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. 2018 Feb;32(1):2-6.
doi: 10.1016/j.apnu.2017.09.006. Epub 2017 Sep 5.

Mental Health of Nurses Working at a Government-designated Hospital During a MERS-CoV Outbreak: A Cross-sectional Study

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Mental Health of Nurses Working at a Government-designated Hospital During a MERS-CoV Outbreak: A Cross-sectional Study

Ji-Seon Park et al. Arch Psychiatr Nurs. 2018 Feb.

Abstract

Background: During an epidemic of a novel infectious disease, many healthcare workers suffer from mental health problems.

Objectives: The aims of this study were to test the following hypotheses: stigma and hardiness exert both direct effects on mental health and also indirect (mediated) effects on mental health through stress in nurses working at a government-designated hospital during a Middle East Respiratory Syndrome coronavirus (MERS-CoV) epidemic.

Methods: A total of 187 participants were recruited using a convenience sampling method. The direct and indirect effects related to the study hypotheses were computed using a series of ordinary least-squares regressions and 95% bootstrap confidence intervals with 10,000 bootstrap resamples from the data.

Discussions: The influences of stigma and hardiness on mental health were partially mediated through stress in nurses working at a hospital during a MERS-CoV epidemic. Their mental health was influenced more by direct effects than by indirect effects.

Keywords: Hardiness; Mental health; Middle East Respiratory Syndrome coronavirus; Nurse; Stigma; Stress.

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Figures

Fig. 1
Fig. 1
Statistical diagram of a simple mediation model with two independent variables. a1, a2, b, c1, and c2: unstandardized regression coefficients; e1 and e2: unexplained parts of stress and mental health, respectively. Two regression models: stress = constrant1 + a1·stigma + a2·hardiness + e1; mental health = constrant2 + c1·stigma + c2·hardiness + b·stress + e2 Indirect effect of stigma on mental health through stress was a1 × b, and the direct effect was c1; indirect effect of hardiness on mental health through stress was a2 × b, and the direct effect was c2.

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