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A multigroup analysis of the effect of cognitive appraisal on nurses' psychological distress

dc.contributor.authorSimães, Clara
dc.contributor.authorGomes, António R.
dc.contributor.authorCosta, Patrício
dc.date.accessioned2021-05-13T18:25:17Z
dc.date.available2021-05-13T18:25:17Z
dc.date.issued2019-05-01
dc.description.abstractBackground: Cognitive appraisal constitutes an important mechanism in the process of human adaptation to work environment and occupational stress. In this domain, nursing professionals are one of the occupational groups most affected by job stress, suffering high levels of psychological distress. Objectives: The aims of this study were to analyze the moderator effect of shift work and the type of job contract on the relationship between work cognitive appraisal and nurses' psychological distress and to explore the interaction effect of the two moderator variables on that relationship. Methods: A sample comprised of 2,310 Portuguese registered nurses completed a sociodemographic and professional questionnaire: the Primary and Secondary Cognitive Appraisal Scale and the General Health Questionnaire-12. Data were analyzed through structural equation modeling and multigroup analyses considering the following groups: (a) "shift" versus "nonshift work"; (b) "precarious job contract" versus "nonprecarious job contract"; and (c) "shift and precarious" versus "shift and nonprecarious" versus "nonshift and precarious" versus "nonshift and nonprecarious." Results Data confirmed the invariance for the measurement model, but the structural model presented a significantly worse adjustment for all grouping variables, showing the moderator effect of shift work and job contract and of their interaction. Difference tests in structural path coefficients revealed that shift work moderated the relationship between challenge perception and psychological distress - which was stronger for shift work nurses - and that a higher threat perception was related to greater psychological distress, especially in nurses with a precarious job contract. Among the four categories of interaction between job contract and shift work, cognitive appraisal became central in predicting nurses' mental health, explaining more variance in the group that did shift work and had a nonprecarious job contract. Discussion: The study results highlight the need to develop occupational health intervention programs to promote nurses' mental health, focusing on reducing work perception as a threat and on making nurses' jobs more challenging and controllable.pt_PT
dc.description.versioninfo:eu-repo/semantics/acceptedVersionpt_PT
dc.identifier.doi10.1097/NNR.0000000000000352pt_PT
dc.identifier.eid85065429410
dc.identifier.issn0029-6562
dc.identifier.pmid31033869
dc.identifier.urihttp://hdl.handle.net/10400.14/33112
dc.identifier.wos000467559800001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/pt_PT
dc.subjectCognitive appraisalpt_PT
dc.subjectDistresspt_PT
dc.subjectJob contractpt_PT
dc.subjectMultigrouppt_PT
dc.subjectNursespt_PT
dc.subjectShiftspt_PT
dc.titleA multigroup analysis of the effect of cognitive appraisal on nurses' psychological distresspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPageE11pt_PT
oaire.citation.issue3pt_PT
oaire.citation.startPageE1pt_PT
oaire.citation.titleNursing Researchpt_PT
oaire.citation.volume68pt_PT
person.familyNameSimães Mendes
person.familyNameGomes
person.familyNameCosta
person.givenNameClara Maria Faria
person.givenNameA. Rui
person.givenNamePatrício
person.identifierA-7688-2014
person.identifier102835
person.identifier.ciencia-id1019-C788-D989
person.identifier.ciencia-idB312-8D41-3375
person.identifier.ciencia-id6218-6A2D-C2F7
person.identifier.orcid0000-0001-9856-2295
person.identifier.orcid0000-0002-6390-9866
person.identifier.orcid0000-0002-1201-9177
person.identifier.ridB-5963-2009
person.identifier.ridA-3072-2013
person.identifier.scopus-author-id57207797090
person.identifier.scopus-author-id18339979500
person.identifier.scopus-author-id49460913600
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication221367bc-1707-4124-a598-52a365188af1
relation.isAuthorOfPublication37c3ae7d-598e-406f-84d1-f1a899dcbcf5
relation.isAuthorOfPublicationcf84ee2c-e6f2-4e7f-b01e-cd7d02960cfc
relation.isAuthorOfPublication.latestForDiscovery37c3ae7d-598e-406f-84d1-f1a899dcbcf5

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