Asian Nurs Res.  2017 Sep;11(3):230-236. 10.1016/j.anr.2017.08.005.

Exploring Nursing Intention, Stress, and Professionalism in Response to Infectious Disease Emergencies: The Experience of Local Public Hospital Nurses During the 2015 MERS Outbreak in South Korea

  • 1Nursing Administration Team, Daegu Medical Center, Daegu, South Korea.
  • 2Department of Healthcare Management, Graduate School of Public Health, Kyungpook National University, Daegu, South Korea.
  • 3Department of Preventive Medicine, Kyungpook National University School of Medicine, Daegu, South Korea.
  • 4Department of Preventive Medicine, Regional Cardiocerebrovascular Disease Center, Kyungpook National University Hospital, Daegu, South Korea.


This study aimed to examine levels of stress and professionalism of nurses who provided nursing care during the 2015 Middle East respiratory syndrome outbreak based on their experience, to investigate the nurses' intention to respond to possible future outbreaks in relation to their experience during the outbreak, and to determine the relationship between the outbreak experience and nursing intention considering stress and professionalism.
A self-administered questionnairewas designed based on modifications of related questionnaires, and used to assess levels of stress, professionalism, and nursing intention according to participants' experiences during the outbreak. Multiple regression analysiswas used to examine the relationship between the outbreak nursing experience and nursing intention considering stress and nursing professionalism.
The overall stress, professionalism, and nursing intention scores for the firsthand experience group were 33.72, 103.00, and 16.92, respectively, whereas those of the secondhand experience group were 32.25, 98.99, and 15.60, respectively. There were significant differences in professionalism and nursing intention scores between the groups (p = .001 and p < .001, respectively). The regression analysis revealed that the regression estimate between stress and nursing intention was B(SE) = −0.08(0.02), beta = −0.21, p < .001 and the regression estimate between professionalism in nursing and nursing intention was B(SE) = 0.05(0.01), beta = 0.23, p < .001.
Prior outbreak nursing experience was importantly associated with intention to provide care for patients with a newly emerging infectious disease in the future considering stress and professionalism. Gathering information about nurses' experience of epidemics and regular assessment of job stress and professionalism are required.


emotional stress; intention; Middle East respiratory syndrome; Coronavirus; nurse; professionalism

MeSH Terms

Communicable Diseases*
Communicable Diseases, Emerging
Coronavirus Infections
Disease Outbreaks
Hospitals, Public*
Nursing Care
Stress, Psychological
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