Elderly population is growing fast in the western world due to a reduction in birth rates and a marked increase in life expectancy with multiple co-morbidity that warrants greater attention by health care workers. The purpose of the study is to investigate the levels of physical and mental health of elderly people living in Central Greece. A cross-sectional study design was adopted with self completed questionnaires. Data collected, included socio-demographic and general health information using the Greek version of General Health Questionnaire 28. Kolmogorov-Smirnov test and regularity diagrams were employed. The sample included 230 elderly people with an average age of 73.1 years, women (53.5%), married (75.7%), with children (100%), primary school graduates (47.8%), residing in a city (72.2%), retired (90.9%), living with a spouse (68.3%), worked previously (96%) and 37.4% with a present monthly income of 301-600€. In the General Health Questionnaire, the internal consistency factor Cronbach’s alpha for ‘physical depressive symptoms’ was 0.85, for ‘anxiety and insomnia’ 0.86, for ‘social dysfunction’ 0.86 and for ‘depressive sentiment’ 0.89, which indicates an excellent reliability of the questionnaire. The ‘social malfunction’ sub-scale showed the highest score (8.9) then ‘anxiety and insomnia’ (6.9) followed by ‘physical symptoms of depression’ (6.2) and ‘depressive sentiment’ (3.4). For the ‘anxiety and insomnia’ sub-scale, marital status shows another important correlation: unmarried elderly people had higher levels of stress. A lower educational level was associated with higher levels of anxiety and insomnia. Marital status appears to affect the manifestation of depressive symptoms as widows, singles and divorced showed a higher mean rate of depression than married people. Various demographic as well as bio-psycho-social factors affecting health and particularly mental health are distributed unevenly between older men and women and between older people living in urban and rural areas. Therefore as our findings show, special care and priority should be granted to those who are single or widowed or divorced as they seem to be at greatest risk for overall declining mental health.

Background: Spirituality is significantly associated with the quality of life of patients suffering from rheumatic diseases, helping them to cope with pain and improve emotional well-being. There is a gap in the literature regarding the relationship between spirituality, quality of life and treatment adherence in patients with rheumatic diseases, especially rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE), as relevant studies, especially in the Greek population, are limited. Aims: The present study aimed to evaluate the effect of medication adherence and spirituality on the quality of life of patients with rheumatic diseases. Methods: This was a cross-sectional study conducted in adult patients with rheumatoid arthritis and systemic lupus erythematosus from the region of Crete. Data were collected via a self-administrated questionnaire consisting of four parts, including questions regarding demographic and clinical information; the WHOQoL-BREF, 3, FACIT-Sp-12, and SMAQ questionnaires were used. The level of statistical significance was set at α = 0.05 for all analyses. Results: The study sample consisted of 115 participants, with the majority being women (90%). The majority of the participants suffered from RA (62%), while 38% suffered from SLE. The mean age of the participants was 49.15 years (SD = 11.7), and 46% described their health as good. We found that the dimensions of spirituality are positively related to the dimensions of quality of life. The peace dimension has a strong correlation with psychological health (r = 0.679, p < 0.001) and overall quality of life (QOL Global, r = 0.671, p < 0.001). Meaning also shows a positive correlation with psychological health (r = 0.563, p < 0.001) and overall quality of life (r = 0.506, p < 0.001), whereas adherence to medication shows a low but positive correlation with overall spirituality (r = 0.192, p = 0.040). Conclusions: The findings support that spirituality can be a protective mechanism, improving the mental resilience and adaptability of patients. This study has the potential to contribute to the development of evidence-based guidelines for the integration of spiritual care into clinical practice, with the objective of enhancing the psychological well-being and overall quality of life of patients with rheumatic diseases.

Background: Spirituality has emerged as a potential protective factor that may promote mental well-being and resilience among healthcare workers. Aim: This study aims to examine the relationship between spirituality, stress, and depression among healthcare professionals in Greece. Methods: This cross-sectional study surveyed 412 employees at the Corinth General Hospital in Greece, including medical, nursing, and administrative personnel. The data were collected using the Functional Assessment of Chronic Illness Therapy—Spiritual Well-Being 12 (FACIT-SP12), the Perceived Stress Questionnaire (PSQ), and the Center for Epidemiologic Studies Depression Scale (CES-D). The statistical analyses included non-parametric tests, correlation coefficients, and multiple regression. Results: The mean spirituality score was 34.6 (±6.83), while the stress and depression scores were 74.6 (±14.87) and 14.7 (±10.20), respectively. Spirituality was significantly and negatively correlated with both stress (r = −0.479, p < 0.001) and depression (r = −0.452, p < 0.001). Gender, years of service, educational level, and marital status were also associated with variations in stress, depression, and spirituality levels. Women and those with lower education reported significantly higher levels of stress and depression. Additionally, some demographic variables such as age and sector of employment did not show significant associations with spirituality or depression. The regression analysis confirmed spirituality as an independent predictor of lower stress levels (B = −1.158, p < 0.001). Conclusions: Spirituality is a significant predictor in mitigating stress and depression among healthcare workers. Promoting a supportive spiritual climate and incorporating elements of spiritual leadership in healthcare settings may enhance employee well-being and resilience. Future research should expand on these findings across diverse institutional and cultural contexts.

