Paper
Thursday, July 22, 2004
This presentation is part of : Culture in Organizational Nursing
Cross-Cultural Comparison of Workplace Stressors, Ways of Coping, and Demographic Characteristics as Predictors of Physical and Mental Health Among Hospital Nurses in Japan, Thailand, South Korea, and the USA (Hawaii)
Vickie A. Lambert, DNSc, RN, FAAN and Clinton E. Lambert, PhD, RN, CS, FAAN. Lambert & Lambert Nursing Consultants, Inc, Falls Church, VA, USA
Learning Objective #1: Discuss workplace stressors, ways of coping, and demographic characteristics as predictors of physical health among hospital nurses in select Asian cultures
Learning Objective #2: Discuss workplace stressors, ways of coping, and demographic characteristics as predictors of mental health among hospital nurses in select Asian cultures

Objective: To cross-culturally compare workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health among hospital nurses in Japan, Thailand, South Korea and the USA (Hawaii).

Design: Self-report survey.

Sample, Setting & Years: Hospital nurses (n = 1554) working between March 2002 and January 2003.

Variables Studied: Independent variables: a) workplace stressors, b) ways of coping and, c) demographic characteristics. Dependent variables: a) level of physical health and b) level of mental health.

Method: Administration of four valid and reliable questionnaires (Demographic Questionnaire, “Nursing Stress Scale,” “Ways of Coping Questionnaire,” and SF-36 Health Survey”) translated into the nurses’ native language.

Findings: Workload and number of people in the household were predictors for Japanese nurses’ physical health, while likelihood to leave the current nursing position, lack of support and escape-avoidance were predictors for their mental health. Seeking social support and likelihood to leave the current nursing position were predictors of South Korean nurses’ physical health, while age, distancing, workload, likelihood to leave the current nursing position and planful problem solving predicted mental health. Number of people residing in the household, number of years worked as a nurse and level of household income constituted predictors of Thai nurses’ physical health, while conflict with physicians, likelihood to leave the current nursing position, escape-avoidance and lack of support were predictors of mental health. Workload, likelihood to leave the current nursing position, highest educational level and escape-avoidance were predictors of the USA (Hawaii) nurses’ physical health, while escape-avoidance, conflict with other nurses, likelihood to leave the current nursing position, positive reappraisal, lack of support, distancing and workload predicted mental health.

Conclusions: Nurses demonstrate cross-cultural similarities in predictors of physical and mental health.

Implications: Unless role stress issues are confronted, hospital nurses’ physical and mental health will continue to be compromised.

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