Stress, psychological well-being, social support, practice environment, resilience, job satisfaction, and acculturation among Filipino internationally qualified nurses: A structural equation model

IF 4.1 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-04-23 DOI:10.1016/j.outlook.2025.102424

Daniel Joseph E. Berdida PhD, RN, RM , Rizal Angelo N. Grande EdD, RN , Mohammed Hamdan Alshammari PhD, RN , Violeta Lopez RN, PhD, FACN

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引用次数: 0

Abstract

Background

During the post-COVID-19 pandemic, during which migration of internationally qualified nurses (IQNs) continued, there was evidence of increased burnout, turnover, staffing shortage, and diminished quality of life in the global nursing workforce.

Purpose

To test a model of interrelationships of stress, psychological well-being (PWB), social support, practice environment, resilience, job satisfaction, and acculturation among Filipino IQNs.

Methods

Cross-sectional and correlational design study participated by Filipino IQNs (n = 578) from 13 countries. Seven self-report scales were used to collect data between June and December 2023. Structural equation modeling was employed for data analysis.

Discussion

Stress, PWB, practice environment, resilience, and job satisfaction positively influenced acculturation. Social support and resilience were positively associated with job satisfaction. Practice environment mediated between stress and acculturation, while job satisfaction mediated the effects of social support and resilience to acculturation.

Conclusion

A positive practice environment and job satisfaction are protective factors that could mitigate stress while strengthening social support, resilience, and acculturation experience.

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菲律宾国际合格护士的压力、心理健康、社会支持、执业环境、弹性、工作满意度和文化适应：一个结构方程模型

在2019冠状病毒病大流行后，国际合格护士（iqn）继续迁移，有证据表明，全球护理人员的职业倦怠、人员流失、人员短缺和生活质量下降加剧。目的检验菲律宾iqn的压力、心理健康、社会支持、实践环境、弹性、工作满意度和文化适应的相互关系模型。方法来自13个国家的菲律宾籍iqn （n = 578）参与了横断面和相关设计研究。在2023年6月至12月期间，使用了七个自我报告量表收集数据。采用结构方程模型对数据进行分析。讨论压力、PWB、实践环境、弹性和工作满意度正向影响文化适应。社会支持和弹性与工作满意度呈正相关。实践环境在压力和文化适应之间起中介作用，而工作满意度在社会支持和文化适应弹性之间起中介作用。结论积极的实践环境和工作满意度是缓解压力的保护因素，同时可以增强社会支持、心理弹性和文化适应体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.