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Published in: BMC Women's Health 1/2017

Open Access 01-12-2017 | Research article

Psychological symptoms among hospital nurses in Taiwan: a cross sectional study

Authors: Mei-Ju Chen, Shiue-Shan Weng

Published in: BMC Women's Health | Issue 1/2017

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Abstract

Background

A considerable number of studies have identified the risk factors attributable to job-related stress among nurses. However, studies investigating psychological symptoms among hospital nurses is still lacking, especially in Taiwan, where the average patient to nurse ratio is among the highest in the world. This study aimed to investigate the potential role of self-rated health status, self-reported diseases, and utilization of occupational health checks in psychological symptoms among Taiwanese nurses.

Methods

A cross-sectional design was conducted from September through December 2013. Data were collected through online self-administered questionnaire among 697 registered nurses in seven regional hospitals governed by the Taipei City Government.

Results

Nurses with fair or poor self-rated health, lower education, <30 years of age, and low back pain were more likely to suffer from psychological symptoms. A trend toward significance was also noticed for those aged 30–39. Importantly, low back pain was the most common disease among nurses in self-reported diseases and half of the nurses reported not utilizing the occupational health examination for the last 5 years.

Conclusions

To alleviate or prevent the psychological symptoms, psychosocial support, and awareness program on prevention of occupational injuries should be offered to nurses younger than 39 years old and having lower educational levels. Moreover, underutilization of occupational health examination among nurses deserves more attention.
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Literature
1.
go back to reference Gao YQ, Pan BC, Sun W, Wu H, Wang JN, Wang L. Depressive symptoms among Chinese nurses: prevalence and the associated factors. J Adv Nurs. 2012;68(5):1166–75.CrossRefPubMed Gao YQ, Pan BC, Sun W, Wu H, Wang JN, Wang L. Depressive symptoms among Chinese nurses: prevalence and the associated factors. J Adv Nurs. 2012;68(5):1166–75.CrossRefPubMed
2.
go back to reference Letvak SA, Ruhm CJ, Gupta SN. Nurses’ presenteeism and its effects on self-reported quality of care and costs. Am J Nurs. 2012;112(2):30–8. quiz 48, 39CrossRefPubMed Letvak SA, Ruhm CJ, Gupta SN. Nurses’ presenteeism and its effects on self-reported quality of care and costs. Am J Nurs. 2012;112(2):30–8. quiz 48, 39CrossRefPubMed
3.
go back to reference Allesoe K, Hundrup YA, Thomsen JF, Osler M. Psychosocial work environment and risk of ischaemic heart disease in women: the Danish nurse cohort study. Occup Environ Med. 2010;67(5):318–22.CrossRefPubMed Allesoe K, Hundrup YA, Thomsen JF, Osler M. Psychosocial work environment and risk of ischaemic heart disease in women: the Danish nurse cohort study. Occup Environ Med. 2010;67(5):318–22.CrossRefPubMed
4.
go back to reference Arimura M, Imai M, Okawa M, Fujimura T, Yamada N. Sleep, mental health status, and medical errors among hospital nurses in Japan. Ind Health. 2010;48(6):811–7.CrossRefPubMed Arimura M, Imai M, Okawa M, Fujimura T, Yamada N. Sleep, mental health status, and medical errors among hospital nurses in Japan. Ind Health. 2010;48(6):811–7.CrossRefPubMed
5.
go back to reference Letvak S, Ruhm CJ, McCoy T. Depression in hospital-employed nurses. Clin Nurse Spec CNS. 2012;26(3):177–82.CrossRefPubMed Letvak S, Ruhm CJ, McCoy T. Depression in hospital-employed nurses. Clin Nurse Spec CNS. 2012;26(3):177–82.CrossRefPubMed
6.
go back to reference Welsh D. Predictors of depressive symptoms in female medical-surgical hospital nurses. Issues Ment Health Nurs. 2009;30(5):320–6.CrossRefPubMed Welsh D. Predictors of depressive symptoms in female medical-surgical hospital nurses. Issues Ment Health Nurs. 2009;30(5):320–6.CrossRefPubMed
