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ORIGINAL RESEARCH article

Front. Psychol., 16 January 2023
Sec. Health Psychology

The influence of grit on nurse job satisfaction: Mediating effects of perceived stress and moderating effects of optimism

Cui Yang&#x;Cui Yang1Lu YangLu Yang2Dongmei Wu
&#x;Dongmei Wu3*
  • 1School of Nursing, Chengdu Medical College, Chengdu, China
  • 2School of Psychology, Chengdu Medical College, Chengdu, China
  • 3Department of Nursing, The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Laboratory for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, China

Introduction: Nurse job satisfaction, defined as the positive emotional state experienced by nurses regarding their profession, factors related to job performance and outcomes, can affect their career planning and development. Grit, defined as an individual’s relentless effort and enduring enthusiasm for long-term goals, is essential for developing nurses’ competence, increasing job satisfaction, and reducing the willingness to leave the profession. The present study aims to explore the correlation between grit and job satisfaction, whether perceived stress could act as a mediator of the relationship and whether optimism moderated the mediating effect among nurses working in hospitals in southwest China.

Methods: The cross-sectional study utilized self-reported data gathered from 709 nurses in southwest China. To analyze mediating and moderating effects, bootstrapping regressions were conducted.

Results: Perceived pressure mediated the relationship between grit and job satisfaction (indirect effect = 0.195, 95%CI [0.145,0.250]). Furthermore, moderated mediated analysis revealed that optimism moderated grit’s impact on perceived stress (moderating effect = 0.036, 95% CI [0.010, 0.061]).

Discussion: Low levels of grit might reduce nurses’ job satisfaction as their perceived stress levels increase. However, optimism among nurses could diminish this negative effect. Nursing managers should actively seek to improve the grit and optimism of hospital nurses while reducing their perceived pressure, thereby improving job satisfaction.

Introduction

The shortage and mobility of global nurses are significant challenges (Janiszewski Goodin, 2003). “State of the World’s Nursing 2020” reported a global nursing shortage of approximately 5.9 million in 2018, with a demand gap of 5.7 million by 2030 (Malone, 2021). The World Health Organization estimated that the global nursing shortage will exceed 7.6 million by 2030 (Boniol et al., 2022). This will probably further aggravate the imbalance between supply and demand in the nursing industry, disrupting the medical care system (Haddad et al., 2022). Prior studies have shown that improving nursing job satisfaction can reduce turnover and reverse staffing shortages (Alsubaie and Isouard, 2019; Lee J., 2022). The concept of job satisfaction was first put forward by Hoppock (1935). He argued that job satisfaction refers to the employee’s subjective feelings about their work environment’s psychological and physiological aspects, that is, the degree to which individuals like their jobs. Job satisfaction can impact career planning and career development. Nurses with low job satisfaction are more motivated to leave the field (Gebregziabher et al., 2020; Hu et al., 2022). Moreover, job satisfaction can directly and indirectly affect nursing quality (Kiliç et al., 2022; Wang et al., 2022) and nursing performance (Cho and Kim, 2022). High-quality care is usually associated with high levels of job satisfaction (Dilmaghani et al., 2022). Nurses satisfied with their jobs can effectively perform their duties, improve productivity, and provide high-quality nursing. Low job satisfaction can predict missed nursing care (Al et al., 2022), i.e., the omission or delay of certain activities in patient care (Plevová et al., 2021), which could lead to prolonged hospital stays, ineffective pain management, malnutrition, adverse events (e.g., pressure sores, falls, and hospital-acquired infections), and high mortality (Tschannen et al., 2010; Kalisch and Xie, 2014). Therefore, to reduce nurses’ willingness to leave and provide better patient care, there is an urgent need for hospital managers to improve nurses’ job satisfaction (Makowicz et al., 2022).

Grit and job satisfaction

With the continuous development of positive psychology and an improved theoretical basis for this field, the focus of research has gradually shifted from identifying defects to exploring the influence of excellent personal traits on individual development. Grit, a positive psychological trait, is of particular interest. Duckworth et al. (2007) initially put forward the concept of grit, defining it as an individual’s unremitting efforts and persistent enthusiasm for long-term goals. On the one hand, grit refers to the determination of an individual to keep working hard even in the face of setbacks. On the other hand, Grit may also represent the tendency of an individual to have a positive interest in constant goals. Grit has proven vital in healthcare, education, and the workplace (Eskreis-Winkler et al., 2014) and is a significant predictor of long-term achievement and success (Aguirre-Urreta and Hu, 2019). Many studies have shown that grit plays an essential role in nurses’ academic performance, mental health, work ability, job satisfaction, and overall performance, which may also reduce staff turnover rate (Jeong et al., 2019; Sellers, 2019; Halperin and Eldar, 2021; Oducado, 2021; Cho and Kim, 2022; Yang and Kim, 2022).

Nurse job satisfaction is a positive emotional state about their occupation, factors related to job performance and job performance results (Lee et al., 2018). Although public attention has focused primarily on the relationship between grit and achievement, grit has also been highlighted as a predictor of nurses’ subjective well-being (Seguin, 2019). Positive personality traits are motivation to promote job satisfaction (Sinniah et al., 2022), and grit as a personality strength affects people’s subjective well-being and is a significant predictor of job satisfaction in particular (Goodman et al., 2017). A meta-analysis (Hou et al., 2022) has shown that grit was positively associated with job satisfaction, suggesting that more extraordinary grit was associated with greater job satisfaction. A study (Dugan et al., 2019) of US salespeople also has shown a significant relationship between grit and job satisfaction, with gritty salespeople performing better and having higher job satisfaction than their less gritty counterparts. Therefore, we focused on the grit of nurses in hospitals in southwest China and hypothesized that their grit was positively related to their job satisfaction in this study.

Perceived stress, grit, and job satisfaction

Perceived stress refers to an individual’s subjective feeling or cognitive evaluation of stressful events (Cohen et al., 1983). Robbins’ stress model (Robbins, 2003) divides stressors into environmental, organizational, and personal factors. Personal factors include family problems, financial problems, and personality traits such as grit. Stress manifests itself in various ways in each individual, where the psychological effects include anxiety, depression, and reduced job satisfaction. According to Robbins, personality traits may be responsible for an individual’s increased stress, which, in turn, can cause a decrease in job satisfaction. Therefore, we hypothesized that perceived stress might play a mediating role in the relationship between grit and job satisfaction.

