Job Stress Of Nurses Research Articles

Spatial patterning of occupational stress and its related factors in Iranian critical care nurses using a hierarchical Bayesian technique.

In each community, health problems' patterns and geographical changes are of prime importance to determine high and low-risk areas. This study aimed to investigate the Spatial patterning of occupational stress and its related factors in Iranian critical care nurses using a hierarchical Bayesian techniqueMETHODS:The current research was a cross-sectional descriptive-analytical study. The data includes the number of critical care unit nurses who show a high stress level based on a questionnaire. We used variables such as age, gender, collaboration status, working time, marital status, clinical experience, education, supervisor support, stress score, and working on holiday days for this study. The survey participants had to be at least 18 years old, a registered nurse, and working in the intensive care unit (ICU). OpenBUGS version 3.2.3 was used to implement the Bayesian hierarchical Poisson model and find partial patterning of occupational stress and its related factors. The final sample size was 17414 nurses. The overall prevalence of occupational stress in ICU nurses was estimated at 70%. The lowest and highest prevalence was 65.8% in the North Khorasan province and 75.2% in Golestan province. Occupational stress had a statistically significant association with collaboration status, but with demographic variables, shift work, supportive supervisor, and working on holidays had no statistically significant association. According to the findings, it is necessary to eliminate or reduce job stress and increase efficiency in Iranian nurses, encourage teamwork and collaboration as an essential element of a healthy workplace environment.

Lower Urinary Tract Symptoms and Related Factors in Iranian Female Nurses.

Background:Lower Urinary Tract Symptom (LUTS) are common among female nurses. High levels of job stress in nurses may be associated with the prevalence of these symptoms. This study aimed to investigate the prevalence of LUTS and factors related to these symptoms in female nurses.Materials and Methods:A cross-sectional study in which 460 nurses and nursing assistants participated was conducted. A questionnaire consisting of socio-demographic data, International Consultation on Incontinence Questionnaire – Female Lower Urinary Tract Symptoms, and Toileting Behavior – Women's Elimination Behavior Scale was used. Data analysis was performed by descriptive and inferential statistical tests at a significant level of p < 0.05.Results:The highest and lowest scores of LUTS were related to the urgency and nocturnal enuresis with a mean (SD) score of 1.85 (1.03) and 0.05 (0.26), respectively. Concerning toileting behaviors, the highest score was for the place preference for voiding with a mean (SD) score of 4.13 (0.66), which correlated with LUTS. Among controllable variables, years of practice, urinary tract infections, use of perineal pads for urinary leakage, lifting heavy objects at work, and medical history were identified as predictors of LUTS (p < 0.05).Conclusions:LUTS was highly prevalent in the female nurses. The results revealed that unhealthy toileting behaviors may contribute to the prevalence of LUTS. Early identification of these symptoms and the development of an educational intervention program to enhance the knowledge of healthy toileting behaviors may prevent the occurrence of urinary symptoms.

간호사의 코칭역량과 직무스트레스가 조직몰입에 미치는 영향: 대인관계의 매개효과

The present study intended to examine the effect of coaching competency and job stress of nurses on organizational commitment exerted through the mediating effect of interpersonal relations. The nurses, who have been working in general hospitals A total of 545 questionnaires, excluding 55 questionnaires of insufficient or incomplete responses, were selected for the final statistical analyses. The statistical packages of SPSS 25 and AMOS 25 were analyzed in terms of percentage of frequency are as in the following. First, in respect of the relationship between coaching competency and organizational commitment of nurses, the significant positive correlation between all measurement variables was found. Second, with respect of the relationship between job stress and organizational commitment of nurses, the significant negative correlation between all measurement variables appeared. Third, in regard to the relationship between interpersonal relations of nurses and organizational commitment, all measurement variables accompanied the presence of significant positive correlations. Finally, the presence of significant mediating effect of interpersonal relations of nurses was identified from the relationships between coaching skill and organizational commitment and between the job stress and organizational commitment of nurses. Based on the results of this study, it is expected that a follow-up study affecting organizational commitment due to coaching competency and job stress in the nursing field and influencing interpersonal mediating effects will be conducted.

