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Review
. 2024 Mar 7:10:23779608241236290.
doi: 10.1177/23779608241236290. eCollection 2024 Jan-Dec.

Middle-Range Theory of Occupational Stress in Health Professionals

Romanniny Hévillyn Silva Costa Almino  1   2   3 , Ana Beatriz Pereira da Silva  1   3 , Anna Lívia de Medeiros Dantas  1   4 , Harlon França de Menezes  5 , Nanete Caroline da Costa Prado  4 , Rebecca Stefany da Costa Santos  4 , Roberta Keile Gomes de Sousa Manso  1   4 , Thais Targino Ferreira  6 , Richardson Augusto Rosendo da Silva  4
Affiliations
Review

Middle-Range Theory of Occupational Stress in Health Professionals

Romanniny Hévillyn Silva Costa Almino et al. SAGE Open Nurs. .

Abstract

Introduction: Occupational stress affects health professionals; however, no literature was found on the middle-range theory for this outcome in health professionals.

Methods: Methodological study for the theoretical validation of a nursing diagnosis using the theoretical framework of Walker and Avant and the Betty Neuman systems models. The research was conducted in five stages: comprehension of the system model; selection and review of studies; development of the conceptual-theoretical-empirical structure; elaboration of a diagram and proposition of a nursing diagnosis; and evaluation of the empirical adequacy of the theory and validity of the system model. These steps were conducted using a scoping review and a sample of 138 articles selected in the Scopus, Web of Science, MEDLINE/PubMed, CINAHL, PsycINFO, LILACS, Science Direct, Cochrane Library, and Google Scholar databases. A data extraction instrument was developed, and study variables (attributes, antecedents, and clinical consequences) were analyzed using descriptive statistics (absolute and relative frequencies) and presented in tables.

Results: The middle-range theory comprised 16 concepts, 20 propositions, and one diagram. A total of 15 related factors, 29 defining characteristics, six at-risk populations, and one associated condition were indicated to propose the nursing diagnosis for occupational stress.

Conclusion: The middle-range theory supported elaborating elements to propose a nursing diagnosis for occupational stress.

Keywords: health personnel; nursing diagnosis; nursing theory; occupational stress.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Flowchart of study search adapted from the PRISMA-Scr.
Figure 2.
Figure 2.
Diagram of the middle-range theory of occupational stress in health professionals (MRT-OSHP).
See this image and copyright information in PMC

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