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Aim To explore how and why mobile instant messaging applications are used by Filipino nurses as part of their work. Methods Guided by the uses and gratifications theory, in-depth interviews with 20 staff nurses working in 9 hospitals (ie, 4 private and 5 public hospitals) in the Philippines were conducted in July 2015. Interview data were analysed through a phenomenological perspective to thematic analysis. Results Results show that mobile instant messaging applications such as Facebook Messenger and Viber were mostly used by staff nurses and these were accessed using their own smartphones. Thematic analysis indicates that they were used to meet staff nurses' need for information exchange, socialization, and catharsis. Moreover, user interactions vary depending on members within a chat group. For instance, communication via mobile instant messaging applications are much formal when superiors are included in a chat group. Conclusion In general, the results show that mobile instant messaging applications are routinely used by Filipino staff nurses not only for clinical purposes (ie, information exchange) but also for non-clinical purposes (ie, socialization and catharsis). This paper ends with several practical and theoretical implications including future research directions. [ABSTRACT FROM AUTHOR]

Aims: To determine which stressor has the highest occurrence and what stressors are related to nurse outcomes, such as job satisfaction, perceived quality of care, and turnover intention. Background: Numerous stressors have been identified in nursing practice, but it is unclear if specific stressors are related to nurse outcomes. Design The study used a cross‐sectional and descriptive‐correlational research design. Methods: In July and August 2017, survey data were collected from 427 staff nurses employed in a large tertiary‐level private hospital in Metro Manila, Philippines. The Nursing Stress Scale was used to measure stress frequency. Structural equation modelling was used to determine the relationship of stressors and nurse outcomes. Results: Exploratory and confirmatory factor analyses indicate nine Nursing Stress Scale factors. Workload is the most frequent stressor. Moreover, workload was negatively related to job satisfaction and perceived quality of care. Workload and conflict with nurses were positively related to turnover intention. Conclusions: The Nursing Stress Scale has a different factor structure based on a survey of nurses in the Philippines. Only workload and conflict with nurses were related to specific nurse outcomes. Nurse managers should identify and mitigate stressors experienced by nurses since these can lead to turnover and poor quality of care. SUMMARY STATEMENT: What is already known about this topic? Nursing is one of the most stressful health care occupations.Stress is related to job satisfaction, perceived quality of care, and turnover intention.The Nursing Stress Scale is a widely used tool to measure stress in nursing practice. What this paper adds? Stress due to too many non‐bedside nursing tasks is the highest reported item level stressor.Among several stressors, only workload was related to job satisfaction, perceived quality of care, and turnover intention.Instead of the original seven‐factor model, results of factor analyses suggest that the Nursing Stress Scale fits a nine‐factor model. The implications of this paper: Nurse managers should mitigate stressors experienced by nurses to improve job satisfaction.One way to reduce nurse turnover could be to reduce nurses' workload.The quality of care provided to patients by nurses may improve by reducing workload. [ABSTRACT FROM AUTHOR]