Abstract
Based on Freud's personality theory, 839 nurses from 5 public hospitals in Shandong Province were selected by the convenience sampling method. A cross-sectional survey was conducted to investigate the correlation among resilience, work-family conflict (WFC), and anxiety (SAS). The purpose of this study was to explore the relationship among resilience, WFC, and SAS of these nurses and to provide evidence with reducing WFC and SAS for the nurses. The results showed that the total score of resilience, WFC, and SAS was 58.00 ± 18.27, 53.46 ± 13.29, and 49.98 ± 14.73, respectively. There was 47.68% of the nurses that had anxiety, and 10.97% of the nurses had severe anxiety. There were significant differences in the score of SAS among the length of service, self-perceived health status, confidence in nursing professional development, WFC, and resilience (P < 0.05). This study draws the following conclusions: the proportion of anxiety is high, and the level of resilience is lower than the domestic norm. Length of service, self-perceived health status, confidence in nursing professional development, WFC, and resilience were the important influencing factors of anxiety. It is suggested that hospital managers should pay attention to the mental health of nurses, take active intervention measures according to the influencing factors of SAS, improve nurses' psychological resilience, reduce WFC and anxiety, improve nurses' mental health and well-being, and ensure nursing safety.
Highlights
This study is aimed at understanding the status of psychological resilience, work-family conflict (WFC), and SAS mood of nurses in Shandong of China, and to analyze the important influencing factors leading to the nurse SAS
The results of SAS single factor analysis (Table 1) showed that there was significant difference in SAS score among nurses (P < 0:05), such as the department, length of service, education background, number of conflicts with caregivers, time spent on the way to work, self-perceived health status, consistency between income and work, average number of night shifts per month, harmony with colleagues, satisfaction with working environment, confidence in nursing career
This study shows that WFC is an important influencing factor of nurses’ anxiety, which is consistent with the related studies that WFC can lead to physical and psychological problems [28, 29]
Summary
With the development of science and technology, the people have an increasing demand for health. Nurses often encounter stress and work-related conflicts, such as busy work, taking care of paining and dying patients, extending work hours, doing technical difficulty, and rescuing critically ill patients [1, 2]. It can lead to psychological problems of nurses [1, 2]. SAS is one of the most common psychological disorders [3]. The study showed that 32-43% of nurses in HK [4], 20% of midwives in Australian [5], and 44-66% of nurses in Brazilian [6] have mental disorders. This mental health problem has adverse effects on occupational performance and well-being and may lead to a decline in the quality of patient care and safety problems [1, 7]
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