used data from 1,600 female nurses at 10 Japanese hospitals collected by the study of the Work Environment for Hospital Nurses in Japan conducted in 2016. The variables included work conditions (number of night shifts per month, daily overtime, number of paid holidays per year, and social support received), psychological status (sense of coherence, emotional exhaustion, and work engagement), and sociodemographic characteristics. An analysis of covariance was performed on the differences between the three groups (without children, with preschool-age children, and with children of other ages groups). The group without children had a relatively higher workload (p<0.01) and lower social support (p<0.01 and p<0.05). Additionally, they had higher emotional exhaustion and lower work engagement (p<0.01). This study confirmed the uneven distribution of work environment by work-life balance measures.
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Affiliation(s)
- Ryohei Kida
- Department of Nursing Administration and Advanced Clinical Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan
| | - Yasuko Ogata
- Department of Nursing Management and Gerontology Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Japan
| | - Satoko Nagai
- Department of Nursing Management and Gerontology Nursing, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Japan
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Kida R, Fujinami K, Yumoto Y, Togari T, Ogata Y. The association between burnout and multiple roles at work and in the family among female Japanese nurses: a cross-sectional study. INDUSTRIAL HEALTH 2023; 61:195-202. [PMID: 35569954 DOI: 10.2486/indhealth.2021-0280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
Female nurses experience work-family conflict due to performing multiple roles, leading to burnout. Thus, this study aimed to verify the association between burnout and the multiple work and family roles performed among Japanese female nurses. The data for 2,255 nurses at 23 Japanese hospitals obtained from the Work Environment for Nurses Study in Japan were used. The variables included burnout, demographic information, additional work roles, and child-rearing or caregiving. Half of the nurses were categorized under the "no-role" group (NRG), approximately a quarter under the "work-role" group (WRG), 16% under the "family-role" group (FRG), and 7.3% under the "multiple-role" group (MRG). Compared to the NRG, the FRG and MRG showed statistically lower emotional exhaustion (B=-0.79, p<0.05; B=-0.94, p<0.05, respectively) and depersonalization (B=-0.80, p<0.05; B=-1.09, p<0.05, respectively). Personal accomplishment was not statistically different among the four groups. Burnout was relatively low among nurses with family roles, suggesting that family roles may have a positive spillover effect on work-related emotions.
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Affiliation(s)
- Ryohei Kida
- Department of Nursing Administrations, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Japan
| | - Keiko Fujinami
- Japan Council for Quality Health Care, Japan
- Department of Gerontological Nursing and Healthcare Systems Management, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Japan
| | - Yoshie Yumoto
- Department of Gerontological Nursing and Healthcare Systems Management, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Japan
| | - Taisuke Togari
- Human Life and Health Sciences, Graduate School of Arts and Sciences, The Open University of Japan, Japan
| | - Yasuko Ogata
- Department of Gerontological Nursing and Healthcare Systems Management, Graduate School of Health Care Sciences, Tokyo Medical and Dental University (TMDU), Japan
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Taşci ND, Sarıalioğlu A. Turkish validity and reliability of parenting stress scale for clinical nurses. Arch Psychiatr Nurs 2023; 42:84-91. [PMID: 36842833 DOI: 10.1016/j.apnu.2022.12.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 11/23/2022] [Accepted: 12/28/2022] [Indexed: 01/06/2023]
Abstract
The aim of this study is to conduct the validity and reliability study of Parenting Stress Scale for Clinical Nurses. Sample of the study consisted of 202 nurses who were working as clinical nurse in the hospital, who had children between the ages of 3 and 6 and who volunteered to participate in the study. The scale consists of 17 items and 4 factors as "psychological burden", "physical and mental fatigue", "shift", and "work environment". Fix index values were found as x2/SD 1.56, GFI 0.91, AGFI 0.87, CFI 0.96, RMR 0.039, RMSEA 0.053 and SRMR 0.064. Total Cronbach α coefficient of the scale was found as 0.872. Parenting Stress Scale for Clinical Nurses Turkish version can be used as a valid and reliable instrument.
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Affiliation(s)
- Nurse Didem Taşci
- Department of Child Health and Diseases Nursing, Catak State Hospital, Van, Turkey
| | - Arzu Sarıalioğlu
- Department of Child Health and Diseases Nursing, Atatürk University, Erzurum, Turkey.
