Mediating effects of self‐efficacy, coping, burnout, and social support between job stress and mental health among young Chinese nurses

• DOI: 10.1111/jan.14208
• Publication Date: 2019-10-01T04:14:44Z
• Authors: Juan Chen; Jiping Li; Bingrong Cao; Feng Wang; Li Luo; Jiajun Xu
• Keywords: Stressor; Depression

To examine the mediating effects of self-efficacy, coping, burnout, and social support in link between job stress depression anxiety among young Chinese nurses.A cross-sectional survey was used.Full-time nurses (N = 1,029) who worked nine tertiary grade A hospitals Chengdu China were recruited from December 2016-March 2017. Structural equation modelling applied to analyse effects.Job had a direct positive effect on (β 0.054) it also exerted indirect 0.337) 0.325) through factors. Emotional exhaustion main variables, accounting for 72.0% variation nearly 43.4% depression.Emotional may have significant anxiety. Strategies including deceasing emotional exhaustion, enhancing work environment, reducing stressors would be useful prevent nurses.What problems did study address? Depression great impact professional performance even patient safety. Factors such as etc., different paths What findings? Job only depression. variables Where whom will research impact? Nursing managers should more cognizant development The emphasized by nursing administrators effective targeted measures need adopted.目的: 研究自我效能、应对、倦怠以及社会支持在中国年轻护士工作压力、抑郁与焦虑之间的中介作用。 设计: 使用横断面研究。 方法: 自2016年12月至2017年3月,我们招募了在中国成都市九家三级甲等医院工作的专职年轻护士(N 1029),并采用结构方程模型分析中介作用。 结果: 工作压力对焦虑有直接的积极影响(β= 0.054),并且通过中介因素对抑郁(β= 0.337)和焦虑(β= 0.325)也有间接的积极影响。情绪疲劳和社会支持是主要的中介变量,其占焦虑变量的72.0%,占抑郁变量近43.4%。 结论: 情绪疲惫和社会支持可能对工作压力、抑郁以及焦虑之间的联系产生显著的中介作用。减少情绪疲惫,增加工作环境中的社会支持并减少工作压力等策略有助于预防年轻护士出现抑郁和焦虑。 影响: 此项研究解决了什么问题? 抑郁和焦虑会对护士的专业表现甚至患者安全产生重大影响。应对、倦怠等因素在工作压力与抑郁、焦虑之间能够产生不同的中介作用。 研究主要发现是什么? 工作压力对焦虑有直接和间接的积极影响,而多抑郁只有间接的积极影响。 情绪疲惫和社会支持是工作压力与抑郁和焦虑之间的主要中介变量。 研究将对谁以及在何处产生影响? 护理管理人员应更了解工作压力对产生抑郁和焦虑的影响。 护理管理人员应重视情绪和社会支持在工作压力与抑郁和焦虑之间的重要中介作用,并应采取有效的针对性措施。.