J Korean Acad Nurs Adm.  2020 Sep;26(4):378-387. 10.11111/jkana.2020.26.4.378.

Influence of Clinical Nurses’ Job Stress on Mental Health Problems: Mediating Effect of Appreciation Moderated by Health-Promoting Lifestyle

  • 1Assistant Professor, College of Nursing, Sahmyook University
  • 2Graduate Student, College of Nursing, Sahmyook University ․ Head Nurse, Sahmyook Medical Center


The purpose of this study was to investigate the moderating mediation effect of health-promoting lifestyle in the relationships between clinical nurses’ job stress, appreciation and mental health problems.
The participations were 230 clinical nurses working in general hospitals in Seoul City and Gyeonggi Province. Data were collected in November 2019 via an online survey that covered job stress, appreciation, health-promoting lifestyles and mental health problems. The collected data were analyzed using SPSS 25.0, SPSS PROCESS Macro(Model 4, Model 7) and bootstrapping method.
Appreciation had a significant mediation effect in the relationship between job stress and mental health problems. Health-promoting lifestyle had a significant moderation effect in the relationship between job stress and appreciation. Further, health-promoting lifestyle significantly moderated mediation effect of job stress on mental health problems through appreciation.
The results of this study suggest that it is necessary to effectively manage health-promoting lifestyle in the context of clinical nurses’ mental health problems due to job stress. In order to improve clinical nurses’ mental health, it is necessary to provide them with increased appreciation and lead health-promoting lifestyle.


Nurses; Occupational stress; Healthy lifestyle; Mental health
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