Purpose: The purpose of this study is to test a structural model that analyzes and comprehensively identifies the factors that affect the psychological well-being of hospital nurses, and to reveal the direct and indirect relationships among the factors.
Method: The subjects of this study were 217 nurses working in four advanced general hospitals in Metropolitan City B and Province G with at least one experience of job rotation. Data were analyzed using SPSS 21.0. The characteristics of subjects and the reliability of the research tools were analyzed through descriptive statistics, a t-test, an analysis of variance, and correlation analyses on the research variables. A confirmatory factor analysis was performed using AMOS 21.0 to verify the fitness of the hypothetical model and hypothesis.
Results: The test of fitness of the hypothetical model yielded χ2 = 152.14, df = 72, χ2 /df = 2.11, goodness of fit index = .97, adjusted goodness of fit index = .91, normed fit index = .95, comparative fit index = .98, root mean square = .02, and root mean square error of approximation = .01, which showed that the model had a good fit and explained 63.0% of the variance in psychological well-being. The hypothesis of the study was verified: Nurses' job rotation stress has indirect effect on psychological well-being through self-efficacy, social support, optimism, and coping strategies.
Conclusion: A practical method that can promote self-efficacy, social support, optimism, and stress-coping strategies must be established to improve the psychological well-being of hospital nurses based on this research.
Keywords: adaptation; coping strategy; job stress; nurses.
© 2019 Japan Academy of Nursing Science.