Anxiety, depression, work-related stress and psychological flexibility in nursesA correlational-comparative study

  1. María Blanca Cuenca 1
  2. María Belén García-Martín 2
  3. María José Calero García 3
  1. 1 University of Jaén, Spain
  2. 2 Universidad de La Sabana, Colombia
  3. 3 University of Jaén, Jaén, Spain
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Journal:
European Journal of Health Research: (EJHR)

ISSN: 2444-9067,  2445-0308

Year of publication: 2021

Volume: 7

Issue: 3

Type: Article

DOI: 10.32457/EJHR.V7I3.1713 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: European Journal of Health Research: (EJHR)

Abstract

La enfermería está expuesta a una variedad de estrés laboral afectando a su salud mental y productividad laboral. Se ha demostrado que la flexibilidad psicológica tiene beneficios para la salud mental de la población general. Los objetivos de este estudio fueron analizar en el personal de enfermería la relación entre estresores laborales y flexibilidad psicológica; entre sintomatología emocional y flexibilidad psicológica; y las diferencias en la exposición a estresores y en la sintomatología emocional de la enfermería entre diferentes áreas de trabajo y turnos. En este estudio correlacional comparativo se usaron los cuestionarios NSS, DASS-21 y AAQ-II. La prevalencia de niveles de moderado-a muy severo de depresión, ansiedad y estrés fueron 17.6%, 29.9% y 23.3%, respectivamente. Se observó una correlación significativa negativa entre los estresores laborales y la flexibilidad psicológica; entre el estrés laboral y flexibilidad psicológica; entre sintomatología emocional y flexibilidad psicológica; entre ansiedad, estrés y la edad; y entre los estresores laborales y la edad. Las enfermeras que trabajaban con turnos rotatorios declararon niveles significativamente mayores de sintomatología emocional, estrés y ansiedad que las que trabajaban en turnos diurnos. La flexibilidad psicológica parece explicar una prevalencia significativa de sintomatología emocional en enfermería. Las enfermeras comunitarias mostraron los niveles más bajos de ansiedad, depresión y estrés en comparación con las enfermeras de hospital.

