Job stress experiences among Korean pediatric ward nurses: a qualitative content analysis

Abstract

PURPOSE: This study explored job stress experiences among pediatric ward nurses in Korea and identified the underlying meanings and patterns of these experiences using qualitative content analysis. METHODS: Data were collected through individual in-depth interviews with 9 pediatric ward nurses who had at least 1 year of experience, thereby excluding nurses in the initial adaptation phase of clinical practice. The data were analyzed using qualitative content analysis. RESULTS: Five categories of job stress experiences were identified: (1) cognitive and emotional burden related to the distinctive characteristics of children, (2) difficulties maintaining positive relationships with caregivers, (3) difficulties arising from job demands and organizational culture, (4) additional stress from caring for children from multicultural families, and (5) growth through overcoming stress. Pediatric nurses experienced heightened emotional labor related to developmentally appropriate care and caregiver interactions, as well as structural stress associated with organizational and interprofessional contexts. Despite these challenges, they described developing professional competence, resilience, and professional identity through accumulated experience and supportive relationships. CONCLUSION: Job stress among pediatric ward nurses is a multifaceted experience shaped by clinical, relational, organizational, and sociocultural contexts. Although stress created substantial challenges, nurses also described professional growth and resilience as they accumulated experience. These findings highlight the need for integrated educational and organizational strategies that address emotional labor, strengthen resilience, and promote equitable family-centered pediatric nursing care.