The effectiveness of e-healthcare interventions for mental health of nurses: A PRISMA-compliant systematic review of randomized controlled trials.

Background:Mental health problems, including burnout among nurses, are common and important. With the rapid development of information and communication technologies and the rise in use of smartphones, the use of e-mental health strategies is increasing in public and clinical settings, and initial clinical trials using this intervention have been conducted. This systematic review evaluated whether e-healthcare interventions improve burnout and other mental health aspects in nurses.Methods:Six electronic databases including MEDLINE (via PubMed), EMBASE (via Elsevier), the Cochrane Library Central Register of Controlled Trials, the Cumulative Index of Nursing and Allied Health Literature, the Allied and Complementary Medicine Database, and PsycARTICLES were searched to collect relevant randomized controlled trials up to January 28, 2021, using e-healthcare interventions for mental health in nurses. The e-healthcare intervention was classified as web-based, smartphone-based, and real-time online interventions. The primary outcome was burnout in this population. Due to the heterogeneity of the interventions used in the included studies, quantitative synthesis was not performed, but included studies were analyzed qualitatively. Also, the details of e-healthcare for the mental health of nurses were analyzed. The methodological quality of included studies was assessed using Cochrane's Risk of Bias tool.Results:Seven randomized controlled trials were included in this study. The 20-minute session of an online form of the emotional freedom technique was reported to significantly improve burnout severity compared to no intervention (P < .001). Other outcomes, such as career identity, quality of work life, workplace bullying, job stress, turnover intention, distress, anxiety, and resilience in nurses, were also reported to be improved by e-healthcare interventions. The methodological quality of the included studies was generally poor.Conclusions:In conclusion, there was some evidence that e-healthcare interventions may improve mental health outcomes, including burnout in nurses, compared with no intervention. However, due to the poor methodological quality and wide heterogeneity of the interventions and outcomes in the included studies, we were not able to reach sufficiently reliable conclusions. E-healthcare intervention for nurses in the new coronavirus disease era was discussed. High-quality clinical trials in this area should be conducted in the future.

Factors Associated with Job Stress among Hospital Nurses: A Meta-Correlation Analysis.

This study aims to investigate research trends concerning job stress among hospital nurses. Articles about job stress among hospital nurses published in English from 2008 to 2018 were searched. In the first search, 2673 articles were extracted from the MEDLINE, EMBASE, KoreaMed, KERIS, KISS, KISTI, and KMbase databases. Altogether, 154 articles were used in the systematic review and meta-analysis. Thirty-nine variables were explored regarding job stress. Among the major variables, insufficient job control, personal conflict, and burnout had a positive correlation. In contrast, intention to stay, job satisfaction, and personal accomplishment had a negative correlation. In the meta-analysis conducted in relation to a specific conceptual framework, the negative-outcome factors showed significant positive correlations with job stress, whereas the positive-outcome factors showed significant negative correlations with job stress. This study identified factors associated with job stress in nurses through a meta-correlation analysis, and the overall correlation coefficient was relatively high at 0.51. Job factors and moderators had significant meta-correlation coefficients. These results can be utilized in clinical practice and research to help develop intervention programs to relieve job stress among nurses.

Effects of an Intranet-Based Call-for-Help System on Teamwork, Work Efficiency, Job Satisfaction, and Job Stress in Nurses.

