Objectives: This study examines the mediating role of stress coping stylesproblem-focused coping and emotion-focused coping-on the relationship between work stress and psychological well-being in clinical nurses according to career experience. Methods: A cross-sectional survey design was used. Data were collected from February to March 2016. The study population was composed of 399 nurses working at two university hospitals with over 500 beds located in Seoul and Gyeonggi-do in South Korea. Self-report questionnaires were administered to measure work stress (Work Stress Scale), stress coping styles (Korean version of The Ways of Coping Checklist Scale), and psychological well-being (Ryff's Psychological Well-being Scale). A multiplegroup path analysis was performed using SPSS version 21.0. Results: In the path model analysis (N = 399), work stress directly influenced psychological well-being. Both problem-focused coping and emotion-focused coping were indirectly influenced in the relationship between work stress and psychological well-being. In the group of nurses with 3 years or less of career experience (n = 202), work stress was significantly related to psychological well-being. Only emotion-focused coping exerted a partial mediating effect on the relationship between work stress and psychological well-being. On the other hand, in the group of nurses with over 3 years of career experience (n = 197), work stress was not significantly related to psychological well-being. Both problem-focused coping and emotion-focused coping exerted a full mediating effect on the relationship between work stress and psychological well-being. Conclusions and Clinical Relevance:This study's path analysis displayed a distinct pathway in the relationships among work stress, stress coping styles, and psychological well-being between nurses with 3 years or less and nurses with over 3 years of experience. The intervention with decreasing work stress and emotion-focused coping could be effective for nurses with less career experience, whereas the intervention with focusing on improving emotion-and problem-focused coping could be effective for nurses with more career experience. The practical implications of the results suggest that nurses need different stress management programs according to their career experience, as the appropriate use of stress coping styles would improve the psychological well-being of nurses as influenced by their work stress.For many decades, high nurse turnover rates have been a global phenomenon (Lee, Tzeng, & Chiang, 2019; Nursing Solutions Inc., 2019). The turnover rate of hospital nurses, especially new nurses, has been noted in academia and in clinical settings due to implications regarding patient safety and economic factors
The aim of this study was to identify the relationship between gratitude disposition, organizational intimacy, and organizational well-being among nurses on comprehensive nursing service units. Methods: This study was a descriptive correlation study. Participants were 150 nurses working in comprehensive nursing service units. Data were analyzed using SPSS 21.0 program. Results: Gratitude disposition correlated positively with organizational intimacy (r=.53, p<.001) and organizational well-being (r=.59, p<.001). Gratitude disposition and organizational intimacy were factors affecting organizational well-being. Conclusion: The results of this study suggest organizational well-being can be increased by enhancing gratitude disposition and organizational intimacy. Further study is needed to develop and test for application, a gratitude and organizational intimacy promotion program for nurses on comprehensive nursing service units.
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