Mondal Reva, Sitthimongkol Yajai, Vongsirimas Nopporn, Chansatitporn Natkamol, Hegadoren Kathy
Faculty of Nursing, Mahidol University, Thailand.
Department of Mental Health and Psychiatric Nursing, Faculty of Nursing, Mahidol University, Thailand.
Belitung Nurs J. 2022 Feb 22;8(1):11-19. doi: 10.33546/bnj.1959. eCollection 2022.
Nurses report high levels of workplace stress, which has been linked to an increased risk for experiencing depressive symptoms. Nurses' workplace stress is also linked to increased absenteeism and decreased job satisfaction.
The objectives of this study were to examine: (1) the incidence of depressive symptoms among hospital-based registered nurses in Bangladesh; (2) common sources of workplace stress and their relationships to individual characteristics and depressive symptom scores; and (3) the potential mediating roles of coping strategies in the relationship between workplace stress and depressive symptoms.
A cross-sectional study design involved three hundred and fifty-two registered nurses. Data were collected using a demographic questionnaire and three standardized tools measuring sources of nurses' workplace stress, coping strategies, and depressive symptoms.
More than half of the participants scored ≥ 16 on the CES-D, which was associated with a major depression episode. Total NSS scores had a small but significant influence on scores on the depression scale. Coping strategies had no mediated effect on the relationship between workplace stress and scores on the depression scale. Low-reliability coefficients for subscales of two of the standardized tools highlight the challenge for researchers in developing countries to address contextual differences that may influence the meanings attached to individual items.
Findings suggest that the mental health of registered nurses in Bangladesh requires immediate attention in part by attending to workplace stressors. Further research should focus on a deeper understanding of Bangladeshi registered nurses' work experiences and the unique contribution that workplace stressors have on their physical and mental health.
护士报告称工作场所压力水平较高，这与出现抑郁症状的风险增加有关。护士的工作场所压力还与旷工率上升和工作满意度下降有关。
本研究的目的是检验：（1）孟加拉国医院注册护士中抑郁症状的发生率；（2）工作场所压力的常见来源及其与个体特征和抑郁症状评分的关系；（3）应对策略在工作场所压力与抑郁症状之间关系中的潜在中介作用。
一项横断面研究设计涉及352名注册护士。使用人口统计学问卷和三种标准化工具收集数据，这些工具测量护士工作场所压力的来源、应对策略和抑郁症状。
超过一半的参与者在CES-D量表上得分≥16，这与重度抑郁发作有关。NSS总分对抑郁量表得分有微小但显著的影响。应对策略对工作场所压力与抑郁量表得分之间的关系没有中介作用。两种标准化工具的子量表的低信度系数凸显了发展中国家的研究人员在应对可能影响对单个项目所赋予含义的背景差异方面面临的挑战。
研究结果表明，孟加拉国注册护士的心理健康需要立即得到关注，部分原因是要关注工作场所压力源。进一步的研究应侧重于更深入地了解孟加拉国注册护士的工作经历以及工作场所压力源对其身心健康的独特影响。