7.
go back to reference Cheung T, Yip PS. Depression, anxiety and symptoms of stress among Hong Kong nurses: a cross-sectional study. Int J Environ Res Public Health. 2015;12(9):11072–100.CrossRefPubMedPubMedCentral Cheung T, Yip PS. Depression, anxiety and symptoms of stress among Hong Kong nurses: a cross-sectional study. Int J Environ Res Public Health. 2015;12(9):11072–100.CrossRefPubMedPubMedCentral
8.
go back to reference Yoon SL, Kim JH. Job-related stress, emotional labor, and depressive symptoms among Korean nurses. J Nurs Scholarsh. 2013;45(2):169–76.CrossRefPubMed Yoon SL, Kim JH. Job-related stress, emotional labor, and depressive symptoms among Korean nurses. J Nurs Scholarsh. 2013;45(2):169–76.CrossRefPubMed
9.
go back to reference Lee S, Pai HC, Yen WJ. A study of perceived practice environment among nurses in Taiwan. Hu Li Za Zhi. 2008;55(4):30–40.PubMed Lee S, Pai HC, Yen WJ. A study of perceived practice environment among nurses in Taiwan. Hu Li Za Zhi. 2008;55(4):30–40.PubMed
10.
go back to reference Lin CF, Huang CI, Kao CC, MS L. The nursing shortage and nursing retention strategies in Taiwan. Hu Li Za Zhi. 2013;60(3):88–93.PubMed Lin CF, Huang CI, Kao CC, MS L. The nursing shortage and nursing retention strategies in Taiwan. Hu Li Za Zhi. 2013;60(3):88–93.PubMed
11.
go back to reference YJ L, Tseng SI, Pang BY. Survey of work conditions among nurses. Nat Union Nurs Assoc Commun. 2010;76:1–2. YJ L, Tseng SI, Pang BY. Survey of work conditions among nurses. Nat Union Nurs Assoc Commun. 2010;76:1–2.
12.
go back to reference DeCola PR, Riggins P. Nurses in the workplace: expectations and needs. Int Nurs Rev. 2010;57(3):335–42.CrossRefPubMed DeCola PR, Riggins P. Nurses in the workplace: expectations and needs. Int Nurs Rev. 2010;57(3):335–42.CrossRefPubMed
13.
go back to reference Chiang YM, Chang Y. Stress, depression, and intention to leave among nurses in different medical units: implications for healthcare management/nursing practice. Health Policy (Amsterdam, Netherlands). 2012;108(2–3):149–57.CrossRef Chiang YM, Chang Y. Stress, depression, and intention to leave among nurses in different medical units: implications for healthcare management/nursing practice. Health Policy (Amsterdam, Netherlands). 2012;108(2–3):149–57.CrossRef
14.
go back to reference Lin SH, Liao WC, Chen MY, Fan JY. The impact of shift work on nurses’ job stress, sleep quality and self-perceived health status. J Nurs Manag. 2014;22(5):604–12.CrossRefPubMed Lin SH, Liao WC, Chen MY, Fan JY. The impact of shift work on nurses’ job stress, sleep quality and self-perceived health status. J Nurs Manag. 2014;22(5):604–12.CrossRefPubMed
15.
go back to reference Chen CH, Wang J, Yang CS, Fan JY. Nurse practitioner job content and stress effects on anxiety and depressive symptoms, and self-perceived health status. J Nurs Manag. 2016;24(5):695–704.CrossRefPubMed Chen CH, Wang J, Yang CS, Fan JY. Nurse practitioner job content and stress effects on anxiety and depressive symptoms, and self-perceived health status. J Nurs Manag. 2016;24(5):695–704.CrossRefPubMed
16.
go back to reference Malinauskiene V, Leisyte P, Romualdas M, Kirtiklyte K. Associations between self-rated health and psychosocial conditions, lifestyle factors and health resources among hospital nurses in Lithuania. J Adv Nurs. 2011;67(11):2383–93.CrossRefPubMed Malinauskiene V, Leisyte P, Romualdas M, Kirtiklyte K. Associations between self-rated health and psychosocial conditions, lifestyle factors and health resources among hospital nurses in Lithuania. J Adv Nurs. 2011;67(11):2383–93.CrossRefPubMed
17.
go back to reference SY S, Chiou ST, Huang N, Huang CM, Chiang JH, Chien LY. Association between Pap smear screening and job stress in Taiwanese nurses. Eur J Oncol Nurs. 2016;20:119–24.CrossRef SY S, Chiou ST, Huang N, Huang CM, Chiang JH, Chien LY. Association between Pap smear screening and job stress in Taiwanese nurses. Eur J Oncol Nurs. 2016;20:119–24.CrossRef
19.
