Path relationship of working stress, self-esteem and the sense of achievement for acute critical care nurses

Abstract

Objective To explore the path relationship of working stress , self-esteem and the sense of achievement for acute critical care nurses .Methods Using the method of convenient sampling , a questionnaire survey was conducted on 265 emergency nurses and ICU nurses . The questionnaire included general information , nurse burnout scale , self-esteem scale and nurse stress scale .Results Totals of 265 questionnaires were distributed, and 255 questionnaires were returned , with an effective rate of 96.2%.The scores of stress scale for nurses who worked for one year , two-five years and over five years were （3.03 ±0.40）, （3.12 ± 0.54） and （3.06 ±0.39）, respectively.There was a significant difference among groups （F=23.534,P=0.00）.The scores of self-esteem for nurses who worked for one year , two-five years and over five years were （19.87 ±2.17）, （20.19 ±1.98） and （18.93 ±2.87）, with a statistically significant difference （F=21.391, P=0.00） .The scores of working achievement for nurses who worked for one year , two-five years and over five years were （4.18 ±1.64）, （4.25 ±1.43） and （4.20 ±1.63）, and the difference was significant （F =18.733, P=0.00）.There was a negative correlation between the critical nurses’working achievement and working stress （r=-0.317, -0.271, -0.211, -0.231, -0.356, respectively;P 〈0.05）, and the working achievement and the self -esteem was positively related （r=0.357,P〈0.01）.The self-esteem was not completely intermediary between working stress and working achievement , and the indexes of model fitting were χ2/df=1.244,P=0.305, RMSEA=0.019, NFI=0.977, RFI=0.984, IFI=0.987, TLI=0.960, CFI=0.937.Conclusions Self-esteem plays a significant intermediary role between working stress and working achievement for acute and critical care nurses . Key words: Nurses; Working achievement; Working stress; Path analysis; Intermediary effect; Acute and critical care