{"title":"探讨护患比与护士职业压力源的关系：一个横断面研究","authors":"Yi-Chuan Chen, Hsueh-Ching Wu, Jiune-Jye Ho, Nai-Yun Cheng, Yue Leon Guo, Judith Shu-Chu Shiao","doi":"10.1155/jonm/6160674","DOIUrl":null,"url":null,"abstract":"<div>\n <p><b>Background:</b> The patient-nurse ratio significantly influences nursing workloads, but its specific relationship with nurses’ occupational stressors is poorly understood.</p>\n <p><b>Aim:</b> This study aimed to examine the association between patient-nurse ratio and occupational stressors among nurses, highlighting understaffing as a potential driver of stress in clinical environments.</p>\n <p><b>Methods:</b> A self-administered questionnaire was distributed to full-time nurses in the medical and surgical wards of accredited hospitals. Data collected included the average daily patient-nurse ratio, subscale scores from the Nurses’ Occupational Stressor Scale (NOSS), and demographic and workplace variables such as sex, age, educational attainment, marital status, hospital ownership, unit type, major shift in the past 3 months, work tenure, sleeping hours, and weekly working hours. Logistic regression models and restricted cubic splines were used to analyze associations between the average daily patient-nurse ratio and elevated nursing stressors. The study followed the STROBE guidelines for cross-sectional research.</p>\n <p><b>Results:</b> Among the 996 nurses surveyed, a higher average daily patient-nurse ratio was significantly associated with increased stress levels across all subscales of the NOSS. Restricted cubic spline analysis revealed that a lower average daily patient-nurse ratio corresponded to reduced probabilities of encountering higher stressors related to work demands, insufficient support from coworkers or caregivers, organizational challenges, and difficulty taking leave. Conversely, higher average daily patient-nurse ratios were linked to greater stress probabilities in all measured domains.</p>\n <p><b>Conclusion:</b> This study demonstrates that higher average daily patient-nurse ratios significantly increase occupational stress among nurses. Reducing the patient-nurse ratio may mitigate these stressors and improve the overall well-being of nursing staff.</p>\n </div>","PeriodicalId":49297,"journal":{"name":"Journal of Nursing Management","volume":"2025 1","pages":""},"PeriodicalIF":3.7000,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6160674","citationCount":"0","resultStr":"{\"title\":\"Exploring the Association Between Patient–Nurse Ratio and Nurses’ Occupational Stressors: A Cross-Sectional Study\",\"authors\":\"Yi-Chuan Chen, Hsueh-Ching Wu, Jiune-Jye Ho, Nai-Yun Cheng, Yue Leon Guo, Judith Shu-Chu Shiao\",\"doi\":\"10.1155/jonm/6160674\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n <p><b>Background:</b> The patient-nurse ratio significantly influences nursing workloads, but its specific relationship with nurses’ occupational stressors is poorly understood.</p>\\n <p><b>Aim:</b> This study aimed to examine the association between patient-nurse ratio and occupational stressors among nurses, highlighting understaffing as a potential driver of stress in clinical environments.</p>\\n <p><b>Methods:</b> A self-administered questionnaire was distributed to full-time nurses in the medical and surgical wards of accredited hospitals. Data collected included the average daily patient-nurse ratio, subscale scores from the Nurses’ Occupational Stressor Scale (NOSS), and demographic and workplace variables such as sex, age, educational attainment, marital status, hospital ownership, unit type, major shift in the past 3 months, work tenure, sleeping hours, and weekly working hours. Logistic regression models and restricted cubic splines were used to analyze associations between the average daily patient-nurse ratio and elevated nursing stressors. The study followed the STROBE guidelines for cross-sectional research.</p>\\n <p><b>Results:</b> Among the 996 nurses surveyed, a higher average daily patient-nurse ratio was significantly associated with increased stress levels across all subscales of the NOSS. Restricted cubic spline analysis revealed that a lower average daily patient-nurse ratio corresponded to reduced probabilities of encountering higher stressors related to work demands, insufficient support from coworkers or caregivers, organizational challenges, and difficulty taking leave. Conversely, higher average daily patient-nurse ratios were linked to greater stress probabilities in all measured domains.</p>\\n <p><b>Conclusion:</b> This study demonstrates that higher average daily patient-nurse ratios significantly increase occupational stress among nurses. Reducing the patient-nurse ratio may mitigate these stressors and improve the overall well-being of nursing staff.</p>\\n </div>\",\"PeriodicalId\":49297,\"journal\":{\"name\":\"Journal of Nursing Management\",\"volume\":\"2025 1\",\"pages\":\"\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-05-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1155/jonm/6160674\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Nursing Management\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1155/jonm/6160674\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"MANAGEMENT\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Nursing Management","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1155/jonm/6160674","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"MANAGEMENT","Score":null,"Total":0}
Exploring the Association Between Patient–Nurse Ratio and Nurses’ Occupational Stressors: A Cross-Sectional Study
Background: The patient-nurse ratio significantly influences nursing workloads, but its specific relationship with nurses’ occupational stressors is poorly understood.
Aim: This study aimed to examine the association between patient-nurse ratio and occupational stressors among nurses, highlighting understaffing as a potential driver of stress in clinical environments.
Methods: A self-administered questionnaire was distributed to full-time nurses in the medical and surgical wards of accredited hospitals. Data collected included the average daily patient-nurse ratio, subscale scores from the Nurses’ Occupational Stressor Scale (NOSS), and demographic and workplace variables such as sex, age, educational attainment, marital status, hospital ownership, unit type, major shift in the past 3 months, work tenure, sleeping hours, and weekly working hours. Logistic regression models and restricted cubic splines were used to analyze associations between the average daily patient-nurse ratio and elevated nursing stressors. The study followed the STROBE guidelines for cross-sectional research.
Results: Among the 996 nurses surveyed, a higher average daily patient-nurse ratio was significantly associated with increased stress levels across all subscales of the NOSS. Restricted cubic spline analysis revealed that a lower average daily patient-nurse ratio corresponded to reduced probabilities of encountering higher stressors related to work demands, insufficient support from coworkers or caregivers, organizational challenges, and difficulty taking leave. Conversely, higher average daily patient-nurse ratios were linked to greater stress probabilities in all measured domains.
Conclusion: This study demonstrates that higher average daily patient-nurse ratios significantly increase occupational stress among nurses. Reducing the patient-nurse ratio may mitigate these stressors and improve the overall well-being of nursing staff.
期刊介绍：
The Journal of Nursing Management is an international forum which informs and advances the discipline of nursing management and leadership. The Journal encourages scholarly debate and critical analysis resulting in a rich source of evidence which underpins and illuminates the practice of management, innovation and leadership in nursing and health care. It publishes current issues and developments in practice in the form of research papers, in-depth commentaries and analyses.
The complex and rapidly changing nature of global health care is constantly generating new challenges and questions. The Journal of Nursing Management welcomes papers from researchers, academics, practitioners, managers, and policy makers from a range of countries and backgrounds which examine these issues and contribute to the body of knowledge in international nursing management and leadership worldwide.
The Journal of Nursing Management aims to:
-Inform practitioners and researchers in nursing management and leadership
-Explore and debate current issues in nursing management and leadership
-Assess the evidence for current practice
-Develop best practice in nursing management and leadership
-Examine the impact of policy developments
-Address issues in governance, quality and safety
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