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Wu Y, Bo W, Li M, Liu L, Wu H. The moderating role of coping styles on the associations of fatigue with life satisfaction in Chinese nurses: a cross-sectional study. BMC Nurs 2024; 23:546. [PMID: 39135080 PMCID: PMC11318252 DOI: 10.1186/s12912-024-02210-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2024] [Accepted: 07/29/2024] [Indexed: 08/16/2024] Open
Abstract
BACKGROUND Fatigue affects nurses negatively and may influence life satisfaction. According to the stress process model, active coping might influence the impact of adverse conditions such as fatigue on well-being measures such as life satisfaction. However, no research examined the associations among nurses' fatigue, coping styles, and life satisfaction. METHODS The cross-sectional study was conducted in Liaoning Province, China. 482 effective questionnaires were collected (effective response rate of 80.3%). The questionnaire included Fatigue Scale-14, Simplified Coping Style Questionnaire and Satisfaction with Life Scale. The association among fatigue, coping styles and fatigue × coping styles interaction with life satisfaction was examined by hierarchical multiple regression analysis. The interaction was visualized by simple slope analysis. RESULTS Mean score of life satisfaction was 22.74 ± 6.11. Active coping moderated the relationship between mental fatigue and life satisfaction. The impacts of mental fatigue on life satisfaction gradually decreased in the low (1 SD below the mean, β=-0.400, P < 0.001), mean (β=-0.312, P < 0.001), and high (1 SD above the mean, β=-0.224, P < 0.001) groups of active coping. CONCLUSION The life satisfaction of Chinese nurses was relatively low. Active coping could alleviate the impact of mental fatigue on life satisfaction. Developing active coping styles might be a crucial strategy to alleviate nurses' mental fatigue and improve life satisfaction.
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Affiliation(s)
- Yuekun Wu
- Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New District, Shenyang, 110122, Liaoning, China
| | - Wen Bo
- Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New District, Shenyang, 110122, Liaoning, China
| | - Mengyao Li
- Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New District, Shenyang, 110122, Liaoning, China
| | - Li Liu
- Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New District, Shenyang, 110122, Liaoning, China
| | - Hui Wu
- Department of Social Medicine, School of Public Health, China Medical University, No.77 Puhe Road, Shenyang North New District, Shenyang, 110122, Liaoning, China.
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Meyer LA. Professional Quality of Life and Turnover Intention in Forensic Nurse Program Coordinators: Implications to Forensic Nurse Workforce Development. JOURNAL OF FORENSIC NURSING 2024; 20:205-213. [PMID: 38619543 DOI: 10.1097/jfn.0000000000000484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/16/2024]
Abstract
BACKGROUND Significant barriers to forensic nurse workforce development exist, affecting patient care access. Retention of forensic nurses is a persistent problem, and turnover of forensic nurses can be attributed to many factors related to professional quality of life, including compassion satisfaction (CS), burnout (BO), and secondary traumatic stress (STS). PURPOSE The aim of this study was to identify the effect of an educational session on the topic of professional quality of life and strategies for mitigating the impact of stressors within the forensic nurse role on Professional Quality of Life Scale-5 and Turnover Intention Scale-6. METHODS A convenience sample of forensic nurse program coordinators was surveyed using a pretest-posttest quasi-experimental survey design. Correlation between professional quality of life indicators and turnover intention was explored. RESULTS Cohort ( n = 38) preintervention CS levels were average to high (mean = 41.42), BO levels were average to low (mean = 22.53), and STS levels were average to low (mean = 22.89). Statistically significant positive correlations were noted between each Professional Quality of Life Scale indicator and turnover intention (CS: r = 0.59, p < 0.0001; BO: r = 0.98, p < 0.0000; STS: r = 0.67, p < 0.0000). A statistically significant decrease in BO level (α = 0.05, p = 0.0454) was noted postintervention. IMPLICATIONS BO and STS had a strong positive correlation to turnover intention. BO levels decreased to a significant degree when reassessed 3 months after the educational intervention. Increased awareness of the impact of CS, BO, and STS could decrease BO in forensic nurses with potential reduction in turnover.
