Job-related stress in psychiatric nurses in Japan caring for elderly patients with dementia

Hironori Yada, Hiroshi Abe, Xi Lu, Yuko Wakizaki, Hisamitsu Omori, Hisae Matsuo, Yasushi Ishida, Takahiko Katoh

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


Objectives: We investigated the specificity and structures of job-related stress in psychiatric dementia nurses (PDNs) caring for elderly patients with serious behavioral and psychological symptoms of dementia who required substantial assistance with activities of daily living, in order to obtain fundamental knowledge toward providing mental health care for these nurses.

Methods: Subjects were 244 nurses [63 PDNs and 181 other psychiatric nurses (OPNs)].

Results: Analysis of covariance to examine the specificity of job-related stress in PDNs revealed physical workload and work environment to be more significant stressors, and irritability and anxiety to be more significant stress reactions in PDNs than in OPNs. An examination of PDNs’ job-related stress structures established in a structural equation model with two stress reactions confirmed as specific outcomes for PDNs revealed a significant positive influence of work environment on irritability; utilization of techniques for anxiety and physical workload influenced both stress reactions.

Conclusions: Our findings highlight the importance of reducing physical workload and environment and establishing a structure for nursing techniques in psychiatric dementia wards to improve the mental health of PDNs.

Original languageEnglish
Pages (from-to)436-443
Number of pages8
JournalEnvironmental health and preventive medicine
Issue number6
Publication statusPublished - Nov 13 2014
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


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