Stress and the Well-being of Nurses: an Investigation using the Demands-Resources- Individual Effects (DRIVE) model and the Well-being Process Questionnaire (WPQ).
DOI:
https://doi.org/10.14738/assrj.88.10782Abstract
Previous research shows that nurses have high levels of stress, but less is known about their well-being. The present research used an adapted version of the Demands-Resources-Individual Effects (DRIVE) model to investigate these areas. The Well-Being Process Questionnaire (WPQ), which consists of single items derived from longer scales, was also used. One hundred and seventy-seven British nurses (160 female, 17 male) participated in an online survey. The results showed that work characteristics could be grouped into three factors (resources; demands; and role/change/bullying), as were personality scores (positive personality; openness, agreeable, conscientious; and extraversion, emotional stability). Coping (positive and negative coping) and outcomes (positive and negative outcomes, and positive and negative job appraisals) had a two-factor solution. Results from logistic regressions showed that well-being outcomes were predicted by high positive personality and low negative coping. Positive job appraisals were predicted by high resources and low demands. These findings confirm that the use of the DRIVE model and a single short item measuring instrument can quickly provide information about factors predicting the well-being of nurses.
References
Mark, G.M. & Smith, A.P. (2008). Stress models: A review and suggested new direction. In: Occupational Health Psychology: European Perspectives on research, education and practice. Vol. 3. EA-OHP series. Edited by J.Houdmont & S. Leka. Nottingham University Press. 111-144.
Williams, G.M. & Smith, A.P. (2016). Using single-item measures to examine the relationships between work, personality, and well-being in the workplace. Psychology: Special Edition on Positive Psychology, 7, 753-767. DOI: 10.4236/psych.2016.76078 http://file.scirp.org/pdf/PSYCH_2016060115074176.pdf
Williams, G., Thomas, K & Smith, A.P. (2017). Stress and Well-being of University Staff: an Investigation using the Demands-Resources- Individual Effects (DRIVE) model and Well-being Process Questionnaire (WPQ). Psychology, 8, 1919-1940. https://doi.org/10.4236/psych.2017.812124
Tyler, P., & Cushway, D. (1998). Stress & Well-Being in Health-Care Staff: The role of negative affectivity, and perceptions of job demand and discretion. Stress Medicine, 14, 99-107.
Kirkcaldy, B.D., Martin, T. (2000). Job stress and satisfaction among nurses: individual differences. Stress Medicine, 16, 77-89.
Calnan, M., Wainwright, D., Forsythe, M., Wall, B., & Almond, S. (2001). Mental Health and stress in the workplace: the case of general practice in the UK. Social Science & Medicine, 52, 499-507.
Clegg, A. (2001). Occupational stress in Nursing: A review of the literature. Journal of Nursing Management, 9, 101-106
Lambert, V.A., Lambert, C.E., & Ito, M. (2004). Workplace stressors, ways of coping and demographic characteristics as predictors of physical and mental health of Japanese hospital nurses. International Journal of Nursing Studies, 41, 85-97.
Mark, G. & Smith, A.P. (2012). Occupational stress, job characteristics, coping and mental health of nurses. British Journal of Health Psychology, 17, 505-521. Doi: 10.1111/j.2044-8287.2011.02051.x
French, S.E., Lenton, R., Walters, V., Eyles, J. (2000). An empirical evaluation of an expanded nursing stress scale. Journal of Nursing Measurement, 8, 161-178.
Boggild, H., & Knutsson, A. (1999) Shift work, risk factors and cardiovascular disease. Scandinavian Journal of Work, Environment and Health, 25, 85-99.
McVicar, A. (2003). Workplace Stress in Nursing: A literature review. Journal of Advanced Nursing, 44, 633-642.
Karasek, R., & Theorell, T. (1990). Healthy work: Stress, productivity and the reconstruction of working life. New York: Basic Books.
Siegrist, J. (1996). Adverse health effects of high-effort/low-reward conditions. Journal of Occupational Health Psychology, 1, 27-41.
Weyers, S., Peter, R.M.A., Boggild, H., Jeppe, H. Jeppesenm, & Siegrist, J. (2006). Psychosocial work stress is associated with poor self-rated health in Danish nurses: a test of the effort–reward imbalance model. Scandinavian Journal of Caring Sciences, 20, 26–34.
