Stress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wards
Abstract Background The increasing costs of nurses’ occupational-stress, conflicts, and violence within healthcare services have raised international interest. Yet, research/interventions should consider that perceived stress and conflicts– but also potential resources– within the wards can crossove...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Psychology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40359-024-01676-y |
| _version_ | 1827284021434908672 |
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| author | Federica Vallone Maria Clelia Zurlo |
| author_facet | Federica Vallone Maria Clelia Zurlo |
| author_sort | Federica Vallone |
| collection | DOAJ |
| description | Abstract Background The increasing costs of nurses’ occupational-stress, conflicts, and violence within healthcare services have raised international interest. Yet, research/interventions should consider that perceived stress and conflicts– but also potential resources– within the wards can crossover the healthcare settings, impacting nurses’ private lives and viceversa, potentially creating vicious circles exacerbating stress, conflicts/violence or, conversely, virtuous circles of psychological/relational wellbeing. Based on the Demands-Resources-and-Individual-Effects (DRIVE) Nurses Model, and responding to the need to go in-depth into this complex dynamic, this study aims to explore potential vicious circles featured by the negative effects of the interplay (main/mediating effects) between perceived stressors in nursing linked to interpersonal conflicts (Conflicts-with-Physicians, Peers, Supervisors, Patients/their families), work-family inter-role conflicts (Work-Family/Family-Work-Conflicts), and work-related stress (Effort-Reward-Imbalance) on nurses’ psychological/relational health (Anxiety, Depression, Somatization, Interpersonal-Sensitivity, Hostility). The potential moderating role of work-resources (Job-Control, Social-Support, Job-Satisfaction) in breaking vicious circles/promoting virtuous circles was also explored. Method The STROBE Checklist was used to report this cross-sectional multi-centre study. Overall, 265 nurses completed self-report questionnaires. Main/mediating/moderating hypotheses were tested by using Correlational-Analyses and Hayes-PROCESS-tool. Results Data confirmed the hypothesized detrimental vicious circles (main/mediating effects), impairing nurses’ psychological health conditions at individual level (Anxiety, Depression, Somatization), but also at relational level (Hostility and Interpersonal-Sensitivity). The moderating role of all work resources was fully supported. Conclusion Findings could be used to implement interventions/practices to effectively prevent the maintenance/exacerbation of vicious circles and promote psychological/relational wellbeing in healthcare settings and beyond. |
| first_indexed | 2024-04-24T09:47:39Z |
| format | Article |
| id | doaj.art-63fb1f4d2ef54f22a1c0b3289ce389a5 |
| institution | Directory Open Access Journal |
| issn | 2050-7283 |
| language | English |
| last_indexed | 2024-04-24T09:47:39Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychology |
| spelling | doaj.art-63fb1f4d2ef54f22a1c0b3289ce389a52024-04-14T11:33:03ZengBMCBMC Psychology2050-72832024-04-0112111610.1186/s40359-024-01676-yStress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wardsFederica Vallone0Maria Clelia Zurlo1Department of Humanities, University of Naples Federico IIDynamic Psychology Laboratory, University of Naples Federico IIAbstract Background The increasing costs of nurses’ occupational-stress, conflicts, and violence within healthcare services have raised international interest. Yet, research/interventions should consider that perceived stress and conflicts– but also potential resources– within the wards can crossover the healthcare settings, impacting nurses’ private lives and viceversa, potentially creating vicious circles exacerbating stress, conflicts/violence or, conversely, virtuous circles of psychological/relational wellbeing. Based on the Demands-Resources-and-Individual-Effects (DRIVE) Nurses Model, and responding to the need to go in-depth into this complex dynamic, this study aims to explore potential vicious circles featured by the negative effects of the interplay (main/mediating effects) between perceived stressors in nursing linked to interpersonal conflicts (Conflicts-with-Physicians, Peers, Supervisors, Patients/their families), work-family inter-role conflicts (Work-Family/Family-Work-Conflicts), and work-related stress (Effort-Reward-Imbalance) on nurses’ psychological/relational health (Anxiety, Depression, Somatization, Interpersonal-Sensitivity, Hostility). The potential moderating role of work-resources (Job-Control, Social-Support, Job-Satisfaction) in breaking vicious circles/promoting virtuous circles was also explored. Method The STROBE Checklist was used to report this cross-sectional multi-centre study. Overall, 265 nurses completed self-report questionnaires. Main/mediating/moderating hypotheses were tested by using Correlational-Analyses and Hayes-PROCESS-tool. Results Data confirmed the hypothesized detrimental vicious circles (main/mediating effects), impairing nurses’ psychological health conditions at individual level (Anxiety, Depression, Somatization), but also at relational level (Hostility and Interpersonal-Sensitivity). The moderating role of all work resources was fully supported. Conclusion Findings could be used to implement interventions/practices to effectively prevent the maintenance/exacerbation of vicious circles and promote psychological/relational wellbeing in healthcare settings and beyond.https://doi.org/10.1186/s40359-024-01676-yInterpersonal conflictsInter-role conflictHostilityInterpersonal-sensitivityNursingPsychological health |
| spellingShingle | Federica Vallone Maria Clelia Zurlo Stress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wards BMC Psychology Interpersonal conflicts Inter-role conflict Hostility Interpersonal-sensitivity Nursing Psychological health |
| title | Stress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wards |
| title_full | Stress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wards |
| title_fullStr | Stress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wards |
| title_full_unstemmed | Stress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wards |
| title_short | Stress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wards |
| title_sort | stress interpersonal and inter role conflicts and psychological health conditions among nurses vicious and virtuous circles within and beyond the wards |
| topic | Interpersonal conflicts Inter-role conflict Hostility Interpersonal-sensitivity Nursing Psychological health |
| url | https://doi.org/10.1186/s40359-024-01676-y |
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