J Korean Acad Nurs Adm.  2021 Jan;27(1):12-20. 10.11111/jkana.2021.27.1.12.

Health Promotion Behaviors, Subjective Health Status, and Job Satisfaction in Shift Work Nurses based on Type D Personality Pattern

  • 1Professor, College of Nursing, Korea University, Korea.
  • 2PhD Candidate, Korea University Medical Center Anam Hospital Emergency Department, Korea.


The purpose of this study was to explore the frequency of Type D Personality Pattern (TDPP) in shift work nurses who have irregular lifestyles and based on TDPP, to compare health promotion behavior (HPB), subjective health status (SHS), and job satisfaction.
A descriptive cross-sectional design was used with data collected from a convenience sample of 139 shift work nurses. The self-report questionnaires included Personality Scale, Health Promoting Lifestyle Profile II, Health Self Rating Scale, and Job Satisfaction Scale.
Fifty three nurses (38.1%) were found to have TDPP. Although there were no significant differences between groups with TDPP and with no TDPP, nurses with TDPP tend to be younger, live alone, and have less years of clinical experience. Also, SHS, HPB and job satisfaction were significantly lower in the nurses with TDPP than those with no TDPP. SHS was positively correlated with HPB and job satisfaction. Also, job satisfaction was positively correlated with HPB.
TDPP in shift work nurses should be considered as TDPP is not a trait but a pattern. Therefore for shift work nurses, modifiable strategies should be effective in reducing the risk of developing TDPP and enhancing the nurses’ SHS, HPB, and job satisfaction.


Type D personality; Subjective health; Health behavior; Job satisfaction
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