Factors associated with clinical nurse’s mental health: a qualitative study applying the social ecological model

Abstract

Background The prevalence of burnout, depression, and anxiety among Chinese nurses was 34%, 55.5%, and 41.8% respectively. Mental health problems have significant impacts on their personal well-being, work performance, patient care quality, and the overall healthcare system. Mental health is influenced by factors at multiple levels and their interactions. Methods This was a descriptive qualitative study using phenomenological approach. We recruited a total of 48 nurses from a tertiary hospital in Changsha, Hunan Province, China. Data were collected through focus group interviews. Audio-recorded data were transcribed and inductively analysed. Results Four major themes with 13 subthemes were identified according to the social ecological model: (1) individual-level factors, including personality traits, sleep quality, workplace adaptability, and years of work experience; (2) interpersonal-level factors, encompassing interpersonal support and role conflict; (3) organization-level factors, such as organizational climate, organizational support, career plateau, and job control; and (4) social-level factors, which included compensation packages, social status, and legislative provision and policy. Conclusions Our study provides a nuanced understanding of the multifaceted factors influencing nurses’ mental health. Recognizing the interconnectedness of individual, interpersonal, organizational, and social elements is essential for developing targeted interventions and comprehensive strategies to promote and safeguard the mental well-being of nurses in clinical settings. Trial and protocol registration The larger study was registered with Chinese Clinical Trial Registry: ChiCTR2300072142 (05/06/2023) https://www.chictr.org.cn/showproj.html?proj=192676. Reporting method This study is reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ).

Behavior Change Theories and Models Within Health Belief Model Research: A Five-Decade Holistic Bibliometric Analysis

“…Social Cognitive Theory emphasizes the dynamic and reciprocal interaction between the individual, their behavior, and the environment, including key concepts such as self-efficacy, observational learning, and reinforcement [5]. The Ecological Model considers multiple levels of influence on behavior, including intrapersonal, interpersonal, organizational, community, and policy factors [6]. These theories and models provide a foundation for understanding behavior change and informing the design of effective interventions to promote healthier behaviors, and researchers and practitioners often draw on multiple models to guide their approaches [5,7].…”

Sleep quality and related factors among healthcare workers in designated quarantine hospital site in post-pandemic based on the health ecological model: a cross-sectional study in Nanjing, China

“…Previous studies have shown that sleep quality has a significant impact on health ( 15 , 16 ), especially among HCWs ( 17 , 18 ). Poorer sleep quality may lead to lower work productivity ( 19 ), more medical errors ( 20 ) and burnout ( 21 ) for HCWs. Research has identified that both personal (such as education and socio-economic status) ( 22 , 23 ) and work-related factors (like job type and workload) ( 24 ) influence HCWs’ sleep quality.…”