ArticleGlobal health action2025
Development and validation of the Healthcare Worker Stress Scale-Vietnamese: a culturally grounded instrument to assess work-related stress.
Article in Global health action, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed.
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- Are Team Sports Effective in Improving Mental Health? A Systematic Review on the Primary Outcomes of Anxiety and Mood.Clinical practice and epidemiology in mental health : CP & EMH · 2026Review
- Lifestyle Mediates the Associations of Social Media and Smartphone Use Addiction with Sleep Quality and Mental Health Problems in Adults: An Exploratory Study.Psychology research and behavior management · 2026Article
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Abstract
backgroundReliable measurement of occupational stress is essential for designing effective interventions for healthcare workers; however, Vietnam currently lacks culturally validated assessment tools.
objectivesTo develop and validate the Healthcare Worker Stress Scale - Vietnam (HWSS-V), a profession-inclusive, culturally grounded instrument that extends the Health Professions Stress Inventory (HPSI) and the Nursing Stress Scale (NSS) by adding Vietnam-salient domains and crisis-monitoring utility.
methodsWe conducted a cross-sectional survey of 520 physicians, nurses, and medical technicians at two university hospitals (June-December 2021). Fifty items adapted from HPSI/NSS underwent forward - backward translation and expert review. Psychometric evaluation included item-level content validity index (I-CVI), scale-level content validity index (S-CVI), exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and reliability testing (Cronbach's alpha).
resultsAll fifty items showed strong content validity (I-CVI ≥0.80; κ 0.67-0.97; S-CVI = 0.90). EFA supported a five-factor structure. After removing six low-loading items, forty-four items explained 87.1% of variance with excellent reliability (overall Cronbach's alpha = 0.96; subscales 0.85-0.95). CFA indicated acceptable fit (Root Mean Square Error of Approximation = 0.077; Standardized Root Mean Squared Residual = 0.060; Tucker - Lewis Index = 0.827; Comparative Fit Index = 0.816).
conclusionsHWSS-V enables practical hospital-level stress surveillance and quality improvement. Hospitals can: (i) embed HWSS-V into biannual staff health checks to benchmark units and triage high-risk groups; (ii) integrate scores into dashboards to trigger tailored responses; and (iii) deploy rapid assessments during crises (e.g. outbreaks, patient surges) to guide resource allocation. By addressing culturally specific stressors across major clinical professions, HWSS-V provides actionable capabilities beyond HPSI/NSS for Vietnam's hospitals.
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