Safety, quality & education

Network of job demands-resources and depressive symptoms in critical care nurses: a nationwide cross-sectional study

Crit CarePublished Cross-sectional study

Authors' conclusion

There was a rather strong interconnectedness between depressive symptoms and job demands-resources. Fatigue, motor, and appetite were core depressive symptoms of critical care nurses.

Study context

Population
Clinical nurses working in the ICU, 67 tertiary hospitals in 31 province-level regions in China (baseline data of the Nurses' mental health study)
Participants
13,745 nurses
Outcome
Depressive symptoms and their network with job demands-resources and personal resources (resilience)
Methodological detailsnationwide, multicentre, network analysis, structural equation model
  • Nationwide
  • Multicentre
  • Network analysis
  • Structural equation model

Main finding

As reported in the abstract

Depressive symptom severity (prevalence) and network structure
Severe depressive symptoms
1.21%
Moderately severe depressive symptoms
3.42%
Moderate depressive symptoms
9.76%
Mild depressive symptoms
42.88%
None or minimum depressive symptoms
42.07%
Non-zero edges in final network (132 of 210 possible)
62.8%

Observational data: associations, not effects.

Further findings

Structural equation model fit

GFI
0.918
AGFI
0.896
PCFI
0.789
PNFI
0.788
NFI
0.909
IFI
0.911
CFI
0.911
SRMR
0.040
RMSEA
0.064
  • Basically supported the results of network analysis; acceptable model-fit

Original publication

Network of job demands-resources and depressive symptoms in critical care nurses: a nationwide cross-sectional study. Crit Care. Published 21 January 2025. doi:10.1186/s13054-025-05282-1

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