Nurses faced greater psychological distress and pressure during COVID-19 (Xia et al., 2021). The theory on the relationship between grit and health (Kobasa and Puccetti, 1983) holds that grit is a protective factor for people dealing with stressful events. Grit is negatively related to negative emotions (Clement et al., 2020; Lee M., 2022), and individuals who persevere tend to have more positive emotions (Lee M., 2022), stronger psychological resilience (Tang et al., 2022), are more likely to receive social support, and have a higher level of hope (Yang and Wu, 2021). Nurses with low grit have been found to have higher stress levels and more mental health problems, such as anxiety, depression, and other harmful emotions (Peng and Wu, 2022).

Moreover, prior literature (Piotrowski et al., 2022) has reported that perceived stress has a significant negative impact on nursing job satisfaction, and the higher the perceived stress, the lower the job satisfaction. Failure to deal with stress appropriately can lead to various mental health problems (Yang et al., 2022). Nurses often face nurse–patient disputes, medical disputes, and patient attacks and have difficulty balancing work and family. These nurses receive less positive feedback from their work, and their anxiety is prominent. In addition, job burnout is a response to long-term emotions and interpersonal workplace stressors (Maslach et al., 2011), and greater levels of perceived pressure are more likely to produce job burnout. Job burnout is also the most significant predictor of low job satisfaction (Shanafelt et al., 2009). Therefore, we further predicted that perceived stress is a mediator of the relationship between grit and job satisfaction among hospital nurses in southwest China.

Optimism, grit, and perceived stress

Not all people with low grit report an increase in perceived stress. Many helpful factors may help prevent low grit from turning into stress. One example is the important psychological resource of optimism, prolonged, across-scenario, and steady dispositional tendency to anticipate good future outcomes (Scheier et al., 1986). The scientific definition of optimism focuses on expectations about the future. Expectancy-value theories reflect the importance of confidence in achieving goals (Wigfield and Eccles, 2000). Those who believe they will eventually achieve results and have faith in their goals will continue to persevere, even in the face of great adversity. If people doubt they can reach their goals, they may give up on their efforts. They may stop prematurely, or they may not actually start moving. Optimism and pessimism, universal versions of self-confidence and doubt, are about living with confidence and doubt, not simply a particular context. Optimists hence tend to be self-confident and persistent in the face of various life challenges (Carver et al., 2010), which explains why optimism promotes and predicts perseverance, an essential component of grit (Binsch et al., 2017).

According to the conservation of resources theory (COR), individuals can mobilize resources to cope with resource loss (Hobfoll, 1989). A study discovered that individuals with high levels of optimism were prone to higher grit levels (Agrawal et al., 2022). Optimism tends to evaluate trends and outcomes of things positively, providing a positive outlook on the efforts people make in the face of difficulties (Scheier and Carver, 1985). Many studies have found a link between higher levels of optimism and lower levels of stress (Öcal et al., 2022; Puig-Perez et al., 2022). Optimism can act as a dynamic process to moderate the harmful effects of adversity (Brydon et al., 2009). Given the above theories and studies, this study assumed that optimism would moderate the association between grit and perceived stress.

How to enable nurses to have high levels of job satisfaction is a significant issue with lasting and profound implications. Thus, exploring the impact of personal variables that modulate or interfere with nurses’ job satisfaction is necessary. We aimed to investigate the relationship between grit, perceived stress, optimism, and job satisfaction of hospital nurses in southwest China and to examine the mediating role of perceived stress between nurses’ grit and job satisfaction, as well as the moderating role of optimism. Our study tried to hypothesize the following:

Hypothesis 1: Nurses’ grit would be positively correlated to their job satisfaction.

Hypothesis 2: Nurses’ perceived stress would mediate the relationship between grit and their job satisfaction.

Hypothesis 3: Nurses’ optimism would moderate the relationship between grit and their perceived stress.

Hypothetical research model

In this study, we focused on the impact of grit on job satisfaction among nurses in Southwest China. Moreover, we explored the potential mechanism of this connection with perceived stress as a mediator and optimism as a moderator. Our study formulated the below hypotheses (see Figure 1).

FIGURE 1
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Figure 1. The hypothesized moderated mediation model.

Materials and methods

Participants and procedure

The cross-sectional study used an anonymous internet-based questionnaire to select nurses of hospitals in southwest China by convenience sampling methods from January 2021 to May 2022. Nurses who submitted the online survey were considered to have agreed to participate in this study. The Inclusion criteria were: (a) obtained the nurse qualification certificate from China; (b) at least 1 year of experience working in clinical nursing or clinical nursing management; (c) no previous diagnosis of psychosis or drug or alcohol dependence; (d) have basic telephone or computer skills; and (e) volunteered to participate in this study and sign the informed consent form. Exclusion criteria were: (a) Those who go out or come to the hospital for further study and (b) Those who practice or train nurses. After obtaining the consent of the relevant person in charge of the hospital, an investigator from each unit was selected to perform unified training. To ensure sufficient sample size, we performed a power analysis of the multiple regression with G*power, using a medium effect size (f2 = 0.15), an alpha value of 0.05, and a power of 0.95 (Faul et al., 2009). The estimated sample size was 190–207 after considering the 10–20% of incomplete surveys. A total of 756 nurses met the inclusion and exclusion criteria and 709 valid responses were collected, giving a valid return rate of 93.7%. Figure 2 shows all steps from screening to study. The Ethics Committee of the Fourth People’s Hospital of Chengdu granted this study, and its clinical trial registration number in China was ChiCTR1900020715.

FIGURE 2
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Figure 2. The step flow diagram including all steps from screening to study.

Measures

Sociodemographic characteristics data

The general data questionnaire was designed by the researchers and included age, length of nursing work, gender, marital status, educational background, and nurse title. Age (in years), Length of nursing work (in years), gender (0 = female, 1 = male), marital status (0 = single, 1 = married, 2 = divorced, and 3 = widowed), educational background (1 = Technical secondary school, 2 = college degree, 3 = bachelor degree, and 4 = graduate degree), and nurse title (1 = None, 2 = Primary, 3 = Intermediate, and 4 = Vice senior) were all control variables. In China, nurses are divided into non-titled nurses (similar to nursing assistants), primary nurses (similar to licensed practical nurses), intermediate nurses (similar to registered nurses), and vice senior and senior (similar to advanced practice registered nurses).