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Andargeery SY. The perception and association between depression and academic stress among female undergraduate nursing students: a cross-sectional study. Front Public Health 2024; 12:1414469. [PMID: 38957210 PMCID: PMC11217312 DOI: 10.3389/fpubh.2024.1414469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2024] [Accepted: 05/13/2024] [Indexed: 07/04/2024] Open
Abstract
Introduction Academic demands and stressors put nursing students at increasing risk of depression. The aims of the study examine the perceived level of depression and academic stress and investigate the association between these variables among nursing students in Saudi Arabia. Methods A cross-sectional design was used in this study. Data was collected using depression subscale from DASS-21 scale and the Academic Stress Inventory scale. Results A total of 237 students participated in the study. Nursing students perceived normal to mild levels of depression. Students perceived moderate levels of academic stress in all subscales, except for time management and test stress which were high. All academic stress subscales had a positive statistically significant correlation with depression. The regression model explains 49.0% of the variance in the depression scale and indicated that the main significant predictor of depression is studying in group stress, followed by self-inflected stress, study year, and sleep problem. The mean score of depression for first year students was significantly different than students in other study years. Discussion Nurse educators should facilitate group formation and teach students about time-management, problem-solving, negotiation, and coping strategies to deal with academic expectations and demanding situations. Understanding the causes, limiting the exposure to negative influences, and seeking support as needed are important. To enhance the quality of sleep, students should maintain a consistent sleep schedule, while avoiding stimulating activities before bedtime. Future research should focus on a longitudinal study and other variables such as quality of life, satisfaction with the quality of teaching, and support from others.
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Hulin S, Bolliger L, Lukan J, Caluwaerts A, De Neve R, Luštrek M, De Bacquer D, Clays E. How does day-to-day stress appraisal relate to coping among office workers in academia? An ecological momentary assessment study. Stress Health 2024; 40:e3315. [PMID: 37724331 DOI: 10.1002/smi.3315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 07/30/2023] [Accepted: 08/24/2023] [Indexed: 09/20/2023]
Abstract
Existing literature indicates that academic staff experience increasing levels of work stress. This study investigated associations between day-to-day threat and challenge appraisal and day-to-day problem-focused coping, emotion-focused coping, and seeking social support among academic office workers. This study is based on an Ecological Momentary Assessment (EMA) design with a 15-working day data collection period utilising our self-developed STRAW smartphone application. A total of 55 office workers from academic institutions in Belgium (n = 29) and Slovenia (n = 26) were included and 3665 item measurements were analysed. Participants were asked approximately every 90 min about their appraisal of stressful events (experienced during the working day) and their coping styles. For data analysis, we used an unstructured covariance matrix in our linear mixed models. Challenge appraisal predicted problem-focused coping and threat appraisal predicted emotion-focused coping. Our findings suggest an association between threat appraisal as well as challenge appraisal and seeking social support. Younger and female workers chose social support more often as a coping style. While working from home, participants were less likely to seek social support. The findings of our EMA study confirm previous research on the relationship between stress appraisal and coping with stress. Participants reported seeking social support less while working from home compared to working at the office, making the work location an aspect that deserves further research.
