Stigma Toward Nurses Suffering from Mental Health Problems: A Study of Hospital Nurses in Japan

Thursday, July 14, 2011

Maki Tominaga, PhD
Faculty of nursing, Hyogo University of Health Sciences, Kobe, Japan
Akiko Miki, PhD
Graduate School of Comprehensive Human Sciences, University of Tsukuba, Ibaraki, Japan

Learning Objective 1: The learner will be able to study the stigma toward nurses suffering from mental health problems in Japan.

Learning Objective 2: The learner will be able to find effective countermeasures to decrease the stigma toward nurses suffering from mental health problems.

Purpose: This study examined the stigma toward nurses suffering from mental health problems, and suggests effective countermeasures. Methods:  Study approval was obtained from the institutional ethics committee, University of Tsukuba in 2010. We distributed anonymous self-administered questionnaires to all staff nurses and nurse managers (n=880) who attended lectures organized by prefectural nursing associations (n=6) in Japan. The questionnaire addressed basic attributes, experience participants had working or supporting/managing the nurses, and the nurses’ clinical condition and outcome. We developed stigma items concerning nurses suffering from each physical and mental health problem after reviewing relevant studies and discussions with several researchers. The participants were asked about the degree of each stigma item of two health problems on a five-point scale. Higher values indicate stronger stigma. The response rate was 80% (701 nurses). We calculated descriptive statistics about basic attributes and each stigma item. After conducting factor analysis concerning stigma items, we calculated the reliability coefficient and the correlation coefficients between physical stigma and mental stigma score, including t-test and ANOVA to examine differences between basic attributes. Results: Seventy-one percent responded that they have worked with nurses suffering from mental health problems. Compared to the score of stigma items of physical health problems, 6 out of 7 items were significantly higher in those of mental health problems. Results showed a single factor of each physical or mental stigma, and those who have worked with or supported/managed nurses suffering from mental problems have higher stigma. While age and the number of working years showed significant differences between each stigma item score, sex and job position didn’t show a significant difference. Conclusion: The results suggested the stigma towards nurses suffering from mental health problems is related to individual experiences. Measures to decrease prejudice in the workplace are needed in hospitals in Japan.