Comparative Analysis of Psychological Well-Being Among Nurses And Patients In Hospital Care Settings: A Multisite Cross-Sectional Study
Keywords:
Cross-sectional studies; psychological well-being; nurse; patient; hospitalization.Abstract
Background: Psychological well-being plays a crucial role in health outcomes. The psychological well-being of nurses, who work in high-stress environments, has a substantial impact on patient outcomes and care delivery, even though patients' mental health frequently receives professional attention. Most studies have investigated the PWB of nurses and patients separately, however, the comparison between both groups in multisite clinical setting remains unclear. Objective: This study aims to explore if differences occur in the psychological well-being between nurses and patients during dyadic interactions. Methods: The design used in this study are multisite cross-sectional study. The study was carried out examining 526 nurse-patient dyadic interactions during clinical care in general medical and surgical wards across six sites in Indonesia. Data were collected using an Indonesian language version of the 42 items of Ryff’s PWB scale. Results: The findings show the total scores of PWB between nurses (187.65±19.33) and patients (188.41±19.88) indicate that the mean score of patients’ PWB is slightly higher than that of nurses. However, there were no significant differences between nurses and patients overall psychological well-being were identified (r=0.101; p>0.05). Of the six PWB subscales, the nurses had greater scores on environmental mastery, personal growth, life’s purpose, and self-acceptance than patients; meanwhile, patients demonstrated higher scores on autonomy and positive relations. Statistically significant differences were observed regarding both mean total scores in the two domains of ‘autonomy’ (t=-4.824; p<0.001) and ‘personal growth’ (t=2.293; p<0.05). Conclusion: Psychological well-being is an individual experience indirectly affected during clinical interactions. The results suggested nurse managers to design an institution-level intervention to promote positive care providers and care receivers’ PWB. Integrated support solutions that can simultaneously improve staff well-being and patient care quality are made possible by this study.
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