Role Stress and Psychological Distress Among Chinese Nurses During the COVID-19 Pandemic: A Moderated Mediation Model of Social Support and Burnout

Frontiers in Psychiatry

卷:13

Jia Guo¹  Honghui Zhang²  Shan Xiao²  Qian Li²  Ting Dai²  Yuting Xiao³  Yu Yu⁴ 

[1] Department of Clinical Nursing, Xiangya School of Nursing, Central South University, Hunan, China;

[2] Department of Hepatobiliary Diseases, Hunan Provincial People's Hospital, The First-Affiliated Hospital of Hunan Normal University, Hunan, China;

[3] Department of Nursing, Hunan Provincial People's Hospital, The First-Affiliated Hospital of Hunan Normal University, Hunan, China;

[4] Division of Prevention and Community Research, Department of Psychiatry, Yale School of Medicine, New Haven, CT, United States;

关键词: role stress;    burnout;    psychological distress;    social support;    mediator;    moderator;   

DOI  :  10.3389/fpsyt.2022.812929

来源: DOAJ

【 摘 要 】

ObjectiveNurses are at high risk of psychological distress including stress, depression, and anxiety due to low personnel density and high work demand. Despite mounting evidence showing that role stress is a risk factor for nurses' psychological distress, the mediating and moderating mechanisms underlying this relationship are less known. This study tests the mediation effect of burnout in the association between role stress and psychological distress, and whether this mediation is moderated by social support.MethodsA sample of 623 Chinese nurses were recruited from all hepatological surgery departments in Hunan Province and filled out an online questionnaire to collect data on socio-demographics, role stress, burnout, psychological distress, and social support. Mediation and moderation analyses were carried out in SPSS macro-PROCESS.ResultsBurnout partially mediated the positive association between role stress and psychological distress. Social support moderated the indirect effect of role stress on psychological distress via burnout, with the effect being stronger for nurses with low social support than those with high social support.ConclusionsThese findings demonstrated how role stress contributed to nurses' psychological distress both directly and indirectly through burnout, and how this indirect effect was moderated by social support. The results provide important practical implications for future prevention and intervention programs to improve nurses' mental health from multiple aspects such as decreasing role stress and burnout while increasing social support.

【 授权许可】

Unknown