Grit

The Short Grit Scale (Grit-S), developed by Duckworth and Quinn (2009), consists of two dimensions (perseverance of effort and consistency of interest) with four items each. It is graded from 1 (completely inconsistent) to 5 (completely consistent) on a five-grade scale (the items of consistency of interest dimension are reversed). The average of the eight answers represents the respondent’s courage. The higher the total score, the higher the level of grit. The Chinese version of the Grit-S has good reliability and validity and is widely used in China (Canario et al., 2018; Zhong et al., 2018; Luo et al., 2020). The scale has been verified in Chinese nurses, with Cronbach α coefficients for the total scale and the two dimensions of 0.68–0.75 (He et al., 2021).

Perceived stress

The Perceived Stress Scale (PSS-10) was compiled by Cohen et al. (1983). In 1988, four items from the scale were deleted to form a 10-item short scale (PSS-10), which is currently one of the most commonly used research tools for measuring perceived stress. The scale is scored using Likert’s five points (0 = never, 1 = almost never, 2 = sometimes, 3 = often, and 4 = always). The PSS-10 consists of six negative projects and four positive Questions. It is scored from 0 to 40, with higher scores representing increased perceived stress. The PSS-10 has good psychometric characteristics in the Chinese population (Wu et al., 2018). The Cronbach’α coefficients of the total scale and its two dimensions were 0.816–0.901, with good reliability and validity. The PSS-10 can also be used to detect nurse psychological tension (Min-rou et al., 2022).

Optimism

The Life Orientation Test-Revised (LOT-R) was compiled by Scheier and Carver (1985) and revised in 1994 (Scheier et al., 1994). This scale is used to measure participants’ optimism (Zhang et al., 2020). It has 10 items, including three items of optimism, three items of pessimism, and four non-scoring cover-up filling questions. Masking questions are not scored, and other items are scored by the Likert five-grade method, with 0 representing “very different opinions” and 4 representing “in complete agreement.” The total score ranges from 0 to 24. The higher the score, the higher the patient’s optimism level. The LOT-R showed good reliability and validity in the Chinese cultural context, and the Cronbach’α coefficients was 0.739 (Tang et al., 2020). Cronbach’α for the present sample was 0.670.

Job satisfaction

The Job Satisfaction Scale (JS), put forward by Schriesheim and Tsui (1980), uses six items to form an index to describe comprehensive job satisfaction. It also examines overall job satisfaction in six respects: job intensity and pressure, leadership relationship, colleague relationship, remuneration, promotion opportunities, and overall satisfaction. Example questions include: “your satisfaction with your salary.” The JS is scored using five-point scoring, ranging from “very dissatisfied” to “very satisfied.” The higher the score, the higher the job satisfaction. The Cronbach’α coefficient of the JS was 0.857, which is suitable for testing nurses.

Statistical analysis

This study utilized IBM SPSS 26.0 (Armonk, NY, United States) for data analysis. Continuous data were represented as x ± s and categorical as (n) and percentage (%). Pearson’s correlation analysis was used to identify relationships between variables. Based on Hayes’ PROCESS macro program, we used bootstrapping to test the significance of the mediated models. To test the indirect effects of grit on job satisfaction through perceived stress, we used Model 4. To test the moderated mediation, we used Hayes’ PROCESS macro Model 7. Bootstrap confidence intervals (CIs) ascertain whether the effects of Model 4 and Model 7 are statistically significant on the basis of 5,000 random samples. The effect was considered significant if the CIs did not contain zero.

Results

Common method biases test

We used Harman’s single-factor test for all questions on the four scales before data processing. We discovered that the first common factor analyzed explained only 25.20% (<40%) of the variance, indicating that although the questionnaire was used in this study, the common method bias is not apparent.

Descriptive data and Pearson’s correlations

The sociodemographic characteristics are shown in Table 1. A total of 709 nurses qualified for this study, including 643 females (90.7%) and 66 males (9.3%). Their average age was 31.74 ± 7.38 years. They worked a mean 10.67 ± 8.12 years. Their marital status was 198 unmarried (27.9%), 483 married (68.1%), 26 divorced (3.7%), and 2 widowed (0.3%). Thirty-seven nurses attended technical secondary schools (5.2%), 668 university (94.2%), and 4 graduate school (0.6%). With respect to nurse title, 163 (23.0%) had no job title, 366 (51.6%) were primary nurse title, 170 (24.0%) were intermediate nurse title, and 10 (1.4%) were vice senior.

TABLE 1
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Table 1. Sociodemographic information of the participants (n = 709).

Table 2 shows the results of the Pearson’s correlations. The results indicated that grit (r = 0.293, p < 0.01), perceived stress (r = −0.430, p < 0.01), and optimism (r = 0.234, p < 0.01) were associated with job satisfaction. Grit was negatively related to perceived stress (r = −0.502, p < 0.01) and positively correlated with optimism (r = 0.378, p < 0.01). Optimism was negatively associated with perceived stress (r = −0.442, p < 0.01). Therefore, Hypothesis 1 was validated.

TABLE 2
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Table 2. Bivariate correlation.

Mediating effect analysis

Table 3 presents the indirect impact of grit on job satisfaction via perceived stress. After we controlled for the effects of age, gender, etc., the indirect mediated effect of grit on job satisfaction was significant (β = 0.195, CI [0.145, 0.250]). Grit was a significantly positive predictor of job satisfaction (β = 0.299, CI [0.226, 0.371]). Grit was a significantly negative predictor of perceived stress (β = −0.672, CI [−0.759, −0.586]), while perceived stress had a significantly negatively predicted effect on job satisfaction (β = −0.290, CI [−0.348, −0.231]). Moreover, the direct effect of grit on job satisfaction was still significant (β = 0.104, CI [0.025, 0.183]) when mediating variables were added. Additionally, the upper and lower bounds of the bootstrap 95% CI for the direct effect of grit on job satisfaction and the mediating effect of perceived stress did not include 0, indicating that the mediating effect was significant. The mediation effect accounted for 65.22% of the total effect, which confirmed that perceived stress partially mediated the relationship between grit and job satisfaction. Therefore, Hypothesis 2 was proved.

TABLE 3
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Table 3. Mediation effect of perceived stress on the relationship between grit and job satisfaction (n = 709).