go back to reference Golabadi M, Attarchi M, Raeisi S, Namvar M. Effects of psychosocial strain on back symptoms in Tehran general hospital nursing personnel. Arh Hig Rada Toksikol. 2013;64(4):505–12.CrossRefPubMed Golabadi M, Attarchi M, Raeisi S, Namvar M. Effects of psychosocial strain on back symptoms in Tehran general hospital nursing personnel. Arh Hig Rada Toksikol. 2013;64(4):505–12.CrossRefPubMed
20.
go back to reference Munabi IG, Buwembo W, Kitara DL, Ochieng J, Mwaka ES. Musculoskeletal disorder risk factors among nursing professionals in low resource settings: a cross-sectional study in Uganda. BMC Nurs. 2014;13(1):7.CrossRefPubMedPubMedCentral Munabi IG, Buwembo W, Kitara DL, Ochieng J, Mwaka ES. Musculoskeletal disorder risk factors among nursing professionals in low resource settings: a cross-sectional study in Uganda. BMC Nurs. 2014;13(1):7.CrossRefPubMedPubMedCentral
21.
go back to reference Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C. Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and meta-analysis. Int J Nurs Stud. 2015;52(2):635–48.CrossRefPubMed Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C. Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and meta-analysis. Int J Nurs Stud. 2015;52(2):635–48.CrossRefPubMed
22.
go back to reference Degen RM, MacDermid JC, Grewal R, Drosdowech DS, Faber KJ, Athwal GS. Prevalence of symptoms of depression, anxiety, and posttraumatic stress disorder in workers with upper extremity complaints. J Orthop Sports Phys Ther. 2016;46(7):590–5.CrossRefPubMed Degen RM, MacDermid JC, Grewal R, Drosdowech DS, Faber KJ, Athwal GS. Prevalence of symptoms of depression, anxiety, and posttraumatic stress disorder in workers with upper extremity complaints. J Orthop Sports Phys Ther. 2016;46(7):590–5.CrossRefPubMed
23.
go back to reference Chung YC, Hung CT, Li SF, Lee HM, Wang SG, Chang SC, Pai LW, Huang CN, Yang JH. Risk of musculoskeletal disorder among Taiwanese nurses cohort: a nationwide population-based study. BMC Musculoskelet Disord. 2013;14:144.CrossRefPubMedPubMedCentral Chung YC, Hung CT, Li SF, Lee HM, Wang SG, Chang SC, Pai LW, Huang CN, Yang JH. Risk of musculoskeletal disorder among Taiwanese nurses cohort: a nationwide population-based study. BMC Musculoskelet Disord. 2013;14:144.CrossRefPubMedPubMedCentral
25.
go back to reference Cheng Y, Chen IS, Chen CJ, Burr H, Hasselhorn HM. The influence of age on the distribution of self-rated health, burnout and their associations with psychosocial work conditions. J Psychosom Res. 2013;74(3):213–20.CrossRefPubMed Cheng Y, Chen IS, Chen CJ, Burr H, Hasselhorn HM. The influence of age on the distribution of self-rated health, burnout and their associations with psychosocial work conditions. J Psychosom Res. 2013;74(3):213–20.CrossRefPubMed
26.
go back to reference Lee MB, Liao SC, Lee YJ, CH W, Tseng MC, Gau SF, Rau CL. Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. J Formos Med Assoc. 2003;102(10):687–94.PubMed Lee MB, Liao SC, Lee YJ, CH W, Tseng MC, Gau SF, Rau CL. Development and verification of validity and reliability of a short screening instrument to identify psychiatric morbidity. J Formos Med Assoc. 2003;102(10):687–94.PubMed
27.
go back to reference Chen HC, CH W, Lee YJ, Liao SC, Lee MB. Validity of the five-item brief symptom rating scale among subjects admitted for general health screening. J Formos Med Assoc. 2005;104(11):824–9.PubMed Chen HC, CH W, Lee YJ, Liao SC, Lee MB. Validity of the five-item brief symptom rating scale among subjects admitted for general health screening. J Formos Med Assoc. 2005;104(11):824–9.PubMed
29.
go back to reference Lee HF, Yen M, Fetzer S, Chien TW. Predictors of burnout among nurses in Taiwan. Community Ment Health J. 2015;51(6):733–7.CrossRefPubMed Lee HF, Yen M, Fetzer S, Chien TW. Predictors of burnout among nurses in Taiwan. Community Ment Health J. 2015;51(6):733–7.CrossRefPubMed
30.