Bibliographic References

  • Ariapooran, S. (2019). Sleep problems and depression in Iranian nurses: the predictive role of workaholism. Iranian Journal of Nursing and Midwifery Research, 24(1), 30–37. doi: 10.4103/ijnmr.IJNMR_188_17
  • Borges, E., Fonseca, C., Baptista, P., Queirós, C., Baldonedo-Mosteiro, M., & Mosteiro-Diaz,M. P. (2019). Compassion fatigue among nurses working on an adult emergency and urgent care unit. Fadiga por compaixão em enfermeiros de urgência e emergência hospitalar de adultos. Revista latino-americana de Enfermagem, 27, e3175. https://doi.org/10.1590/1518-8345.2973.3175
  • Bond, F. W., & Bunce, D. (2003). The role of acceptance and job control in mental health, job satisfaction, and work performance. Journal of Applied Psychology, 88, 1057–1067 Doi: 10.1037/0021-9010.88.6.1057
  • Bond, F. W., Hayes, S. C., Baer, R. A., Carpenter, K. M., Guenole, N., Orcutt, H. K., Waltz, T., & Zettle, R. D. (2011). Preliminary psychometric properties of the Acceptance and Action Questionnaire – II: A revised measure of psychological inflexibility and experiential avoidance. Behavioural Therapy, 42, 676–688
  • Caruso C. C. (2014). Negative impacts of shift work and long work hours. Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses, 39(1), 16–25. https://doi.org/10.1002/rnj.107
  • Chegini Z. (2019). Occupational Stress among Critical Care Nurses: A Comparative Study of Public and Private Sector. Iranian journal of nursing and midwifery research, 24(4), 306–309. https://doi.org/10.4103/ijnmr.IJNMR_218_18
  • Cheung, T., & Yip, P. (2015). Depression, Anxiety and Symptoms of Stress among Hong Kong Nurses: A Cross-sectional Study. International Journal of Environmental Research and Public Health, 12(9), 11072–11100 doi: 10.3390/ijerph120911072
  • Díaz Tobajas, M. C., Juarros Ortiz, N., García Martínez, B., & Sáez Gavilán, C. (2017). Study on anxiety in intensive care nursing professionals facing the process of death. Enfermería Global, 16(1), 246–265 https://doi.org/10.6018/eglobal.16.1.232221
  • Gray-Toft, P., & Anderson, J. G. (1981). The Nursing Stress Scale: Development of an instrument. Journal of Behavioural Assessment, 3, 11–23 https://doi.org/10.1007/BF01321348
  • Gu, B., Tan, Q., & Zhao, S. (2019). The association between occupational stress and psychosomatic wellbeing among Chinese nurses: A cross-sectional survey. Medicine (Baltimore), 98(22), e15836. doi: 10.1097/MD.0000000000015836
  • Hasan, A., & Tumah, H. (2018). The correlation between occupational stress, coping strategies, and the levels of psychological distress among nurses working in mental health hospital in Jordan. Perspectives in Psyquiatric Care, 55(6). doi:10.1111/ppc.12292
  • Hayes, S. C., Luoma, J., Bond, F., Masuda, A., & Lillis J. (2006). Acceptance and Commitment Therapy: model, processes, and outcomes. Behaviour Research and Therapy, 44, 1–25.
  • Huang, C., Wu, M., Ho, C., & Wang, J. (2018). Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study. PLoS ONE, 13(9), e0204224 https://doi.org/10.1371/journal.pone.0204224
  • Karanikola, M., Giannakopoulou, M., Kalafati, M., Kaite, C., Patiraki, E., Mpouzika, M., Papathanassoglou, E., & Middleton, N. (2016). Anxiety symptoms and quality of interaction among oncology nurses: A correlational and cross-sectional study. Revista da Escola de Enfermagem da USP., 50(5), 800–807 http://dx.doi.org/10.1590/S0080- 623420160000600013
  • Kashdan, T. B., & Rottenberg J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical Psychology Review, 30(4), 865–878 doi: 10.1016/j.cpr.2010.03.001
  • Kashdan, T. B., Barrios, V., Forsyth, J. P., & Steger, M. F. (2006). Experiential avoidance as a generalized psychological vulnerability: Comparisons with coping and emotion regulation strategies. Behaviour Research and Therapy, 44(9):1301±20 https://doi.org/10.1016/j.brat.2005.10.003
  • Khamisa, N., Oldenburg, B., Peltzer, K., & Ilic D. (2015). Work Related Stress, Burnout, Job Satisfaction and General Health of Nurses. International Journal of Environmental Research and Public Health, 12, 652-666 doi: 10.3390/ijerph120100652
  • Khodadadi, E., Hosseinzadeh, M., Azimzadeh R., & Fooladi M. (2016). The relation of depression, anxiety and stress with personal characteristics of nurses in hospitals of Tabriz, Iran. International Journal of Medical Research & Health Sciences, 5(5), 140– 148.
  • Ko, W., & Kiser-Larson N. (2016). Stress Levels of Nurses in Oncology Outpatient Unit.
  • Clinical Journal of Oncology Nursing, 20(2), 158-64 doi: 10.1188/16
  • Kourakos, M. (2017). Mental health and coping strategies among nursing staff in public health services. Progress in Health Sciences, 7(2), 67–73 doi: 10.5604/01.3001.0010.7852
  • Kupfer D. J. (2015). Anxiety and DSM-5. Dialogues in clinical neuroscience, 17(3), 245–246.
  • Lee, H., Kim, M. S., Kim, O., Lee, I. H., & Kim, H. K. (2015). Association between shift work and severity of depressive symptoms among female nurses: the Korea Nurses’ Health Study. Journal of Nursing Management, 24(2), 192–200 doi: 10.1111/jonm.12298
  • Leka, S., Griffiths, A., & Cox T. (2004). La organización del trabajo y el estrés. Institute of work, health & Organizations. Organización Mundial de la salud.