Moderated mediation effect analysis

Hypothesis 3 forecasted optimism would moderate the first half of the indirect effect of Hypothesis 2. Figure 3 shows the final moderated mediation model. The indexes of moderated mediation were significant (see Table 4; β = 0.004, 95% CI [−0.019, −0.002]), suggesting that the effect of grit on perceived stress varied with optimism. In the moderated mediation model, the interaction term grit × optimism was significant (see Table 4; β = 0.036, 95% CI [0.010, 0.061]). To interpret the interaction results, we plotted the interaction effects in Figure 4. Grit had a greater impact on perceived stress for nurses with poor optimism than those with high optimism. In addition, we presented the influence of the moderator at different values (1 SD below the mean, the mean, and 1 SD above the mean). Nurses with low, average, and high levels of optimism all showed significant effects (see Table 5; effectlowlevel = −0.662, t = −9.973, and p < 0.001; effectaveragelevel = −0.557, t = −12.038, and p < 0.001; effecthighlevel = −0.451, t = −8.518, and p < 0.001). Therefore, Hypothesis 3 was confirmed.

FIGURE 3
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Figure 3. The final moderated mediation model (∗∗p < 0.01; ∗∗∗p < 0.001).

TABLE 4
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Table 4. Results of the moderated mediation model.

FIGURE 4
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Figure 4. The moderation plot for optimism.

TABLE 5
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Table 5. Mediating effect of perceived stress conditional on optimism.

Discussion

The present study used a moderated mediation to examine whether perceived stress would mediate the link between nurses’ grit and job satisfaction and whether optimism support would moderate the relationship between nurses’ grit and perceived stress. The findings revealed that nurses’ grit was positively associated with their job satisfaction (see Hypothesis 1), while perceived stress could mediate this association (see Hypothesis 2). Moreover, optimism could moderate the association between grit and perceived stress among nurses in Southwest China (see Hypothesis 3).

Grit and job satisfaction

First, according to the results of this study, we found grit has an essential impact on job satisfaction among nurses in Southwest China, which agrees with previous studies showing that high grit could result in high job satisfaction (Ko and Kim, 2019; Cho and Kim, 2022). As a result, while constantly striving to achieve their goals without giving up, individuals positively influence and increase their satisfaction. However, this study differed from the literature study (Reed et al., 2012) of family physicians in Idaho, United States, which found no association between grit and job satisfaction, possibly because the specificity of the survey population and survey area hindered this relationship. Idaho is a rural state largely isolated from the urban environment. It demands a high level of grit from all physicians, so physicians with high and low job satisfaction reported the same grit on the grit scale.

The mediating role of perceived stress

As hypothesized, our study suggested that perceived stress could mediate the relationship between grit and job satisfaction, which may reveal the potential mechanism regarding how grit indirectly influences job satisfaction. According to the self-determination theory (Franke et al., 2000), people as active creatures have the potential for self-realization and self-growth. Individuals can promote healthy growth and self-development by satisfying their basic psychological needs. Existing research shows that perseverant individuals may develop coping mechanisms for promoting happiness and hope when faced with difficulties (Musso et al., 2019), and driven by such positive emotions, individuals may feel less stressed, may recover more easily from negative events, and ultimately maintain a higher level of job satisfaction. According to the person-environment fit theory (Caplan, 1987), a mismatch between the perceived environment and personal characteristics, such as adversity, may lead to negative emotions and stress in people with low levels of grit. Furthermore, excessive job stress may increase turnover and reduce job satisfaction (Lim et al., 2022). Practicing medical care during a pandemic is a challenge for nurses (Tyer-Viola, 2019) and can result in higher occupational stress and low job satisfaction (Kwiecień-Jaguś et al., 2018; Leskovic et al., 2020). Conversely, medical professionals with a higher degree of fit have higher job satisfaction (Sinniah et al., 2022).

The moderating role of optimism

Our study also investigated whether optimism moderated the correlation between grit and perceived stress among nurses in hospitals in Southwest China. We found optimism to play a moderating role in the first half of the mediated pathway “grit → perceived stress → job satisfaction,” suggesting that optimism could influence nurses’ job satisfaction by moderating the relationship between levels of grit and perceived stress and hence job satisfaction. Optimism was found to be a protector of perceived stress among nurses, supporting the previous findings (Puig-Perez et al., 2022). According to the stress buffer hypothesis, positive individual factors can act as a cushion against stress and enable individuals to cope better. As a positive psychological factor or personality construct, optimism tends to maintain a consistently positive expectation of future consequences, even in uncertainty and adversity (Scheier et al., 1994). Optimism is associated with many positive outcomes, such as better mental health and job satisfaction (Zhang et al., 2021). Nurses’ optimism is positively linked with approach coping strategies to eliminate, diminish or manage stressors or emotions (Zhang et al., 2020). The coping style of optimists, i.e., their unique method orientation to managing stressful problems and stress-induced emotions, would help them achieve a sense of well-being (Nes and Segerstrom, 2006), which explains the ability of optimists to adapt to stressful or negative events. Previous research has shown that grit is enhanced through the positive psychological factor of optimism (Tenney et al., 2015), and the impact of negative emotions on stress is moderated (Rahman et al., 2022). Therefore, nursing managers and educators need to adopt effective interventions to foster optimistic psychological traits in nurses and nursing students to alleviate burnout and workplace stress among nurses.

Implications

This study enriches positive psychology and may provide a reference for future programs to improve nurses’ job satisfaction. Moreover, the evidence obtained in the study may contribute to developing different strategies and policies related to the construction of quality care and safe care programs and reducing adverse health outcomes of clinical patients.

Priorities and next steps

Based on these findings, we make the following recommendations. Firstly, nurses need to be helped to develop the quality of grit, enhance job satisfaction, reduce turnover rates, and ultimately redress the imbalance between supply and demand in the nursing profession. Secondly, hospital managers should provide nurses with adequate support when they are at high levels of perceived stress, listen carefully to their demands, and teach them appropriate ways of releasing stress. Thirdly, nursing managers should foster optimism among nurses, thereby alleviating perceived stress. Fostering grit in nurse managers and clinical nurses is critical to maintaining their interest in emergency preparedness and ensuring that the needs of patients and caregivers are met when disasters such as COVID-19 occur (Tyer-Viola, 2019). We recommend that nursing managers pay particular attention to grit and optimism when selecting nursing talent. Educators in medical schools should also strengthen the focus on grit and optimism in nursing training.

Limitations

This present study has several limitations. Firstly, as this is a cross-sectional survey, it cannot elucidate the causal relationships between these variables. Further longitudinal studies are needed to verify the validity and reliability of our findings. Secondly, this study’s mediating and moderating variables were perceived stress and optimism, and other variables that were not assessed may also affect nurses’ psychological state and job satisfaction. Finally, the population of this study was nurses in southwest China, affecting the external applicability of our results.

