Evidence map›Paper›PMID 42816453›Full record

ArticleNursing open2026

Occupational Stressors and Mental Health-Related Quality of Life Among Hospital Nurses in Northern Border Region Saudi Arabia: A Multi-Site Cross-Sectional Study.

Fathia Ahmed Mersal, Ibrahim Naif Alenezi, Fathia Gamal Al Said, Faisal Khalaf Alanazi, Rasmia Abd El Sattar Ali, Majid Ali Alotni, Basema Alharbi, Ebtesam A Elsayed

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Fathia Ahmed MersalFaculty of Nursing, Northern Border University, Arar, Saudi Arabia.ORCID https://orcid.org/0000-0002-6450-5097
Ibrahim Naif AleneziFaculty of Nursing, Northern Border University, Arar, Saudi Arabia.ORCID https://orcid.org/0000-0003-2744-8465
Fathia Gamal Al SaidFaculty of Nursing, Northern Border University, Arar, Saudi Arabia.
Faisal Khalaf AlanaziFaculty of Nursing, Northern Border University, Arar, Saudi Arabia.ORCID https://orcid.org/0000-0003-4266-4588
Rasmia Abd El Sattar AliPublic Health Nursing Department, College of Nursing, Northern Border University, Arar, Saudi Arabia.
Majid Ali AlotniDepartment of Medical-Surgical Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.ORCID https://orcid.org/0000-0002-6331-3552
Basema AlharbiDepartment of Community, Psychiatric, and Mental Health Nursing, College of Nursing, Qassim University, Buraydah, Saudi Arabia.ORCID https://orcid.org/0009-0001-6270-2951
Ebtesam A ElsayedPublic Health Department, College of Health Sciences, Saudi Electronic University, Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0001-6425-6724

Funding

Deanship of Scientific Research at Northern Border University, Arar, Saudi Arabia NBU-FFR-2026-3326-09
6 · The paper itself

Abstract

aimTo examine the association between occupational stress and mental health-related quality of life (HRQoL) among nurses in the Northern Border Region of Saudi Arabia and to determine whether this relationship varies across professional and clinical subgroups.

designA cross-sectional, correlational study.

methodsA stratified sample of 257 registered nurses and nurse managers was recruited from three hospitals in the Northern Border of Saudi Arabia (53.2% female, 86.0% staff nurses and 44.0% with > 10 years of experience). Occupational stress was assessed using a culturally adapted and forward-backward translated version of the Nursing Stress Scale (NSS), which measures seven stress domains. Mental HRQoL was evaluated using the Mental Component Summary (MCS) of the 12-item Short Form Health Survey (SF-12). Data were analysed using descriptive statistics, independent samples t-tests, one-way analysis of variance with post hoc comparisons, Pearson correlations and four-step hierarchical linear regression.

resultsThe mean MCS score was 52.01 (SD = 8.12), slightly above the SF-12 normative mean of 50. All seven occupational stress domains were significantly and negatively associated with MCS scores (r = -0.22 to -0.33, all p < 0.001). Workload was the highest-rated stressor (M = 2.91, SD = 0.65), whereas nurse-physician conflict demonstrated the strongest inverse correlation with mental HRQoL (r = -0.33). The final hierarchical regression model explained 34% of the variance in MCS scores (R PATIENT OR PUBLIC CONTRIBUTION: No Patient or Public Contribution.

Indexed as

Mental HealthNursing Staff, HospitalOccupational StressQuality of LifeAdultCross-Sectional StudiesFemaleHumansMaleMiddle AgedSaudi ArabiaSurveys and Questionnairesclinical work settingcross‐sectional studymental health–related quality of lifenursesoccupational stressprofessional positionSaudi Arabia

Identifiers

PMID42816453
PMCPMC13626974

What OpenQuestion holds

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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.