Creation of a Causal Model for the Process of Anger Expression and Related Factors in Psychiatric Nurses

Abstract

Key words psychiatric nurses, causal model of aggressive behavior, structural equation model, multiple group analysis, di erences between the sexes AbstractPurpose: We conducted a survey of psychiatric nurses to verify a postulated model for the psychological process leading to anger and aggressive behavior due to poor and insu cient social and related factors.Methods: e analysis was conducting by applying a causal model (postulated in my hypothesis) of con rmed validity explaining the relationship among the process of anger expression and the factors. Using this model, a structural equation (path diagram drawn using the causal model) was generated and path analysis was conducted by applying a structural equation model (SEM) and using the model s goodness-of-t index. We also used nine di erent types of questionnaires, including questionnaires on social support, stress, and sympathy.Results and Conclusion: On analyzing the answers of the 1,001 surveyed nurses ( nal response rate=70.0%), we observed that the results of the analysis indicated that the model best-t occurred at the following parameters: GFI=0.94, AGFI=0.91, CFI=0.92, and RMSEA=0.063. Furthermore, it was revealed that the following model is the best t for the process that leads to the expression of aggressive behavior and the factors that a ect the process: inability to receive social support accumulation of stress concerning the workplace environment, human relations at the workplace, and job contents arousal of anger expression of aggressive behavior. In addition, the results of multiple group analysis indicated clear gender di erences regarding several factors, including a partial correlation between sympathy and job-related stress, etc.