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Jiang H, Huang N, Jiang X, Yu J, Zhou Y, Pu H. Factors related to job burnout among older nurses in Guizhou province, China. PeerJ 2021; 9:e12333. [PMID: 34721998 PMCID: PMC8542368 DOI: 10.7717/peerj.12333] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 09/27/2021] [Indexed: 11/25/2022] Open
Abstract
Background The nursing workforce shortage has long been a global concern, and with the aging of nurses, this problem has become more prominent. Nursing is recognized as a high-stress occupation, and nurses experience high levels of job burnout, which reduces their professional identity. Older nurses are an indispensable talent force for nursing teams and are extremely important for the stability of nursing teams and improvement in nursing quality. Exploring the mental health and influencing factors of older nurses is very beneficial for the stability and development of nurse teams and patients’ clinical outcomes. Purpose This study aimed to investigate the level of job burnout and its influencing factors among older nurses in Guizhou Province, China and confirm the correlations among job burnout, professional identity and stress level. Methods From July to August 2019, 520 registered nurses aged over 40 years in Guizhou Province, China were surveyed through the Questionnaire Star platform. The questionnaire contained the following four parts: a general information questionnaire, the Maslach Burnout Inventory (MBI), a professional identity scale, and a job stressors scale. Results The results showed that the job burnout score of the 520 older nurses was 55.44 ± 18.62, which was moderate. The level of job burnout was positively correlated with the level of nurse stress and negatively correlated with the level of professional identity, which was influenced by various personal and social factors. Conclusions This study not only revealed that job burnout was still at a moderate level, but also revealed its current status and influencing factors among older nurses in China.
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Affiliation(s)
- Hu Jiang
- Nursing Department, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, Guizhou, China
| | - Nanqu Huang
- Drug Clinical Trial Institution, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, Guizhou, China
| | - Xue Jiang
- Nursing Department, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, Guizhou, China
| | - Jianghong Yu
- Nursing Department, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, Guizhou, China
| | - Yehong Zhou
- Nursing Department, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, Guizhou, China
| | - Hengping Pu
- Nursing Department, The Third Affiliated Hospital of Zunyi Medical University (The First People's Hospital of Zunyi), Zunyi, Guizhou, China
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Suzuki E, Takayama Y, Kinouchi C, Asakura C, Tatsuno H, Machida T, Yanahara H, Kitajima H, Miwa M. A causal model on assertiveness, stress coping, and workplace environment: Factors affecting novice nurses' burnout. Nurs Open 2021; 8:1452-1462. [PMID: 33484627 PMCID: PMC8046091 DOI: 10.1002/nop2.763] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2019] [Revised: 08/06/2020] [Accepted: 09/04/2020] [Indexed: 11/18/2022] Open
Abstract
Aim This study aimed to develop and test a causal model focused on assertiveness, stress coping, and workplace environment as factors affecting burnout among novice nurses. Design Cross‐sectional study was conducted with novice nurses of 17 hospitals. Methods The Novice Nurse Assertiveness Scale and the Japanese version of Maslach Burnout Inventory. Results Data from 645 female novice nurses were analysed. The mean age, Novice Nurse Assertiveness Scale and Maslach Burnout Inventory were 22.6 ± 3.0, 67.4 ± 10.3 and 13.7 ± 2.5. For the final model, the study adopted a model that includes indirect influences; inappropriate assertiveness and inappropriate coping affected the dissatisfaction with the job and then affected the burnout. The goodness of fit index was GFI = 0.94, AGFI = 0.91, RMSEA = 0.66, and R2 was .86. The findings validated this as a causal model of assertiveness, stress coping, and the work environment as factors affecting burnout for novice nurses.
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Affiliation(s)
- Eiko Suzuki
- International University of Health and Welfare Graduate School, Tokyo, Japan
| | - Yuko Takayama
- Division of Nursing, Kawasaki City College of Nursing, Kawasaki, Kanagawa, Japan
| | - Chiaki Kinouchi
- Iwate University of Health and Medical Sciences, Iwate, Japan
| | | | | | - Takae Machida
- Departments of Nursing, Faculty of Health & Medical Care, Saitama Medical University, Saitama, Japan
| | | | | | - Masae Miwa
- Tokyo Metropolitan University, Tokyo, Japan
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Influence of Social Exchange Relationships on Affective Commitment and Innovative Behavior: Role of Perceived Organizational Support. SUSTAINABILITY 2018. [DOI: 10.3390/su10124418] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The current study objective is to investigate how and when leader member exchange (LMX), tie strength, and innovative organizational culture influences employee innovative behavior. In particular, this study uses the social exchange theory to analyze that nurses who demonstrate high affective commitment exhibit a higher level of creativity in the workplace. Based on social exchange theory and perceived organizational support (POS) literature, the current study aims to reveal how perceived organizational support (POS) serves as an imperative mediating process between LMX, tie strength, innovative organizational culture, and employee IB. A questionnaire survey was utilized to collect the data from nurses working in public sector hospitals in Jiangsu province China. A total sample size consists of 325 nurses. Structural equation modeling through AMOS 20 was utilized to analyze the survey data. Results from the structural equation modeling (SEM) analysis indicated that LMX, tie strength, and POS are significantly related to affective commitment and employees’ IB. However, innovative organizational culture has a significant influence on POS and IB, but has no impact on affective commitment. This study covers only public sector hospitals and is limited to Jiangsu province, China. The research could be reproduced in other designated areas in different organizational setups with a bigger sample size to further enhance the understanding of the topic. The key understanding of social exchange theory (SET) is that social relationships can be used appropriately to foster an employee’s IB. It also expands research in the area of LMX, tie strength, innovative organizational culture, and POS as antecedents of affective commitment and IB. This study is a remarkable analysis of LMX, POS, organization culture, commitment, and IB in the Chinese organizational context.
