ArticleBMC psychology2024
Stress, interpersonal and inter-role conflicts, and psychological health conditions among nurses: vicious and virtuous circles within and beyond the wards.
Article in BMC psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 20 citations in OpenAlex.
- The impact of a 5G-based smart nursing information system and associated mobile hardware on clinical nurses' work stress: a randomized controlled study in a Chinese hospital.Biomedical engineering online · 2025Trial
- Stress Mediates the Relationship Between Psychosocial Factors and Musculoskeletal Disorders in Nurses.International journal of nursing practice · 2026Article
- Coordinator Leadership in the Relationship Between Burnout and Nurses' Intention to Leave: A Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2026Article
- Impact of role conflict and job stress on turnover intention among Korean physician assistant nurses: A cross-sectional study.International journal of nursing sciences · 2026Article
- Working conditions and reproductive health among healthcare professionals: Insights from a pilot study.European journal of midwifery · 2026Article
- Cumulative Physiological Affect: Thematic Analysis of Forensic Psychological Examination Data from a Homicide Case.Journal for person-oriented research · 2026Article
- Social conflict imagery induces stress, social and physical pain: sex differences in autonomic and affective responses and pathways to resilience and wellbeing.Frontiers in psychology · 2026Article
- Article
- The Psychological Impact of Dealing with Death and the Risk of Dying Among Nurses Working in ICU and NICU: Specificities in Mediating and Moderating Variables.Healthcare (Basel, Switzerland) · 2025Article
- The mediating effect of work engagement on the relationship between professional calling and turnover intention among Chinese nurses: a cross-sectional study.BMC nursing · 2025Article
- A qualitative study of conflict experiences of Chinese physicians and nurses experiencing death of relatives: effects of dual roles.Frontiers in psychiatry · 2025Article
- Work-family behavior role conflict affect the health outcomes of emergency department nurses: gender difference study by propensity score matching.Frontiers in public health · 2025Article
- Reliability and Validity Testing of the Occupational Exposure Risk Awareness Scale (OERAS) for Medical Personnel in Disinfection Supply Centers.Risk management and healthcare policy · 2025Article
- Survey of role stress among specialty nurses working in tertiary general hospitals across China: a cross-sectional descriptive study.BMC psychiatry · 2024Article
- Article
- Stress dimensions, patterns of coping, and psychopathological risk among nurses: a person-centred approach.BMC nursing · 2024Article
- Effort-reward imbalance and health outcomes in emergency nurses: the mediating role of work-family conflict and intrinsic effort.Frontiers in public health · 2024Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe increasing costs of nurses' occupational-stress, conflicts, and violence within healthcare services have raised international interest. Yet, research/interventions should consider that perceived stress and conflicts- but also potential resources- within the wards can crossover the healthcare settings, impacting nurses' private lives and viceversa, potentially creating vicious circles exacerbating stress, conflicts/violence or, conversely, virtuous circles of psychological/relational wellbeing. Based on the Demands-Resources-and-Individual-Effects (DRIVE) Nurses Model, and responding to the need to go in-depth into this complex dynamic, this study aims to explore potential vicious circles featured by the negative effects of the interplay (main/mediating effects) between perceived stressors in nursing linked to interpersonal conflicts (Conflicts-with-Physicians, Peers, Supervisors, Patients/their families), work-family inter-role conflicts (Work-Family/Family-Work-Conflicts), and work-related stress (Effort-Reward-Imbalance) on nurses' psychological/relational health (Anxiety, Depression, Somatization, Interpersonal-Sensitivity, Hostility). The potential moderating role of work-resources (Job-Control, Social-Support, Job-Satisfaction) in breaking vicious circles/promoting virtuous circles was also explored.
methodThe STROBE Checklist was used to report this cross-sectional multi-centre study. Overall, 265 nurses completed self-report questionnaires. Main/mediating/moderating hypotheses were tested by using Correlational-Analyses and Hayes-PROCESS-tool.
resultsData confirmed the hypothesized detrimental vicious circles (main/mediating effects), impairing nurses' psychological health conditions at individual level (Anxiety, Depression, Somatization), but also at relational level (Hostility and Interpersonal-Sensitivity). The moderating role of all work resources was fully supported.
conclusionFindings could be used to implement interventions/practices to effectively prevent the maintenance/exacerbation of vicious circles and promote psychological/relational wellbeing in healthcare settings and beyond.
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