Evidence map›Paper›PMID 38755588›Full record

ArticleBMC nursing2024

Factors associated with clinical nurse's mental health: a qualitative study applying the social ecological model.

Qiang Yu, Chongmei Huang, Yusheng Tian, Jiaxin Yang, Xuting Li, Meng Ning, Zengyu Chen, Jie Du, Jiaqing He, Yamin Li

Abstract read
In one paragraph

Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Article
  2. Treatment Experiences of Individuals With Co-Occurring Mental Health and Substance Use Disorders and Perspectives of Mental Health Workers in Ashanti Region, Ghana.Health expectations : an international journal of public participation in health care and health policy · 2026
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  11. Silent Strength: The Social Support of Mental Health Nurses.International journal of mental health nursing · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Qiang Yu *Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
Chongmei Huang *School of Nursing, Ningxia Medical University, Yinchuan, China.
Yusheng TianClinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
Jiaxin YangClinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
Xuting LiClinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
Meng NingXiangya School of Nursing, Central South University, Changsha, China.
Zengyu ChenXiangya School of Nursing, Central South University, Changsha, China.
Jie DuClinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
Jiaqing HeClinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China.
Yamin LiClinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, China. aminny@csu.edu.cn.

Funding

Chinese Nursing Association ZHKY202306
6 · The paper itself

Abstract

backgroundThe prevalence of burnout, depression, and anxiety among Chinese nurses was 34%, 55.5%, and 41.8% respectively. Mental health problems have significant impacts on their personal well-being, work performance, patient care quality, and the overall healthcare system. Mental health is influenced by factors at multiple levels and their interactions.

methodsThis was a descriptive qualitative study using phenomenological approach. We recruited a total of 48 nurses from a tertiary hospital in Changsha, Hunan Province, China. Data were collected through focus group interviews. Audio-recorded data were transcribed and inductively analysed.

resultsFour major themes with 13 subthemes were identified according to the social ecological model: (1) individual-level factors, including personality traits, sleep quality, workplace adaptability, and years of work experience; (2) interpersonal-level factors, encompassing interpersonal support and role conflict; (3) organization-level factors, such as organizational climate, organizational support, career plateau, and job control; and (4) social-level factors, which included compensation packages, social status, and legislative provision and policy.

conclusionsOur study provides a nuanced understanding of the multifaceted factors influencing nurses' mental health. Recognizing the interconnectedness of individual, interpersonal, organizational, and social elements is essential for developing targeted interventions and comprehensive strategies to promote and safeguard the mental well-being of nurses in clinical settings. TRIAL AND PROTOCOL REGISTRATION: The larger study was registered with Chinese Clinical Trial Registry: ChiCTR2300072142 (05/06/2023) https://www.chictr.org.cn/showproj.html?proj=192676 . REPORTING

methodThis study is reported according to the Consolidated Criteria for Reporting Qualitative Research (COREQ).

Indexed as

ChinaClinical nursesFocus groupMental healthSocial ecological model

Identifiers

PMID38755588
PMCPMC11097552

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.