The relationship between role ambiguity and anxiety in intensive care unit nurses: The mediating role of emotional intelligence

Zhang, Hong-li; Liu, Fang; Lang, Hong-juan

doi:10.1016/j.iccn.2023.103597

Cited by 3 publications

(1 citation statement)

References 52 publications

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“…Studies have shown that ICU nurses have relatively low levels of occupational coping self-efficacy. For example, a study found that ICU nurses with higher levels of occupational coping self-efficacy reported lower levels of emotional exhaustion and depersonalization, and higher levels of personal accomplishment [ 56 ]. A study also found that occupational coping self-efficacy was positively associated with job satisfaction among ICU nurses in China [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

The mediating role of perceived social support on the relationship between lack of occupational coping self-efficacy and implicit absenteeism among intensive care unit nurses: a multicenter cross‑sectional study

Lin,

Fu,

Sun

et al. 2024

BMC Health Serv Res

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Background Implicit absenteeism is very common among nurses. Poor perceived social support of intensive care unit nurses has a negative impact on their mental and physical health. There is evidence that lack of occupational coping self-efficacy can promote implicit absenteeism; however, the relationship between lack of occupational coping self-efficacy in perceived social support and implicit absenteeism of intensive care unit nurses is unclear. Therefore, this study aimed to evaluate the role of perceived social support between lack of occupational coping self-efficacy and implicit absenteeism of intensive care unit nurses, and to provide reliable evidence to the management of clinical nurses. Methods A cross-sectional study of 517 intensive care unit nurses in 10 tertiary hospitals in Sichuan province, China was conducted, of which 474 were valid questionnaires with a valid recovery rate of 91.6%. The survey tools included the Chinese version of Implicit Absenteeism Scale, the Chinese version of Perceived Social Support Scale, the Chinese version of Occupational Coping Self-Efficacy Scale and the Sociodemographic characteristics. Descriptive analysis and Pearson correlation analysis were performed using SPSS version 22.0, while the mediating effects were performed using AMOS version 24.0. Results The average of intensive care unit nurses had a total implicit absenteeism score of (16.87 ± 3.98), in this study, the median of intensive care unit nurses’ implicit absenteeism score was 17, there were 210 intensive care unit nurses with low implicit absenteeism (44.3%) and 264 ICU nurses with high implicit absenteeism (55.7%). A total perceived social support score of (62.87 ± 11.61), and a total lack of occupational coping self-efficacy score of (22.78 ± 5.98). The results of Pearson correlation analysis showed that implicit absenteeism was negatively correlated with perceived social support (r = -0.260, P < 0.001) and positively correlated with lack of occupational coping self-efficacy (r = 0.414, P < 0.001). In addition, we found that perceived social support plays a mediating role in lack of occupational coping self-efficacy and implicit absenteeism [β = 0.049, 95% CI of (0.002, 0.101)]. Conclusions Intensive care unit nurses had a high level of implicit absenteeism with a moderate level of perceived social support and lack of occupational coping self-efficacy. Nursing managers should pay attention to the nurses those who were within low levels of social support and negative coping strategies, and take measures to reduce intensive care unit nurses’ professional stress, minimize implicit absenteeism.

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Section: Discussionmentioning

confidence: 99%

The mediating role of perceived social support on the relationship between lack of occupational coping self-efficacy and implicit absenteeism among intensive care unit nurses: a multicenter cross‑sectional study

Lin,

Fu,

Sun

et al. 2024

BMC Health Serv Res

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Emotional intelligence of nurses in intensive care units: A systematic review

Sánchez Mora,

Lázaro Álvarez,

Arboníes Cabodevilla

et al. 2024

Intensive and Critical Care Nursing

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Relationship between moral resilience and secondary traumatic stress among ICU nurses: A cross‐sectional study

Hu,

Zhang,

et al. 2024

Nursing in Critical Care

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BackgroundSince the outbreak of COVID‐19, researchers worldwide have focused more on the issue of secondary traumatic stress (STS) experienced by nurses. This stress has an adverse effect on the health of nurses and the quality of nursing care, potentially undermining the stability of the nursing team and hindering the ability to meet the growing demand for nursing services. The impact of the COVID‐19 pandemic, and the rise in global demand for ICU nursing, has placed a significant strain on ICU nurses, severely damaging their mental and physical health. Notably, ICU nurses also face high levels of moral distress, and moral resilience can effectively alleviate this distress and improve the quality of care.AimsThis study aimed to examine the levels of moral resilience and STS among ICU nurses, to explore their relationship and identify the factors influencing STS.Study DesignThis cross‐sectional study involved 229 ICU nurses from two tertiary hospitals in Xi'an, China, who participated between November and December 2023. The data were collected through email using anonymous electronic questionnaires, encompassing a self‐designed demographic‐ and work–life‐related characteristic questionnaire; the Rushton Moral Resilience Scale; and the Secondary Traumatic Stress Scale. Descriptive statistics, t‐tests, analysis of variance and hierarchical regression analysis were performed to analyse the data.ResultsThe findings of the study indicated that ICU nurses' moral resilience and STS scores were at an intermediate level. Hierarchical regression analysis indicated that STS was negatively correlated with the subscales of the Rushton Moral Resilience Scale, specifically moral adversity coping (β, −0.156; 95% CI, −1.241 to −0.039) and relational integrity (β, −0.245; 95% CI, −1.453 to −0.388), which are significant predictors of STS. Additionally, good sleep quality (β, −.396; 95% CI, −14.948 to −7.117) and seeking psychological counselling because of work difficulties (β, .107; 95% CI, 0.237–9.624) emerged as significant predictors of STS among ICU nurses, with the model's explanation of the variance in STS increasing to 45.5%, △R2 = .167, F = 16.482 (p < .001).ConclusionThis study found that ICU nurses have moderate levels of moral resilience and STS, which are negatively correlated. This suggests that improving the moral resilience of ICU nurses may help reduce their STS levels.Relevance to Clinical PracticeThe study revealed that ICU nurses' moral resilience and secondary traumatic stress levels were at a moderate level, indicative of the need to take measures to enhance their moral resilience and reduce their secondary traumatic stress, as their presence not only affects the health of ICU nurses but also diminishes the quality of care and increases turnover rates.

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The relationship between role ambiguity and anxiety in intensive care unit nurses: The mediating role of emotional intelligence

Cited by 3 publications

References 52 publications

The mediating role of perceived social support on the relationship between lack of occupational coping self-efficacy and implicit absenteeism among intensive care unit nurses: a multicenter cross‑sectional study

The mediating role of perceived social support on the relationship between lack of occupational coping self-efficacy and implicit absenteeism among intensive care unit nurses: a multicenter cross‑sectional study

Emotional intelligence of nurses in intensive care units: A systematic review

Relationship between moral resilience and secondary traumatic stress among ICU nurses: A cross‐sectional study

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