Elsevier

Journal of Professional Nursing

Volume 22, Issue 1, January–February 2006, Pages 30-38
Journal of Professional Nursing

Original Article
The Relationships Among Workplace Stressors, Coping Methods, Demographic Characteristics, and Health in Australian Nurses

https://doi.org/10.1016/j.profnurs.2005.12.002Get rights and content

Nursing is known to be stressful. Stress detrimentally can influence job satisfaction, psychological well-being, and physical health. There is a need for increased understanding of the stress that nurses experience and how best to manage it. Three hundred twenty Australian acute care public hospital nurses participated in a study by completing four questionnaires that examined (a) how various workplace stressors relate to ways of coping, demographic characteristics, and physical and mental health and (b) which workplace stressors, coping mechanisms, and demographic characteristics were the best predictors of physical and mental health. Significant correlations were found between stressors and physical and mental health. Multiple regression showed age to be the only significant predictor of physical health. The best coping predictors of mental health were escape–avoidance, distancing, and self-control. Other significant predictors of mental health were support in the workplace, the number of years worked in the unit, and workload. Mental health scores were higher for nurses working more years in the unit and for those who used distancing as a way of coping. Mental health scores were lower for nurses who used escape–avoidance, lacked workplace support, had high workload, and used self-control coping. The findings have implications for organizational management, particularly in terms of recommendations for stress management, social support, and workload reduction.

Section snippets

Ways of Coping With Stress

Lazarus and Folkman (1984, p. 141) defined coping as “constantly changing cognitive and behavioral efforts to manage specific external and/or internal demands that are appraised as taxing or exceeding the resources of the person.” Coping efforts may be directed externally (problem focused) or internally (emotion focused). Problem-focused coping may be viewed as attempting to manage or change the problem causing the stress, whereas emotion-focused coping attempts to alleviate emotional distress.

Participants

The sample consisted of 320 Australian registered nurses who were listed on the New South Wales Nurses Registration Board (NRB) database. The inclusion criteria were having a license to practice nursing in New South Wales and currently working in an acute care public hospital. Participants had a mean age of 42.67 years (SD = 9.58 years, range = 23–68 years). Further details on the demographics of the group are shown in Table 1.

Instruments

The four questionnaires used for this study were the following:

  • 1.

Results

Table 3 shows descriptive statistics for sample demographics, NSS scales, and WAYS coping strategies as well as for the SF-36 physical and mental health scores. The most common source of nursing stress was workload, followed by death and dying, uncertainty about treatment, and conflict with physicians and nurses. The least reported stressors were perceived lack of support and inadequate preparation.

Looking at the relative scores (percentages describing the proportion of effort for each coping

Discussion

The aim of this study was to describe the relationships among demographic characteristics, workplace stressors, coping mechanisms, physical state of health, and mental state of health among Australian nurses. Mean scores for physical and mental health demonstrated that Australian nurses in this sample had normal levels of physical health and slightly-lower-than-normal levels of mental health. It is not possible to conclude from the findings whether nursing caused lower mental health, given that

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