دوره 12، شماره 4 - ( 8-1405 )
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Marthoenis M, Nurhayati N. Understanding Psychological Determinants of Nursing Performance in Psychiatric Settings: The Role of Psychological Capital and Stress. JCCNC 2026; 12 (4)
URL: http://jccnc.iums.ac.ir/article-1-1024-fa.html
URL: http://jccnc.iums.ac.ir/article-1-1024-fa.html
Understanding Psychological Determinants of Nursing Performance in Psychiatric Settings: The Role of Psychological Capital and Stress. نشریه مراقبت پرستاری مددجو محور. 1405; 12 (4)
چکیده: (41 مشاهده)
Background: Psychiatric nurses work in highly demanding environments that expose them to substantial psychological strain, which may affect their performance and the quality of mental health services. Psychological capital as a composite of self-efficacy, hope, resilience, and optimism, has emerged as a potentially protective factor. This study examined the correlations between psychological capital, psychological distress, and job performance among psychiatric nurses in Indonesia.
Methods: A cross-sectional study was conducted between March and April 2023 among psychiatric nurses at the Aceh provincial mental hospital in Indonesia. A total population sampling approach was used, in which all eligible psychiatric nurses working in clinical units were invited to participate. Of the 190 eligible nurses, 186 completed the survey (response rate: 97.9%). Psychological capital was assessed using the Psychological Capital Questionnaire (PCQ); depression, anxiety, and stress were measured using the Depression Anxiety Stress Scale-21 (DASS-21) and job performance was measured using the Six-Dimension Scale of Nursing Performance (6-DSNP). Data were analyzed using Stata version 13. Descriptive statistics, Pearson correlations, and multiple linear regression were performed and a two-tailed p-value < 0.05 was considered statistically significant.
Results: Psychological capital showed a strong positive correlation with job performance (r = 0.56, p < 0.001), while stress demonstrated a moderate negative correlation (r = –0.34, p < 0.001). Depression and anxiety were weakly but significantly correlated with performance in bivariate analysis. In the multivariable model, psychological capital remained a significant positive predictor of performance (B = 0.63, p < 0.001), while stress remained a significant negative predictor (B = –0.56, p = 0.010). Depression and anxiety were not significant when other variables were controlled. The model explained 34% of variance in performance.
Conclusion: Psychological capital is a strong predictor of job performance among psychiatric nurses, whereas stress undermines performance. Interventions to enhance psychological capital and reduce workplace stress may strengthen workforce resilience and improve psychiatric nursing care quality.
Methods: A cross-sectional study was conducted between March and April 2023 among psychiatric nurses at the Aceh provincial mental hospital in Indonesia. A total population sampling approach was used, in which all eligible psychiatric nurses working in clinical units were invited to participate. Of the 190 eligible nurses, 186 completed the survey (response rate: 97.9%). Psychological capital was assessed using the Psychological Capital Questionnaire (PCQ); depression, anxiety, and stress were measured using the Depression Anxiety Stress Scale-21 (DASS-21) and job performance was measured using the Six-Dimension Scale of Nursing Performance (6-DSNP). Data were analyzed using Stata version 13. Descriptive statistics, Pearson correlations, and multiple linear regression were performed and a two-tailed p-value < 0.05 was considered statistically significant.
Results: Psychological capital showed a strong positive correlation with job performance (r = 0.56, p < 0.001), while stress demonstrated a moderate negative correlation (r = –0.34, p < 0.001). Depression and anxiety were weakly but significantly correlated with performance in bivariate analysis. In the multivariable model, psychological capital remained a significant positive predictor of performance (B = 0.63, p < 0.001), while stress remained a significant negative predictor (B = –0.56, p = 0.010). Depression and anxiety were not significant when other variables were controlled. The model explained 34% of variance in performance.
Conclusion: Psychological capital is a strong predictor of job performance among psychiatric nurses, whereas stress undermines performance. Interventions to enhance psychological capital and reduce workplace stress may strengthen workforce resilience and improve psychiatric nursing care quality.
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