Stress, anxiety and depression in clinical nurses in Vietnam: a cross-sectional survey and cluster analysis

Tran, Thi Thu Thuy; Nguỹên, Ngọc Bích; Luong, Mai Anh; Bui, Thi Hai Anh; Phan, Thi Dung; Tran, Van Oanh; Ngo, Thi Huyen; Minas, Harry; Nguyen, Thuy Quynh

doi:10.1186/s13033-018-0257-4

Cited by 79 publications

(79 citation statements)

References 47 publications

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“…Nurses expend much effort in caring for their patients and frequently experience related psychological health problems (Gong et al 2014;Tran et al 2019). Such health problem can negatively impact quality of patient care (Maharaj et al 2019a) and increase turnover intention (Sasso et al 2019).…”

Section: Introductionmentioning

confidence: 99%

Depressive symptoms, professional quality of life and turnover intention in Korean nurses

Pang

Dan

Jung

et al. 2020

International Nursing Review

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Aim The purpose of this study was to identify the effects of depressive symptoms and professional quality of life on turnover intention. Background The high turnover rate of nurses is a critical healthcare issue globally. Introduction Nurses often experience depressive symptoms and compassion fatigue due to the efforts of patient care. The impact of such psychological health issues on turnover intention needs to be confirmed. Methods Participants were 10 163 female nurses who completed an online or mobile survey using the Korea Nurses’ Health Study. To identify the influencing factors on the turnover intention of nurses, descriptive statistics, spearman’s correlation coefficients and multivariable ordinal logistic regression were performed. Results The turnover intention increased by about 2.81–4.60 times when depressive symptom was moderate or more, 1.14 times when secondary traumatic stress disorder was moderate or more, and 1.54 times when burnout was moderate or more. When compassion satisfaction was moderate or high, the turnover intention decreased by 0.72 and 0.52 times. Discussion Korean nurses demonstrated high levels of depressive symptoms, secondary traumatic stress and burnout, while demonstrating lower levels of compassion satisfaction. The results of this study demonstrate that depressive symptoms, secondary traumatic stress, burnout and compassion satisfaction affect turnover intention. Conclusions To reduce nurses’ turnover intention, it is necessary to reduce depressive symptoms and enhance the quality of professional life. Implications for nursing and health policy Hospital managers need to maintain adequate nurse‐to‐patient ratios and provide nurses with a supportive work environment. Also, health policymakers need to identify factors affecting hospital nurses’ turnover intention and provide strategies to address them. These conditions may reduce the excessive workload placed on nurses, thereby preventing depression and burnout and improving nurses’ quality of work–life.

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Section: Introductionmentioning

confidence: 99%

Depressive symptoms, professional quality of life and turnover intention in Korean nurses

Pang

Dan

Jung

et al. 2020

International Nursing Review

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“…In Vietnam, research on occupational health is still limited. In the population of nurses, there was only a few studies regarding issues related to occupational exposures (exposure to blood and secretions, occupational tuberculosis, or radiation …) [17] or mental health problems (stress, anxiety, and depression) [18]. For MSDs, there were two existing studies published to date: the first one by Kieu et al in 2016, conducted in over 300 nurses working at a regional hospital, having demonstrated a high prevalence of MSDs (81%) during the past 12 months [19]; and the second one is our study which was carried out on all nurses working at all district hospitals in Haiphong city where the general prevalence was 74.7 [20].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and Characteristics of Multisite Musculoskeletal Symptoms among District Hospital Nurses in Haiphong, Vietnam