go back to reference Millar M. The effects of perceived stress on reactions to messages designed to increase health behaviors. J Behav Med. 2005;28(5):425.CrossRefPubMed Millar M. The effects of perceived stress on reactions to messages designed to increase health behaviors. J Behav Med. 2005;28(5):425.CrossRefPubMed
31.
go back to reference Chiou ST, Chiang JH, Huang N, CH W, Chien LY. Health issues among nurses in Taiwanese hospitals: national survey. Int J Nurs Stud. 2013;50(10):1377–84.CrossRefPubMed Chiou ST, Chiang JH, Huang N, CH W, Chien LY. Health issues among nurses in Taiwanese hospitals: national survey. Int J Nurs Stud. 2013;50(10):1377–84.CrossRefPubMed
32.
go back to reference Maul I, Laubli T, Klipstein A, Krueger H. Course of low back pain among nurses: a longitudinal study across eight years. Occup Environ Med. 2003;60(7):497–503.CrossRefPubMedPubMedCentral Maul I, Laubli T, Klipstein A, Krueger H. Course of low back pain among nurses: a longitudinal study across eight years. Occup Environ Med. 2003;60(7):497–503.CrossRefPubMedPubMedCentral
33.
go back to reference Ferri P, Guadi M, Marcheselli L, Balduzzi S, Magnani D, Di Lorenzo R. The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts. Risk Manag Healthc Policy. 2016;9:203–11.CrossRefPubMedPubMedCentral Ferri P, Guadi M, Marcheselli L, Balduzzi S, Magnani D, Di Lorenzo R. The impact of shift work on the psychological and physical health of nurses in a general hospital: a comparison between rotating night shifts and day shifts. Risk Manag Healthc Policy. 2016;9:203–11.CrossRefPubMedPubMedCentral
34.
go back to reference Shen HC, Cheng Y, Tsai PJ, Lee SH, Guo YL. Occupational stress in nurses in psychiatric institutions in Taiwan. J Occup Health. 2005;47(3):218–25.CrossRefPubMed Shen HC, Cheng Y, Tsai PJ, Lee SH, Guo YL. Occupational stress in nurses in psychiatric institutions in Taiwan. J Occup Health. 2005;47(3):218–25.CrossRefPubMed
35.
go back to reference Tourigny LBV, Lituchy T. On the retention of younger nurses. J Nurs Care. 2016;5(350):1–6. Tourigny LBV, Lituchy T. On the retention of younger nurses. J Nurs Care. 2016;5(350):1–6.
36.
go back to reference Bjelland I, Krokstad S, Mykletun A, Dahl AA, Tell GS, Tambs K. Does a higher educational level protect against anxiety and depression? The HUNT study. Soc Sci Med (1982). 2008;66(6):1334–45.CrossRef Bjelland I, Krokstad S, Mykletun A, Dahl AA, Tell GS, Tambs K. Does a higher educational level protect against anxiety and depression? The HUNT study. Soc Sci Med (1982). 2008;66(6):1334–45.CrossRef
37.
go back to reference Grzywacz JG, Almeida DM, Neupert SD, Ettner SL. Socioeconomic status and health: a micro-level analysis of exposure and vulnerability to daily stressors. J Health Soc Behav. 2004;45(1):1–16.CrossRefPubMed Grzywacz JG, Almeida DM, Neupert SD, Ettner SL. Socioeconomic status and health: a micro-level analysis of exposure and vulnerability to daily stressors. J Health Soc Behav. 2004;45(1):1–16.CrossRefPubMed
38.
go back to reference Fritschi L, Morrison D, Shirangi A, Day L. Psychological well-being of Australian veterinarians. Aust Vet J. 2009;87(3):76–81.CrossRefPubMed Fritschi L, Morrison D, Shirangi A, Day L. Psychological well-being of Australian veterinarians. Aust Vet J. 2009;87(3):76–81.CrossRefPubMed
39.
go back to reference IC L, Yen Jean MC, Lei SM, Cheng HH, Wang JD. BSRS-5 (5-item brief symptom rating scale) scores affect every aspect of quality of life measured by WHOQOL-BREF in healthy workers. Qual Life Res Int J Qual Life Asp Treat Care Rehab. 2011;20(9):1469–75.CrossRef IC L, Yen Jean MC, Lei SM, Cheng HH, Wang JD. BSRS-5 (5-item brief symptom rating scale) scores affect every aspect of quality of life measured by WHOQOL-BREF in healthy workers. Qual Life Res Int J Qual Life Asp Treat Care Rehab. 2011;20(9):1469–75.CrossRef
Metadata
Title
Psychological symptoms among hospital nurses in Taiwan: a cross sectional study
Authors
Mei-Ju Chen
Shiue-Shan Weng
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2017
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-017-0460-5

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