High Levels Of Work Stress Research Articles

Factors Contributing to Work Stress among Nurses in Hadiya Zone’s Public Hospitals, Central Ethiopia

Background: Stress in nurses refers to the reactions nurses experience when faced with work demands that exceed their knowledge, skills, or ability to cope. Nursing, as a profession, is particularly susceptible to work-related stress. Methods: A cross-sectional study was conducted among 405 randomly selected nurses working in Hadiya Zone public hospitals from March 1 to 30, 2023. Data were collected using a pre-tested self-administered questionnaire. The data were entered using Epi-data version 3.1, and analysed using SPSS version 20.0. Multivariable logistic regression analysis was performed to identify factors associated with the level of work stress. Variables with a p-value <0.05 were considered statistically significant. Results: In this study, 56% (95% CI 50.9-61.2) of the participants reported being stressed in their work. Several factors were found to be associated with work stress, including being female (AOR=1.94, 95% CI 1.19-3.16), rotating shifts (AOR=2.06, 95% CI 1.31-3.25), working in the intensive care unit (AOR=3.42, 95% CI 1.20-9.73), and having post-basic training (AOR=0.55, 95% CI 0.34-0.92). Conclusion: The study revealed a high level of work stress among nurses in the study area. The zonal health unit takes measures to address work stress by providing job orientation during the hiring process, rotation, and on-the-job training to help nurses cope with and manage stressful events. Stress in public hospitals and among nurses is an important issue that needs urgent attention.

Uncovering the Global Impact of Measuring Stress, Workload, and Environment on Turnover Intentions

Employee turnover is a significant concern for organizations, impacting productivity, morale, and ultimately, profitability. This study investigates the influence of work stress, workload, and work environment on turnover intention among employees of CV. Ambassador Jaya Makmur, a cosmetics company located in Sidoarjo, East Java, Indonesia. Utilizing a quantitative approach with hypothesis testing, data was collected from 75 employees through Google Forms questionnaires. The findings reveal that work stress, workload, and work environment have a positive and significant impact on turnover intention. Specifically, high levels of work stress and workload contribute to employees' intention to leave, while unfavorable work environments also increase turnover intentions. The study underscores the importance of addressing these factors to mitigate turnover and enhance employee retention strategies within organizations. These findings provide valuable insights for human resource management practices, emphasizing the need to create conducive work environments and manage work-related stress and workload effectively to reduce turnover rates. Highlight: Work stress influences turnover. High workload increases turnover. Positive work environment reduces turnover. Keyword: Turnover intention, Work stress, Workload, Work environment, Employee retention

Work stress and professional performance in health personnel in the Gynecology and Obstetrics area of a Peruvian Hospital in 2023

Objective: To describe the relationship between work stress and professional performance in the Gynecology and Obstetrics service at the Sergio Bernales Hospital during the year 2023. Methods: Quantitative, observational, prospective and cross-sectional study. The study participants were health personnel working in the Gynecology and Obstetrics service of the Sergio E. Bernales National Hospital. Results: Health personnel have a medium level of work-related stress (45.4%), followed by 29.3% with a high level and 25.3% with a low level of work-related stress. Resident physicians (18; 100%) and obstetricians (26; 46.2%) predominantly showed a medium level of work-related stress. Medium and high levels of stress were associated with a good level of performance (26 people; 45.6%) and 15 interviewees (26.3%), respectively, and very good performance: 18 people (56.3%) and 13 (40.6%). Conclusions: It should be noted that 57,6% of the personnel have a good professional performance, with obstetricians being the majority in this group. It was observed that medium and high levels of work stress predominated among health personnel; however, a medium level of professional performance was found. The findings reveal that the majority of respondents managed to maintain good professional performance despite experiencing medium or high levels of job stress, suggesting the complexity of the relationship between stress and job performance in this health care setting.

Study of Intensity and Stress Due to Noise in Employees in The Production Unit at PT.

