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中国年轻护士工作压力与心理健康之间的自我效能、应对、倦怠以及社会支持的中介作用。
Author(s) -
Chen Juan,
Li Jiping,
Cao Bingrong,
Wang Feng,
Luo Li,
Xu Jiajun
Publication year - 2020
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14208
Subject(s) - anxiety , social support , emotional exhaustion , stressor , psychology , burnout , clinical psychology , structural equation modeling , coping (psychology) , mental health , depression (economics) , psychiatry , social psychology , statistics , mathematics , economics , macroeconomics
Aims To examine the mediating effects of self‐efficacy, coping, burnout, and social support in the link between job stress and depression and anxiety among young Chinese nurses. Design A cross‐sectional survey was used. Methods Full‐time young nurses ( N = 1,029) who worked in nine tertiary grade A hospitals in Chengdu China were recruited from December 2016–March 2017. Structural equation modelling was applied to analyse the mediating effects. Results Job stress had a direct positive effect on anxiety (β = 0.054) and it also exerted indirect positive effects on depression (β = 0.337) and anxiety (β = 0.325) through mediating factors. Emotional exhaustion and social support were the main mediating variables, accounting for 72.0% of the variation in anxiety and nearly 43.4% in depression. Conclusion Emotional exhaustion and social support may have significant mediating effects in the link between job stress and depression and anxiety. Strategies including deceasing emotional exhaustion, enhancing social support in work environment, and reducing job stressors would be useful to prevent depression and anxiety among young nurses. Impact What problems did the study address? Depression and anxiety have great impact on professional performance of nurses and even patient safety. Factors such as coping, burnout, etc., may have different mediating effects in the paths from job stress to depression and anxiety. What were the main findings? Job stress had direct and indirect positive effects on anxiety and it only had indirect positive effect on depression. Emotional exhaustion and social support were the main mediating variables in the link between job stress and depression and anxiety. Where and on whom will the research have impact? Nursing managers should be more cognizant of the impact of job stress on the development of depression and anxiety. The significant mediating effect of emotional exhaustion and social support in the link between job stress and depression and anxiety should be emphasized by nursing administrators and effective targeted measures need to be adopted.