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Affiliation(s)
- Stephanie Hulin
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Larissa Bolliger
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Junoš Lukan
- Department of Intelligent Systems, Jožef Stefan Institute, Jožef Stefan International Postgraduate School, Ljubljana, Slovenia
| | - Anneleen Caluwaerts
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Rosalie De Neve
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Mitja Luštrek
- Department of Intelligent Systems, Jožef Stefan Institute, Jožef Stefan International Postgraduate School, Ljubljana, Slovenia
| | - Dirk De Bacquer
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
| | - Els Clays
- Department of Public Health and Primary Care, Ghent University, Ghent, Belgium
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Bautista TG, Roman G, Khan M, Lee M, Sahbaz S, Duthely LM, Knippenberg A, Macias-Burgos MA, Davidson A, Scaramutti C, Gabrilove J, Pusek S, Mehta D, Bredella MA. What is well-being? A scoping review of the conceptual and operational definitions of occupational well-being. J Clin Transl Sci 2023; 7:e227. [PMID: 38028344 PMCID: PMC10643923 DOI: 10.1017/cts.2023.648] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2023] [Revised: 09/26/2023] [Accepted: 10/03/2023] [Indexed: 12/01/2023] Open
Abstract
Well-being is a multifaceted construct that is used across disciplines to portray a state of wellness, health, and happiness. While aspects of well-being seem universal, how it is depicted in the literature has substantial variation. The aim of this scoping review was to identify conceptual and operational definitions of well-being within the field of occupational health. Broad search terms were used related to well-being and scale/assessment. Inclusion criteria were (1) peer-reviewed articles, (2) published in English, (3) included a measure of well-being in the methods and results section of the article, and (4) empirical paper. The searches resulted in 4394 articles, 3733 articles were excluded by reading the abstract, 661 articles received a full review, and 273 articles were excluded after a full review, leaving 388 articles that met our inclusion criteria and were used to extract well-being assessment information. Many studies did not define well-being or link their conceptual definition to the operational assessment tool being used. There were 158 assessments of well-being represented across studies. Results highlight the lack of a consistent definitions of well-being and standardized measurements.
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Affiliation(s)
| | - Gretchen Roman
- University of Rochester Medical Center, Rochester, NY, USA
| | - Munziba Khan
- National Center for Advancing Translational Sciences, Bethesda, MD, USA
| | - Michele Lee
- Northern Arizona University, Flagstaff, AZ, USA
| | | | | | | | | | | | | | | | - Susan Pusek
- University of North Carolina School of Medicine, St. Chapel Hill, NC, USA
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Tarhan M, Şahin Kaya D, Tetik N, Karayılan S. Relationship Between Style of Coping With Stress and Level of Transition Shock Among New Graduate Nurses: A Cross-Sectional Study. J Contin Educ Nurs 2023; 54:350-359. [PMID: 37531654 DOI: 10.3928/00220124-20230711-05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2023]
Abstract
BACKGROUND Transition shock is prevalent among new graduate nurses. Coping effectively with stress may be essential for a successful transition into practice. The relationship between transition shock and style of coping with stress remains unexplored. The goal of this study was to determine the relationship between style of coping with stress and level of transition shock among new graduate nurses. METHOD This descriptive, cross-sectional study was carried out with 252 new graduate nurses in two public hospitals in Istanbul, Turkey. Data were collected with a personal information form, the Coping Styles with Stress Scale, and the Nursing Transition Shock Scale. RESULTS Seeking social support, self-confidence, and optimism were the most commonly used styles of coping with stress, with median scores of 7 (range, 6-9), 12 (range, 10-14), and 8 (range, 7-10), respectively. Levels of transition shock for new graduate nurses were moderate, with a median score of 2.61 (range, 2.05-3.33). The helpless (rs = .34, p = .000) and submissive (rs = .23, p = .000) styles were correlated with higher levels of transition shock. CONCLUSION The level of transition shock increases with the helpless style and decreases with the use of the social support-seeking style. New graduates can cope with transition shock with simulation-based learning, effective orientation programs, a supportive working environment, and flexibility in the work shift. [J Contin Educ Nurs. 2023;54(8):350-359.].
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Xue P, Zhang Y, Wei F, Zhou L, Fang X, Hu Y, Hong Y, Li S, Lou X, Zou H. Associations of Occupational Stress and Coping Styles with Well-Being Among Couriers - Three Cities, Zhejiang Province, China, 2021. China CDC Wkly 2023; 5:446-451. [PMID: 37274770 PMCID: PMC10236641 DOI: 10.46234/ccdcw2023.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 05/15/2023] [Indexed: 06/06/2023] Open
Abstract
What is already known about this topic? Prior research has primarily concentrated on occupational health concerns, including injuries and heatstroke, among couriers. Nevertheless, there has been a scarcity of emphasis on mental health aspects, with existing studies predominantly addressing the risk factors associated with occupational stress. What is added by this report? The present study demonstrated a significant association between occupational stress and well-being among couriers, with positive coping strategies acting as a mediating factor. Furthermore, the results indicate that implementing a positive coping style may mitigate the impact of occupational stress on well-being. What are the implications for public health practice? Future public policy initiatives should focus on promoting the well-being of couriers by fostering improvements in the workplace environment, reevaluating the organization of work, and delivering support to couriers in managing occupational stress.
