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Nurses' cognitive structural models of work-based stress.

S Taylor1, B White, S Muncer

  • 1School of Health, University of Teesside, Middlesbrough, UK.

Journal of Advanced Nursing
|April 24, 1999
PubMed
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National Health Service (NHS) nurses experience stress from two main sources: inadequate staffing and patient suffering. Organizational factors and managerial behavior significantly contribute to nurse stress and powerlessness.

Area of Science:

  • Healthcare Management
  • Nursing Studies
  • Occupational Health Psychology

Background:

  • Nurse stress is a significant issue impacting healthcare quality.
  • Previous research identified primary sources of stress for nurses.
  • Understanding the complex causal pathways of nurse stress is crucial.

Purpose of the Study:

  • To examine the causes of stress among National Health Service (NHS) nurses in England.
  • To develop a cognitive structural model of nurse stress.
  • To explore the interplay between organizational factors, patient care, and nurse well-being.

Main Methods:

  • Qualitative data collection formed the basis of the study.
  • Network analysis using inductive eliminative analysis was employed.

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  • Conventional qualitative methods and content analysis were also utilized.

    • Main Results:

    • Two primary systems of causation for nurse stress were identified.
    • Inadequate staffing levels were linked to poor colleague support, multiple roles, and powerlessness.
    • Managerial behavior and patient suffering were also significant contributors to nurse stress.

    Conclusions:

    • Organizational factors, particularly staffing, and managerial actions are key drivers of nurse stress.
    • The caring nature of nursing work interacts with organizational pressures, leading to frustration.
    • Further research is needed to understand the impact of nurse stress on patient care quality.