Background: The era of industrialization characterized by mechanization, electrification, modernization and the latest technological transformation can lead to processes that generate noise in the workplace. Noise in the workplace can cause noise exposure in the workplace can cause hearing loss and work stress. Therefore, it is important to understand the relationship between workplace noise levels and workers' stress levels. Research purposes: Finding the shape of the contour of worker noise levels and its relationship with worker stress levels. Research methods: Using a cross-sectional design, with a sample size of 78 workers determined using the Accidental Sampling method. Statistical analysis uses the Pearson correlation test. Research result: Shows that the shape of the noise contour is determined by variations in the noise level from the noise source varying from lowest to highest (87.2 dB, 89.9 dB, 91.8 dB, 93.4 dB, 94 dB, 95.6 dB, 100 dB, 101.3 dB, 105.5 dB). Noise exceeding the threshold value reflects the contour shape in some areas. Powerplant noise areas above the threshold value are found in ( Power Plant Lubricating Oil Tank (87.2 dB), Power Plant 1 Boiler Blowdown Tank (94 dB), Power Plant Pump Pipe (91.8 dB), Power Plant 1 Turbine (101 .3 dB), Air Drayer Installation Powerplant (93.4 dB), Plant Process Area noise above the threshold value in several areas ( Concentrator Process Plant (105 dB) BallMill Process Plant (100 dB), Area Concentrator Process Plant (98.8 dB), Concentrate Tank Process Plant (95.6 dB), Fixed Plant Area noise above the threshold value occurred at ( Slacker (89.9 dB), Concentrator (98.8 dB), Concentrate Tank (95.6 dB), and Cleaner Flotation (100 dB). Meanwhile in the Mining area, the highest noise is related to activities such as Exca-2000 Mining (105.5 dB), Drilling Diamond Mining (100 dB), and Drilling RC Mining (105.5 dB). The level of work stress shows that out of a total of 78 workers, 63 of them (around 11.1%) experienced severe stress, while there were no workers who experienced moderate levels of work stress out of a total of 15 workers involved in this research. This research found that there is a very weak and negative correlation between noise levels and work stress on noise risk. The results of the analysis show that the relationship between noise and work stress and noise risk has a correlation value of -0.112. Even though there is a weak negative relationship between these variables, this correlation is not statistically significant with a p-value of 0.327. Conclusion: This research concludes that noise levels in the workplace vary and come from various sources with different intensities. Several areas at PT. X, such as Powerplant, Process Plant, Fixed Plant, and Mining area, have noise that exceeds the threshold value. Research also finds that most workers experience high levels of work stress. Although there was a negative correlation between noise and job stress, the relationship was not statistically significant.

The Relationship between Emotional Burnout and the Quality of Life of Psychiatrists

Background: effective and safe provision of medical care depends on the well-being of medical workers – problems related to health and quality of life do not allow the clinician to realize his potential fully. A high level of work stress undermines the well-being of medical personnel. One of its most characteristic manifestations is burnout.The aim was to study the relationship between burnout and quality of life with the construction of a mathematical model for prediction of the quality of life based on information about the degree of psychiatrists’ burnout.The main hypothesis of this study was that burnout significantly and negatively affects the quality of life.Participants and methods: 82 psychiatrists, working in Moscow psychiatric clinics, independently filled out the Maslach Burnout Inventory and an abbreviated version of the WHO questionnaire «Quality of Life» (WHOQOL-BREF). The multiple linear regression was used to assess the impact of burnout on the quality of life of physicians. The values of the Maslach Burnout Inventory, the age, and gender of the respondents were used as predictors; the response variables were the values of WHOQOL-BREF.Results: the value of the domain «emotional exhaustion» is negatively associated with the four dimensions of the WHOQOL-BREF such as «physical health», «psychological health», «social relationships», «environment». The domain «personal accomplishment» positively correlated with respondents’ physical and psychological health. Age affected these indicators negatively but did not affect social relationships and health in the «environment» subscale. The gender of psychiatrists did not have a significant impact on their quality of life. The adjusted coefficient of determination of the models was in the range from 0.1907 to 0.511.Conclusions: еmotional burnout negatively affects the quality of life of practicing psychiatrists. Prospective, longitudinal studies are still needed to establish causal connections between these constructs.

