Stress, psychological well-being, social support, practice environment, resilience, job satisfaction, and acculturation among Filipino internationally qualified nurses: A structural equation model

Abstract

Background: During the post-COVID-19 pandemic, during which migration of internationally qualified nurses (IQNs) continued, there was evidence of increased burnout, turnover, staffing shortage, and diminished quality of life in the global nursing workforce.

Purpose: To test a model of interrelationships of stress, psychological well-being (PWB), social support, practice environment, resilience, job satisfaction, and acculturation among Filipino IQNs.

Methods: Cross-sectional and correlational design study participated by Filipino IQNs (n=578) from 13 countries. Seven self-report scales were used to collect data between June and December 2023. Structural equation modeling was employed for data analysis.

Discussion: Stress, PWB, practice environment, resilience, and job satisfaction positively influenced acculturation. Social support and resilience were positively associated with job satisfaction. Practice environment mediated between stress and acculturation, while job satisfaction mediated the effects of social support and resilience to acculturation.

Conclusion: A positive practice environment and job satisfaction are protective factors that could mitigate stress while strengthening social support, resilience, and acculturation experience.

Keywords: Acculturation; Internationally qualified nurses; Job satisfaction; Practice environment; Psychological well-being; Resilience.