Rijk, A..E de., Blanc, P.M le., Schaufeli, W.B., & Jonge, J. De. (1998). Active coping and need for control as moderators of the job demand-control model: Effects on burnout. Journal of Occupational and Organizational Psychology, 71, 1-18.
Cox, T., Griffiths, A., & Rial-Gonzalez, E. (2000). Research on Work Related Stress. European Agency for Health and Safety at Work.
Folkman, S., Lazarus, R.S., Gruen, R.J., & DeLongis, A. (1986). Appraisal, Coping, Health Status, & Psychological Symptoms. Journal of Personality and Social Psychology, 50, 571-579.
Healy, C.M., & Mckay, M.F. (2000), Nursing Stress: the effects of coping strategies and job satisfaction in a sample of Australian Nurses. Journal of Advanced Nursing, 31, 681-688.
Pisanti, R., van der Doef, M., Maes, S., Lazzari, D. & Bertini, M. (2011). Job characteristics, organisational conditions, and distress/well-being among Italian and Dutch nurses: a cross-national comparison. International Journal of Nursing Studies, 48, 829-837. Doi: 10.1016/j/ijnurstu.2010.12.006
Happell, B., Dwyer, T., Reid-Searl, K., Burke, K. J., Caperchione, C. M., & Gaskin, C. J. (2013). Nurses and stress: recognising causes and seeking solutions. Journal of Nursing Management, 21(4), 638-647.
Adib-Hajbaghery, M., Khamechian, M., & Alavi, N. M. (2012). Nurses' perception of occupational stress and its influencing factors: A qualitative study. Iranian journal of nursing and midwifery research, 17(5), 352.
Mosadeghrad, A. M. (2013). Occupational stress and turnover intention: implications for nursing management. Int J Health Policy Manag, 1(2),169-76. doi: 10.15171/ijhpm.2013.30. PMID: 24596858
Suresh, P., Matthews, A., & Coyne, I. (2013). Stress and stressors in the clinical environment: a comparative study of fourth-year student nurses and newly qualified general nurses in Ireland. Journal of Clinical Nursing, 22(5-6), 770-779.
Foureur, M., Besley, K., Burton, G., Yu, N., & Crisp, J. (2013). Enhancing the resilience of nurses and midwives: Pilot of a mindfulness-based program for increased health, sense of coherence and decreased depression, anxiety and stress. Contemporary Nurse, 45(1), 114-125.
Orly, S., Rivka, B., Rivka, E., & Dorit, S. E. (2012). Are cognitive–behavioral interventions effective in reducing occupational stress among nurses? Applied Nursing Research, 25(3), 152-157.
Laschinger, H. K. S., & Fida, R. (2014). New nurses' burnout and workplace well-being: The influence of authentic leadership and psychological capital. Burnout Research, 1(1), 19-28.
Utriainen, K., Ala-Mursula, L., & Kyngäs, H. (2015). Hospital nurses' well-being at work: a theoretical model. Journal of Nursing Management, 23(6), 736-743.
Brennan, E. J. (2017). Towards resilience and well-being in nurses. British Journal of Nursing, 26(1), 43-47. doi: 10.12968/bjon.2017.26.1.43
Pisaniello, S. L., Winefield, H. R., & Delfabbro, P. H. (2012). The influence of emotional labour and emotional work on the occupational health and well-being of South Australian hospital nurses. Journal of Vocational Behavior, 80(3), 579-591.
Hobfoll, S.E. (1989). Conservation of resources: A new attempt at conceptualising stress. Am Psychol, 44, 513-524.
Mark, G & Smith, A.P. (2011). Effects of occupational stress, job characteristics, coping and attributional style on the mental health and job satisfaction of university employees. Anxiety, Stress and Coping, 25, 63-78. Doi: 10.1080/10615806.2010.548088
Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, Culture, and Subjective Well-being: Emotional and Cognitive Evaluations of Life. Annual Review of Psychology, 54, 403-425. Doi: 10.1146/annurev.psych.54.101601.145056.