Study of Indicators of the Quality of Life Related to Health by Labor Activity and Unemployment (International Experience)

Topicality. Work capacity is seen as an important aspect of well-being and health. One of the most important factors related to work capacity is health-related quality of life (HRQOL), which assesses the physical, mental, and social aspects of a person's health. The purpose of the study was to analyze the international experience of assessing indicators of the quality of life related to health in terms of labor activity and unemployment. Research methods: bibliosemantic research method followed by content analysis of scientific literary sources and electronic resources. Research Results. HRQOL is determined by a system of factors, the analysis of which was carried out with an emphasis on such areas as labor activity and unemployment. Multivariate analysis of a number of studies confirmed that occupational stress, exposure to workplace hazards, occupational accidents contribute to low HRQOL or work-related health problems. The quality of life of the unemployed is lower than that of the employed, besides, it is higher for women compared to men. Representatives of certain professions (teachers, lawyers, medical workers, engineers, insurance agents) have lower quality of life indicators due to a high level of work stress. Employees with higher professional status have higher indicators of quality of life. The quality of life of the population employed in the economies of developing countries is reduced. Conclusions. Thus, the obtained results indicate the importance of identifying factors that directly or indirectly affect all areas of the quality of life related to the health of persons of working age in order to correct them. Since improving the quality of life is one of the key tasks of the country's development planning strategy and its reconstruction in the post-war period.

THE INFLUENCE OF STRESS EFFECTS AND JOB SATISFACTION ON EMPLOYEE PERFORMANCE AT PT BANK RAKYAT INDONESIA TBK, PANAKKUKANG MAKASSAR BRANCH

Work stress, often arising from factors such as heavy workloads, tight deadlines, and interpersonal conflicts, can negatively impact employees' mental and physical health, job satisfaction, and overall job performance. High levels of work stress can lead to decreased motivation, increased absenteeism, and reduced productivity, which can ultimately affect an organization's bottom line. On the other hand, job satisfaction is a measure of how content employees are with their work and the work environment. When employees are satisfied with their jobs, they tend to be more engaged, motivated, and committed to their tasks, leading to higher job performance and overall organizational success. Job satisfaction is influenced by various factors, including job security, recognition, work-life balance, and opportunities for growth and development. This study aims to determine the effects of work stress (X1) and job satisfaction (X2) on the performance (Y) of PT Bank Rakyat Indonesia Tbk, Panakkukang Makassar Branch. The research type employed is descriptive quantitative. The study's population consists of all employees at PT Bank Rakyat Indonesia Tbk, which includes 73 branches in Panakkukang Makassar. The sample size comprises 73 employees. Data collection was conducted using a questionnaire. Data analysis involved simple regression analysis using SPSS Version 25 in 2023. The results indicate that work stress has no positive and significant effect on performance; when work stress increases, employee performance decreases, and vice versa. Conversely, job satisfaction has a positive and significant impact on performance. When individuals experience higher job satisfaction, it leads to improved performance.

Analysis of the Effect of Work Stress and Workload on Work Performance in FMC Bogor Hospital Nurses in 2023

The hospital provides services in inpatient, outpatient and emergency departments. The increase in the number of hospitals every year from 2016 amounted to 2046, expanding in 2021 to a total of 2514 public hospitals in Indonesia. (Statistics Center data for 2016-2021). This shows that the level of hospital competition is getting tighter, so the demands for hospitals to improve nurse performance are getting higher. Work performance can be affected by several things, including stress and workload based; research in local Indian hospitals showed 34% of nurses experienced moderate stress, and as many as 2% experienced high stress, to cause physical and mental health problems; another study involving nurse subjects at Makassar hospital also showed nurses who experienced stress and felt a heavy workload until work performance decreased by 91.7%. This study aims to see the relationship and significant influence between work stress and nurse workload on nurses' work performance. The research method is a cross-sectional analytical study and a method of research sampling with total sampling techniques. The results of univariate studies showed that most subjects were female, 65.7%, age range 26-30 years, high level of work stress (53.9%), and moderate workload (76.3%). The bivariate results in this study showed a relationship between nurses' work stress and workload (p value 0.024). Research shows no workload relationship to work performance (p value 0.84). The results of multivariate analysis with logistic regression showed that the variable work stress was associated with p value 0.011, with high stress having 11,014 times and low stress 3.522 against low work performance. The conclusion of the study can be seen in the relationship of work performance variables to stress, and high stress causes nurses to have a risk of 11,014 times experiencing low work performance.

