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Abstract
BackgroundMany studies investigate the variables relating to psychological distress among nurses, but little is known about the underlying mechanism(s) among job insecurity, self-esteem, and psychological distress.AimsThis cross-sectional study examines the prevalence of psychological distress among nurses and the relationships among job insecurity, self-esteem, and psychological distress; it also explores how self-esteem might mediate between job insecurity and psychological distress.MethodsQuestionnaires that assess job insecurity, self-esteem, and psychological distress were collected from 462 nurses in a tertiary hospital in Shandong Province, China.ResultsOur results show an 83.3 % prevalence rate for psychological distress among nurses. Regression analysis results show that job insecurity positively correlates with psychological distress, explaining 17.5 % of the variance in psychological distress. Mediation analysis results show that self-esteem partially mediates the effect of the two dimensions of job insecurity on psychological distress.ConclusionsPsychological distress is prevalent among Chinese nurses. Nursing administrators should take effective measures to improve self-esteem and reduce the negative impacts of job insecurity on nurses, including psychological distress.
Highlights
Over the last decade, psychological distress among nurses has been a research focus among researchers in occupational health [1,2,3]
Psychological distress is prevalent among Chinese nurses
The most frequently cited reason for refusal was a lack of interest in the survey. This cross-sectional study looks to achieve the following aims. It investigates the prevalence of psychological distress among Chinese nurses; second, it examines the relationships among job insecurity, self-esteem, and psychological distress; it explores the mediation of self-esteem on job insecurity and psychological distress
Summary
Psychological distress among nurses has been a research focus among researchers in occupational health [1,2,3]. Several researchers have found that psychological distress is a risk predictor of psychosomatic function and quality of life [1, 4]: it gives rise to poor job performance and high turnover rates, both of which undoubtedly affect nursing professionalism and quality of care [5, 6]. Job insecurity is a form of job stress that undoubtedly affects professional performance and psychosomatic health [14,15,16]. While a large number of population-based empirical studies have investigated the detrimental effects of job insecurity on work-related attitudes and health and well-being outcomes, studies on the relationship between job insecurity and psychological distress among nurses are limited [18, 19]. Many studies investigate the variables relating to psychological distress among nurses, but little is known about the underlying mechanism(s) among job insecurity, self-esteem, and psychological distress
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