In the medical environment, teamwork among medical care personnel is closely related to patient safety and care quality. This research has developed an Intranet-based call-for-help system to establish an emergency support system. Few studies have explored the effects of the timely call-for-help system on teamwork. This study explored the effects of the timely call-for-help system intervention. This study was designed by 2 groups of pretest and posttest. This research was conducted at a medical center in Taiwan. The subjects of the study were nurses in inpatient wards. The newly established call-for-help system was used in the 4 experimental wards, enabling nurses to immediately seek help from each other when faced with challenges and difficulties. This study was blind with the outcome evaluator and data analyst blinded to the group of participants. A total of 165 nurses were included in the study, 84 in the intervention group and 81 in the control group. After the intervention of the call-for-help system, the experimental group had significantly better teamwork, work efficiency, job satisfaction, and lower job stress than the control group ( P &lt; 0.01). The generalized estimating equation showed that the progress scores of the experimental group on the 4 scales were significantly higher than those of the control group ( P &lt; 0.01). The implementation of timely call-for-help system can enable nursing staff to get immediate support, strengthen teamwork, create a positive nursing practice environment, and improve patient safety and quality of care. These improvements in teamwork and support are very important and worthy of promotion.

The Relationship between Spiritual Well-being and Stress Coping Methods to Deal with Job Stress among Nurses in Educational Hospitals in Ardabil City 2021

Background and Purpose: Job stress is one of the factors in the development of psychophysical symptoms in nurses. It lowers performance in organizations. The aim of this study was to determine the relationship between spiritual well-being and stress coping methods to deal with job stress in nurses working in hospitals.&#x0D; Materials and Methods: The study was carried out as a descriptive-analytical and cross-sectional study. Totally, 285 nurses were randomly selected from Ardabil educational hospitals from ICU, CCU, EMS and infectious diseases wards. Data gathering tools were Standard questionnaire Paloutzian and Ellison Spiritual Well-being Scale, nursing job stress scale, and Billing and Moos Coping Strategies Scale. Statistical analysis used in the present study included descriptive statistics, Pearson correlation test and analysis of variance. Subgroups were tested using LSD post hoc test. Independent samples t-test and ANOVA were also used to compare the groups (p &lt;0.05).&#x0D; Results: The age group of 25 to 36 years were the most participants in this study. 68.4% of the participants were women and 31.6% were men. Most participants in the project were middle-income (48.4%) and very high-income (1.8%). The results indicated that income level, work shift, education, employment status, work record, and number of overnight shifts were significantly related to job stress (p&lt;0.05). Among the different aspects of spiritual well-being, the highest mean score was obtained by religious aspect (32.47±3.42) followed by existential aspect (27.82±2.56). The highest level of job stress, according to the nurses, was about the fear of death (14.82±4.86) and heavy work load and pressure (13.85±3.63).&#x0D; Conclusions: Given the findings, there was a significant relationship between spiritual well-being and stress coping of nurses and alleviation of job stress in them. Therefore, using a health-oriented coping strategy and improving spiritual well-being and religious aspect in particular are essential.

Factors Affecting Infection Control Performance of School Health Nurses During the COVID-19 Pandemic in South Korea.

PurposeMany patients with coronavirus disease 2019 (COVID-19) are asymptomatic or infected by unclear infection routes. Significant group infections may result from transmission in schools, and thus, it is necessary to improve infection control efficiency in schools by identifying the factors associated with the performance of COVID-19 infection control by school health nurses.MethodsThe participants were 130 school health nurses in Korea. The survey variables included knowledge of COVID-19, infection control attitude, job stress, and school organizational culture.ResultsThe results demonstrated that among the variables, infection control attitude, job stress, and the level of infection control in schools perceived by school health nurses were significant. The explanatory power of the model including these variables was 25.8% (F=14.39, p<0.001, R2=0.255, Adj-R2=0.258).ConclusionThe results showed that the infection control attitude and job stress of school health nurses had a significant effect on their infection control performance during the COVID-19 pandemic. The results will be used as basic data for developing programs to enhance the competence of school health nurses to manage new infectious diseases.

