Evaluation and Measurement of Occupational Stress in Japanese Nurses with a Focus on Resilience

Wednesday, 24 July 2013

Hitomi Koizumi, PhD
Graduate School of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan
Yuka Saeki, PhD
Graduate School of Medicine, Nursing and Health Science Course, Ehime University, Toon, Ehime, Japan
Atsuko Kawano, PhD
Graduate school of Comprehensive Human Sciences, University of Tsukuba, Tsukuba, Ibaraki, Japan
Chihoko Sankai, RNM, MA
Faculty of Medicine, University of Tsukuba, Tsukuba, Japan

Learning Objective 1: The learner will be able to know the association between resilience and occupational stress symptoms in Japanese nurses.

Learning Objective 2: The learner will be able to know the evaluation and measurement of occupational stress in Japanese nurses with a focus on resilience.

Purpose:

Nurses are exposed to a stressful working environment in Japanese hospitals. Although continuing efforts to improve work environments are necessary, we also believe that individual nurses need to develop the ability to adjust to occupational stress. Resilience is the ability to adjust to difficult circumstances to maintain or restore one’s mental health with help from others.

The aim of this study was to explore the association between resilience and occupational stress symptoms in female nurses to develop an intervention for the occupational stress experienced by this group.

Methods:

The study used a cross-sectional survey design. A self-administered anonymous questionnaire was distributed to 598 nurses in a general hospital in Japan. The survey included indicators from the Sukemune–Hiew Resilience (SHR) Test, the Brief Job Stress Questionnaire, and self-reported descriptions. All calculations were performed using SPSS for Windows ver. 19.0. Approval for this study was obtained from the institutional ethics committee at the University of Tsukuba, Ibaraki, Japan. The participating nurses did not need to sign consent forms as return of the questionnaire implied consent.

Results:

Total SHR score was 100.8 ± 11.96 (mean ± SD), and 36.0% of the participants scored within the normal range for the standardized categories. The mean score for each factor fell within the normal range: social support 50.0 ± 6.65, self-efficacy 33.6 ± 5.24, and social skills 17.2 ± 3.21. Participants with a higher total SHR score had a higher vigor score and lower depression scores.

Conclusion:

Enhancing resilience can be an effective countermeasure for stress, and we need to examine this possibility to increase resilience in nurses.