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Affiliation(s)
- Panqi Xue
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
| | - Yixin Zhang
- Department of Public Health, Hangzhou Normal University, Hangzhou City, Zhejiang Province, China
| | - Fang Wei
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
| | - Lifang Zhou
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
| | - Xinglin Fang
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
| | - Yong Hu
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
| | - Yu Hong
- Department of Public Health, Hangzhou Normal University, Hangzhou City, Zhejiang Province, China
| | - Shuang Li
- National Institute of Occupational Health and Poison Control, Chinese Center for Disease Control and Prevention, Beijing, China
| | - Xiaoming Lou
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
| | - Hua Zou
- Institute of Occupational Health and Radiation Protection, Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou City, Zhejiang Province, China
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Sacgaca L, Gonzales A, Alkubati S, Alrashidi N, Alreshidi MS, Pasay-an E, Hernandez JP, Alboliteeh M, Ramadan MY, Al Onezei AK, Lim-Lagura GA, Mostoles R, Saguban R. The Impact of Mental Well-Being, Stress, and Coping Strategies on Resilience among Staff Nurses during COVID-19 in Saudi Arabia: A Structural Equational Model. Healthcare (Basel) 2023; 11:healthcare11030368. [PMID: 36766943 PMCID: PMC9913963 DOI: 10.3390/healthcare11030368] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2022] [Revised: 01/22/2023] [Accepted: 01/24/2023] [Indexed: 01/31/2023] Open
Abstract
Previous studies have revealed various factors related to nurses' resilience and predictors of resilience. However, there are no studies analysing the association of three variables-mental well-being, coping strategies, and stress-with resilience. This study aims to assess the impact of mental well-being, levels of stress, and coping strategies on resilience using path analysis. This study used a cross-sectional approach that involved 763 nurses from 16 major hospitals in the eastern and northern regions of Saudi Arabia during the COVID-19 pandemic. The data gathering was conducted from August to November 2022. The staff nurses possessed positive mental wellness (3.75 ± 1.08), moderate stress levels (3.06 ± 1.21), adequate coping skills (3.33 ± 1.23), and a low level of resilience (2.90 ± 1.040). Age had a small effect on resilience (β = 0.040; p < 0.001) but work experience (β = -0.019; p > 0.139) and marital status (β = 0.019; p > 0.072) were not significant. Conversely, mental well-being (β = 0.043; p < 0.001) and stress (β = -0.089; p < 0.001) had a small effect on resilience, but coping strategies (β = 0.561; p < 0.001) had a large effect on resilience. Therefore, coping strategies must be reinforced at all times to assist nurses and other healthcare professionals in identifying contributing elements that maintain these workers' resilience in the face of unforeseen and protracted pandemics and other life events.
