title: Job-related stress in psychiatric nurses in Japan caring for elderly patients with dementia.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Public Health, Faculty of Life Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan, yada@kumamoto-hsu.ac.jp.
authors.forename: Hironori
authors.initials: H
authors.lastname: Yada
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Abe
authors.forename: Xi
authors.initials: X
authors.lastname: Lu
authors.forename: Yuko
authors.initials: Y
authors.lastname: Wakizaki
authors.forename: Hisamitsu
authors.initials: H
authors.lastname: Omori
authors.forename: Hisae
authors.initials: H
authors.lastname: Matsuo
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Ishida
authors.forename: Takahiko
authors.initials: T
authors.lastname: Katoh
mesh_terms: D000328:Adult; D000368:Aged; D003704:Dementia / Q000451:nursing*; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D009726:Nurses / Q000523:psychology*; D009784:Occupational Diseases / Q000453:epidemiology*; D011568:Psychiatric Nursing; D012307:Risk Factors; D013315:Stress, Psychological / Q000453:epidemiology*; D016526:Workload