ORIGINAL RESEARCH article
Front. Public Health
Sec. Occupational Health and Safety
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1537120
This article is part of the Research TopicHealth and Psychological Adaptations to Life Challenges and Stressful ConditionsView all 6 articles
Occupational Stress, Coping Strategies, and Mental Health among Clinical Nurses in Hospitals: A Mediation Analysis
Provisionally accepted
- Zhejiang Hospital, Hangzhou, Zhejiang Province, China
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Objective: This study aimed to examine the relationship between occupational stress and mental health among clinical nurses, focusing on the mediating role of coping strategies.Methods: A cross-sectional survey was conducted among 600 clinical nurses from tertiary hospitals in Hangzhou, China. Data were collected using the Chinese Nurses' Work Pressure Source Questionnaire, the Symptom Checklist-90 (SCL-90), and the Coping Strategies Scale. Mediation analysis was performed using Bootstrap to test the hypothesized mediating effects.Results: The results showed that occupational stress was positively associated with mental health issues (β=0.42, P<0.01), and coping strategies partially mediated this relationship (indirect effect=0.18, 95% CI [0.11, 0.27]). Nurses in high-stress departments (e.g., surgery and ICU) reported significantly higher SCL-90 scores than the national norm (P<0.05).Conclusion: The findings suggest that positive coping strategies can mitigate the adverse effects of occupational stress on mental health. Interventions targeting coping skills training may improve nurses' well-being and reduce burnout.
Keywords: Clinical nurses, Mental health status, psychological stress reduction model, Nurses, Reduction model
Received: 30 Nov 2024; Accepted: 15 Apr 2025.
Copyright: © 2025 Jin, Ni and Wang. 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) or licensor 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: Lin Wang, Zhejiang Hospital, Hangzhou, 310013, Zhejiang Province, China
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