Professional Self-Concept, Job Stress, and Triage Competency Among Emergency Nurses: Secondary Data Analysis of a Cross-Sectional Survey

IntroductionThis study aimed to evaluate the indirect relationship of job stress with triage competency through professional self-concept among emergency nurses in Korea. MethodsA secondary data analysis of survey data from 132 questionnaires was used. A convenience sample of emergency nurses working in regional or local emergency centers in 2 Korean cities was recruited for the survey. Study variables were analyzed using descriptive statistics, correlation, and a model tested using the Hayes PROCESS macro (Model 4) mediation model. ResultsJob stress alone was not associated directly with triage competency (β = 0.01, P = .74). An indirect pathway was observed between job stress and triage competency through professional self-concept (F = 5.85, P < .001, R2 = 0.33). In the tested model, job stress was associated with professional self-concept (β = −0.05, P < .05) and professional self-concept was associated with triage competency (β = 0.79, P ≤ .001). ConclusionProfessional self-concept may be an important determinant of triage competency among emergency nurses. To increase triage competency among emergency nurses, individual nurse and management efforts are recommended to foster professional self-concept and reduce emergency nurse job stress.

The Effect of Professional Empowerment Model on Job Stress and Burnout of Operating Room Nurses in Educational Hospitals of Zahedan

Background: Occupational stress and high work-related burnout have been observed among operating room personnel, so finding any therapeutic aids to alleviate this stress and relieve them is always valuable. The aim of this study was to investigate the effect of occupational empowerment model on job stress and burnout in operating room nurses. Methods: This quasi-experimental study was performed on all operating room personnel working in the operating rooms of Zahedan University of Medical Sciences hospitals, which numbered more than 250. Thirty 30 operating room personnel were selected and randomly divided into intervention and control groups. The number of research units was 15 persons in each group. Questionnaires used in this study were Nursing Job Stress Questionnaire (NSS) and Maslach Burnout Inventory (MBI). Intervention was performed in 4 sessions, two days a week for 2 weeks and completed again after 4 weeks. The control group received no intervention. Descriptive statistics used mean and standard deviation, and inferential statistics, One-way ANOVA, Fisher, Chi-square and t-test were used. Results: In the experimental group, the mean occupational stress of the subjects before the intervention was 7966 ± 8.33 Post-intervention was 72.93 ± 8.72. In the control group, the mean of job stress was 84.46 ± 7.32 before and 84.46 ± 7.32 respectively. There was a significant difference between the two groups after the intervention in terms of occupational stress (p value &lt; 0.001) .In the experimental group, mean burnout was 59.26 ± 22.02 before and 56.8 ± 20.79 after the intervention. In the control group, the mean of burnout was 50.66 ± 17.20 before intervention and 51.00 ± 7.43 after intervention. There was no significant difference between the two groups in terms of burnout after intervention (p value &lt; 0.05) Conclusion: The findings of this study showed that occupational empowerment model reduced stress in operating room staff. The pattern of occupational empowerment was not effective in reducing depression in operating room staff. Operating room staff experience high levels of job stress and burnout, which can cause problems at work time and in the workplace. Holding professional empowerment workshops can help reduce their job stress.

Workload Status and Its Relationship with Job Stress in Nurses during the COVID-19 Pandemic

Background and Purpose: Currently, the high prevalence of COVID-19 and increased workload in hospitals has posed a threat to the physical, mental, and emotional health of nurses. The present study was an attempt to investigate the workload and its relationship with job stress of nurses in COVID-19 reference hospitals in southern Iran.&#x0D; Materials and Methods: This descriptive-analytical and cross-sectional study was conducted in 2021 on 431 nurses from COVID-19 reference hospitals in southern Iran. Data collection tools included the NASA workload and OSIPOW job stress standard questionnaires. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient in SPSS23 Software and at a significance level of 0.05&#x0D; Results: The mean age and work experience of the nurses participating in the study were 31.03±5.23 and 6.42±4.61, respectively. The mean scores of the workload and job stresses were 83.64 ± 17.24 (of 100) and 236.68 ± 16.54 (of 300), respectively. Mental load dimension (85.81 ±19.31, of 100) among workload dimensions and role workload dimension (43.62 ± 19.14, of 50) among job stress dimensions had the highest mean score. Thus, there was found a statistically significant relationship between workload and job stress of nurses (P= 0.04, r= 0.19).&#x0D; Conclusion: Workload and job stress of the studied nurses were estimated at a high level. There was a significant positive correlation between these two variables, and increasing workload resulted in an increase in job stress.

