Being Called to Nursing: Buffering the Stress-Rumination Effects

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Being Called to Nursing: Buffering the Stress-Rumination Effects Shani Pindek 1

& Michele

W. Gazica 2

Received: 5 December 2019 / Revised: 18 June 2020 / Accepted: 19 June 2020 # Springer Nature Switzerland AG 2020

Abstract While much is known about stress experiences in nursing, the role of occupational calling in the stress experiences of nurses is not well understood. The aim of the current study was to examine the association among stressors (organizational constraints, patient suffering, and inadequate preparation), occupational calling, and rumination in nurses, and to test the moderating effect of calling on the stressor-rumination relationship. The sample consisted of 381 patient-care nurses. Results indicated that two stressors, organizational constraints and inadequate preparation, were associated with increased work rumination. Furthermore, there was an interaction between the third stressor, patient suffering, and occupational calling, such that nurses who were high on calling were likely to ruminate regardless of stressor levels, while nurses who were low on calling were more likely to ruminate when exposed to higher levels of patient suffering. The results support the relevance of occupational calling to understanding work stress experiences in nursing. Future studies with more distal outcomes such as burnout will contribute further to this understanding. We also discuss generalizability across other occupations. Finally, this study has practical implications, as interventions aimed at reducing nurses’ work stress can benefit from being tailored to the characteristics of the nurses, particularly their level of occupational calling. Keywords Nursing . Occupational stress . Patient care stressors . Occupational calling .

Work-related rumination

* Shani Pindek [email protected] Michele W. Gazica [email protected]

1

Department of Human Services, University of Haifa, Abba Khoushy Ave, 199 Haifa, Israel

2

Behavioral & Social Sciences Department, Embry-Riddle Aeronautical University, 3700 Willow Creek Rd, Bldg 74, Prescott, AZ 86301, USA

Occupational Health Science

Introduction Occupational stressors experienced by nurses have been linked to a myriad of negative strain responses, including burnout, dissatisfaction, ill health, withdrawal intentions, and higher patient mortality rates (Aiken et al. 2002; Aiken et al. 2001; Kath et al. 2013a; Kirkcaldy and Martin 2000; Shin et al. 2018). This evidence suggests that occupational stress negatively impacts not only the nurses who experience it but also their patients. Thus, occupational stress experienced by patient-care nurses is an important area of research (Gray-Toft and Anderson 1981), particularly research that seeks to disrupt the stressor-strain process to improve the well-being of nurses and their patients. One potential individual difference variable that may affect the stressor-strain process in patient-care nurses is occupational calling (i.e., work that is meaningful and fulfills an overall purpose in an individual’s life; Dik and Duffy 20