Development of the Nurses' Occupational Stressor Scale.
Yi-Chuan Chen1, Yue-Liang Leon Guo2,3, Li-Chan Lin4
1School of Nursing, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan.
International Journal of Environmental Research and Public Health
|January 23, 2020
Summary
A new 21-item Nurses' Occupational Stressor Scale (NOSS) was developed to reliably measure workplace stressors. This validated scale accurately predicts nurse burnout, job dissatisfaction, and intention to leave.
Area of Science:
- Nursing
- Occupational Health
- Psychometrics
Background:
- Nurses operate in high-stress environments, but occupational stressors lack clear assessment tools.
- Existing stress measurement instruments may not fully capture the nuances of nursing work environments.
Purpose of the Study:
- To develop and validate a reliable and reproducible Nurses' Occupational Stressor Scale (NOSS).
- To assess the predictive accuracy of the NOSS for key nursing stress outcomes.
Main Methods:
- Expert consensus and focus groups generated candidate items for the NOSS.
- A shorter, 21-item version was developed and validated for reliability and reproducibility.
- Receiver operating characteristic (ROC) curves evaluated the scale's predictive accuracy for burnout, job dissatisfaction, and intention to leave.
Main Results:
- The 21-item NOSS demonstrated high concurrent and construct validity.
- Test-retest reliability coefficients ranged from 0.71 to 0.83, with internal consistency (Cronbach's α) from 0.35 to 0.77.
- The NOSS accurately predicted personal burnout, client-related burnout, job dissatisfaction, and intention to leave.
Conclusions:
- The 21-item NOSS is a valid and reliable instrument for measuring occupational stressors in nursing.
- This scale offers a practical tool for identifying factors contributing to nurse stress and turnover.
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