Abstract
Objective: The purpose of this study was to develop a concise and widely applicable Chinese nurse workplace stressor scale (CNWSS). Methods: 3895 Nurses were investigated by a questionnaire including 159 candidate items of nurse work stressors. The Automatic Thoughts Questionnaire (ATQ-30) and Scale of Medical Staff Resilience (SMSR) were used as validity criterion. 162 samples were further selected for the test-retest after 4 weeks. Results: By means of exploratory factor analysis (EFA), 30 items were finally extracted for CNWSS (CNWSS-30), including 6 subscales, namely, organizational role adaptability, workload, nurse-patient relationship, income and respect, self-efficacy, and responsibility. Moreover, confirmatory factor analysis (CFA) showed good fitness (GIF = 0.90, AGFI = 0.89, CFI = 0.91, RMSEA = 0.06). The results also found strong positive correlations among six subscales of CNWSS-30 with ATQ-30 (r = 0.15 - 0.34, p p p p < 0.01) also revealed high stability. Conclusion: Generally, CNWSS-30 is reliable and valid, and can be used as a tool for measuring the Chinese nurse stressors at workplace.
Highlights
To confirm the factor structure of Chinese nurse workplace stressor scale (CNWSS)-30, confirmatory factor analysis (CFA) was performed and the results showed good fitness (GIF = 0.897, AGFI = 0.887, CFI = 0.907, RMSEA = 0.061)
Significant correlations were observed among CNWSS-30, ATQ-30, and Scale of Medical Staff Resilience (SMSR) factors
This study aimed to develop a new and practical scale to investigate the workplace stressor of Chinese nurses, which adapt the context of Chinese culture
Summary
Work stress, defined as “the harmful physical and emotional responses that occur when the requirements of the job do not match the capabilities, resources, or needs of the worker” (NIOSH, 1999), has been perceived with negative implications for nurses’ health, including burnout, compassion fatigue, depression, and anxiety. It is associated with negative patient outcomes, like dissatisfaction, fails, and medication errors (Arnetz et al, 2019). Wheeler & Riding (1994) analyzed the work stressors of nurses, and found 4 factors as results: workload against time pressure, organizational and management problems, poor interpersonal relationship, and poor working conditions/facilities. When verified reliability and validity, the sampling site was single; there was no unified factor structure for each scale
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