Conclusion

In summary, our study examined the mediating role of perceived stress and the moderating role of optimism on the relationship between grit and job satisfaction among hospital nurses in southwest China and showed that nurses’ job satisfaction could be influenced by grit through perceived stress, while optimism could act as a moderator on the pathway from grit to perceived stress.

Data availability statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Ethics statement

The studies involving human participants were reviewed and approved by the Ethics Committee of the Fourth People’s Hospital of Chengdu, China. The patients/participants provided their written informed consent to participate in this study.

Author contributions

CY, LY, and DW contributed to this manuscript’s conceiving, researching, and writing. All authors contributed to the article and approved the submitted version.

Funding

This work was supported by the Sichuan Science and Technology Program (grant no. 2018JY0306) and the National Natural Science Foundation of China (grant no. 82001444).

Conflict of interest

The authors declare that the research was conducted without any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

References

Agrawal, D., Chukkali, S., and Singh, S. (2022). Antecedents and consequences of grit among working adults: a transpersonal psychology perspective. Front. Psychol. 13:896231. doi: 10.3389/fpsyg.2022.896231

PubMed Abstract | CrossRef Full Text | Google Scholar

Aguirre-Urreta, M. I., and Hu, J. (2019). Detecting common method bias. ACM SIGMIS Database 50, 45–70. doi: 10.1145/3330472.3330477

CrossRef Full Text | Google Scholar

Al, M. E., Alallah, S. M., Alkhayrat, S. A., and Jahlan, A. G. (2022). An overview of missed nursing care and its predictors in Saudi Arabia: a cross-sectional study. Nurs. Res. Pract. 2022:4971890. doi: 10.1155/2022/4971890

PubMed Abstract | CrossRef Full Text | Google Scholar

Alsubaie, A., and Isouard, G. (2019). Job satisfaction and retention of nursing staff in Saudi hospitals. Asia Pac. J. Health Manag. 14, 68–73. doi: 10.24083/apjhm.v14i2.215

CrossRef Full Text | Google Scholar

Binsch, O., Van Wietmarschen, H., and Buick, F. (2017). Relationships between cortisol, optimism, and perseverance measured in two military settings. Mil. Psychol. 29, 99–116. doi: 10.1037/mil0000146

CrossRef Full Text | Google Scholar

Boniol, M., Kunjumen, T., Nair, T. S., Siyam, A., Campbell, J., and Diallo, K. (2022). The global health workforce stock and distribution in 2020 and 2030: a threat to equity and 'universal' health coverage? BMJ Glob. Health 7:e009316. doi: 10.1136/bmjgh-2022-009316

PubMed Abstract | CrossRef Full Text | Google Scholar

Brydon, L., Walker, C., Wawrzyniak, A. J., Chart, H., and Steptoe, A. (2009). Dispositional optimism and stress-induced changes in immunity and negative mood. Brain Behav. Immun. 23, 810–816. doi: 10.1016/j.bbi.2009.02.018

PubMed Abstract | CrossRef Full Text | Google Scholar

Canario, E., Chen, D., and Biswal, B. (2018). A review of resting-state fMRI and its use to examine psychiatric disorders. Psychoradiology 1, 42–53. doi: 10.1093/psyrad/kkab003

CrossRef Full Text | Google Scholar

Caplan, R. D. (1987). Person-environment fit theory and organizations: commensurate dimensions, time perspectives, and mechanisms. J. Vocat. Behav. 31, 248–267. doi: 10.1016/0001-8791(87)90042-x

CrossRef Full Text | Google Scholar

Carver, C. S., Scheier, M. F., and Segerstrom, S. C. (2010). Optimism. Clin. Psychol. Rev. 30, 879–889. doi: 10.1016/j.cpr.2010.01.006

PubMed Abstract | CrossRef Full Text | Google Scholar

Cho, H. K., and Kim, B. (2022). Effect of nurses' grit on nursing job performance and the double mediating effect of job satisfaction and organizational commitment. Healthcare 10:396. doi: 10.3390/healthcare10020396

PubMed Abstract | CrossRef Full Text | Google Scholar

Clement, D. N., Wingate, L. R., Cole, A. B., O'Keefe, V. M., Hollingsworth, D. W., Davidson, C. L., et al. (2020). The common factors of grit, hope, and optimism differentially influence suicide resilience. Int. J. Environ. Res. Public Health 17:9588. doi: 10.3390/ijerph17249588

PubMed Abstract | CrossRef Full Text | Google Scholar

Cohen, S., Kamarck, T., and Mermelstein, R. (1983). A global measure of perceived stress. J. Health Soc. Behav. 24, 385–396. doi: 10.2307/2136404

CrossRef Full Text | Google Scholar

Dilmaghani, R. B., Armoon, B., and Moghaddam, L. F. (2022). Work-family conflict and the professional quality of life and their sociodemographic characteristics among nurses: a cross-sectional study in Tehran, Iran. BMC Nurs. 21:289. doi: 10.1186/s12912-022-01069-9

PubMed Abstract | CrossRef Full Text | Google Scholar

Duckworth, A. L., Peterson, C., Matthews, M. D., and Kelly, D. R. (2007). Grit: perseverance and passion for long-term goals. J. Pers. Soc. Psychol. 92, 1087–1101. doi: 10.1037/0022-3514.92.6.1087

CrossRef Full Text | Google Scholar

Duckworth, A. L., and Quinn, P. D. (2009). Development and validation of the short grit scale (grit-s). J. Pers. Assess. 91, 166–174. doi: 10.1080/00223890802634290

PubMed Abstract | CrossRef Full Text | Google Scholar

Dugan, R., Hochstein, B., Rouziou, M., and Britton, B. (2019). Gritting their teeth to close the sale: the positive effect of salesperson grit on job satisfaction and performance. J. Pers. Sell. Sales Manag. 39, 81–101. doi: 10.1080/08853134.2018.1489726

CrossRef Full Text | Google Scholar

Eskreis-Winkler, L., Shulman, E. P., Beal, S. A., and Duckworth, A. L. (2014). The grit effect: predicting retention in the military, the workplace, school and marriage. Front. Psychol. 5:36. doi: 10.3389/fpsyg.2014.00036

PubMed Abstract | CrossRef Full Text | Google Scholar

Faul, F., Erdfelder, E., Buchner, A., and Lang, A. G. (2009). Statistical power analyses using G*power 3.1: tests for correlation and regression analyses. Behav. Res. Methods 41, 1149–1160. doi: 10.3758/BRM.41.4.1149

