Keykha Kosar Abdeh, Alinejad-Naeini Mona, Peyrovi Hamid
Pediatric and Intensive Neonatal Nursing Department, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Nursing and Midwifery Care Research Centre, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
Sci Rep. 2025 Feb 27;15(1):7041. doi: 10.1038/s41598-025-91521-y.
Pediatric nurses are exposed to occupational stress due to the demanding care of sick children and complex interactions with families. The negative impact on nurse's physical and mental health, stress can also affect the quality of care. On the other hand, work engagement as a positive mental state and psychological capital as one of the supporting factors can help improve conditions and reduce occupational stress. However, the role of psychological capital in the relationship between occupational stress and work engagement in pediatric nurses needs further research. The aim of this study was to determine the mediating role of psychological capital in the relationship between work engagement and occupational stress in nurses working on pediatric wards. The present study was a predictive correlational study using the path analysis model. The statistical population of this study consisted of 251 pediatric nurses. The sampling was conducted from December 2023 to May 2024. Data collection instruments included the Demographic Profile Form, Chen's occupational Stress Questionnaire, Schaufeli et al.'s Work Engagement Questionnaire, and Luthans' Psychological Capital Questionnaire. The data analysis was carried out using the SPSS 26 and AMOS 24 software. The results of this study showed that there was an inverse and significant relationship between work engagement and occupational stress in nurses working in the pediatric ward (p < 0.001, β = -0.22). In addition, a positive and significant relationship was observed between work engagement and psychological capital among nurses (p < 0.001, β = 0.39). The results also showed that there was an inverse and significant relationship between psychological capital and occupational stress (p < 0.001, β = -0.23). The results of the final model represented psychological capital as a mediating variable that explains the relationship between work engagement and occupational stress of nurses. The results of this study showed that higher work engagement leads to a reduction in occupational stress in nurses working in the pediatric ward and that psychological capital acts as a mediating variable in this relationship. Nurses who have higher work engagement and psychological capital, experience less occupational stress. Age and work experience were also related to reduced stress and increased work engagement and psychological capital. It is suggested that hospital managers focus on educational and supportive programs to enhance psychological capital and increase the work engagement of nurses working in pediatric wards to improve the quality of care for children.
儿科护士由于要照顾患病儿童且与家庭有复杂的互动，面临职业压力。压力对护士身心健康有负面影响，还会影响护理质量。另一方面，工作投入作为一种积极的心理状态，心理资本作为支持因素之一，有助于改善状况并减轻职业压力。然而，心理资本在儿科护士职业压力与工作投入关系中的作用尚需进一步研究。本研究旨在确定心理资本在儿科病房护士工作投入与职业压力关系中的中介作用。本研究是一项采用路径分析模型的预测性相关性研究。本研究的统计总体包括251名儿科护士。抽样于2023年12月至2024年5月进行。数据收集工具包括人口统计学资料表、陈的职业压力问卷、沙弗利等人的工作投入问卷以及卢森斯的心理资本问卷。数据分析使用SPSS 26和AMOS 24软件。本研究结果表明，儿科病房护士的工作投入与职业压力之间存在反向且显著的关系（p < 0.001，β = -0.22）。此外，护士的工作投入与心理资本之间存在正向且显著的关系（p < 0.001，β = 0.39）。结果还表明，心理资本与职业压力之间存在反向且显著的关系（p < 0.001，β = -0.23）。最终模型结果表明心理资本是一个中介变量，解释了护士工作投入与职业压力之间的关系。本研究结果表明，更高的工作投入会导致儿科病房护士职业压力降低，且心理资本在这种关系中起中介变量作用。工作投入和心理资本较高的护士，职业压力较小。年龄和工作经验也与压力减轻、工作投入和心理资本增加有关。建议医院管理人员关注教育和支持项目，以增强心理资本并提高儿科病房护士的工作投入，从而改善儿童护理质量。
