Work-related stress and wellbeing among nurses: Testing a multi-dimensional model

Jpn J Nurs Sci. 2020 Oct;17(4):e12360. doi: 10.1111/jjns.12360. Epub 2020 Aug 17.

Abstract

Aim: Basing on the Demands-Resources and Individual-Effects (DRIVE) Model developed by Mark and Smith in 2008, the study aims to propose and test a multi-dimensional model that combines work characteristics, individual characteristics, and work-family interface dimensions as predictors of nurses' psychophysical health.

Methods: Self-report questionnaires assessing work characteristics (effort; rewards; job demands; job control; social support), individual characteristics (socio-demographic characteristics; coping strategies; Type A behavioral pattern; Type D personality), work-family interface dimensions (work-family interrole conflict; job and life satisfaction), and health outcomes (psychological disease; physical disease) were completed by 450 Italian nurses. Logistic regression analyses and Hayes' PROCESS tool were used to test the proposed model by exploring main, moderating and mediating hypotheses.

Results: Findings confirmed the proposed theoretical framework including work characteristics, individual characteristics, and work-family interface dimensions as significant predictors of nurses' psychophysical disease. Specific main, moderating and mediating effects were found, providing a wide set of multiple risks and protective factors.

Conclusions: The study allowed a broader understanding of nurses' work-related stress process, providing a comprehensive tool for the assessment of occupational health and for the definition of tailored policies and interventions in public healthcare organizations to promote nurses' wellbeing.

Keywords: job stress; mental health; nurses; physical health; work-family balance/conflict.

MeSH terms

  • Adaptation, Psychological
  • Humans
  • Job Satisfaction
  • Nurses*
  • Occupational Health*
  • Occupational Stress*
  • Stress, Psychological
  • Surveys and Questionnaires