PubMed Abstract | CrossRef Full Text | Google Scholar

Franke, N., Keinz, P., and Steger, C. J. (2000). Testing the value of customization: when do customers really prefer products tailored to their preferences? J. Mark. 73, 103–121. doi: 10.1509/jmkg.73.5.103

CrossRef Full Text | Google Scholar

Gebregziabher, D., Berhanie, E., Berihu, H., Belstie, A., and Teklay, G. (2020). The relationship between job satisfaction and turnover intention among nurses in Axum comprehensive and specialized hospital Tigray. Ethiopia. BMC Nurs. 19:79. doi: 10.1186/s12912-020-00468-0

PubMed Abstract | CrossRef Full Text | Google Scholar

Goodman, F. R., Disabato, D. J., Kashdan, T. B., and Machell, K. A. (2017). Personality strengths as resilience: a one-year multiwave study. J. Pers. 85, 423–434. doi: 10.1111/jopy.12250

PubMed Abstract | CrossRef Full Text | Google Scholar

Haddad, L. M., Annamaraju, P., and Toney-Butler, T. J. (2022). Nursing Shortage. Treasure Island: StatPearls Publishing.

Google Scholar

Halperin, O., and Eldar, R. O. (2021). Predicting academic success based on perseverance and passion for long-term goals (grit) among nursing students: is there a cultural context? Nurse Educ. Today 100:104844. doi: 10.1016/j.nedt.2021.104844

PubMed Abstract | CrossRef Full Text | Google Scholar

He, C., Wu, D., Yang, L., Yang, L., and Yue, Y. (2021). Psychometric properties of the grit-S in chinese nurses. Front. Psychol. 12:766055. doi: 10.3389/fpsyg.2021.766055

PubMed Abstract | CrossRef Full Text | Google Scholar

Hobfoll, S. E. (1989). Conservation of resources. A new attempt at conceptualizing stress. Am. Psychol. 44, 513–524. doi: 10.1037//0003-066x.44.3.513

PubMed Abstract | CrossRef Full Text | Google Scholar

Hoppock, R. (1935). Job Satisfaction. New York: Harper Brothers

Google Scholar

Hou, X. L., Becker, N., Hu, T. Q., Koch, M., Xi, J. Z., and Mõttus, R. (2022). Do grittier people have greater subjective well-being? A meta-analysis. Personal. Soc. Psychol. Bull. 48, 1701–1716. doi: 10.1177/01461672211053453

PubMed Abstract | CrossRef Full Text | Google Scholar

Hu, H., Wang, C., Lan, Y., and Wu, X. (2022). Nurses' turnover intention, hope and career identity: the mediating role of job satisfaction. BMC Nurs. 21:43. doi: 10.1186/s12912-022-00821-5

PubMed Abstract | CrossRef Full Text | Google Scholar

Janiszewski Goodin, H. (2003). The nursing shortage in the United States of America: an integrative review of the literature. J. Adv. Nurs. 43, 335–343. doi: 10.1046/j.1365-2648.2003.02722_1.x

PubMed Abstract | CrossRef Full Text | Google Scholar

Jeong, J. Y., Seo, Y. S., Choi, J. H., Kim, S. H., Lee, M. S., Hong, S. H., et al. (2019). The influence of grit on turnover intention of university hospital nurses: the mediating effect of job involvement. J. Korean Acad. Nurs. 49, 181–190. doi: 10.4040/jkan.2019.49.2.181

PubMed Abstract | CrossRef Full Text | Google Scholar

Kalisch, B. J., and Xie, B. (2014). Errors of omission: missed nursing care. West. J. Nurs. Res. 36, 875–890. doi: 10.1177/0193945914531859

CrossRef Full Text | Google Scholar

Kiliç, B. N., Şahin, A., Demirel, C., and Parlar, K. S. (2022). The relationship between nurses’ job satisfaction levels and quality of life. Perspect. Psychiatr. Care 58, 2310–2320. doi: 10.1111/ppc.13062

PubMed Abstract | CrossRef Full Text | Google Scholar

Ko, H. J., and Kim, J. (2019). Relationships among nursing work environment, job embeddedness, and turnover intention in nurses. J. Korean Acad. Nurs. Adm. 26, 463–488. doi: 10.1177/014920630002600305

CrossRef Full Text | Google Scholar

Kobasa, S. C., and Puccetti, M. C. (1983). Personality and social resources in stress resistance. J. Pers. Soc. Psychol. 45, 839–850. doi: 10.1037/0022-3514.45.4.839

CrossRef Full Text | Google Scholar

Kwiecień-Jaguś, K., Mędrzycka-Dąbrowska, W., Chamienia, A., and Kielaite, V. (2018). Stress factors vs. job satisfaction among nursing staff in the Pomeranian Province (Poland) and the Vilnius region (Lithuania). Ann. Agric. Environ. Med. 25, 616–624. doi: 10.26444/aaem/75801

PubMed Abstract | CrossRef Full Text | Google Scholar

Lee, J. (2022). Nursing home nurses' turnover intention: a systematic review. Nurs. Open 9, 22–29. doi: 10.1002/nop2.1051

PubMed Abstract | CrossRef Full Text | Google Scholar

Lee, M. (2022). Nursing students' grit, socio-cognitive mindfulness, and achievement emotions: mediating effects of socio-cognitive mindfulness. Int. J. Environ. Res. Public Health 19:3032. doi: 10.3390/ijerph19053032

PubMed Abstract | CrossRef Full Text | Google Scholar

Lee, B. S., Eo, Y. S., and Lee, M. A. (2018). Development of job satisfaction scale for clinical nurses. J. Korean Acad. Nurs. 48, 12–25. doi: 10.4040/jkan.2018.48.1.12

CrossRef Full Text | Google Scholar

Leskovic, L., Erjavec, K., Leskovar, R., and Vukovič, G. (2020). Burnout and job satisfaction of healthcare workers in Slovenian nursing homes in rural areas during the COVID-19 pandemic. Ann. Agric. Environ. Med. 27, 664–671. doi: 10.26444/aaem/128236

PubMed Abstract | CrossRef Full Text | Google Scholar

Lim, J. Y., Kim, G. M., and Kim, E. J. (2022). Factors associated with job stress among hospital nurses: a meta-correlation analysis. Int. J. Environ. Res. Public Health 19:5792. doi: 10.3390/ijerph19105792

