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Relations between Stress and Depressive Symptoms in Psychiatric Nurses: The Mediating Effects of Sleep Quality and Occupational Burnout

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  • Hsiu-Fen Hsieh

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Yi Liu

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Hsin-Tien Hsu

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan
    Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

  • Shu-Ching Ma

    (Nursing Department, Chi-Mei Medical Center, Tainan 71004, Taiwan
    College of Humanities and Social Science, Southern Taiwan University of Science and Technology, Tainan 71005, Taiwan)

  • Hsiu-Hung Wang

    (School of Nursing, College of Nursing, Kaohsiung Medical University, No.100, Shih-Chuan 1st Road, Kaohsiung 807, Taiwan)

  • Chih-Hung Ko

    (Department of Psychiatry, Kaohsiung Medical University Hospital, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, Taiwan)

Abstract

This study examines the parallel multiple mediators of quality of sleep and occupational burnout between perceived stress and depressive symptoms in psychiatric nurses. Nurses are more likely to experience depression, anxiety, decreased job satisfaction, and reduced organizational loyalty as a result of the stressful work environment and heavy workload. A total of 248 psychiatric ward (PW) nurses participated in this cross-sectional survey study. Structural equation modelling was used for data analysis. In the model of parallel multiple mediators for depressive symptoms, quality of sleep and occupational burnout played mediating roles, and these two mediators strengthened the effect of stress on depressive symptoms, with the final model showing a good fit. Stress, occupational burnout, and quality of sleep explained 46.0% of the variance in psychiatric nurses’ depressive symptoms. Stress had no significantly direct effect on psychiatric nurses’ depressive symptoms, but it had a completed mediation effect on their depressive symptoms through occupational burnout and quality of sleep. This study showed that reduction of occupational burnout and improvement of quality of sleep play important roles against depressive symptoms among PW nurses. Healthcare managers should provide PW nurses with a better environment for improving quality of sleep and reducing occupational burnout.

Suggested Citation

  • Hsiu-Fen Hsieh & Yi Liu & Hsin-Tien Hsu & Shu-Ching Ma & Hsiu-Hung Wang & Chih-Hung Ko, 2021. "Relations between Stress and Depressive Symptoms in Psychiatric Nurses: The Mediating Effects of Sleep Quality and Occupational Burnout," IJERPH, MDPI, vol. 18(14), pages 1-9, July.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:14:p:7327-:d:590846
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    References listed on IDEAS

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    2. Shamona Maharaj & Ty Lees & Sara Lal, 2018. "Prevalence and Risk Factors of Depression, Anxiety, and Stress in a Cohort of Australian Nurses," IJERPH, MDPI, vol. 16(1), pages 1-10, December.
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    Cited by:

    1. Yushi Lu & Zhi Li & Yuting Fan & Jin Wang & Tian Zhong & Ling Wang & Ying Xiao & Dongmei Zhang & Qingsong Chen & Xi Yu, 2022. "The Mediating Role of Cumulative Fatigue on the Association between Occupational Stress and Depressive Symptoms: A Cross-Sectional Study among 1327 Chinese Primary Healthcare Professionals," IJERPH, MDPI, vol. 19(23), pages 1-15, November.
    2. Chiara Consiglio & Greta Mazzetti & Wilmar B. Schaufeli, 2021. "Psychometric Properties of the Italian Version of the Burnout Assessment Tool (BAT)," IJERPH, MDPI, vol. 18(18), pages 1-21, September.

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