2026 Volume 22 Issue 2 Pages 53-65
This study aimed to obtain new insights into reducing occupational stress related to the “perception of organizational climate” among female ward nurses in Japan. A web-based survey was conducted with 770 participants. We newly added “degree of assertiveness” and “perception of colleague relationships” to the category of “stress factors.”
By setting the intersection point at the average score for each of the two axes, i.e., “tradition” and “organizational environment,” which are components of organizational climate, we classified the participants into four groups. We then used multi-group structural equation modeling (SEM) to identify the pathways from stress factors to psychological and physical stress responses in each group.
The results showed that across all groups, “degree of assertiveness” had an effect on “stress factors.” However, a pathway from stress factors to physical symptoms via a feeling of depression was observed only in Group II, which was characterized by low “tradition” and high “organizational environment,” whereas a pathway via a feeling of fatigue was observed only in Group IV, which was characterized by high “tradition” and low “organizational environment.”
The findings also indicated that differences in the “perception of organizational climate” led to variations in the pathways from “stress factors” to physical stress responses.