The Effect of Pilates Exercises on Anxiety and Job Stress of COVID-19 Nurses. A Quasi-experimental Study

Aim: To determine the effect of Pilates exercises on nurses’ job anxiety and stress during COVID-19 pandemic. Results: The results of the present study showed that 63.3% of subjects had moderate to severe job stress and 30% had severe job stress. In the intervention group, the mean (standard deviation) of anxiety was 13 (8.35) before intervention, which reached 8.33 (5.87) after the intervention (p=0.062). Moreover, the mean (standard deviation) of job stress in the control group decreased from 188.67 (28.98) to 176.46 (28.84) (P=0.530). Conclusions: The results showed that Pilates exercises alone do not affect the anxiety and job stress of nurses and other supplements are needed in stressful environments.

Comparing the Effect of Resilience Skills Training and Metacognitive Therapy on Job Stress in Nurses: An Experimental Study.

Nursing is one of the stressful professions. The work-related stressful factors have affected the physical and mental health of nurses seriously. This study aimed to compare the effect of resilience skills training and metacognitive therapy on nurses' job stress. This experimental study was conducted on 54 nurses working in intensive care units and the emergency department of Valiasr Hospital, Birjand, Iran, in 2018. Selected participants were allocated via permuted block randomization into three groups: resilience skills training, metacognitive therapy, and control (n = 18 for each group). Both resilience and metacognitive therapy programs were held in eight sessions of 45-mintraining classes twice a week. The control group received no intervention. The data were collected using a demographic characteristics form and the Expanded Nursing Stress Scale (ENSS) before, immediately after, and one month after the intervention. The data were analyzed using Chi-square, Fisher's exact test, Analysis of Variance (ANOVA), and repeated measures ANOVA in the Statistical Package for Social Science (SPSS) software. Job stress significantly decreased in both resilience (F2,51 = 123.5, p < 0.001) and metacognitive therapy (F2,51= 29.2, p = 0.002) groups over time. However, this decrease was not significantly different between the two groups (p > 0.05). Also, the control group's job stress mean score increased over time (F2,51 = 9.35, p < 0.001). The findings suggest that both resilience skills training and metacognitive therapy can reduce the job stress of emergency and intensive care nurses. Therefore, it is recommended that both programs be taken into account by managers to reduce nurses' job stress.

Analysis the Effect of Job Strain on Nurses' Quality of Work-Life: A Mediating and Moderating Model.

One of the most important issues in all organizations is to improve performance of human resources to achieve goals. Therefore, it is necessary plans and solutions to reduce Job Strain (JS) and then increase Organizational Citizenship Behaviors (OCB), and Quality of Work-Life (QWL). The purpose of this study is to investigate the effect of JS on QWL with mediating role of OCB and moderator of employment status. This cross-sectional study was conducted on 300 nurses who were non-randomly voluntary selected among nurses working in seven educational hospitals in Ahvaz, Iran. Data were collected using demographic and occupational characteristics questionnaire and JS questionnaire with 12 items, OCB with 16 items & QWL with 26 items in the 5-point Likert scale. Data analysis was performed in SPSS22 using descriptive and inferential statistics, and structural equation modeling with SmartPLS3. The results indicated the mean (SD) score of 49.56 (6.68) for JS (more than normal) and 58.84 (5.94) and 49.88 (7.69) for QWL and OCB, respectively. Spearman correlation coefficients show that JS has a negative relationship with QWL (r = -0.69, p < 0.001) and OCB (r = -0.54, p = 0.008). Also, nurses' employment status (Formal and Contractual) moderates the relationship between JS, QWL, and OCB. According to the results, job stress in nurses of Ahvaz hospitals was high and QWL was moderate (or less). Therefore, increased job stress leads to reduced QWL and OCBs of nurses. Also the employment Status and job security that it provides can modify this impact.

