Nagel Cicilia, Nilsson Kerstin
Department of Laboratory Medicine, Lund University, Lund, Sweden.
Department of Health Sciences, Kristianstad University, Kristianstad, Sweden.
Front Health Serv. 2025 Apr 25;5:1583357. doi: 10.3389/frhs.2025.1583357. eCollection 2025.
Nurses are essential pillars of society, providing care for the sick. It is crucial for society to ensure that nurses have favorable working conditions, as they face a heightened risk of negative psychological conditions such as depression, anxiety, stress, and emotional exhaustion due to the demanding nature of their work. The strain on healthcare staff, particularly during the COVID-19 pandemic, has underscored these challenges. This study aimed to identify predictors of work-related mental health issues in nurses' work environments. In 2017, a questionnaire was distributed to 9,219 Swedish nurses, with 4,962 responses received. The questionnaire was redistributed during the pandemic in 2020, and 3,107 nurses responded. However, due to missing data and some nurses previously reporting a mental health diagnosis, only 2,030 questionnaires were included in the study. Among these, 143 nurses reported experiencing work-related mental health problems. The data was analyzed by logistic regression analysis, and 6 out of the 24 statements investigated were statistically significant ( < 0.05), i.e., there was a longitudinal association between nurses' work situation and their mental health problems. The six statements were "I do not feel I get enough rest/recuperation between work shifts", "The work pace in my daily work is too high", "I do not feel I have enough support from my coworkers", "I do not experience joy in my daily work", "I do not feel like my daily work is meaningful", and "I do not get enough opportunities at work to utilize my skills and knowledge".
This study revealed that work pace, recovery, support from colleagues, joy, meaningfulness, and development opportunities at work are particularly important for nurses' mental health. Actions in those areas are needed for nurses to have a sustainable work situation.
护士是社会的重要支柱，为病人提供护理。社会确保护士拥有良好的工作条件至关重要，因为由于工作要求苛刻，他们面临负面心理状况（如抑郁、焦虑、压力和情绪耗竭）的风险更高。医护人员所承受的压力，尤其是在新冠疫情期间，凸显了这些挑战。本研究旨在确定护士工作环境中与工作相关的心理健康问题的预测因素。2017年，向9219名瑞典护士发放了问卷，收到4962份回复。该问卷在2020年疫情期间重新发放，3107名护士做出了回应。然而，由于数据缺失以及一些护士之前报告有心理健康诊断，该研究仅纳入了2030份问卷。其中，143名护士报告经历了与工作相关的心理健康问题。通过逻辑回归分析对数据进行分析，在调查的24条陈述中有6条具有统计学意义（<0.05），即护士的工作状况与其心理健康问题之间存在纵向关联。这六条陈述分别是“我觉得轮班之间没有得到足够的休息/恢复”、“我日常工作的节奏太快”、“我觉得没有从同事那里得到足够的支持”、“我在日常工作中感受不到快乐”、“我觉得我的日常工作没有意义”以及“我在工作中没有得到足够的机会运用我的技能和知识”。
本研究表明，工作节奏、恢复、同事的支持、快乐、意义以及工作中的发展机会对护士的心理健康尤为重要。需要在这些方面采取行动，以使护士拥有可持续的工作状况。
