IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i14p7327-d590846.html
   My bibliography  Save this article

Relations between Stress and Depressive Symptoms in Psychiatric Nurses: The Mediating Effects of Sleep Quality and Occupational Burnout

Author

Listed:
  • Hsiu-Fen Hsieh

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Yi Liu

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Hsin-Tien Hsu

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Shu-Ching Ma

    (Nursing Department, Chi-Mei Medical Center, Tainan 71004, Taiwan
    College of Humanities and Social Science, Southern Taiwan University of Science and Technology, Tainan 71005, Taiwan)

  • Hsiu-Hung Wang

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan)

  • Chih-Hung Ko

    (Department of Psychiatry, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

Abstract

This study examines the parallel multiple mediators of quality of sleep and occupational burnout between perceived stress and depressive symptoms in psychiatric nurses. Nurses are more likely to experience depression, anxiety, decreased job satisfaction, and reduced organizational loyalty as a result of the stressful work environment and heavy workload. A total of 248 psychiatric ward (PW) nurses participated in this cross-sectional survey study. Structural equation modelling was used for data analysis. In the model of parallel multiple mediators for depressive symptoms, quality of sleep and occupational burnout played mediating roles, and these two mediators strengthened the effect of stress on depressive symptoms, with the final model showing a good fit. Stress, occupational burnout, and quality of sleep explained 46.0% of the variance in psychiatric nurses’ depressive symptoms. Stress had no significantly direct effect on psychiatric nurses’ depressive symptoms, but it had a completed mediation effect on their depressive symptoms through occupational burnout and quality of sleep. This study showed that reduction of occupational burnout and improvement of quality of sleep play important roles against depressive symptoms among PW nurses. Healthcare managers should provide PW nurses with a better environment for improving quality of sleep and reducing occupational burnout.

