Research progress on perceived stress in nurses

Abstract

Abstract:

Perceived stress is a state of tension and anxiety that arises from an individual's perception of external environmental threats. Appropriate perceived stress can stimulate individual potential and ensure good coping skills，while excessive perceived stress can lead to physical and mental distress and poor coping skills. Nurses，as an indispensable and important part of the healthcare system，experience various levels of perceived stress in the face of high-pressure work environments，tense doctor-patient relationships，and low social recognition，which can easily affect their own development，patient safety，and overall nursing quality. Therefore，how to establish a sound support system and reduce the perceived stress on nursing staff is currently a key concern for nursing managers.This article reviews the concept，evaluation tools，current status，influencing factors，and adverse effects of perceived stress among nurses.Strategies for coping with nurse stress are proposed from the perspectives of individuals，departments，and organizations，providing reference for maintaining the physical and mental health of nurses，stabilizing the nursing team，and improving the quality of clinical work.

Key words: Nurses, Perceived stress, Assessment tools, Influence factors, Management, Review

CLC Number:

R192.6

YANG Yanxia, YANG Yanhui, LIU Jing, LYU Liming. Research progress on perceived stress in nurses. [J]OCCUPATION AND HEALTH, 2025, 41(24): 3452-3456.

References 41

[1]	徐霞, 王亚玲, 徐铭, 等. 军医大学护士长心理压力与情感衰竭、生活满意度及情绪调节方式的关系[J]. 第三军医大学学报, 2020, 42(24):2433-2438.
[2]	GÜRKAN K P, AYDOGDU N G, DOKUZCAN D A, et al. The effects of nurses′ perceived stress and life satisfaction on their emotional eating behaviors[J]. Perspect Psychiatr Care, 2022, 58(3):1048-1054. DOI URL
[3]	COHEN S, KAMARCK T, MERMELSTEIN R. A global measure of perceived stress[J]. J Heal Soc Behav, 1983, 24(4):385. DOI URL
[4]	杨廷忠, 黄汉腾. 社会转型中城市居民心理压力的流行病学研究[J]. 中华流行病学杂志, 2003, 24(9):760-764.
[5]	LEVENSTEIN S, PRANTERA C, VARVO V, et al. Development of the perceived stress questionnaire:A new tool for psychosomatic research[J]. J Psychosom Res, 1993, 37(1):19-32.
[6]	LUO Y, GONG B, MENG R, et al. Validation and application of the Chinese version of the perceived stress questionnaire(C-PSQ) in nursing students[J]. Peer J, 2018, 6:e4503. DOI URL
[7]	MENG R, LI J, WANG Z, et al. The Chinese version of the perceived stress questionnaire:Development and validation amongst medical students and workers[J]. Health Qual Life Outcomes, 2020, 18(1):70. DOI
[8]	JIANG C, MASTROTHEODOROS S, Zhu Y, et al. The Chinese Version of the perceived stress questionnaire-13:Psychometric properties and measurement invariance for medical students[J]. Psychol Res Behav Manag, 2023, 16:71-83. DOI URL
[9]	LAURENT A, FOURNIER A, LHEUREUX F, et al. An international tool to measur e perceived stressors in intensive care units:The PS-ICU scale[J]. Ann Intens Care, 2021, 11(1):57. DOI
[10]	胡爱萍, 王佳, 周琪敏, 等. ICU医护人员感知压力源量表中文版的效度和信度检验[J]. 中国心理卫生杂志, 2024, 38(8):686-692.
[11]	CHUANG P Y, LOU M F. Psychometric evaluation of the stress scale of caring for highly infectious disease patients among health care workers-Based on SARS[J]. J Public Health, 2005, 24(5):420-430.
[12]	FOOZIEH R, HAMID S N, ZOHREH K, et al. Development and psychometric testing of nursing students' perception s of clinical stressors scale:An instrument design study[J]. BMC Psychiatry, 2021, 21(1):1. DOI
[13]	张婷婷, 王平, 张丹, 等. 护理实习生临床压力感知量表的汉化及信效度检验[J]. 中国医药导报, 2023, 20(35):62-65,83.
[14]	SALAMEH B, ABDALLAH J, ALKUBATI S A, et al. Alarm fatigue and pe rceived stress among critical care nurses in the intensive care units:Palestinian perspectives[J]. BMC Nurs, 2024, 23(1):261. DOI
[15]	BANI H S, ABU A E A. Relationship between alarm fatigue and stress among acute care nurses:A cross-sectional study[J]. SAGE Open Nurs, 2024, 10:23779608241292584.