The work environment of nurses has consistently been the most important factor affecting the emergence of burnout and their choice to resign from their positions. Objective: To examine the effect of nurse work environment on job burnout and turnover intention among nurses. Methods: A cross-sectional study was conducted during October 2024 in Greece. We used the “Practice Environment Scale-5” to measure nurse work environment. Also, we used the single item burnout measure to measure job burnout, and the single item turnover intention measure to measure turnover intention among our nurses. We created multivariable regression models after adjustment for several demographic and job variables. Results: More than half of nurses (56.7%) reported a high level of turnover intention. Mean score on single item burnout measure (7.78) indicated high levels of burnout in our sample. Multivariable linear regression analysis showed that lower levels of staffing and resource adequacy was associated with increased job burnout (adjusted beta = -0.431, 95% CI = -0.683 to -0.180, p-value = 0.001). Similarly, our multivariable logistic regression model found an independent negative effect of staffing and resource adequacy on turnover intention (adjusted OR = 0.594, 95% confidence interval = 0.421 to 0.840, p-value = 0.003). Conclusion: Our multivariable analysis showed that worse nurse work environment was associated with higher levels of job burnout and turnover intention. Improvement of nurse work environment is essential to reduce job burnout and turnover intention among nurses.

Background/Objectives: Quiet quitting (QQ) has become a prominent concept in healthcare workforce discourse, yet its meaning, measurement, and relevance to care delivery remain unclear. This theory-informed scoping review mapped recent evidence on QQ and related disengagement-related constructs among nurses, focusing on conceptualization, measurement, and associations with nursing performance, patient safety, quality of care, and missed nursing care. Methods: The review was guided by the Population–Concept–Context (PCC) framework and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). Web of Science, Scopus, PubMed, the Cochrane Library, and CINAHL were searched on 19 March 2026 for empirical, peer-reviewed, English-language studies involving nurses and published from 2022 onward. Eligible studies examined QQ or adjacent disengagement-related constructs in relation to nursing performance or care-delivery outcomes. Data were charted narratively and appraised using the Mixed Methods Appraisal Tool (MMAT). Results: Seven studies met the inclusion criteria; two examined QQ directly. Direct evidence conceptualized QQ as reduced discretionary effort within formal role boundaries and situated it within adverse workplace conditions. Adjacent evidence addressed low work engagement, reduced vigor, low-effort and engagement–burnout profiles, which in some studies were associated with poorer perceived quality of care, lower safety behavior, poorer performance, or more missed care. No included study directly examined QQ in relation to missed nursing care. Conclusions: QQ in nursing should be reframed from a workforce label into a care-delivery question. Establishing its clinical relevance will require direct testing of whether QQ is associated with missed nursing care, a link that has not yet been examined directly.

Background/Objectives: Nurses’ innovative behavior and psychological well-being are essential for high-quality patient care and organizational effectiveness. Workplace gaslighting and job crafting may shape both, but evidence among nurses remains limited. We examined the association of workplace gaslighting and job crafting with innovative behavior and psychological need satisfaction at work among nurses, adjusting for demographic and job characteristics. Methods: We conducted a cross-sectional study with a convenience sample of 595 nurses in Greece between March and June 2026. We used the Gaslighting at Work Scale, the Job Crafting Scale, the Innovative Behavior Inventory, and the Basic Psychological Need Satisfaction at Work Scale. We performed multivariable linear regression analysis to control for confounders. Results: Job crafting, particularly seeking resources and seeking challenges, was associated with higher innovative behavior, innovation outputs, autonomy, competence, and relatedness, whereas reducing demands was associated with lower autonomy and competence. Workplace gaslighting was associated with lower autonomy, competence, and relatedness. Postgraduate education and longer work experience were associated with higher innovative behavior and innovation outputs, while working in understaffed departments was associated with lower innovation outputs, autonomy, and competence. Male nurses reported higher innovative behavior and innovation outputs, whereas female nurses reported higher competence. Conclusions: Job crafting emerged as a potential facilitator of innovation and psychological need satisfaction among nurses, whereas workplace gaslighting was linked to lower need satisfaction. Interventions that promote proactive job crafting and prevent workplace gaslighting may enhance nurses’ well-being and capacity for innovation. Longitudinal studies are needed to confirm these associations.