title: [Factors related to the psychological stress response of nurses working in emergency and critical care centers].
abstract: OBJECTIVE
  This questionnaire survey was performed in order to reveal the characteristics of work-related stressors on nurses working in emergency and critical care centers (emergency nurses) and factors related to their stress responses.
  
  
  METHODS
  There were 347 subjects who replied to the survey: 199 emergency nurses and 148 nurses working in internal medicine departments (control group) in 11 hospitals in the Kinki and Tokai areas of Japan.
  
  
  RESULTS
  The work-related stressor scores among the emergency nurses were significantly higher than those in the control group for 6 out of 8 factors: work difficulties, patient life-support duties, relationships with patients and their families, dealing with patient death, relationships with doctors and technical innovation. The work-related stressor score was significantly lower among the emergency nurses for one factor: lack of communication. Multiple logistic regression analysis was used to evaluate the relationship between the stress response and the other factors such as work-related stressors, individual and situational factors, non-work factors and social support. Risk factors related to the stress response of the emergency nurses were: perceived stress due to work difficulties, negative lifestyles and desiring a career change.
  
  
  CONCLUSIONS
  Important aspects of mental health support for emergency nurses are: strengthening technical support, such as holding study sessions to reduce work difficulties, as well as adjusting the working environment to improve individual lifestyles.
authors.affiliation: Graduate School of Health and Nursing Science, Wakayama Medical University, 580 Mikazura, Wakayama 641-0011, Japan.
authors.forename: Kazu
authors.initials: K
authors.lastname: Uda
authors.forename: Ikuharu
authors.initials: I
authors.lastname: Morioka
mesh_terms: D000328:Adult; D003422:Critical Care; D016529:Emergency Nursing; D006801:Humans; D008019:Life Style; D016015:Logistic Models; D008603:Mental Health; D009726:Nurses / Q000523:psychology*; D016272:Occupational Health; D011368:Professional-Family Relations; D011369:Professional-Patient Relations; D012307:Risk Factors; D012944:Social Support; D013315:Stress, Psychological; D011795:Surveys and Questionnaires; D016526:Workload / Q000523:psychology; D017132:Workplace / Q000523:psychology*; D055815:Young Adult