Perceived mental health issues, challenges, and help-seeking behavior among hospital nurses in Panay Island, Philippines: Implications to mental health policies

Abstract

This study, which aimed to determine the perceived mental health issues, challenges, and help-seeking behavior, among hospital nurses in Panay Island, Philippines employed a survey-correlational research design. The respondents in this study were 100 nurses selected using a simple random sampling method. The researcher-made questionnaire was used to gather the data needed in this study. The questionnaires were distributed using online platform after the release of the ethical clearance from the Research Ethics Review Board of Central Philippine University. The gathered data were coded, tabulated, and encoded in the computer using the Statistical Package for Social Sciences (SPSS) software, version 26. The duration of this study was from December 2023 to December 2024. The frequency count, percentage analysis, mean, and standard deviation were used for descriptive analyses. The Chi-Square Test, t-test, and one-way analysis of variance (One-way ANOVA) were used for inferential analysis of data. All inferential statistics were set at .05 level of significance. The results showed that a great majority of the respondents are female, highlighting the predominantly female workforce in the nursing profession. They belong to age group 30 to 39 years old, and only a minority holds postgraduate degrees. Professional experience varied, with a substantial percentage having more than 10 years of experience. Mental health issues were pervasive among nurses, with stress and anxiety being the most frequently reported concerns. Stress levels were particularly severe among nurses working in general wards, likely due to the demanding nature of their roles. Anxiety was universally severe, with male nurses and younger professionals reporting higher susceptibility. Depression and burnout were consistently rated as moderate across all groups, with younger nurses and those in rotational units experiencing slightly higher levels. Nurses faced numerous challenges in their professional environments, including stigmatization of professional consequences, workplace discrimination, limited access to mental health services, and insufficient organizational support. Stigmatization was more pronounced among less experienced nurses, suggesting that younger professionals may feel more vulnerable to judgment or negative perceptions. Nurses with more years of experience reported greater difficulties in accessing mental health services, possibly due to their increased awareness of systemic barriers. Organizational support was generally perceived as moderate, with gaps in mentorship programs, training, and access to confidential resources contributing to these perceptions. Help-seeking behaviors among nurses were influenced by their work environments and personal experiences. Supportive work environments were more commonly reported among experienced nurses, who also exhibited greater confidence in seeking help. Peer and social support were perceived as critical coping mechanisms, although their availability varied across units. Mental health education and training were identified as valuable tools for reducing stigma and promoting awareness, but their implementation was inconsistent. Limited access to mental health services and insufficient organizational support emerged as significant barriers. The study concludes that hospital nurses in Panay Island face significant mental health challenges that are influenced by their demographic profiles, work environments, and organizational contexts. Younger nurses and those working in general wards are particularly vulnerable to stress and anxiety, while more experienced nurses encounter barriers to accessing mental health services. The prevalence of stigma and workplace discrimination further exacerbates these issues, underscoring the need for targeted interventions to foster an inclusive and supportive work culture. Despite the challenges, nurses demonstrated resilience through help-seeking behaviors, particularly relying on peer and social support. However, the effectiveness of these coping strategies was hindered by systemic barriers such as insufficient organizational support and limited access to resources. The findings highlight the critical role of organizational policies in addressing these barriers and promoting mental health awareness among nurses. By improving workplace support systems, providing accessible mental health services, and fostering a culture of openness, healthcare institutions can significantly enhance nurses’ well-being and productivity. The study’s findings also emphasize the importance of addressing stigma and discrimination in the workplace. Initiatives such as mental health literacy programs, confidential counseling services, and mentorship opportunities can help reduce stigma and empower nurses to seek help without fear of judgment or repercussions. Furthermore, tailored interventions for high-risk groups, such as younger nurses and those in high-stress roles, are essential for mitigating mental health risks and improving overall job satisfaction.