PubMed Abstract | CrossRef Full Text | Google Scholar

Luo, J., Wang, M., Ge, Y., Chen, W., and Xu, S. (2020). Longitudinal invariance analysis of the short grit scale in Chinese young adults. Front. Psychol. 11:466. doi: 10.3389/fpsyg.2020.00466

PubMed Abstract | CrossRef Full Text | Google Scholar

Makowicz, D., Lisowicz, K., Bryniarski, K., Dziubaszewska, R., Makowicz, N., and Dobrowolska, B. (2022). The impact of the COVID-19 pandemic on job satisfaction among professionally active nurses in five European countries. Front. Public Health 10:1006049. doi: 10.3389/fpubh.2022.1006049

PubMed Abstract | CrossRef Full Text | Google Scholar

Malone, B. (2021). A perspective on the state of the world's nursing report. Nurs. Adm. Q. 45, 6–12. doi: 10.1097/NAQ.0000000000000443

CrossRef Full Text | Google Scholar

Maslach, C., Schaufeli, W. B., and Leiter, M. P. (2011). Job burnout. Annu. Rev. Psychol. 52, 397–422. doi: 10.1146/annurev.psych.52.1.397

CrossRef Full Text | Google Scholar

Min-rou, Z., Hui-gen, H., Ya-fang, D., and Han-xi, C. (2022). Reliability and validity test of perceived stress scale in nurses. Occup. Health 38, 1788–1791. doi: 10.13329/j.cnki.zyyjk.2022.0380

CrossRef Full Text | Google Scholar

Musso, M., Tatum, D., Hamer, D., Hammarlund, R., Son, L., and McMahon, P. (2019). The relationship between grit and resilience in emergency medical service personnel. Ochsner J. 19, 199–203. doi: 10.31486/toj.18.0144

PubMed Abstract | CrossRef Full Text | Google Scholar

Nes, L. S., and Segerstrom, S. C. (2006). Dispositional optimism and coping: a meta-analytic review. Personal. Soc. Psychol. Rev. 10, 235–251. doi: 10.1207/s15327957pspr1003_3

PubMed Abstract | CrossRef Full Text | Google Scholar

Öcal, E. E., Demirtaş, Z., Atalay, B. I., Önsüz, M. F., Işıklı, B., Metintaş, S., et al. (2022). Relationship between mental disorders and optimism in a community-based sample of adults. Behav. Sci. 12:52. doi: 10.3390/bs12020052

PubMed Abstract | CrossRef Full Text | Google Scholar

Oducado, R. M. F. (2021). Academic performance and the role of self-directed learning, self-esteem, and grit among nursing students. Jendela Nurs. J. 5, 1–9. doi: 10.31983/jnj.v5i1.6634

CrossRef Full Text | Google Scholar

Peng, X., and Wu, D. (2022). The protective effect of grit on clinical nurses' occupational psychological distress: mediating and suppressing effects of hope. Front. Psychol. 13:1019655. doi: 10.3389/fpsyg.2022.1019655

PubMed Abstract | CrossRef Full Text | Google Scholar

Piotrowski, A., Sygit-Kowalkowska, E., Boe, O., and Rawat, S. (2022). Resilience, occupational stress, job satisfaction, and intention to leave the organization among nurses and midwives during the COVID-19 pandemic. Int. J. Environ. Res. Public Health 19:6826. doi: 10.3390/ijerph19116826

PubMed Abstract | CrossRef Full Text | Google Scholar

Plevová, I., Zeleníková, R., Jarošová, D., and Janíková, E. (2021). The relationship between nurse's job satisfaction and missed nursing care. Med. Pr. 72, 231–237. doi: 10.13075/mp.5893.01035

PubMed Abstract | CrossRef Full Text | Google Scholar

Puig-Perez, S., Cano-López, I., Martínez, P., Kozusznik, M. W., Alacreu-Crespo, A., Pulopulos, M. M., et al. (2022). Optimism as a protective factor against the psychological impact of COVID-19 pandemic through its effects on perceived stress and infection stress anticipation. Curr. Psychol. doi: 10.1007/s12144-022-02819-3 (Epub ahead of print).

CrossRef Full Text | Google Scholar

Rahman, A., Sánchez, M., Bursac, Z., Whiting, C. Y., de Dios, M. A., Cano, M., et al. (2022). Ethnic discrimination and psychological stress among Hispanic emerging adults: examining the moderating effects of distress tolerance and optimism. Int. J. Intercult. Relat. 86, 217–226. doi: 10.1016/j.ijintrel.2021.12.005

PubMed Abstract | CrossRef Full Text | Google Scholar

Reed, A. J., Schmitz, D., Baker, E., Nukui, A., and Epperly, T. (2012). Association of "grit" and satisfaction in rural and nonrural doctors. J. Am. Board Fam. Med. 25, 832–839. doi: 10.3122/jabfm.2012.06.110044

PubMed Abstract | CrossRef Full Text | Google Scholar

Robbins, S. P. (2003). Organizational Behavior, 10th Edn. San Diego: Prentice hall

Google Scholar

Scheier, M. F., and Carver, C. S. (1985). Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychol. 4, 219–247. doi: 10.1037//0278-6133.4.3.219

PubMed Abstract | CrossRef Full Text | Google Scholar

Scheier, M. F., Carver, C. S., and Bridges, M. W. (1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): a reevaluation of the life orientation test. J. Pers. Soc. Psychol. 67, 1063–1078. doi: 10.1037//0022-3514.67.6.1063

PubMed Abstract | CrossRef Full Text | Google Scholar

Scheier, M. F., Weintraub, J. K., and Carver, C. S. (1986). Coping with stress: divergent strategies of optimists and pessimists. J. Pers. Soc. Psychol. 51, 1257–1264. doi: 10.1037//0022-3514.51.6.1257

PubMed Abstract | CrossRef Full Text | Google Scholar

Schriesheim, C., and Tsui, A. S. (1980). “Development and validation of a short satisfaction instrument for use in survey feedback interventions” in Western Academy of Management Meeting.