The Relationship Between Professional Autonomy and Job Stress Among Intensive Care Unit Nurses: A Descriptive Correlational Study.

Background:Autonomy is an essential factor in the nursing profession. Nurses' autonomy can improve care quality, decrease mortality in patients, and attenuate job stress. This study aimed to investigate professional autonomy and its relationship with job stress among nurses working in Intensive Care Units (ICUs).Materials and Methods:This descriptive correlational study was conducted at Urmia nursing school in Iran in 2020. Three hundred ninety-eight nurses working at the ICUs entered the study. Data was collected using the Dempster Practice Behavior Scale (DPBS) and the Health and Safety Executive (HSE) questionnaire. Independent t-test and analysis of variance (ANOVA) were used to examine the relationship between demographics and study variables. Pearson's correlation coefficient was used to investigate the relationship between professional autonomy and job stress of nurses.Results:The mean (SD) of total professional autonomy and job stress score of nurses was, respectively, 102. 11(91. 88), and 115. 53(12. 42), indicating moderate autonomy and job stress. Professional autonomy had a significant positive correlation with job stress (r = 0.51, p < 0.001). It also had a significant positive correlation with work experience in ICU (r = 0.12, p = 0.014).Conclusions:ICU nurses have moderate autonomy and job stress, and their autonomy is a significant positive predictor of their job stress. University authorities are recommended to develop practical strategies to enhance nurses' autonomy and eliminate factors that cause job stress in ICU nurses in order to preserve nurses' health, improve the quality of nursing care, and increase patient safety.

The Mediating Role of Cognitive Flexibility in the Relationship Between Job Stress and Psychological Wellbeing of Nurses

Background &amp; Aims: One of the health-related problems in the workplace is job-related stress. Nursing is one of the professions in which nurses experience a lot of stress. Long-term work stress harms nurses' physical and mental health and reduces their psychological well-being. One of the variables that seem to explain this relationship is cognitive flexibility. Therefore, this study aimed to investigate the relationship between job stress and psychological well-being with the mediating role of cognitive flexibility. Materials &amp; Methods: The present study was a cross-sectional correlational study. The statistical population included all nurses working in hospitals in Isfahan in 2019. Using a cluster sampling method, four hospitals in Isfahan (Kashani, Chamran, Khorshid, and Hojjatieh) were randomly selected. Then four wards were via lottery method selected from each hospital, randomly and 150 questionnaires were distributed among all of the nurses of those wards. The research tool consisted of four questionnaires. 1- Demographic questionnaire 2- HSE Job Stress 3- Short Form of Ryff Psychological Wellbeing Questionnaire 4- Cognitive flexibility. To analyze the data, SPSS software version 16 and the proposed steps of Baron and Kenny were used by the hierarchical regression method. Results: The regression analysis results showed that in the first stage, job stress with beta (β = -0.42) is a significant predictor of psychological well-being. In the second stage, job stress and cognitive flexibility variables predicted psychological well-being with beta (β = -0.21 and β = 0.54), respectively. Since the beta of job stress decreased in the second stage compared to the first stage, the partial mediating role of cognitive flexibility in the relationship between job stress and psychological well-being was confirmed. Conclusion: Most people can cope with stress for a short time, but chronic stress causes changes in physiological and psychological status, the consequences of which can decrease psychological well-being. It seems that some factors play a mediating role in the relationship between job stress and psychological well-being, including cognitive flexibility, which was examined and confirmed in this study. In this regard, it is suggested that sessions be held with the aim of cognitive training flexibility to nurses, and its effectiveness on increasing psychological well-being is examined.

Job stress and resilience in Iranian nurses during the COVID-19 pandemic: A case-control study.