The Effects of Work Stress and Work Motivation on Employee Performance

High levels of work stress (WS) can significantly lower work motivation (WM) as the energy is prone to deplete, causing burnout, and undermining employees’ belief to succeed in their career. On the other hand, low motivation level makes them more susceptible to experiencing WS and less resilient in coping with stressful situations. Thus, what is the connection between WS and WM on employee performance (EPf)? In fact, there are still few researches discussing the issue, particularly in telecommunications companies and this became the background for this study. To conduct the research, qualitative and quantitative data are used. The population comprised all employees of PT Hutchison 3 Indonesia (H3I) Makassar Branch who also become a sample or census sampling. For the data collection, a survey method is implemented with multiple linear regression as its technique of analysis. The results showed that the variables of WS and WM had a positive and significant impact on EPf. All research hypotheses are declared accepted, which indicates that an increase in the variables of WS and WM will improve EPf. The findings contribute to the development of theory and practice in the fields of performance and human resources management.

The effect of mindfulness therapy through an android application on nurses' work stress: A literature review

<p><strong><em>Introduction: </em></strong><em>Several studies have shown that nurses have high levels of work stress. Work stress can be overcome with therapy, especially mindfulness therapy. The purpose of this literature review is to synthesize the literature on mindfulness therapy to reduce work stress for nurses.</em></p><p><strong><em>Objectives : </em></strong><em>The formulation of the problem in this study is how to influence mindfulness therapy through an android applicationon work stress on work nurses in Emergency Room.</em></p><p><strong><em>Methods: </em></strong><em>Literature search was carried out using several databases, including PubMed and Scient Direct. The keywords used are different in each database. For Pubmed use "mindfulness" and "online" and "workload" or "work stress" or "occupational stress" and “nurse”, meanwhile for scient direct use "mindfulness" and "online" or "app" and "workload" or "work stress" or "occupational stress" and "RCT". </em></p><p><strong><em>Results: </em></strong><em>The search results from various literature obtained 360 articles, then through a series of selections, 67 match the criteria. These articles are publications from 2018 – 2023. but only 7 articles that are reviewed and in accordance with the research topic and 2 articles not available cannot be accessed, 1 article another language. There were 4 selected articles left for review. </em></p><p><strong><em>Conclusions: </em></strong><em>Nurses work have a high level of stress associated with a large workload. Work stress that is not handled properly can lead to social dysfunction and somatic disorders. Mindfulness-based stress reduction therapy is known effective in reducing the level of nurses anxiety, work fatigue, and work stress. Direct application or online is safe to give, because it does not have significant difference in effectiveness.</em></p>

ЗНАЧИМОСТЬ УДОВЛЕТВОРЕННОСТИ РАБОТОЙ В ПРОФЕССИОНАЛЬНОЙ ДЕЯТЕЛЬНОСТИ СОВРЕМЕННОГО ВРАЧА

Currently, the national project «Healthcare» is being actively implemented in the Russian Federation, the most important tasks of which are to increase the availability of medical care and the quality of medical services, the development of high-tech methods of diagnosis and treatment of diseases, strengthening the personnel reserve of the industry and achieving maximum staffing of medical organizations at various levels with doctors, secondary and junior medical personnel. As a basis for achieving these goals, of course, an increase in the level of motivation, satisfaction and psycho-emotional well-being of healthcare workers should be considered, which can contribute to the retention of existing and influx of young personnel, increase the level of staff working capacity, increase the quality of services provided and the availability of medical care. The peculiarities of the doctor’s work determine a consistently high level of work stress, which to a certain extent is determined by individual factors and personal characteristics of the specialist, as well as a number of organizational predictors. The degree of satisfaction of healthcare professionals with the workflow largely determines the quality and availability of medical care. This article presents data from domestic and foreign literary scientific sources that highlight the level of satisfaction of doctors with work and various factors associated with it, the impact of this indicator on the social and professional life of doctors, as well as possible measures to increase the satisfaction of specialists with their own work.

