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Work-related stress,job satisfaction,and quality of work life among cardiovascular nurses in Italy: Structural equation modeling
Institution:1. Department of Nursing Professions, University Hospital of Tor Vergata, Viale Oxford, 81, 00133 Rome, Italy;2. Department of Medicine and Psychology, Sapienza University, Piazzale Aldo Moro 5, 00185 Rome, Italy;3. Research Unit Nursing Science, Campus Bio-Medico di Roma University, Via Álvaro del Portillo, 200, 00128 Rome, Italy;4. Department of Public Health and Primary Care, KU Leuven, Kapucijnenvoer 35 PB 7001, 3000 Leuven, Belgium;1. Purdue University, West Lafayette, IN, United States of America;2. Indiana University Health Arnett, Lafayette, IN, United States of America;1. School of Nursing, University of Texas Medical Branch, United States;2. School of Nursing, School of Medicine & Public Health, Wisconsin-Madison, United States;3. School of Nursing, University of Wisconsin-Madison, United States;1. Gimhae Bohun Nursing Home, 127, Hagye-ro, Jinyeong-eup, Gimhae-si, Gyeongsangnam-do, Republic of Korea;2. College of Nursing, Changshin University, 262 Palyongro, MasanHoewon-gu, Changwon, Gyeongsangnam-do, Republic of Korea;3. Kang''s Senior Research Center, Intestine Seongeumsan-gil 28, Tongyeong-si, Gyeongsangnam-do, Republic of Korea;4. Department of Nursing, Daegu Haany University, Hanuidae-ro, Gyeongsan-si, Gyeongsangbuk-do, Republic of Korea
Abstract:AimTo investigate the simultaneous effects of work-related stress and job satisfaction on cardiovascular nurses' quality of work life.BackgroundPrior research has investigated nurses' work-related stress, job satisfaction, and quality of work life as separate aspects and not in specific nursing settings, such as cardiovascular wards. Cardiovascular care settings can be particularly stressful for nurses, who are often faced with distress, depression and patients and caregivers' physical and psychological exhaustion.MethodsA multicenter cross-sectional study was conducted among 1126 cardiovascular nurses from 10 hospitals in Italy. Work-related stress, job satisfaction, and quality of work life were measured using valid and reliable questionnaires. Structural equation modeling was performed.ResultsNurses working in critical cardiac care units experienced more stress than their colleagues working in other cardiac units. Nurses working in cardiac outpatient clinics reported lower quality of work life than those working in other cardiac settings. There was a negative relationship between work-related stress and nurses' quality of work life, which was partially mediated by job satisfaction, indicating that stress generated by the work environment negatively affect nurses' quality of work life by reducing their job satisfaction.ConclusionCardiovascular nurses' quality of work life is negatively affected by work-related stress. The work-related stress is mediated through job satisfaction. Nurse managers should maximize nurses' job satisfaction by providing comfort at work, supporting professional development opportunities, sharing organizational objectives, and actively listening and addressing nurses' concerns. When cardiovascular nurses' quality of work life is elevated, patients' care quality and outcomes are improved.
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