The COVID-19 pandemic has created a wide range of sociocultural pressures on nurses. Resilience is defined as one's ability to adapt to an unpredictable situation and it can be a factor in accepting an undesirable psychosocial situation. The aim of the present study was to examine resilience in nurses in the face of job stress during the COVID-19 pandemic. The study was carried out as a case-control study with participation of 400 nurses as the target group (nurses exposed to COVID-19 patients) and the control group (nurses not exposed to COVID-19 patients). To examine resilience and job stress, Conor and Davidson's questionnaire and OSIPOW questionnaire were used respectively. The mean scores of job stress and resilience were significantly different between the target and control groups (p < 0.05). So that resilience in the target group was less than that in the control group. In addition, job stress in the target group was higher than that of the control group (p < 0.05). There was a significant and negative correlation between resilience and job stress and the correlation was stronger in the target group (p < 0.05). Given the high job stress score in the participants and its negative correlation with resilience, there is need to provide the health personnel with efficient preventive and treatment approaches, improve and educate the principles of resilience, improve mental health services system, and introduce programs to control some of demographical factors in job stress such as physical activity, and employment status of nurses.

Effect of stress management on job stress of intensive care unit nurses in hospitals affiliated to the University of Medical Sciences

Effect of stress management on job stress of intensive care unit nurses in hospitals affiliated to the University of Medical Sciences

Population-Based Study on Cancer Incidence in Pharmacist: A Cohort Study in Taiwan.

Cancer is increasing in rate globally and is leading cause of death among no communicable chronic diseases (NCDs) after cardiovascular disease (CVD). Most of the research focuses on the risk of occupational injury, job stress, mental illness, substance abuse and workplace safety in physicians and nurses. However, fewer studies have investigated the risk of cancer in pharmacists. We compared the matched general population to investigate the risk of cancer in pharmacists in Taiwan. Data were obtained from the Health and Welfare Data Science Center of the Ministry of Health and Welfare in Taiwan. We established a pharmacist group that included 11,568 pharmacists and selected a 4-fold comparison (n = 46,272) for the non-clinics comparison group, frequency being matched by age, gender and Charlson Comorbidity Index (CCI) score. The pharmacists had a lower but non-significant risk of all cancer (Adjusted hazard ratio [aHR] = 0.96; 95% confidence interval [CI] = 0.85–1.07) compared with the general population. Female pharmacists had a higher risk of cancer than male pharmacists ([aHR] = 1.23; 95% CI = 1.06–1.43). Pharmacists had higher risks of breast cancer in females (aHR = 1.68; 95% CI = 1.35–2.08) and of prostate cancer in males (aHR = 2.18; 95% CI = 1.35–2.08) when compared with the general population. Occupational risk factors could play a role, but they were not evaluated. These epidemiological findings require additional studies to clarify cancer risk mechanisms in pharmacists.

Analysis Methods of Relationship of Work Satisfaction and Work Stress in Determining a Turnover Intention Nurses in Private Hospital Type B, Medan City, 2020

Indonesia is a country with a very high rate of moving to work. A survey by Tower and Watson in 2013 shows that the level of voluntary attrition rate in Indonesia is 20.35%. Comparing to developing countries, however, it is fast in the Asia Pacific which is only 12.39%, and globally it is only 8.24%. The core research aims to determine the Analysis of the Relationship between Job Satisfaction and Job Stress and Turnover Intention of Nurses at Type B Private Hospital in Medan City in 2020. This papers described is a quantitative study with a cross-sectional design. The cross-sectional research design is where all influencing variables (independent variables) and affected variables (dependent variables) are measured and observed at the same time. Statistically, it shows that the value of 0.176 df = 1 with a significance value of 0.05 where X2 counts &lt;X2 table means that Ha is rejected and Ho is accepted, meaning that there is no relationship between job satisfaction and the desire to move jobs (Turnover Intention). the value of 250,000 df = 1 with a significance value of 0.05 where X2 count&gt; X2 table means that Ha is accepted and Ho is rejected, meaning that there is a relationship between job stress and the desire to move jobs (Turnover Intention). It is hoped that the hospital will form a special meeting for nurses as a forum to accommodate nurses' aspirations to increase the sense of involvement of nurse employees which has an impact on decreasing the desire to move jobs. Keywords: Job Satisfaction, Job Stress, Desire to Move (Turnover Intention).