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Affiliation(s)
- Lailani Sacgaca
- Department of Nursing, Prince Sultan Military College of Health Sciences, Dhahran 31932, Saudi Arabia
| | - Analita Gonzales
- Department of Nursing, Faculty of Applied Medical Sciences, University of Tabuk, Tabuk 71491, Saudi Arabia
| | - Sameer Alkubati
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia
- Department of Nursing, Faculty of Medicine and Health Sciences, Hodeida University, Al-Hudaydah P.O. Box 3114, Yemen
| | - Nojoud Alrashidi
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia
| | | | | | | | | | - Magda Yousif Ramadan
- Department of Nursing, Prince Sultan Military College of Health Sciences, Dhahran 31932, Saudi Arabia
| | - Ameera Khaled Al Onezei
- Department of Nursing, Prince Sultan Military College of Health Sciences, Dhahran 31932, Saudi Arabia
| | | | - Romeo Mostoles
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia
- Correspondence:
| | - Reynita Saguban
- College of Nursing, University of Hail, Hail 81491, Saudi Arabia
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Shao S, Stanzel A, Duan TY, McKay SL, Cameron CA. Adolescent Attachment, Affect, and Behavior as Related to Coping Responses to a Psychosocial Stressor. CHILD & YOUTH CARE FORUM 2022. [DOI: 10.1007/s10566-022-09718-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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10
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Nong L, Ye JH, Hong JC. The Impact of Empowering Leadership on Preschool Teachers’ Job Well-Being in the Context of COVID-19: A Perspective Based on Job Demands-Resources Model. Front Psychol 2022; 13:895664. [PMID: 35693485 PMCID: PMC9186648 DOI: 10.3389/fpsyg.2022.895664] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 04/11/2022] [Indexed: 12/14/2022] Open
Abstract
The COVID-19 epidemic in the early 2020s is making a big difference for educators around the world. For the past 2 years, the curriculum and working patterns have been overturned in response to this epidemic, which has brought unprecedented challenges and physical and mental stress to preschool teachers. This situation can have a drastic impact on the acquisition of job well-being for preschool teachers. During this special time, the leader’s management style will also influence the psychological feelings of the organization’s staff. For example, empowering leadership is an important management function that empowers subordinates, emphasizes the meaning of work, promotes participation in decision-making, and expresses confidence. Therefore, in the current COVID-19 pandemic context, it is worthwhile to explore the topic of empowering leadership to ensure preschool teachers’ well-being, by balancing work demands and work resources in a way that facilitates a sense of organizational support and reduces job stress, while relatively fewer studies have been conducted on the relationship between preschool teachers’ job well-being in the context of the COVID-19 pandemic. Based on this, this study proposed a research model from the theoretical perspective of the Job Demands-Resources Model to explore the influence of empowering leadership, sense of organizational support, and job stress on preschool teachers’ job well-being in the context of the COVID-19 pandemic. To achieve the purpose of this study, a convenience sampling method was used to invite 500 preschool teachers in China to complete a questionnaire survey, and after removing invalid samples and data with incomplete answers, reliability and validity analyses and model fit tests were conducted, followed by a structural equation modeling method for path analysis. The results of the study showed that (1) in the kindergarten work context, empowering leadership showed a significant negative effect on job stress, but a significant positive effect on job well-being and a significant positive effect on sense of organizational support. (2) Sense of organizational support had a significant negative effect on job stress but a significant positive effect on preschool teachers’ job well-being. (3) Preschool teachers’ job stress and job well-being showed a significant negative effect. The contribution of this study was to explore the relationship between understanding leadership empowerment and preschool teachers’ job well-being in the context of the COVID-19 pandemic based on the Job Demands-Resources Model, which will facilitate educational organizational contexts to empower preschool teachers to work harder to reduce their job stress as well as enhance their sense of organizational support and promote the acquisition of job well-being.
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Affiliation(s)
- Liying Nong
- Dhurakij Pundit University, Bangkok, Thailand
- School of Education and Music, Hezhou University, Hezhou, China
| | - Jian-Hong Ye
- Faculty of Education, Beijing Normal University, Beijing, China
- *Correspondence: Jian-Hong Ye,
| | - Jon-Chao Hong
- Department of Industrial Education, National Taiwan Normal University, Taipei, Taiwan
- Institute for Research Excellence in Learning Sciences, National Taiwan Normal University, Taipei, Taiwan
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Yi QF, Yan J, Zhang CJ, Yang GL, Huang H, Yang Y. The experience of anxiety among Chinese undergraduate nursing students in the later period of their internships: findings from a qualitative study. BMC Nurs 2022; 21:70. [PMID: 35351129 PMCID: PMC8961083 DOI: 10.1186/s12912-022-00847-9] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 03/17/2022] [Indexed: 11/10/2022] Open
Abstract
Abstract
Background
Clinical internships are a critical transition period for nursing students to develop into nursing professionals and are essential for the solidification of their professional attitudes. Undergraduate nursing students face multiple sources of severe anxiety that affect their nursing career development during this period. This study aimed to understand the anxiety experienced by undergraduate nursing students in the later period of their internship periods in a Chinese educational context.
Methods
A descriptive qualitative study was conducted. A purposive sample of 17 undergraduate nursing interns with experiences of anxiety was selected from three teaching hospitals in Hunan Province, China. Data were collected through semi-structured interviews and analyzed using the Colaizzi seven-step method for data analysis.
