Relationships Among Character Strengths, Self-efficacy, Social Support, Depression, and Psychological Well-being of Hospital Nurses
10.1016/j.anr.2020.06.002
- Author:
Jianfei XIE
1
;
Min LIU
;
Zhuqing ZHONG
;
Qiuxiang ZHANG
;
Jianda ZHOU
;
Lu WANG
;
Keke MA
;
Siqing DING
;
Xiaohong ZHANG
;
Qian SUN
;
Andy S.K. CHENG
Author Information
1. The Third Xiangya Hospital, Central South University, Changsha, China
- Publication Type:Research Article
- From:Asian Nursing Research
2020;14(3):150-157
- CountryRepublic of Korea
- Language:English
-
Abstract:
Purpose:From the perspective of positive psychology, our study aimed to explore depressive symptomsand psychological well-being among Chinese nurses, as well as analyze the impacts of characterstrengths, self-efficacy and social support on the mental health of nurses.
Methods:A cross-sectional and descriptive design using five self-reported questionnaires was used toinvestigate a cohort of 4238 nurses during 2018. A structural equation modeling analysis was used toverify a hypothetical model linking character strengths, self-efficacy, social support, depressive symptoms,and psychological well-being.
Results:The prevalence of depression among this cohort of Chinese nurses was 58.1%. The mean scoresfor caring, inquisitiveness, and self-control were 19.93 (SD = 2.82), 15.94 (SD = 3.00), and 16.34(SD = 2.95), respectively. The hypothesized model was a good fit of the data (x2/df = 1.77, p = .183, rootmean square error of approximation = 0.04, goodness of fit index = 1.00, comparative fit index = 1.00,TuckereLewis index = 1.00). Except for the path from self-control to depression, the other hypotheticalpaths investigated were statistically significant.
Conclusion:Character strengths were directly and positively associated with psychological well-being.Inquisitiveness was the strongest direct protective factor for depression. In addition, characterstrengths indirectly alleviated depression and increased psychological well-being through mediatingvariables of social support and self-efficacy. This study should alert nurse managers that more attentionshould be paid to the character strengths and mental health of nurses. This study provides evidence forinterventions based on character strengths as a management strategy to support the mental health ofnurses.