The mediating and moderating role of psychological resilience between occupational stress and mental health of psychiatric nurses: a multicenter cross-sectional study

BMC Psychiatry

Research

Shu-Yan Chen¹  Cheng Bian¹  Yin Cheng¹  Wei-Wei Zhao²  Shi-Rui Yan³  Ying Gao³  Yan-Hong Zhang³  Wei Zong³ 

[1] School of Nursing, Nanjing Medical University, Nanjing, China;School of Nursing, Nanjing Medical University, Nanjing, China;The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China;The Affiliated Brain Hospital of Nanjing Medical University, Nanjing, China;

关键词: Psychiatric nurses;    Mental health;    Occupational stress;    Psychological resilience;    Dual-factor model of mental health;   

DOI  :  10.1186/s12888-022-04485-y

 received in 2022-05-02, accepted in 2022-12-19,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe particular occupational stress of psychiatric nurses has a negative impact on their mental health. There is evidence that psychological resilience can promote mental health; however, the relationship between resilience in occupational stress and mental health of psychiatric nurses is unclear, and mental health was assessed from a psychopathological perspective, neglecting the role of positive psychology. Therefore, this study was based on a dual-factor model of mental health, describing mental health in terms of both positive well-being and psychiatric symptoms. We aimed to investigate the level of psychiatric nurses' mental health and whether resilience plays a mediating or moderating role between occupational stress and mental health in psychiatry nurses.MethodsA cross sectional survey of 450 psychiatric nurses in five hospitals in Jiangsu Province was conducted using a convenience sampling method, of which 413 were valid questionnaires with an effective rate of 91.8%. The evaluation included the Chinese Nurses’ Stress Scale, the Connor-Davidson Resilience Scale, the Warwick-Edinburgh Mental Well-being Scale, and the General Health Questionnaire. Descriptive and Spearman correlation analyses were performed using SPSS25.0 while mediating and moderating effects were performed using SmartPLS3.0.ResultsBased on a dual-factor model of mental health, this study found that psychiatric nurses had a low general state of mental health, with 54.5% positive mental health, 7% vulnerable, 21.8% symptomatic but content, and 16.7% completely troubled. In addition, we found that resilience plays a mediating role in stress and mental health [β = -0.230, 95% CI of (-0.310, -0.150)] and does not play a moderating role [β = -0.018, 95%CI (-0.091, 0.055)].ConclusionsPsychiatric nurses are in a poor state of mental health, and psychological resilience partly mediates occupational stress and mental health. This study suggests that attention should be paid to both positive and negative aspects of psychiatric nurses' mental health, and strategies should be developed to reduce occupational stress and develop psychological resilience.

【 授权许可】

CC BY   
© The Author(s) 2022

【 图 表 】

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