Development of a character-strengths based coaching program for rural community health workers to address their work stress in Madhya Pradesh, India

While rural ‘Accredited Social Health Activists (ASHAs)’ delivering primary care at the village-level in India experience high levels of work stress and burnout, little is known about the potential of positive psychology interventions in helping them respond to stressful situations. We aim to describe a systematic approach to designing and developing a ‘character-strengths based’ coaching program for rural ASHAs to help reduce their work-stress and improve their delivery of routine primary care. The development of the coaching program involved: (1) formative work, (2) blueprint development, (3) content development, (4) content-testing, and focus groups discussions to evaluate the feasibility and acceptability of the intervention, specifically the coaching workshop. This was followed by thematic qualitative analysis of ASHA perspectives/feedback to inform further modifications to the workshop. Intervention development occurred over 11 months, and the final coaching material consisted of a ‘content manual’ (for ASHAs) with four modules including character-strengths based ‘strategies’ to address challenges/stressors arising at health facilities, village communities and homes. Coaching material also included a workshop ‘facilitator’s manual’ having session-wise detailed instructions, a list of ‘energizers’ and plans for the coaching workshop. Consistent efforts were made to tailor the case-examples and workshop activities (e.g., roleplays, videos and reflections or discussion-based activities) to the local culture and context. This study illustrates a step-wise approach to contextually adapt the evidence-based character-strengths intervention approaches with iterative feedback from stakeholders (ASHAs), to develop a face-to-face coaching program aiming to reduce work stress, tailored to the context of a rural low-resource setting.

THE EFFECT OF EXTRINSIC MOTIVATION AND JOB STRESS ON EMPLOYEE PERFORMANCE WITH JOB SATISFACTION AS AN INTERVENING VARIABLE AT PT. BANK NEGARA INDONESIA (PERSERO) TBK. USU BRANCH MEDAN

The success of employees in an organization, especially in banking, has a big impact on how well the resources can meet customer needs and satisfaction, which is the goal of a business. Customer satisfaction is a big part of the company's goals, which has a lot to do with how the company manages its human resources. As a result, every employee should be required to improve their performance and work towards those goals at all times. On the other hand, job stress and things that motivate employees outside of work also affect how satisfied they are at work. This study aims to analyze the effect of extrinsic motivation and job stress on employee performance with job satisfaction as an intervening variable at PT Bank Negara Indonesia, Tbk USU Branch. This research was conducted using a quantitative approach, and data were collected through questionnaires distributed to 93 bank employees by conducting Z-sobel testing on the intervening test. The results showed a positive direct influence between extrinsic motivation and employee performance. Extrinsic motivation is proven to encourage increased employee performance. Furthermore, this study also found a negative direct effect between job stress and employee performance. High levels of work stress can hinder employee performance, reduce productivity, and affect overall work quality.

Teacher stress among public primary and secondary schoolteachers in Datong, a city of Shanxi Province, China: association between teacher stress and standardized workload.

The policy of the standardized workload has been implemented among primary and secondary schoolteachers in Shanxi Province. The aim of this cross-sectional cohort study is to assess teacher stress among primary and secondary schoolteachers in Datong, a city of Shanxi Province and the association between teacher stress and the quantified workload. Three hundred and fifty schoolteachers in 10 public primary schools, 187 schoolteachers in 6 secondary schools and 268 non-teachers in 21 education institutes were recruited. A single-item rating assessment of work-related stress was completed by using the Exposure to Job Stress measure with modification. The quantified workload included class size, teaching hours, and subjects. Descriptive and logistic regression analyses were carried out. In 805 participants, the pro- portion of primary and secondary schoolteachers with moderate stress was significantly greater. The results of Spearman's correlation and logistic regression analyses showed that the occupations of the primary and secondary schoolteachers had higher stress risk. Further, the stratified results showed that among the primary schoolteachers, the independent stress risk factor was larger class size; while among the secondary schoolteachers, the stress associated factor was more weekly teaching hours. After standardization of the workload, there remain higher levels of work stress among primary and secondary schoolteachers. Notwithstanding, the stress state in teachers is manageable and they may be faced with controllable stressors. Int J Occup Med Environ Health. 2023;36(2):161-76.