Costa, P. T., & McCrae, R. R. (1980). Influence of extraversion and neuroticism on subjective well-being: Happy and unhappy people. Journal of Personality and Social Psychology, 38(4), 668-678. Doi: 10.1037//0022-3514.38.4.668.
Dolan, P., Peasgood, T., & White, M. (2008). Do we really know what makes us happy? A review of the economic literature on the factors associated with subjective well-being. Journal of Economic Psychology, 29(1), 94-122. Doi: 10.1016/j.joep.2007.09.001.
Diener, E. (2000). Subjective well-being: The science of happiness and a proposal for a national index. American Psychologist, 55(1), 34-43. doi: 10.1037//0003-066x.55.1.34.
Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125(2), 276-302. Doi: 10.1037//0033-2909.125.2.276
Smith, A. P., McNamara, R. L., & Wellens, B. T. (2004). Combined effects of occupational health hazards: HSE Books.
Smith, A., Johal, S.S., Wadsworth, E., Davey Smith G & Peters, T. (2000). The Scale of Occupational Stress: the Bristol Stress and Health at Work Study. HSE Books. Report 265/2000.
Waldron, S. (2010). Measuring subjective well-being in the UK. Newport: Office for National Statistics.
Wismar, M., McKee, M., Ernst, K., Srivastava, D., & Busse, R. (2013). Measurement of and target-setting for wellbeing: an initiative by the WHO Regional Office for Europe/Second meeting of the expert group Paris, France, 25-26 June 2012.
Diener, E., Sapyta, J. J., & Suh, E. (1998). Subjective Well-Being Is Essential to Well-Being. Psychological Inquiry, 9(1), 33-37. Doi: 10.1207/s15327965pli0901_3.
DeNeve, K. M., & Cooper, H. (1998). The Happy Personality: A Meta-Analysis of 137 Personality Traits and Subjective Well-Being. Psychological Bulletin, 124(2), 197-229. Doi: 10.1037//0033-2909.124.2.197.
Tsutsumi, A., & Kawakami, N. (2004). A review of empirical studies on the model of effort-reward imbalance at work: reducing occupational stress by implementing a new theory. Social science & Medicine, 59(11), 2335-2359. doi: 10.1016/j.socscimed.2004.03.030
Van Der Doef, M., & Maes, S. (1999). The Job-Demand (-Support) Model and psychological well-being: a review of 20 years of empirical research. Work & Stress, 13, 87-114.
Rick, J., Briner, R. B., Daniels, K., Perryman, S., & Guppy, A. (2001). A critical review of psychosocial hazard measures. HSE Books, HMSO, Norwich.
Parkinson, J. (2007). Review of scales of positive mental health validated for use with adults in the UK: Technical report. Health Scotland, Edinburgh, Scotland.
HSE. (2013). Stress and psychological disorders in Great Britain 2013. Retrieved from http://www.hse.gov.uk/statistics/causdis/stress/stress.pdf
Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics (5th ed.). Boston, MA: Pearson Education, Inc.
Quine, L. (1999). Workplace bullying in NHS community trust: Staff questionnaire survey. British Medical Journal, 318(7178), 228-232. Doi: 10.1136/bmj.318.7178.228.
Scandura, T. A., & Graen, G. B. (1984). Moderating effects of initial leader-member exchange status on the effects of a leadership intervention. Journal of Applied Psychology, 69(3), 428-436. doi: 10.1037//0021-9010.69.3.428.
Fan, J. & Smith, A.P. (2017). Positive well-being and work-life balance among UK railway staff. Open Journal of Social Sciences, 5, 1-6. http://dx.doi.org/10.4236/jss.2017.56001
Smith, A.P. & Smith, H.N. 2017. An international survey of the well-being of employees in the business process outsourcing industry. Psychology, 8, 160-167. DOI: 10.4236/psych.2017.81010
Smith, A.P. & Smith, H.N. 2017. A short questionnaire to measure well-being at work (Short-SWELL) and to examine the interaction between the employee and organisation. In: Charles, R. & Wilkinson, J. eds. Contemporary Ergonomics and Human Factors 2017. Chartered Institute of Ergonomics and Human Factors. ISBN: 978-1-5272-0762-2. Pg 200-205.
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