Factors influencing the thriving of emergency department nurses in China

Cuicui Li; Xiaohong Hou; Xiaowen Cui; Yarui Zhao; Yun Zhu

doi:10.1016/j.ienj.2024.101441

Factors influencing the thriving of emergency department nurses in China

Int Emerg Nurs. 2024 Mar 25:74:101441. doi: 10.1016/j.ienj.2024.101441. Online ahead of print.

Authors

Cuicui Li¹, Xiaohong Hou², Xiaowen Cui³, Yarui Zhao⁴, Yun Zhu⁵

Affiliations

¹ Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 9677, Jingshi, Road, Jinan, China; School of Nursing and Rehabilitation, Shandong University, No. 44, Wenhuaxi, Road, Jinan, China.
² Department of Hepatobiliary Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 9677, Jingshi, Road, Jinan, China.
³ Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwuweiqi, Road, Jinan, China.
⁴ School of Nursing and Rehabilitation, Shandong University, No. 44, Wenhuaxi, Road, Jinan, China.
⁵ Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwuweiqi, Road, Jinan, China. Electronic address: qingzhi_2022@163.com.

PMID: 38531212
DOI: 10.1016/j.ienj.2024.101441

Abstract

Introduction: Thriving is a positive feeling arising from nurses' work and is increasingly valued by managers. Given their demanding workloads and various duties, it is necessary to research the determinants of ED nurses' thriving. This study aimed to investigate the factors influencing thriving and the mechanisms of interaction between the factors among ED nurses.

Methods: 380 ED nurses from six tertiary hospitals in Shandong Province, China, participated in this cross-sectional study. The instruments used were the General Information Questionnaire, Challenge-Hindrance Stressors Scale, Psychological Detachment Scale, and Thriving at Work Scale. Data analysis methods included univariate analysis, Pearson correlation, PROCESS 4.0, and hierarchical multiple regression.

Results: Weekly working hours affected nurses' thriving. Challenge stressors and psychological detachment were positively related to thriving. Hindrance stressors had a negative link with thriving. Psychological detachment suppressed the relationship between challenge stressors and thriving; however, it mediated the relationship between hindrance stressors and thriving.

Conclusion: Challenge-hindrance stressors and psychological detachment are significant elements influencing ED nurses' thriving. Nursing administrators should help ED nurses properly address stressors with different attributes and adopt appropriate strategies to improve nurses' thriving by enhancing psychological detachment.

Keywords: Challenge-hindrance stressors; Emergency department; Nurse; Nursing management; Psychological detachment; Thriving.