Nursing staff and supervisors perceptions on stress and resilience: a qualitative study

Abstract Background Supervisor–subordinate relationship is high relevant in dealing with work-related stress and providing a compassionate, high-quality, and safe nursing care while meeting the needs of the hospital. Our aim was to assess the predisposing risk and resilience factors of the stress of...

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Main Authors: Madeleine Helaß, Anja Greinacher, Melanie Genrich, Andreas Müller, Peter Angerer, Harald Gündel, Florian Junne, Christoph Nikendei, Imad Maatouk
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-025-02712-x
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author Madeleine Helaß
Anja Greinacher
Melanie Genrich
Andreas Müller
Peter Angerer
Harald Gündel
Florian Junne
Christoph Nikendei
Imad Maatouk
author_facet Madeleine Helaß
Anja Greinacher
Melanie Genrich
Andreas Müller
Peter Angerer
Harald Gündel
Florian Junne
Christoph Nikendei
Imad Maatouk
author_sort Madeleine Helaß
collection DOAJ
description Abstract Background Supervisor–subordinate relationship is high relevant in dealing with work-related stress and providing a compassionate, high-quality, and safe nursing care while meeting the needs of the hospital. Our aim was to assess the predisposing risk and resilience factors of the stress of nursing staff as well as to explore the common and distinctive perceptions of these factors between nurses without a managerial position (nursing staff) and employees in a supervising position (nurse managers, ward nurses). Design Generic qualitative study using half-standardized interviews. Methods Fifty nurses and supervisors from different departments from a German hospital of maximum medical care participated in this study between August and November 2018. Nineteen face-to-face interviews and five focus groups were conducted. Transcripts were subjected to structured qualitative content analysis. Results Systematised in Lazarus’s transactional model, nurses, and supervisors mentioned similar risk and resilience factors of stress. Disagreement in suggested responsibility for nurses’ stress or health and an evaluation of implemented measures meeting the nurses’ needs are discussed. Conclusion Nursing staff and supervisors should enforce exchange to reduce disagreements in perceptions and to improve mutual understanding. Furthermore, measures to meet nurses’ needs to minimize stress and to improve collaboration and job satisfaction should be developed in close coordination with the target group. The focus should be placed on restructuring training and education programs with supplementation of self-responsibility promotion. Trail registration The study was registered with the German Register for Clinical Studies (DRKS 00013482) on 09 March 2018.
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spelling doaj-art-2ddcd4480efc4d4184d4eae6381f4d462025-01-26T12:22:46ZengBMCBMC Nursing1472-69552025-01-0124111810.1186/s12912-025-02712-xNursing staff and supervisors perceptions on stress and resilience: a qualitative studyMadeleine Helaß0Anja Greinacher1Melanie Genrich2Andreas Müller3Peter Angerer4Harald Gündel5Florian Junne6Christoph Nikendei7Imad Maatouk8Department of General Internal Medicine and Psychosomatics, University Hospital HeidelbergClinical Psychology, Interaction and Psychotherapy Research, Faculty of Social Sciences, University of MannheimInstitute of Psychology, Work and Organizational Psychology, University of Duisburg-EssenInstitute of Psychology, Work and Organizational Psychology, University of Duisburg-EssenFaculty of Medicine, Institute of Occupational, Social and Environmental Medicine, Centre for Health and Society, Heinrich Heine University DüsseldorfClinic of Psychosomatic Medicine and Psychotherapy, University Hospital UlmDepartment of Psychosomatic Medicine and Psychotherapy, University MagdeburgDepartment of General Internal Medicine and Psychosomatics, University Hospital HeidelbergDepartment of General Internal Medicine and Psychosomatics, University Hospital HeidelbergAbstract Background Supervisor–subordinate relationship is high relevant in dealing with work-related stress and providing a compassionate, high-quality, and safe nursing care while meeting the needs of the hospital. Our aim was to assess the predisposing risk and resilience factors of the stress of nursing staff as well as to explore the common and distinctive perceptions of these factors between nurses without a managerial position (nursing staff) and employees in a supervising position (nurse managers, ward nurses). Design Generic qualitative study using half-standardized interviews. Methods Fifty nurses and supervisors from different departments from a German hospital of maximum medical care participated in this study between August and November 2018. Nineteen face-to-face interviews and five focus groups were conducted. Transcripts were subjected to structured qualitative content analysis. Results Systematised in Lazarus’s transactional model, nurses, and supervisors mentioned similar risk and resilience factors of stress. Disagreement in suggested responsibility for nurses’ stress or health and an evaluation of implemented measures meeting the nurses’ needs are discussed. Conclusion Nursing staff and supervisors should enforce exchange to reduce disagreements in perceptions and to improve mutual understanding. Furthermore, measures to meet nurses’ needs to minimize stress and to improve collaboration and job satisfaction should be developed in close coordination with the target group. The focus should be placed on restructuring training and education programs with supplementation of self-responsibility promotion. Trail registration The study was registered with the German Register for Clinical Studies (DRKS 00013482) on 09 March 2018.https://doi.org/10.1186/s12912-025-02712-xNursesSupervisorsStressResilienciesJDRTransactional model
spellingShingle Madeleine Helaß
Anja Greinacher
Melanie Genrich
Andreas Müller
Peter Angerer
Harald Gündel
Florian Junne
Christoph Nikendei
Imad Maatouk
Nursing staff and supervisors perceptions on stress and resilience: a qualitative study
BMC Nursing
Nurses
Supervisors
Stress
Resiliencies
JDR
Transactional model
title Nursing staff and supervisors perceptions on stress and resilience: a qualitative study
title_full Nursing staff and supervisors perceptions on stress and resilience: a qualitative study
title_fullStr Nursing staff and supervisors perceptions on stress and resilience: a qualitative study
title_full_unstemmed Nursing staff and supervisors perceptions on stress and resilience: a qualitative study
title_short Nursing staff and supervisors perceptions on stress and resilience: a qualitative study
title_sort nursing staff and supervisors perceptions on stress and resilience a qualitative study
topic Nurses
Supervisors
Stress
Resiliencies
JDR
Transactional model
url https://doi.org/10.1186/s12912-025-02712-x
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