Nguyen

Hoang

Giang

et al. 2020

BioMed Research International

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Background. Musculoskeletal disorders (MSDs) are commonly observed among workers around the world. These diseases not only affect the health of workers, their quality of life, and their performance, but the effects of such diseases also represent a great burden for the health and social systems. These issues are even more prevalent in developing countries, and nurses are no exception. Many studies worldwide have shown a high prevalence of work-related MSDs in each body position among nurses. However, there are very few studies that have mentioned multisite musculoskeletal symptoms (MMS). Objectives. To describe the prevalence and characteristics of MMS among district hospital nurses in Haiphong, Vietnam. Material and Methods. A cross-sectional study was carried out on 1179 nurses working in all 15 district hospitals using the Modified Nordic Questionnaire at 9 anatomical sites on the body (neck, shoulder/upper arm, elbow/forearm, wrist/hand, upper back, lower back, hip/thigh, knee/lower leg, and ankle/foot). The following main indicators were calculated: the prevalence of musculoskeletal symptoms (MS) (at least 1 of 9 sites), MMS (two or more sites), and widespread musculoskeletal symptoms (WMS) (MS of the upper limb, the lower limb, and the back or the neck). Results. The prevalence of MS during the past 12 months and symptoms lasting for at least 30 days was 60.6% and 17.2% in men and 77.6% and 21.5% in women, respectively. The lower back, neck, upper back, and shoulder/upper arm were the most common sites affected. In terms of MMS, the prevalence was 37.6% in men and 57.1% in women during the past 12 months while 8.6% of men and 11.3% of women reported that symptoms lasted for at least 30 days. The prevalence of MMS tended to increase with age, seniority, having a history of musculoskeletal diseases, and in nurses working in district hospitals located in urban areas. Nearly 90% of MMS concerned two or three anatomical regions during the past 12 months, and almost 80% of MMS lasting at least 30 days involved two or three anatomical regions. The prevalence of WMS was 10.4% in men and 18.6% in women during the past 12 months and 0.9% in men and 2.1% in women lasting at least 30 days. Conclusions. This study showed the high prevalence of MMS and WMS among nursing staff. Further and more extensive research is needed to improve our understanding of multisite musculoskeletal symptoms and act as the foundation for developing preventive measures for nurses.

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“…A recent study conducted by Yang et al (2019) in China showed that 97% of nurses suffered from at least one workrelated musculoskeletal problem with 80.91% reporting low back pain, 78.6% reporting neck pain, and 70.4% reporting shoulder pain [9]. With regards to mental health, reports from around the world have estimated a prevalence of mental health problems among nurses of 45.3% [3] and a prevalence of emotional exhaustion of 26% in Brazil [43], 30% in the USA [19], 43% in Spain [21], and 50% in Turkey [20]. Over half of the RNs in our sample reported the presence of mental disorders and/or high emotional exhaustion, highlighting a higher prevalence of these important problems among Lebanese nurses.…”

Section: Discussionmentioning

confidence: 99%

“…Worldwide, accumulated data show that nursing is a demanding and stressful profession [1][2][3]. Nurses work in complex environments, on variable and long rotating shifts, and are exposed to a variety of occupational risks and accidents [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals

et al. 2020

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Background Worldwide, studies show a relationship between nurses’ health and some work environment factors; however, data on nurses’ health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors: overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources and adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care)) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses. Methods A cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two Lebanese university-affiliated hospitals; 170 RNs had complete data. Adjusted multivariable logistic regression models were used to estimate the association between work environment factors and health outcomes. Results The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disease was associated with higher overall (OR = 1.36 (95%CI = 1.03, 1.80)), temporal (OR = 1.30 (95%CI = 1.09, 1.55)), and physical demands (OR = 1.20 (95%CI = 1.03, 1.49)), higher task allocation to RNs (OR = 1.11 (95%CI = 1.01, 1.23)) and lower teamwork climate (OR = 0.60 (95%CI = 0.36, 0.98). Higher odds of mental/emotional problems were associated with higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18 to 88%). Work environment indicators were associated with higher co-occurrence of health problems. Conclusions Results show elevated health burden and co-morbidity among Lebanese RNs and highlight the value of comprehensive approaches that can simultaneously improve several work environment factors (namely self-perceived workload, teamwork,, resources, and nursing task allocation) to reduce this burden.

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Stress, anxiety and depression in clinical nurses in Vietnam: a cross-sectional survey and cluster analysis

Cited by 79 publications

References 47 publications

Depressive symptoms, professional quality of life and turnover intention in Korean nurses

Depressive symptoms, professional quality of life and turnover intention in Korean nurses

Prevalence and Characteristics of Multisite Musculoskeletal Symptoms among District Hospital Nurses in Haiphong, Vietnam

Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals

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