Results
Three themes emerged: the sources of perceived anxiety, the psychological journey of coping with anxiety, and suggestions for nursing management and education. The sub-themes for the first theme included career decision dilemmas, competitive pressures for employment, worries about progress of the graduation projects, challenges of the nursing licensure examination, and low self-confidence in clinical competence. The second theme consisted of two sub-themes: negative avoidance and retreat, and positive preparation and response. The third theme consisted of policy support to create more employment opportunities, comprehensive guidance from nursing schools and hospitals, and psychological assistance and counseling.
Conclusions
This study revealed that undergraduate nursing students were prone to anxiety during the later period of their clinical internships. Specific sources of anxiety encompassed career decision-making, job pursuit, graduation, and licensure examination. Undergraduate nursing students adopted both positive and negative approaches in coping with anxiety during the later period of their clinical internships. Nursing educators and administrators should develop appropriate instructions and support systems to reduce anxiety among undergraduate nursing students.
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Mondal R, Sitthimongkol Y, Vongsirimas N, Chansatitporn N, Hegadoren K. The influence of workplace stress and coping on depressive symptoms among registered nurses in Bangladesh. BELITUNG NURSING JOURNAL 2022; 8:11-19. [PMID: 37521076 PMCID: PMC10386815 DOI: 10.33546/bnj.1959] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Revised: 11/29/2021] [Accepted: 12/19/2021] [Indexed: 08/01/2023] Open
Abstract
Background Nurses report high levels of workplace stress, which has been linked to an increased risk for experiencing depressive symptoms. Nurses' workplace stress is also linked to increased absenteeism and decreased job satisfaction. Objectives The objectives of this study were to examine: (1) the incidence of depressive symptoms among hospital-based registered nurses in Bangladesh; (2) common sources of workplace stress and their relationships to individual characteristics and depressive symptom scores; and (3) the potential mediating roles of coping strategies in the relationship between workplace stress and depressive symptoms. Methods A cross-sectional study design involved three hundred and fifty-two registered nurses. Data were collected using a demographic questionnaire and three standardized tools measuring sources of nurses' workplace stress, coping strategies, and depressive symptoms. Results More than half of the participants scored ≥ 16 on the CES-D, which was associated with a major depression episode. Total NSS scores had a small but significant influence on scores on the depression scale. Coping strategies had no mediated effect on the relationship between workplace stress and scores on the depression scale. Low-reliability coefficients for subscales of two of the standardized tools highlight the challenge for researchers in developing countries to address contextual differences that may influence the meanings attached to individual items. Conclusion Findings suggest that the mental health of registered nurses in Bangladesh requires immediate attention in part by attending to workplace stressors. Further research should focus on a deeper understanding of Bangladeshi registered nurses' work experiences and the unique contribution that workplace stressors have on their physical and mental health.
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Affiliation(s)
- Reva Mondal
- Faculty of Nursing, Mahidol University, Thailand
| | - Yajai Sitthimongkol
- Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Mahidol University, Thailand
| | - Nopporn Vongsirimas
- Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Mahidol University, Thailand
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Huang W, Cai S, Zhou Y, Huang J, Sun X, Su Y, Dai M, Lan Y. Personality Profiles and Personal Factors Associated with Psychological Distress in Chinese Nurses. Psychol Res Behav Manag 2021; 14:1567-1579. [PMID: 34629913 PMCID: PMC8495230 DOI: 10.2147/prbm.s329036] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 09/19/2021] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND A high prevalence of psychological distress is observed in nurses due to multiple occupational stressors. Personality traits and personal factors are important factors that lead to psychological distress. The personality profile reflects a combination of personality traits; however, the relationship between personality profiles and personal factors that affect psychological distress among nurses has not been defined. METHODS This cross-sectional study was conducted in November 2020 in China. Convenience and snowball sampling were used to recruit participants. Latent profile analysis was used to identify personality profiles of nurses based on the big-five personality traits. Single-factor analysis and multivariate logistic regression were used to determine the factors affecting psychological distress. The structural equation model was used to verify the hypothetical model linking personality profiles, self-efficacy, psychological resilience, and coping style with psychological distress. RESULTS A total of 953 Chinese nurses (934 female) with a mean (S.D.) age of 32.8 (8.6) years were recruited. Personality profiles identified were negative, normative, and positive. A personality profile may predict psychological distress directly and indirectly through self-efficacy, psychological resilience, and coping style. LIMITATIONS No complex sampling limits the representativeness of Chinese nurses. External factors affecting psychological distress were not investigated. CONCLUSION Nurses with anegative personality profile had a higher prevalence of psychological distress. This study establishes the importance of personality profile assessment to identify nurses at higher risk of psychological distress. It suggests that interventions should be based on self-efficacy, psychological resilience, and coping style as potential management strategies.
