Development of the Nurses’ Occupational Stressor Scale

Yi-Chuan Chen, Yue-Liang Leon Guo, Li-Chan Lin, Yu-Ju Lee, Pei-Yi Hu, Jiune-Jye Ho and Judith Shu-Chu Shiao
Additional contact information
Yi-Chuan Chen: School of Nursing, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan
Yue-Liang Leon Guo: Department of Environmental and Occupational Medicine, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan
Li-Chan Lin: Institute of Clinical Nursing, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei 11221, Taiwan
Yu-Ju Lee: School of Nursing, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan
Pei-Yi Hu: Institute of Labor, Occupational Safety and Health (ILOSH), Ministry of Labor, No. 99, Lane 407, Hengke Rd., New Taipei City 22143, Taiwan
Jiune-Jye Ho: Institute of Labor, Occupational Safety and Health (ILOSH), Ministry of Labor, No. 99, Lane 407, Hengke Rd., New Taipei City 22143, Taiwan
Judith Shu-Chu Shiao: School of Nursing, College of Medicine, National Taiwan University (NTU), No. 1, Ren-Ai Rd. Sec. 1, Taipei 10051, Taiwan

IJERPH, 2020, vol. 17, issue 2, 1-14

Abstract: Although nurses work in stressful environments, stressors in such environments have yet to be clearly assessed. This study aimed to develop a Nurses’ Occupational Stressor Scale (NOSS) with high reliability and validity. Candidate questions for the NOSS were generated by expert consensus following focus group feedback, and were used to survey in 2013. A shorter version was then developed after examination for validity and reproducibility in 2014. The accuracy of the short version of the NOSS for predicting nurses’ stress levels was evaluated based on receiver operating characteristic curves to compare existing instruments for measuring stress outcomes, namely personal burnout, client-related burnout, job dissatisfaction, and intention to leave. Examination for validity and reproducibility yielded a shorter version of NOSS with only 21 items was considered sufficient for measuring stressors in nurses’ work environments. Nine subscales were included: (1) work demands, (2) work–family conflict, (3) insufficient support from coworkers or caregivers, (4) workplace violence and bullying, (5) organizational issues, (6) occupational hazards, (7) difficulty taking leave, (8) powerlessness, and (9) unmet basic physiological needs. The 21-item NOSS proved to have high concurrent and construct validity. The correlation coefficients of the subscales for test-retest reliability ranged from 0.71 to 0.83. The internal consistency (Cronbach’s α) coefficients ranged from 0.35 to 0.77. The NOSS exhibited accurate prediction of personal burnout, client-related burnout, job dissatisfaction, and intention to leave.

Keywords: nurse; occupational stressor; scale development; stressor scale; work environment (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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