Nurses' mental health and patient safety: An extension of the Job Demands–Resources model

Journal of Nursing ManagementVolume 28, Issue 3 p. 653-663 ORIGINAL ARTICLE Nurses' mental health and patient safety: An extension of the Job Demands–Resources model Hui Cheng PhD, Hui Cheng PhD Student orcid.org/0000-0003-4319-0222 Nursing College of Shanxi Medical University, Taiyuan, ChinaSearch for more papers by this authorHui Yang MS, Hui Yang MS Professor Nursing College of Shanxi Medical University, Taiyuan, ChinaSearch for more papers by this authorYongxia Ding PhD, Yongxia Ding PhD Associate Professor Nursing College of Shanxi Medical University, Taiyuan, ChinaSearch for more papers by this authorBinquan Wang PhD, Corresponding Author Binquan Wang PhD Professor Wbingquan@sxmu.edu.cn Department of Otolaryngology, Head and Neck Surgery, The First Hospital, Shanxi Medical University, Taiyuan, China Correspondence Binquan Wang, Department of Otolaryngology, Head and Neck Surgery, The First Hospital, Shanxi Medical University, Taiyuan 030001, Shanxi, China. Email: Wbingquan@sxmu.edu.cnSearch for more papers by this author Hui Cheng PhD, Hui Cheng PhD Student orcid.org/0000-0003-4319-0222 Nursing College of Shanxi Medical University, Taiyuan, ChinaSearch for more papers by this authorHui Yang MS, Hui Yang MS Professor Nursing College of Shanxi Medical University, Taiyuan, ChinaSearch for more papers by this authorYongxia Ding PhD, Yongxia Ding PhD Associate Professor Nursing College of Shanxi Medical University, Taiyuan, ChinaSearch for more papers by this authorBinquan Wang PhD, Corresponding Author Binquan Wang PhD Professor Wbingquan@sxmu.edu.cn Department of Otolaryngology, Head and Neck Surgery, The First Hospital, Shanxi Medical University, Taiyuan, China Correspondence Binquan Wang, Department of Otolaryngology, Head and Neck Surgery, The First Hospital, Shanxi Medical University, Taiyuan 030001, Shanxi, China. Email: Wbingquan@sxmu.edu.cnSearch for more papers by this author First published: 12 February 2020 https://doi.org/10.1111/jonm.12971Citations: 19 Funding information Excellent graduate student innovation project of Shanxi Province in China, No. 2019BY083.The project is funded by institutional support. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract Aim We employed the job demands–resources model to examine the impacts of job demands and resources on Chinese nurses' mental health and patient safety. Background Employee mental health and patient safety represent important organisational goals in most hospitals. However, their relationships to insomnia, professional resources and job crafting, as related to the job demands–resources model among nurses, remain unclear. Methods A convenience sample of 2095 registered hospital nurses was recruited from 25 provinces of mainland China from June 2019 to July 2019. Data were collected using self-reported questionnaires that included the following instruments: the Chinese version of the Athens Insomnia Scale, the Practice Environment Scale of the Nursing Work Index, the Job Crafting Scale, the Emotional Exhaustion Scale, the Utrecht Work Engagement Scale, the General Health Questionnaire and the Safety Attitudes Questionnaire. Results The final model confirmed our hypotheses: burnout mediated the relationship between actual job demands and mental health; work engagement mediated the relationship between perceived job resources and attitudes with regard to patient safety; and job crafting enhanced work engagement and practice environment. Conclusion The job demands–resources model was extended based on the nurses' job characteristics and mental health, as well as patient safety. Implications for Nursing Management These findings may contribute to nursing management strategies that encourage employees to prevent burnout, promote work engagement and job crafting, and in turn promote nurses' mental health and patient safety. Citing Literature Supporting Information Filename Description jonm12971-sup-0001-Appendix.pdfPDF document, 746.3 KB Appendix Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article. Volume28, Issue3April 2020Pages 653-663 RelatedInformation