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Sun JW, Bai HY, Li JH, Lin PZ, Zhang HH, Cao FL. Predictors of occupational burnout among nurses: a dominance analysis of job stressors. J Clin Nurs 2017; 26:4286-4292. [PMID: 28177546 DOI: 10.1111/jocn.13754] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/21/2017] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVES To quantitatively compare dimensions of job stressors' effects on nurses' burnout. BACKGROUND Nurses, a key group of health service providers, often experience stressors at work. Extensive research has examined the relationship between job stressors and burnout; however, less has specifically compared the effects of job stressor domains on nurses' burnout. DESIGN A quantitative cross-sectional survey examined three general hospitals in Jinan, China. METHOD Participants were 602 nurses. We compared five potential stressors' ability to predict nurses' burnout using dominance analysis and assuming that each stressor was intercorrelated. RESULTS Strong positive correlations were found between all five job stressors and burnout. Interpersonal relationships and management issues most strongly predicted participants' burnout (11·3% of average variance). CONCLUSION Job stressors, and particularly interpersonal relationships and management issues, significantly predict nurses' job burnout. RELEVANCE TO CLINICAL PRACTICE Understanding the relative effect of job stressors may help identify fruitful areas for intervention and improve nurse recruitment and retention.
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Affiliation(s)
- Ji-Wei Sun
- School of Nursing, Shandong University, Jinan, China
| | - Hua-Yu Bai
- School of Nursing, Shandong University, Jinan, China
| | - Jia-Huan Li
- School of Nursing, Shandong University, Jinan, China
| | - Ping-Zhen Lin
- School of Nursing, Shandong University, Jinan, China
| | - Hui-Hui Zhang
- School of Nursing, Shandong University, Jinan, China
| | - Feng-Lin Cao
- School of Nursing, Shandong University, Jinan, China
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Takayama Y, Suzuki E, Kobiyama A, Maruyama A, Sera Y. Factors related to the burnout of Japanese female nurses with children under 3 years old. Jpn J Nurs Sci 2016; 14:240-254. [DOI: 10.1111/jjns.12153] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Revised: 09/11/2016] [Accepted: 09/14/2016] [Indexed: 11/29/2022]
Affiliation(s)
- Yuko Takayama
- Faculty of Nursing and Rehabilitation Science at Odawara, International University of Health and Welfare; Kanagawa Japan
- Graduate School of Health and Welfare Science, International University of Health and Welfare Graduate School; Tokyo Japan
| | - Eiko Suzuki
- Graduate School of Health and Welfare Science, International University of Health and Welfare Graduate School; Tokyo Japan
| | - Atsuko Kobiyama
- Graduate School of Health and Welfare Science, International University of Health and Welfare Graduate School; Tokyo Japan
| | | | - Yoshiko Sera
- Graduate School of Health and Welfare Science, International University of Health and Welfare Graduate School; Tokyo Japan
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Ha EH. Attitudes toward child rearing in female clinical nurses working in three shifts. Nurs Health Sci 2016; 18:416-424. [PMID: 27098460 DOI: 10.1111/nhs.12284] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2015] [Revised: 03/12/2016] [Accepted: 03/14/2016] [Indexed: 12/29/2022]
Abstract
The balance between child-rearing and work may be one of the most challenging issues facing female clinical nurses, particularly those who work in three shifts. This study aimed to identify attitudes toward child-rearing in this particular cohort, female clinical nurses working three shifts. Q methodology, a research method concerned with individuals' subjective points of view, was used. Thirty-five selected Q statements from 51 participants were divided into a normal distribution using a nine-point bipolar scale, and the collected data were analyzed using the QUANL program. Three discrete factors emerged: Factor I: child-rearing is natural work (child-rearing and work are separate); Factor II: child-rearing is hard work (child-rearing and work are in conflict); and Factor III: child-rearing requires help from someone (child-rearing and work are balanced). The subjective viewpoints of the three identified factors can be applied to develop diverse strategies to support child-rearing in female clinical nurses.
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Affiliation(s)
- Eun-Ho Ha
- Department of Nursing, Jungwon University, Chungbuk, South Korea
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