Suggested Citation

  • Hsiu-Fen Hsieh & Yi Liu & Hsin-Tien Hsu & Shu-Ching Ma & Hsiu-Hung Wang & Chih-Hung Ko, 2021. "Relations between Stress and Depressive Symptoms in Psychiatric Nurses: The Mediating Effects of Sleep Quality and Occupational Burnout," IJERPH, MDPI, vol. 18(14), pages 1-9, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7327-:d:590846
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/14/7327/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/14/7327/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Shamona Maharaj & Ty Lees & Sara Lal, 2018. "Prevalence and Risk Factors of Depression, Anxiety, and Stress in a Cohort of Australian Nurses," IJERPH, MDPI, vol. 16(1), pages 1-10, December.
    2. Siegrist, Johannes & Starke, Dagmar & Chandola, Tarani & Godin, Isabelle & Marmot, Michael & Niedhammer, Isabelle & Peter, Richard, 2004. "The measurement of effort-reward imbalance at work: European comparisons," Social Science & Medicine, Elsevier, vol. 58(8), pages 1483-1499, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Yushi Lu & Zhi Li & Yuting Fan & Jin Wang & Tian Zhong & Ling Wang & Ying Xiao & Dongmei Zhang & Qingsong Chen & Xi Yu, 2022. "The Mediating Role of Cumulative Fatigue on the Association between Occupational Stress and Depressive Symptoms: A Cross-Sectional Study among 1327 Chinese Primary Healthcare Professionals," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    2. Chiara Consiglio & Greta Mazzetti & Wilmar B. Schaufeli, 2021. "Psychometric Properties of the Italian Version of the Burnout Assessment Tool (BAT)," IJERPH, MDPI, vol. 18(18), pages 1-21, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Nektaria Nicolakakis & Maude Lafantaisie & Marie-Claude Letellier & Caroline Biron & Michel Vézina & Nathalie Jauvin & Maryline Vivion & Mariève Pelletier, 2022. "Are Organizational Interventions Effective in Protecting Healthcare Worker Mental Health during Epidemics/Pandemics? A Systematic Literature Review," IJERPH, MDPI, vol. 19(15), pages 1-18, August.
    2. Liebig, Stefan & Schupp, Jürgen, 2008. "Leistungs- oder Bedarfsgerechtigkeit? Über einen normativen Zielkonflikt des Wohlfahrtsstaats und seiner Bedeutung für die Bewertung des eigenen Erwerbseinkommens," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 59(1), pages 7-30.
    3. Mandy Schult & Verena Tobsch, 2012. "Freizeitstress: wenn die Arbeit ständig ruft," SOEPpapers on Multidisciplinary Panel Data Research 485, DIW Berlin, The German Socio-Economic Panel (SOEP).
    4. Keisuke Kokubun, 2024. "Effort–Reward Imbalance and Passion Exploitation: A Narrative Review and a New Perspective," World, MDPI, vol. 5(4), pages 1-13, December.
    5. Jean-Baptist du Prel & Johannes Siegrist & Daniela Borchart, 2019. "The Role of Leisure-Time Physical Activity in the Change of Work-Related Stress (ERI) over Time," IJERPH, MDPI, vol. 16(23), pages 1-9, December.
    6. João Silvestre da Silva-Junior & Frida Marina Fischer, 2014. "Long-Term Sickness Absence Due to Mental Disorders Is Associated with Individual Features and Psychosocial Work Conditions," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-14, December.
    7. Tophoven, Silke & Wurdack, Anja & Rauch, Angela & Munkert, Casandra & Bauer, Ulrike, 2016. "lidA - leben in der Arbeit : German cohort study on work, age and health. Documentation for waves 1 and 2," FDZ Datenreport. Documentation on Labour Market Data 201601_en, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    8. Elisabeth Maria Balint & Peter Angerer & Harald Guendel & Birgitt Marten-Mittag & Marc N. Jarczok, 2022. "Stress Management Intervention for Leaders Increases Nighttime SDANN: Results from a Randomized Controlled Trial," IJERPH, MDPI, vol. 19(7), pages 1-12, March.
    9. Rugulies, Reiner & Krause, Niklas, 2005. "Job strain, iso-strain, and the incidence of low back and neck injuries. A 7.5-year prospective study of San Francisco transit operators," Social Science & Medicine, Elsevier, vol. 61(1), pages 27-39, July.
    10. Sara Brolin Låftman & Maria Granvik Saminathen & Bitte Modin & Petra Löfstedt, 2021. "Excellent Self-Rated Health among Swedish Boys and Girls and Its Relationship with Working Conditions in School: A Cross-Sectional Study," IJERPH, MDPI, vol. 18(3), pages 1-9, February.
    11. Thierry Debrand & Pascale Lengagne, 2007. "Organisation du travail et sante des seniors en Europe," Working Papers DT3, IRDES institut for research and information in health economics, revised Feb 2007.
    12. Yi-Shih Chung & Paul Tae-Woo Lee & Jeong-Kwan Lee, 2017. "Burnout in seafarers: its antecedents and effects on incidents at sea," Maritime Policy & Management, Taylor & Francis Journals, vol. 44(7), pages 916-931, October.
    13. Stefan Hochguertel, 2010. "Self-Employment around Retirement Age," Tinbergen Institute Discussion Papers 10-067/3, Tinbergen Institute.
    14. Ågotnes, Kari Wik & Skogstad, Anders & Hetland, Jørn & Olsen, Olav Kjellevold & Espevik, Roar & Bakker, Arnold B. & Einarsen, Ståle Valvatne, 2021. "Daily work pressure and exposure to bullying-related negative acts: The role of daily transformational and laissez-faire leadership," European Management Journal, Elsevier, vol. 39(4), pages 423-433.
    15. Yushi Lu & Zhi Li & Yuting Fan & Jin Wang & Tian Zhong & Ling Wang & Ying Xiao & Dongmei Zhang & Qingsong Chen & Xi Yu, 2022. "The Mediating Role of Cumulative Fatigue on the Association between Occupational Stress and Depressive Symptoms: A Cross-Sectional Study among 1327 Chinese Primary Healthcare Professionals," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    16. Viktor Soltes & Jozef Kubas & Andrej Velas & David Michalík, 2021. "Occupational Safety of Municipal Police Officers: Assessing the Vulnerability and Riskiness of Police Officers’ Work," IJERPH, MDPI, vol. 18(11), pages 1-19, May.
    17. Simone Schneider & Jürgen Schupp, 2014. "Individual Differences in Social Comparison and its Consequences for Life Satisfaction: Introducing a Short Scale of the Iowa–Netherlands Comparison Orientation Measure," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 115(2), pages 767-789, January.
    18. Patricia Concheiro-Moscoso & Betania Groba & Francisco José Martínez-Martínez & María del Carmen Miranda-Duro & Laura Nieto-Riveiro & Thais Pousada & Cristina Queirós & Javier Pereira, 2021. "Study for the Design of a Protocol to Assess the Impact of Stress in the Quality of Life of Workers," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    19. Adam R. Szromek & Radosław Wolniak, 2020. "Job Satisfaction and Problems among Academic Staff in Higher Education," Sustainability, MDPI, vol. 12(12), pages 1-38, June.
    20. Jantien van Berkel & Cécile R L Boot & Karin I Proper & Paulien M Bongers & Allard J van der Beek, 2014. "Effectiveness of a Worksite Mindfulness-Related Multi-Component Health Promotion Intervention on Work Engagement and Mental Health: Results of a Randomized Controlled Trial," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-10, January.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7327-:d:590846. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.