Proposed Stress Management Strategies to Accelerate Organizational Change at Greeneration Foundation: A Change Management Approach

Nowadays, climate change and other forms of environmental degradation area among defining challenges at present. Moreover, these several things are not only experienced in Indonesia, as well as other countries experiencing the same problem. To overcome the existing problems, of course, there needs to be joint synergies from all elements of society and the government to answer them. Greeneration Foundation (GF) as a a member of Indonesian Philanthropy aims to advance philanthropy and contribute to the goals of social justice and sustainable development in Indonesia. In 2022, the Greeneration Foundation is rearranging and consolidating its business foundations, product research and development, and business ideas based on funding sources coming from the individuals themselves. Furthermore, this changing of organization foundations doesn’t mean it doesn’t cause problems for the employee at Greeneration Foundation. Meanwhile, in undergoing these changes not all individual organizations are able to adapt or cope with the changes made, so of course there are impacts felt by individuals such as tension or stress. Therefore, the authors conducted research related to the correlation of work stress and organizational changes carried out by the Greeneration Foundation to serve as evaluation material for the Greeneration Foundation. This research was conducted on Greeneration Foundation employees with the aim of knowing the correlation between work stress and organizational changes faced by employees at Greeneration Foundation. In this study the authors collected data using a questionnaire with a total sample of 30 respondents and used a type of sample that is saturated sample. The data analysis technique used is quantitative analysis with the linear regression method using the help of the IBM SPSS Statistics program. Based on the results of the research conducted, it shows a level of work stress of 59.0% and organizational change of 68.0% which is in a fairly high category. Based on the following results, work stress and organizational change have a positive and significant correlation with a correlation value of 63.9%. Based on this research, the high level of work stress certainly has the potential to become even higher if proper management is not carried out, especially in the individual and organizational aspects. So that the Greeneration Foundation needs to manage the stress level of employees in order to accelerate organizational changes.

Canadian Correctional Officers’ Experiences of Workplace Safety and Stress During the COVID-19 Pandemic

This research examined the experiences of Canadian correctional officers (COs) in providing essential services during the COVID-19 pandemic. The study applied theoretical models of stress to explore correlates of COVID-related stress in the correctional setting. Provincial COs (N = 596) took part in an online survey at the end of 2020. Only a quarter of participants reported they felt safe at their workplace during the pandemic. Participants also reported high levels of work stress typified by significant changes to their job responsibilities and role confusion stemming from pandemic-related policies. While most participants agreed that their workplace successfully implemented safeguards, they indicated key downstream considerations were lacking and perceived low levels of certain types of support. Several individuallevel, situational workplace stressors, and coping resources were revealed to be significant correlates of COVID-19 stress. In estimating a hierarchical linear regression model, COVID-19 stress was found to be primarily driven by perceived safety precaution implementation when controlling for individual-level vulnerabilities. Findings examine the impact of COVID-19 among frontline workers in forgotten sectors such as corrections to contribute knowledge that can be used to support COs’ well-being in the face of future infectious disease planning, as well as implications for policy planning.

Mental Health of Nurses Working in a Judicial Psychiatry Hospital during the COVID-19 Pandemic in Italy: An Online Survey.