Google Scholar

Seguin, C. (2019). A survey of nurse leaders to explore the relationship between grit and measures of success and well-being. J. Nurs. Adm. 49, 125–131. doi: 10.1097/NNA.0000000000000725

PubMed Abstract | CrossRef Full Text | Google Scholar

Sellers, K. (2019). Retention of nurses in a rural environment: the impact of job satisfaction, resilience, grit, engagement, and rural fit. Online J. Rural Nurs. Health Care 19, 4–42. doi: 10.14574/ojrnhc.v19i1.547

CrossRef Full Text | Google Scholar

Shanafelt, T. D., Balch, C. M., Bechamps, G. J., Russell, T., Dyrbye, L., Satele, D., et al. (2009). Burnout and career satisfaction among American surgeons. Ann. Surg. 250, 463–471. doi: 10.1097/SLA.0b013e3181ac4dfd

CrossRef Full Text | Google Scholar

Sinniah, S., Al, M. A., Md, S. M., Makhbul, Z., and Hayat, N. (2022). Modeling the significance of motivation on job satisfaction and performance among the academicians: the use of hybrid structural equation modeling-artificial neural network analysis. Front. Psychol. 13:935822. doi: 10.3389/fpsyg.2022.935822

PubMed Abstract | CrossRef Full Text | Google Scholar

Tang, Y., He, C., Feng, L., Wu, D., Zhou, X., Li, T., et al. (2022). The impact of implicit theories on resilience among Chinese nurses: the chain mediating effect of grit and meaning in life. Front. Psychol. 13:940138. doi: 10.3389/fpsyg.2022.940138

PubMed Abstract | CrossRef Full Text | Google Scholar

Tang, L., Li, Z., and Pang, Y. (2020). The differences and the relationship between demoralization and depression in Chinese cancer patients. Psychooncology 29, 532–538. doi: 10.1002/pon.5296

PubMed Abstract | CrossRef Full Text | Google Scholar

Tenney, E. R., Logg, J. M., and Moore, D. A. (2015). Optimistic about optimism: the belief that optimism improves performance. J. Pers. Soc. Psychol. 108, 377–399. doi: 10.1037/pspa0000018

PubMed Abstract | CrossRef Full Text | Google Scholar

Tschannen, D., Kalisch, B. J., and Lee, K. H. (2010). Missed nursing care: the impact on intention to leave and turnover. Can. J. Nurs. Res. 42, 22–39.

PubMed Abstract | Google Scholar

Tyer-Viola, L. A. (2019). Grit: the essential trait of nurses during a disaster. J. Perinat. Neonatal Nurs. 33, 201–204. doi: 10.1097/JPN.0000000000000416

CrossRef Full Text | Google Scholar

Wang, B., Zou, G., Zheng, M., Chen, C., Teng, W., and Lu, Q. (2022). Correlation between the quality of nursing handover, job satisfaction, and group cohesion among psychiatric nurses. BMC Nurs. 21:86. doi: 10.1186/s12912-022-00864-8

PubMed Abstract | CrossRef Full Text | Google Scholar

Wigfield, A., and Eccles, J. S. (2000). Expectancy-value theory of achievement motivation. Contemp. Educ. Psychol. 25, 68–81. doi: 10.1006/ceps.1999.1015

CrossRef Full Text | Google Scholar

Wu, X., Li, J., Liu, G., Liu, Y., Cao, J., and Jia, Z. (2018). The effects of emotional labor and competency on job satisfaction in nurses of China: a nationwide cross-sectional survey. Int. J. Nurs. Sci. 5, 383–389. doi: 10.1016/j.ijnss.2018.08.001

PubMed Abstract | CrossRef Full Text | Google Scholar

Xia, L., Yan, Y., and Wu, D. (2021). Protective predictors associated with posttraumatic stress and psychological distress in Chinese nurses during the outbreak of COVID-19. Front. Psychol. 12:684222. doi: 10.3389/fpsyg.2021.684222

PubMed Abstract | CrossRef Full Text | Google Scholar

Yang, J., and Kim, K. H. (2022). Effect of the strategic thinking, problem solving skills, and grit on the disaster triage ability of emergency room nurses. Int. J. Environ. Res. Public Health 19:987. doi: 10.3390/ijerph19020987

PubMed Abstract | CrossRef Full Text | Google Scholar

Yang, Q., Shi, M., Tang, D., Zhu, H., and Xiong, K. (2022). Multiple roles of grit in the relationship between interpersonal stress and psychological security of college freshmen. Front. Psychol. 13:824214. doi: 10.3389/fpsyg.2022.824214

PubMed Abstract | CrossRef Full Text | Google Scholar

Yang, L., and Wu, D. (2021). Grit and meaning in life of Chinese nurses: the chain mediating effect of social support and hope. Front. Psychol. 12:769707. doi: 10.3389/fpsyg.2021.769707

PubMed Abstract | CrossRef Full Text | Google Scholar

Zhang, T., Wei, Q., Ma, S. Y., and Li, H. P. (2020). The relationship between optimism and job satisfaction for Chinese specialist nurses: a serial-multiple mediation model. Jpn. J. Nurs. Sci. 17:e12334. doi: 10.1111/jjns.12334

PubMed Abstract | CrossRef Full Text | Google Scholar

Zhang, W., Zheng, Z., Pylypchuk, R., Zhao, J., Sznajder, K. K., Cui, C., et al. (2021). Effects of optimism on work satisfaction among nurses: a mediation model through work-family conflict. Front. Psychol. 12:779396. doi: 10.3389/fpsyt.2021.779396

PubMed Abstract | CrossRef Full Text | Google Scholar

Zhong, C., Wang, M., Shou, Y., Ren, F., Zhang, X., Li, M., et al. (2018). Assessing construct validity of the grit-S in Chinese employees. PLoS One 13:e209319. doi: 10.1371/journal.pone.0209319

PubMed Abstract | CrossRef Full Text | Google Scholar

Keywords: nurse, grit, perceived stress, job satisfaction, optimism

Citation: Yang C, Yang L and Wu D (2023) The influence of grit on nurse job satisfaction: Mediating effects of perceived stress and moderating effects of optimism. Front. Psychol. 13:1094031. doi: 10.3389/fpsyg.2022.1094031

Received: 09 November 2022; Accepted: 30 December 2022;
Published: 16 January 2023.

Edited by:

Moses Ede, University of Nigeria, Nsukka, Nigeria

Reviewed by:

Jacksaint Saintila, Universidad Señor de Sipán, Peru
Chunhui Qi, Henan Normal University, China
Kezhi Liu, The Affiliated Hospital of Southwest Medical University, China

Copyright © 2023 Yang, Yang and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Dongmei Wu, ✉ d3Vkb25nbWVpXzIwMDFAMTYzLmNvbQ==

†ORCID: Cui Yang https://orcid.org/0000-0002-6489-2090
Dongmei Wu https://orcid.org/0000-0001-9830-0527

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