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Moderators of the Negative Outcomes of Nurse Manager Stress

Kath, Lisa M. PhD; Stichler, Jaynelle F. DNSc, RN, FACHE, FAAN; Ehrhart, Mark G. PhD

Journal of Nursing Administration: April 2012 - Volume 42 - Issue 4 - p 215–221
doi: 10.1097/NNA.0b013e31824ccd25

Objective: The objective of this study was to examine moderators of the negative effects of nurse managers’ stress.

Background: Nurse managers have important and stressful jobs. Stress affects outcomes such as job satisfaction and intent to quit.

Methods: A quantitative, cross-sectional survey design was used to obtain a convenience sample to examine which factors buffered negative effects of stress.

Results: Nurse managers reported high levels of stress, although stress decreased with age. Autonomy was the most effective buffer, followed by social support and predictability.

Conclusions: Nurse managers should be offered autonomy and encouraged to seek support from supervisors and coworkers to reduce the negative effects of stress.

Author Affiliations: Assistant Professor (Dr Kath), Department of Psychology, College of Sciences; Professor–Nursing Leadership Chair (Dr Stichler), School of Nursing; Associate Professor (Dr Ehrhart), Department of Psychology, College of Sciences, San Diego State University, California.

The authors declare no conflict of interest.

Correspondence: Dr Kath, 5500 Campanile Dr, MC-4611, San Diego, CA 92182-4611 (

© 2012 Lippincott Williams & Wilkins, Inc.