[16]	黄晶, 伍玉琴, 陈凌, 等. 广东省心血管专业护士压力知觉及应对方式现况分析[J]. 职业与健康, 2023, 39(12):1649-1653.
[17]	MOTAMEDZADEH M, MAHMOUDI H, EBADI A, et al. Nursing care quality in t he cardiac care unit:A cross-sectional study[J]. Crit Care Nurs J, 2018, 11(2):e67570.
[18]	张玲玲. 绵阳市4所三级甲等医院急诊科护士知觉压力、工作场所心理暴力与工作疏离感的相关分析[J]. 职业与健康, 2024, 40(2):224-228,234.
[19]	常晓冬. 三级甲等医院临床护士工作压力知觉调研及应对策略研究[D]. 新乡: 新乡医学院, 2023.
[20]	张帆, 刘团会, 徐兆宁, 等. 自我复原力在新入职护士知觉压力与职业承诺间的调节效应分析[J]. 中华护理教育, 2024, 21(2):159-164.
[21]	孙晓丽, 张明慧, 韩中彦. 消化内科护士知觉压力现状及与休闲满意度、睡眠状况的关系[J]. 职业与健康, 2022, 38(8):1087-1091.
[22]	王欢欢, 丁萍, 戴明喆, 等. 工作家庭冲突在传染科护士情绪调节自我效能感与压力知觉间的中介作用[J]. 广西医学, 2023, 45(20):2535-2540.
[23]	GOU J, ZHANG X, HE Y, et al. Effects of job demands,job resources,personal resources on night-shift alertness of ICU shift nurses:A cross sectional survey study based on the job demands-resources model[J]. BMC Nurs, 2024, 23(1):648. DOI
[24]	ZHAO D, LI Y, ZHOU M, et al. The effect of mindfulness and psychological capital on mental health of breast cancer patients:Based on polynomial regression and response surface analysis[J]. J Psychosoc Oncol, 2023, 31(6):1-18. DOI URL
[25]	陈萍, 陈叶俊, 刘安诺. 安徽省护士知觉压力的潜在剖面分析及影响因素[J]. 护理研究, 2024, 38(5):763-769.
[26]	ZHANG X, CHEN S, ZHENG Z, et al. The relationship between psychological capital,burnout and perceived stress in junior nurses:A latent profile an alysis[J]. Front Public Health, 2024, 12:1374941. DOI URL
[27]	ZHAO J, LI A, LI K, et al. How is rejection sensitivity linked to non-suicidal self-injury? Exploring social anxiety and regulatory emotional self-efficacy as explanatory processes in a longitudinal study of Chinese adolescents[J]. Behav Sci(Basel), 2024, 14(10):943.
[28]	WU C, GE Y, XU C, et al. A correlation study of emergency department nurses' fatigue,perceived stress,social support and self-efficacy in grade III A hospitals of Xi'an[J]. Medicine(Baltimore), 2020, 99(32):e21052.
[29]	Al-HAMMOURI M M, RABAH J A. Work family conflict,family work conflicts and work-related quality of life:The effect of rotating versus fixed shifts[J]. J Clin Nurs, 2023, 32(15-16):4887-4893. DOI URL
[30]	WANG Y, WANG P. Perceived stress and psychological distress among chinese physicians:The mediating role of coping style[J]. Medicine(Baltimore), 2019, 98(23):e15950.
[31]	ALHARBI H, ALSHEHRY A. Perceived stress and coping strategies among ICU nurses in government tertiary hospitals in Saudi Arabia:A cross-sectional study[J]. Ann Saudi Med, 2019, 39(1):48-55. DOI URL
[32]	佐国琴, 黄加干, 何召云, 等. 某部医院感染性疾病科护士知觉压力对焦虑情绪影响的路径分析[J]. 职业与健康, 2024, 40(5):641-645.
[33]	LI J, GAO W, YANG Q, et al. Perceived stress,anxiety,and depression in treatm ent-nave women with breast cancer:A case-control study[J]. Psycho Oncol, 2021, 30(2):231-239. DOI URL
[34]	李豪, 徐榆林, 曲瑞杰, 等. 护士工作疏离感的研究进展[J]. 护理学杂志, 2021, 36(16):103-106.
[35]	PEREZ J, ROHAN K J. Cognitive predictors of depressive symptoms:Cognitive reactivity,mood reactivity,and dysfunctional attitudes[J]. Cognit Ther Res, 2021, 45(3):1-13. DOI
[36]	莫阔, 李敏, 邵伊凡, 等. 正念减压训练对护士知觉压力、负性情绪和心理幸福感的影响[J]. 解放军护理杂志, 2020, 37(6):47-50.
[37]	方素娟, 伍丽华, 吴心雨, 等. 社会联结感在中医院临床护士感知压力与工作沉浸感的中介效应研究[J]. 护理学报, 2024, 31(4):70-74. DOI
[38]	魏华, 董越娟, 陈妍, 等. 遭遇工作场所暴力对临床护士离职倾向的影响:抑郁与体验回避的中介效应[J]. 中国临床心理学杂志, 2023, 31(3):746-749.
[39]	FRIGANOVIC A, SELIC P, ILIC B, et al. Stress and burnout syndrome and th eir associations with coping and job satisfaction in critical care nurses:A literature review[J]. Psychiatr Danub, 2019, 31(Suppl 1):21-31.
[40]	TENG M, WANG J, JIN M, et al. Psychological capital among clinical nurses:A latent profile analysis[J]. Int Nurs Rev, 2024, 71(4):786-793. DOI URL
[41]	YILDIRIM M, ARSLAN G. A Moderated mediation effect of stress-related growth and meaning in life in the association between coronavirus suffering and satisfaction with life:Development of the stress-related growth measure[J]. Front Psychol, 2021, 12:648236. DOI URL