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Affiliation(s)
- Wentao Huang
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Shu Cai
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Ye Zhou
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Jingxin Huang
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Xibin Sun
- School of Public Health, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Yunhui Su
- Department of Emergency, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Meifen Dai
- Department of Nursing, The Sixth Affiliated Hospital, South China University of Technology (Nanhai District People’s Hospital of Foshan), Foshan, People’s Republic of China
- Meifen Dai Department of Nursing, The Sixth Affiliated Hospital, South China University of Technology (Nanhai District People’s Hospital of Foshan), Foshan, 528200, People’s Republic of China Email
| | - Yutao Lan
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
- Correspondence: Yutao Lan School of Nursing, Guangdong Pharmaceutical University, Guangzhou, 510310, People’s Republic of China Email
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Hao C, Zhu L, Zhang S, Rong S, Zhang Y, Ye J, Yang F. Serial Multiple Mediation of Professional Identity, and Psychological Capital in the Relationship Between Work-Related Stress and Work-Related Well-Being of ICU Nurses in China: A Cross-Sectional Questionnaire Survey. Front Psychol 2020; 11:535634. [PMID: 33414737 PMCID: PMC7782242 DOI: 10.3389/fpsyg.2020.535634] [Citation(s) in RCA: 19] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2020] [Accepted: 11/18/2020] [Indexed: 11/22/2022] Open
Abstract
This study aimed to investigate the serial-multiple mediation effect of professional identity, psychological capital (PsyCap), work-related stress, and work-related wellbeing among intensive care unit (ICU) nurses in China. The cross-sectional survey was conducted from January 2017 to May 2017 in two Grade III A general hospitals (with more than 2000 beds) in Jining, Shandong Province, China. Cluster sampling was used to recruit participants from the two hospitals. A total of 330 ICU nurses participated in the study. The nurses’ work stress scale, Chinese nurse’s professional identity scale, the PsyCap questionnaire, and Chinese work-related wellbeing scale were used to collect the data. Descriptive analysis, independent-samples t-test, one-way analysis of variance, Pearson correlation analysis, linear regression analysis, and structural equation modeling were used to analyze the data (P < 0.05 was considered statistically significant). The average score for the work-related wellbeing of ICU nurses was 85.91 ± 13.94. Work-related stress, professional identity, and PsyCap correlated significantly with work-related wellbeing. The major predictors of work-related wellbeing were PsyCap, work-related stress, professional identity, and monthly salary. The serial-multiple mediation effects of professional identity and PsyCap in the relationship between work-related stress and work-related wellbeing were statistically significant. Positive professional identity and PsyCap were sequentially associated with decreased work-related stress, which in turn was related to increased work-related wellbeing among ICU nurses. Therefore, this study aims to explore the impact of ICU nurses’ work-related stress on work-related wellbeing, as well as the mediating effect of professional identity and PsyCap. It is hoped that hospital care managers will pay attention to the mental health of ICU nurses, increase their professional identity, and reduce work-related stress to improve the quality of the ICU nursing service and stabilize nursing work.
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Affiliation(s)
- Cuiping Hao
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Lina Zhu
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Suzhen Zhang
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Shan Rong
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Yaqing Zhang
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Jiuhang Ye
- Department of Critical Medicine, Affiliated Hospital of Jining Medical University, Jining, China
| | - Fuguo Yang
- School of Nursing, Qingdao University, Qingdao, China
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