Job-related Stress in Psychiatric Nurses in Japan Caring for Elderly Patients with Dementia

Overview

Journal Environ Health Prev Med

Specialties Environmental Health
Public Health

Date 2014 Oct 8

PMID 25287215

Citations 4

Authors

Hironori Yada

Hiroshi Abe

Xi Lu

Yuko Wakizaki

Hisamitsu Omori

Hisae Matsuo

Yasushi Ishida

Takahiko Katoh

Affiliations

Soon will be listed here.

Abstract

Objectives: We investigated the specificity and structures of job-related stress in psychiatric dementia nurses (PDNs) caring for elderly patients with serious behavioral and psychological symptoms of dementia who required substantial assistance with activities of daily living, in order to obtain fundamental knowledge toward providing mental health care for these nurses.

Methods: Subjects were 244 nurses [63 PDNs and 181 other psychiatric nurses (OPNs)]

Results: Analysis of covariance to examine the specificity of job-related stress in PDNs revealed physical workload and work environment to be more significant stressors, and irritability and anxiety to be more significant stress reactions in PDNs than in OPNs. An examination of PDNs' job-related stress structures established in a structural equation model with two stress reactions confirmed as specific outcomes for PDNs revealed a significant positive influence of work environment on irritability; utilization of techniques for anxiety and physical workload influenced both stress reactions.

Conclusions: Our findings highlight the importance of reducing physical workload and environment and establishing a structure for nursing techniques in psychiatric dementia wards to improve the mental health of PDNs.

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