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Development of the Nurses’ Occupational Stressor Scale

Author

Listed:
  • Yi-Chuan Chen

    (School of Nursing, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan)

  • Yue-Liang Leon Guo

    (Department of Environmental and Occupational Medicine, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan
    Department of Environmental and Occupational Medicine, National Taiwan University Hospital (NTUH), No. 7, Chung-Shan South Rd., Taipei 10002, Taiwan)

  • Li-Chan Lin

    (Institute of Clinical Nursing, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 11221, Taiwan)

  • Yu-Ju Lee

    (School of Nursing, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan)

  • Pei-Yi Hu

    (Institute of Labor, Occupational Safety and Health (ILOSH), Ministry of Labor, No. 99, Lane 407, Hengke Rd., New Taipei City 22143, Taiwan)

  • Jiune-Jye Ho

    (Institute of Labor, Occupational Safety and Health (ILOSH), Ministry of Labor, No. 99, Lane 407, Hengke Rd., New Taipei City 22143, Taiwan)

  • Judith Shu-Chu Shiao

    (School of Nursing, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan
    Department of Nursing, National Taiwan University Hospital (NTUH), No. 7, Chung-Shan South Rd., Taipei 10002, Taiwan
    Occupational Health Nursing and Education Association of Taiwan (OHNEAT), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan)

Abstract

Although nurses work in stressful environments, stressors in such environments have yet to be clearly assessed. This study aimed to develop a Nurses’ Occupational Stressor Scale (NOSS) with high reliability and validity. Candidate questions for the NOSS were generated by expert consensus following focus group feedback, and were used to survey in 2013. A shorter version was then developed after examination for validity and reproducibility in 2014. The accuracy of the short version of the NOSS for predicting nurses’ stress levels was evaluated based on receiver operating characteristic curves to compare existing instruments for measuring stress outcomes, namely personal burnout, client-related burnout, job dissatisfaction, and intention to leave. Examination for validity and reproducibility yielded a shorter version of NOSS with only 21 items was considered sufficient for measuring stressors in nurses’ work environments. Nine subscales were included: (1) work demands, (2) work–family conflict, (3) insufficient support from coworkers or caregivers, (4) workplace violence and bullying, (5) organizational issues, (6) occupational hazards, (7) difficulty taking leave, (8) powerlessness, and (9) unmet basic physiological needs. The 21-item NOSS proved to have high concurrent and construct validity. The correlation coefficients of the subscales for test-retest reliability ranged from 0.71 to 0.83. The internal consistency (Cronbach’s α) coefficients ranged from 0.35 to 0.77. The NOSS exhibited accurate prediction of personal burnout, client-related burnout, job dissatisfaction, and intention to leave.

Suggested Citation

  • Yi-Chuan Chen & Yue-Liang Leon Guo & Li-Chan Lin & Yu-Ju Lee & Pei-Yi Hu & Jiune-Jye Ho & Judith Shu-Chu Shiao, 2020. "Development of the Nurses’ Occupational Stressor Scale," IJERPH, MDPI, vol. 17(2), pages 1-14, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:649-:d:310730
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    References listed on IDEAS

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    1. Ewa Kupcewicz & Marcin Jóźwik, 2019. "Positive Orientation and Strategies for Coping with Stress as Predictors of Professional Burnout among Polish Nurses," IJERPH, MDPI, vol. 16(21), pages 1-14, November.
    2. Odessa Petit Dit Dariel & Jean-Phillipe Regnaux, 2015. "Do Magnet®-accredited hospitals show improvements in nurse and patient outcomes compared to non-Magnet hospitals: a systematic review," Post-Print hal-01528693, HAL.
    3. Jessica G. Rainbow & Linsey M. Steege, 2019. "Transition to practice experiences of first‐ and second‐career nurses: A mixed‐methods study," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1193-1204, April.
    4. Henry Kaiser, 1974. "An index of factorial simplicity," Psychometrika, Springer;The Psychometric Society, vol. 39(1), pages 31-36, March.
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    1. Andrzej Piotrowski & Ewa Sygit-Kowalkowska & Ole Boe & Samir Rawat, 2022. "Resilience, Occupational Stress, Job Satisfaction, and Intention to Leave the Organization among Nurses and Midwives during the COVID-19 Pandemic," IJERPH, MDPI, vol. 19(11), pages 1-16, June.

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