  • Lin, S. H., Liao, W. C., Chen, M. Y., & Fan, J. Y. (2014). The impact of shift work on nurses' job stress, sleep quality and self-perceived health status. Journal of nursing management, 22 (5), 604–612. https://doi.org/10.1111/jonm.12020
  • Manzini, J. L. (2000). Declaración de Helsinki: Principios éticos para la investigación médica sobre sujetos humanos. Acta Bioethica, 6, 321–334.
  • Más R., & Escribà V. (1988). La versión castellana de la escala «The Nursing Stress Scale». Proceso de adaptación transcultural. Revista Española de Salud Pública, 72, 529–538
  • Meyer, E., Bash, H., DeBeer, B., Kimbrel, N., Gulliver, S., & Morissette, S. (2019). Psychological inflexibility predicts PTSD symptom severity in war veterans after accounting for established PTSD risk factors and personality. Psychological Trauma: Theory, Research, Practice, and Policy, 11(4), 383–390 doi: 10.1037/tra0000358
  • Michael, T., Zetsche, U., & Margraf J. (2007). Epidemiology of anxiety disorders. Psychiatry, 6 (4) pp: 136-142 doi: 10.1016/j.mppsy.2007.01.007
  • Munnangi, S., Dupiton, L., Boutin, A., & Angus L. (2018). Burnout, perceived stress, and job satisfaction among trauma nurses at a Level i safety-net trauma centre. Journal of Trauma Nursing, 25 (1), 4–13 doi: 10.1097/JTN.0000000000000335
  • Nascimento, J., Santos, J., Meira, K., Pierin, A., & Souza-Talarico J. (2019). Shift work of nursing professionals and blood pressure, burnout and common mental disorders. Revista da Escola de Enfermagem da USP, 53, e03443 http://dx.doi.org/10.1590/S1980- 220X2018002103443
  • Perry, L., Lamont, S., Brunero, S., Gallagher, R., & Duffield, C. (2015). The mental health of nurses in acute teaching hospital settings: a cross-sectional survey. BMC Nursing, 14, 15 doi: 10.1186/s12912-015-0068-8
  • Plumb, J. C., Orsillo, S. M., & Luterek, J. A. (2004). A preliminary test of the role of experiential avoidance in post-event functioning. Journal of Behaviour Therapy and Experimental Psychiatry, 35, 245–257 doi: 10.1016/j.jbtep.2004.04.011
  • Puolakanaho, A., Tolvanen, A., Kinnunen, S., & Lappalainen, R. (2020). A psychological flexibility -based intervention for Burnout: A randomized controlled trial. Journal of Contextual Behavioural Science, 15, 52-67. doi: 10.1016/j.jcbs.2019.11.007
  • Ramírez-Baena, L., Ortega-Campos, E., Gómez-Urquiza, J. L., Cañadas-De la Fuente, G. R., De la Fuente-Solana, E. I., & Cañadas-De la Fuente, G. A. (2019). A Multicentre Study of Burnout Prevalence and Related Psychological Variables in Medical Area Hospital Nurses. Journal of clinical medicine, 8(1), 92 https://doi.org/10.3390/jcm8010092
  • Ruiz, F. J., García-Martín, M. B., Suárez-Falcón, J. C., & Odriozola-González, P. (2017). The hierarchical factor structure of the Spanish version of Depression Anxiety and Stress Scale–21. International Journal of Psychology and Psychological Therapy, 17, 97–105
  • Ruiz, F. J., Langer-Herrera, A. I., Luciano, C., & Cangas, A. J. (2013). Measuring experiential avoidance and psychological inflexibility: The Spanish version of the Acceptance and Action Questionnaire – II. Psicothema, 25(1), 123–129 doi: 10.7334/psicothema2011.239
  • Sairanen, E., Lappalainen, P., & Hiltunen, A. (2018). Psychological inflexibility explains distress in parents whose children have chronic conditions. PLoS ONE 13(7): e0201155 https://doi.org/10.1371/journal.pone.0201155
  • Samaei, S. E., Taban, E., Soleimanian, S. S., Beheshti, M. H., Ahmadi, O., Kalantari, M., Akbarian, N., Sadeghi, M., & Galeshi, M. (2018). Evaluating the status of occupational stress and identifying its related risk factors among nurses in Babol City, Northern Iran: A cross-sectional study. International Journal of Occupational Hygiene, 10(2), 60–66.
  • Santos, R., Campos, P., Da Silva, F. J., & Andrés, V. E. (2017). Mental health problems among nurses in paediatric cardiac intensive care. British Journal of Nursing, 26(15)
  • Vasconcelos, E., Martino, M., & França, S. (2018). Burnout and depressive symptoms in intensive care nurses: relationship analysis. Revista brasileira de enfermagem,71(1), 135–141. doi: 10.1590/0034-7167-2016-0019
  • Wahlberg, L., Nirenberg, A., & Capezuti, E. (2016). Distress and coping self-efficacy in inpatient oncology nurses. Oncology Nursing Forum, 43(6),738–746. doi: 10.1188/16.ONF.738-746
  • Wang, S. M., Lai, C. Y., Chang, Y. Y., Huang, C. Y., Zauszniewski, J. A., & Yu, C. Y. (2015). The relationships among work stress, resourcefulness, and depression level in psychiatric nurses. Archives of Psychiatric Nursing, 29(1), 64–70. doi: 10.1016/j.apnu.2014.10.002. Epub 2014 Nov 6.
  • Waters, C. S., Frude, N., Flaxman, P. E., & Boyd, J. (2018). Acceptance and commitment therapy (ACT) for clinically distressed health care workers: Waitlist-controlled evaluation of an ACT workshop in a routine practice setting. The British journal of clinical psychology, 57(1), 82–98. https://doi.org/10.1111/bjc.12155
  • White, R., Gumley, A., McTaggart, J., Rattrie, L., McConville, D., Cleare, S., & Mitchell, G. (2013). Depression and anxiety following psychosis: Associations with mindfulness and psychological flexibility. Behavioral and Cognitive Psychotherapy, 41(1), 34–51. doi: 10.1017/S1352465812000239
  • World Health Organization (2017). Depression and Other Common Mental Disorders: Global Health Estimates. Geneva. License: CC BY-NC-SA 3.0 IGO
Data source: Dialnet