Clinical Scorecard: Stress Perception and Depression in Chinese Nurses: A Cross-Sectional Analysis of Psychological Flexibility and Its Mediating Factors

At a Glance

Key Highlights

• Depression prevalence among nurses is 26%.
• Perceived stress is positively correlated with depression (r = 0.63, p < 0.01).
• Psychological flexibility partially mediates the relationship between perceived stress and depression.
• Components of psychological flexibility include acceptance, cognitive defusion, mindfulness, and committed action.
• Indirect associations through mindfulness and self-as-context were not significant.

Guideline-Based Recommendations

Diagnosis

• Utilize the Patient Health Questionnaire-9 for assessing depression.

Management

• Consider interventions targeting psychological flexibility to mitigate depression.

Monitoring & Follow-up

• Regularly assess perceived stress levels among nursing staff.

Risks

• High perceived stress is linked to increased depression and poorer quality of care.

Patient & Prescribing Data

Nurses experiencing high levels of stress.

Psychological flexibility may serve as a target for interventions.

Clinical Best Practices

• Implement stress management programs focusing on enhancing psychological flexibility.
• Monitor mental health outcomes in nursing staff regularly.

Related Resources & Content

• Cohen’s Perceived Stress Scale
• Comprehensive Assessment of Acceptance and Commitment Therapy Processes
• Patient Health Questionnaire-9