Chronic stress, behavioral tendencies, and determinants of health behaviors in nurses: a mixed-methods approach

Heuel, Luis; Lübstorf, Svea; Otto, Ann-Kathrin; Wollesen, Bettina

doi:10.1186/s12889-022-12993-5

Cited by 13 publications

(15 citation statements)

References 75 publications

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“…The analytical results from the qualitative interview also confirmed this finding: HCWs who did not practice SMT talked more about the work and life stressors that hindered their practice of SMT, such as an overwhelming workload that exhausted their energy and household issues that occupied much of their leisure time. This conclusion was similar to several studies conducted among nurses, which proposed that both occupational and life stressors may influence the health behaviors of individuals (Heuel et al, 2022; Ross et al, 2019). Therefore, interventions targeting the improvement of stress management behaviors need to be coupled with institutional, system-level, and policy changes, especially in hospital contexts, which are full of multiple psychosocial stressors.…”

Section: Discussionsupporting

confidence: 91%

Work-related stress and stress management practice among Chinese hospital staff working night shifts: A mixed-methods study.

Wang¹,

Collet²,

Liu³

et al. 2023

International Journal of Stress Management

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Health care workers (HCWs) are susceptible to cumulative stressors and their detrimental effects. Hence, it is important to identify the factors in HCWs’ stress management behaviors to help them better cope with daily stress. Inspired by the health belief model (HBM), we decided to focus on examining the psychosocial pathway between stressors and stress outcomes among HCWs. A sequential explanatory mixed-methods study was conducted in two general hospitals in Wuhan, China. A constructive questionnaire was applied to assess the psychological measures of stress, and the Holter devices were used to evaluate the physical effects of stress. Subsequently, a multiple case study was conducted to better understand factors related to stress management attitudes and behaviors among HCWs. A total of 292 HCWs were included in this study. The results showed that 67.1% of participants were overstressed, with 57.5%, 69.2%, and 78.4% of participants suffering from depression, anxiety, and stress symptoms, respectively. Only half of the participants adopted stress management behaviors, and stress management attitudes and behaviors played a mediating role between stressors and stress outcomes for both physical indicators (β = 0.014, p = .006) and psychological measures (β = −.001, p = .052). Analyses of the results of this qualitative study consistently found that knowledge, skills, and positive feedback were critical elements for stress management behaviors. Promoting positive health beliefs around stress management, and emphasizing, in particular, the positive role of stress management in HCWs’ personal lives, was critical to help HCWs build stress management behaviors.

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Section: Discussionsupporting

confidence: 91%

Work-related stress and stress management practice among Chinese hospital staff working night shifts: A mixed-methods study.

Wang¹,

Collet²,

Liu³

et al. 2023

International Journal of Stress Management

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“…These changes will be accompanied by health behavior stages (i.e., from non-intending to intending to acting). At the same time, organizational barriers (e.g., inadequate social support, high job demands) for behavioral change are known to prevail in the nursing sector compared to facilitators [ 110 ] which influence the change outcomes. Organizational barriers may be less problematic in the administrative setting, which could show in better intervention results for administrative vs nursing personnel.…”

Section: Discussionmentioning

confidence: 99%

mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial

Baumann

Heuel

Bischoff

et al. 2023

Trials

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Background Causes and consequences of chronic stress levels in the context of healthcare work are well examined. Nevertheless, the implementation and evaluation of high-quality interventions to reduce stress of healthcare workers is still missing. Internet and app-based interventions are a promising venue for providing interventions for stress reduction to a population that is otherwise difficult to reach due to shift work and time constraints in general. To do so, we developed the internet and app-based intervention (fitcor), a digital coaching of individual stress coping for health care workers. Methods We applied the SPIRIT (Standard Protocol Items: Recommendations for Interventional Trials) statement as a guideline for the present protocol. A randomized controlled trial will be conducted. There are five different intervention groups and one waiting control group. To achieve the sample sizes required by power analysis (G*Power) (β-error 80%; effect size 0.25), the sample sizes of the respective scenarios will be at best as follows: 336 care workers from hospitals, 192 administrative health personnel, 145 care workers from stationary elderly care homes, and 145 care workers from ambulatory care providers in Germany. Participants will randomly be assigned to one of five different intervention groups. A crossover design with a waiting control group is planned. Interventions will be accompanied by three measurement points, first a baseline measure, second a post-intervention measure directly after completion of the intervention, and a follow-up measure 6 weeks after completion of the intervention. At all three measurement points, perceived team conflict, work-related experience patterns, personality, satisfaction with internet-based training, and back pain will be assessed using questionnaires, as well as heart rate variability, sleep quality, and daily movement will be recorded using an advanced sensor. Discussion Workers in the health care sector increasingly face high job demands and stress levels. Traditional health interventions fail to reach the respective population due to organizational constraints. Implementation of digital health interventions has been found to improve stress coping behavior; however, the evidence in health care settings has not been established. To the best of our knowledge, fitcor is the first internet and app-based intervention to reduce stress among nursing and administrative health care personnel. Trial registration The trial was registered at DRKS.de on 12 July 2021, registration number: DRKS00024605.

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“…It is regarded as an important motivational and volitional factor resulting in health-related behaviors (Schwarzer and Luszczynska, 2008 ; Fernandez et al, 2016 ). Given the positive effects of self-efficacy on health-related outcomes, it has been widely considered a focal point of health-promotion approaches (Heuel et al, 2022 ). Furthermore, self-efficacy can promote the formation of exercise intention and implementation of physical activities (Carraro and Gaudreau, 2013 ; Pinidiyapathirage et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Linking Exercise Intention to Exercise Action: The Moderating Role of Self-Efficacy

Hou

Zheng

et al. 2022

Front. Psychol.

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As physical exercise benefits both physical and psychological health of college students, it is important to promote the habit of physical exercise among them. This study adopted the Health Action Process Approach (HAPA) model to understand the exercise intention–action link and determine the moderating role of self-efficacy. We recruited 242 students from a university in China and asked them to complete a six-wave survey. The survey results indicated that exercise intention was positively related to both coping planning and action planning, which pave the way to performing the action of exercise. However, such mediation effects varied under conditions of self-efficacy. Participants with high self-efficacy exhibited stronger relationships between intention and planning, and between planning and action. The study results suggest that planning has a time-lagged mediation effect in the relationship between intention and action. Additionally, the findings shed light on the moderating role of self-efficacy, which can be useful in developing health-promotion strategies for college students.

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Chronic stress, behavioral tendencies, and determinants of health behaviors in nurses: a mixed-methods approach

Cited by 13 publications

References 75 publications

Work-related stress and stress management practice among Chinese hospital staff working night shifts: A mixed-methods study.

Work-related stress and stress management practice among Chinese hospital staff working night shifts: A mixed-methods study.

mHealth interventions to reduce stress in healthcare workers (fitcor): study protocol for a randomized controlled trial

Linking Exercise Intention to Exercise Action: The Moderating Role of Self-Efficacy

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