The nurses’ occupational stress components and outcomes, findings from an integrative review

Mihoka Okuhara, Kana Sato, Yoshimi Kodama

Research output: Contribution to journalReview articlepeer-review

12 Citations (Scopus)


Aim: To identify, evaluate and summarize the components, factors and outcomes of nurses’ occupational stress published between 2009–2019. Design: Integrative literature review. Methods: A literature search was conducted on PubMed, CINAHL and PsycINFO databases for articles published in English, between 2009–2019. Results: The review included 132 studies. Most studies were conducted in the Confucian Asia and Anglo countries, but a growing number of studies were done in other countries. Almost all studies used a quantitative design, and changes in the use of scales indicated an increasing attention to career-related components. Factors were categorized into sociodemographic, work environment and personal resources. Sociodemographic factors were inconsistent across countries. Outcomes were categorized into health status, capability, affective and behavioural responses to work, and organizational performance with generally consistent results. Model validation studies showed the non-linear or non-direct associations between stress and outcomes.

Original languageEnglish
Pages (from-to)2153-2174
Number of pages22
JournalNursing Open
Issue number5
Publication statusPublished - Sept 2021
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • General Nursing


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