The onset of this new pandemic has highlighted the numerous critical issues at the organizational level, which involve both national healthcare and the judicial system. For this reason, nurses working in prisons may exhibit a poor quality of life, mainly related to their high level of work stress. This cross-sectional survey aimed to assess the emotional state of nurses working in the Judicial Psychiatry Hospital of Barcellona PG (Messina, Italy) during the COVID-19 pandemic. Data collection occurred twice: from 1 April to 20 May 2020 (i.e., during the Italian lockdown) and from 15 October to 31 December 2021 (during the second wave). At baseline, the 35 enrolled nurses presented medium to high levels of stress. At T1, they had a reduction in perceived personal achievement (MBI-PR p = 0.01), an increase in emotional exhaustion (MBI-EE p < 0.001), and stress (PSS p = 0.03), as well as anxiety (STAI Y1/Y2 p < 0.001). Most participants underlined the high usability of the online system (SUS: 69.50/SD 19.9). We also found increased stress, anxiety, and burnout risk in nursing staff. The study clearly demonstrates that the first year of the COVID-19 pandemic in Italy caused a worsening of mental health among nurses working in prisons. We believe that monitoring the mental state of healthcare professionals is fundamental to improving their quality of life and healthcare services.

The Association between Post-Traumatic Stress Disorder and Psychological Distress among Primary School and Middle School Teachers during the COVID-19 Epidemic: A Moderated Mediation Analysis

Background: The outbreak of the coronavirus disease (COVID-19) and its rapid spread may have led to individuals developing post-traumatic stress disorder (PTSD) and psychological distress. Under this context, teachers merit more attention as a group with high levels of work stress. The purpose of this study was to verify the relationship between PTSD and psychological distress and to explore sleep problems as a possible mediator in the relationship between PTSD and psychological distress, as well as the moderator of internet gaming disorders (IGD) in the relationship between sleep problems and psychological distress. Methods: A total of 11,014 Chinese primary and middle school teachers participated in this study. The survey was conducted online between 25 May and 30 June 2020. Results: PTSD was shown to have both a direct and indirect effect on teachers’ psychological distress. The indirect effect was mediated by sleep problems. IGD played a moderating role between sleep problems and psychological distress. Conclusions: During the COVID-19 pandemic, PTSD has been shown to have had a serious impact on the psychological stress of teachers, which was mediated by sleep problems. In addition, IGD raised the harm brought from sleep problems on teachers’ mental health.

Business Challenges Such as Organizational Politics, Job Stress and Turnover Intentions of Employees: Implication for Policy Development in Ghana

The purpose of the study was to look at the link between Organizational Politics, Job Stress, and Turnover Intentions as some of the difficulties that face Ghanaian businesses, leading to policy formation. The participants in this study were Anglo Gold Ashanti employees. Data was gathered by the distribution of personally given questionnaires to respondents who were chosen using a non-probability sample approach called convenience sampling. In the end, a total of 100 completed questionnaires were employed in the study. The results of this study were established by analyzing the data with SPSS and Smart PLS SEM Software. The study's findings revealed that Organizational Politics and Turnover Intention had a substantial positive association. The outcomes of this study suggest that in order to lower turnover intentions, high levels of work stress and low levels of organizational politics must be addressed.

Violence Against Medical Assistants by Colleagues at Educational Hospitals and Its Effects on the Quality of Education

Background: Violence against medical assistants (residents) by colleagues is a serious problem at educational hospitals that has not been sufficiently examined. The present study was conducted to determine the prevalence, risk factors, and types of violence perpetrated by colleagues against medical assistants. Methods: In a cross-sectional study conducted at two large tertiary referral educational hospitals, the study questionnaires were distributed among 480 healthcare professionals to investigate their experiences of violence. Results: Of 280 responders, 162 residents (57.9%) reported a history of violence or aggression. Of these, nearly 50% had experienced pure psychological violence, and 16.7% had been physically abused. The prevalence of victimization was high among the residents of the neurosurgery, orthopedic, and obstetric departments (90%, 88%, and 85%, respectively). Conclusion: Harassment experience was more common among the surgical residents than the internal medicine residents because of the former’s high level of work stress. Senior residents or fellowship residents were the main abusers. Losing professional selfesteem, decreasing job satisfaction, and dropping out of school were the main adverse outcomes of violence experienced by the victims.