A predictive model on the hospital nurses' psychological well-being

The purpose of this study is to test a structural model that analyzes and comprehensively identifies the factors that affect the psychological well-being of hospital nurses, and to reveal the direct and indirect relationships among the factors.

The subjects of this study were 217 nurses working in four advanced general hospitals in Metropolitan City B and Province G with at least one experience of job rotation. Data were analyzed using SPSS 21.0. The characteristics of subjects and the reliability of the research tools were analyzed through descriptive statistics, a t-test, an analysis of variance, and correlation analyses on the research variables. A confirmatory factor analysis was performed using AMOS 21.0 to verify the fitness of the hypothetical model and hypothesis.

The test of fitness of the hypothetical model yielded χ² = 152.14, df = 72, χ² /df = 2.11, goodness of fit index = .97, adjusted goodness of fit index = .91, normed fit index = .95, comparative fit index = .98, root mean square = .02, and root mean square error of approximation = .01, which showed that the model had a good fit and explained 63.0% of the variance in psychological well-being. The hypothesis of the study was verified: Nurses' job rotation stress has indirect effect on psychological well-being through self-efficacy, social support, optimism, and coping strategies.

A practical method that can promote self-efficacy, social support, optimism, and stress-coping strategies must be established to improve the psychological well-being of hospital nurses based on this research.