Middle-Range Theory of Occupational Stress in Health Professionals
Romanniny Hévillyn Silva Costa Almino1,2,3, Ana Beatriz Pereira da Silva1,3, Anna Lívia de Medeiros Dantas1,4
1Brazilian Hospital Services Company, Natal, Rio Grande do Norte, Brazil.
Introduction:
Occupational stress affects health professionals; however, no literature was found on the middle-range theory for this outcome in health professionals.
Methods:
Methodological study for the theoretical validation of a nursing diagnosis using the theoretical framework of Walker and Avant and the Betty Neuman systems models. The research was conducted in five stages: comprehension of the system model; selection and review of studies; development of the conceptual-theoretical-empirical structure; elaboration of a diagram and proposition of a nursing diagnosis; and evaluation of the empirical adequacy of the theory and validity of the system model. These steps were conducted using a scoping review and a sample of 138 articles selected in the Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycINFO, LILACS, Science Direct, Cochrane Library, and Google Scholar databases. A data extraction instrument was developed, and study variables (attributes, antecedents, and clinical consequences) were analyzed using descriptive statistics (absolute and relative frequencies) and presented in tables.
Results:
The middle-range theory comprised 16 concepts, 20 propositions, and one diagram. A total of 15 related factors, 29 defining characteristics, six at-risk populations, and one associated condition were indicated to propose the nursing diagnosis for occupational stress.
Conclusion:
The middle-range theory supported elaborating elements to propose a nursing diagnosis for occupational stress.
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