J Korean Acad Nurs Adm.  2024 Dec;30(5):517-528. 10.11111/jkana.2024.30.5.517.

Comparison of Factors Affecting Delirium Nursing Stress between Nurses in Comprehensive Nursing Care Service Wards and General Wards

• Gwon S
• Kim G

• KMID: 2566071
• DOI: http://doi.org/10.11111/jkana.2024.30.5.517

Abstract

Purpose
This study aimed to compare and identify factors affecting delirium nursing stress among nurses in comprehensive nursing care service wards and general wards.
Methods
Using structured questionnaires, data were collected from 230 nurses working in two tertiary university hospitals. Data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation coefficient, and multiple regression analysis using SPSS/WIN 27.0.
Results
The average delirium nursing stress score for nurses in comprehensive nursing care service wards was 2.98±0.30 out of 4 points, which was significantly higher than 2.89±0.29 points for nurses in general wards (t=2.17, p=.031). Factors influencing delirium nursing stress among comprehensive nursing care service ward nurses included nursing work environment (β=-.58, p<.001) and conflicts with medical staff and other departments related to delirium patients (β=.24, p=.006), explaining power of 44% (F=12.13, p<.001). For general ward nurses, the nursing work environment(β=-.39, p<.001) was the main influencing factor, explaining power of 17% (F=3.93, p<.001).
Conclusion
Both types of nurses require improvements in their work environment. Strategies to reduce conflict between medical staff and other departments are essential in comprehensive nursing care service wards.

Keyword

Nursing care; Delirium; Stress; Working conditions