Stress In Nurses Research Articles

Workload stress and performance of nurses in government hospitals in Kenya

This paper looks at workload stress to establish how it influences nurses‘ levels of performance, morale and clinical outcomes in government hospitals in Nairobi Kenya. The study design utilized for this research is descriptive survey and correlation design. The key objective of the study is to investigate the relationship between work load stress and performance among public hospital workers in Kenya. A sample of 845 nurses was drawn from all the six levels of government hospitals in Nairobi County using Taro Yamanes sample size selection formula. Data collected was analysed using both descriptive and inferential statistical techniques. Correlation analysis was employed to explore the direction and magnitude of relationship between various constructs of work load stress and employee performance. The research findings show that work load stress influences performance of nurses. Majority of respondents (79.8%) indicated that work load stress factors influence their performance ―to a great extent‖ (11.2%) indicated ―to a small extent‖. These responses were confirmed through inferential statistical analyses as discussed in the paper. Based on the findings the study recommends that adequate and modern equipment should be provided to nurses to aid them in their work and more nurses should be employed to help reduce workload stress. This is expected to lead to the boasting of the morale of nurses in government hospitals perhaps leading to fewer strikes.

The Relationship between Dual Role Conflict and Work Stress of Female Nurses

Introduction: Work stress is the most common problem experienced by health workers including nurses. In certain occasion, nurses did series of tasks that not in accordance with their physical abilities, expertise, and time. Therefore, stress associated works was commonly reported. The purpose of this study was to determine the relationship between dual role conflict and work stress of female nurses in the clinical setting. Methods: This study applied a cross-sectional approach. The sample was obtained by using purposive sampling. A total of 80 female nurses involved in the study . Data was conducted by self-report questionnaire sheet instrument. Descriptive and inferential statistics were applied to analyzed data. The significant level was set as p≤0.05. Results: The results indicated that the majority (66.2%) of female nurses experienced high dual role conflict, and most of them (72.5%) experienced heavy work stress. Based on the results of the Spearman Rho test, it was found that the value of p ≤0.001 (p ≤0.05) and the value of rₛ = 0.698. The current study shows strong and significant relationship between dual role conflict and work stress among female nurses. Conclusions: : In comparison to female nurses in the outpatient rooms, one day care, or other settings, those who work in inpatient ward with dual roles presented a higher workload. Stress associated with heavy workload found to be a common. Nurse managers should concern on promoting and supporting working environment by way monitoring work-load.

Relationship Between Occupational Stress and Sleep Disorders of Nurses in a Hospital in Sari, Iran

Background and Objective Nursing is a stressful occupation. The quality of nursing care plays an important role in improving patients’ conditions. This study aims to evaluate the relationship between occupational stress and sleep disorders in nurses working in a hospital in Sari, Iran. Materials & Methods This descriptive-analytical study was conducted on 196 nurses of Imam Khomeini Hospital in Sari, who were selected by random sampling method method. Data were analyzed in SPSS software version 20. The significance level was set at 0.05. Results The results showed a significant relationship between sleep disorders and occupational stress (R=0.43; P<0.05). Occupational stressors had a significant role in predicting the sleep disorders (P<0.05). Sleep disorders of nurses were significantly different in terms of work shifts (P<0.05), where nurses working the night shift had higher sleep disorders than those with other work shifts. Conclusion There is a significant relationship between occupational stress and sleep disorders of nurses in the study hospital in Sari. Sleep disorders of nurses are significantly different based on the work shifts. The role of occupational stressors in predicting the sleep disorders of nurses are significantly different.

Workload with Emergency Installation Nurse Work Stress

The state of the nurse's workload in the emergency department needs to be known for its quantity and quality. If the number of tasks is not proportional to the ability of both physical and expertise and the time available, it will be a source of stress. The study aimed to determine the workload with work stress in nurses in the emergency room. Quantitative research with a correlation descriptive approach, with a sample of 29 respondents using a daily log study measuring instrument. The statistics test results show a workload with a p-value of 0.000. It can be concluded that there is a relationship between workload and the work stress of nurses in the emergency room. Recommendations for nurses need effective and constructive self-management so that there is a high workload and nurse work stress can be effectively controlled to not impact the quality of service.

Blueprints for well-being: Modeling the way through Human-Centered Leadership and Pathway to Excellence.

Blueprints for well-being: Modeling the way through Human-Centered Leadership and Pathway to Excellence.

Quality of life, Stress, and Burnout of Italian nurses during the outbreak of COVID-19: a cross-sectional study

The COVID-19 pandemic was a whispered problem for nurses, causing feelings of anxiety, stress, and burnout. Many studies investigated the pandemic's negative effects on nurses, but the relationship between burnout and the quality of life (QoL) in Italian nurses was lacking. To describe Italian nurses quality of life and stress during the Covid-19 outbreak. METHODS: We conducted a cross-sectional study between March 25, 2020, to May 15, 2020. The MBI scale was used to detect burnout, while the SVQI was for nurses' quality of life (QoL). We used descriptive and correlational statistical tests between the scales and risk factors. The significance level was set at P. 0.05. A total of 384 nurses were assessed, 58.1% (223) were female, 41.9% (161) were male. Depersonalization appeared in 85% of cases, emotional exhaustion in 52.3%, and personal accomplishment in 17.4%. Overall, nurses report a dissatisfaction with the physical, emotional and social QoL. The factors that contribute to onset of the syndrome was: gender (p = 0.003), ward (p = 0.03), care to COVID-19 patients (p = 0.02). Women are dissatisfied with physical (p = 0.001), emotional (p = 0.001) and social (p =0.002) QoL. Statistically significant differences by department (p = 0.01) and geographical area of Northern Italy (p = 0.02). During the COVID-19 outbreak, some factors studied are associated with high-stress levels and low physical and social QoL. Women were the gender most affected by the effects of the pandemic.

Burnout Among Nurses During the Covid-19 Pandemic

ABSTRACT Burnout is a global phenomenon. The prevalence of burnout among nurses in Indonesia is around 60%. During the COVID-19 pandemic, the number of patient visits to the Public health centre has increased. This study aims to describe burnout in nurses at the Public health centre during the COVID-19 pandemic. This study uses a quantitative descriptive with a cross-sectional approach. The population is 40 health centre nurses using a sampling technique that is the total population. This study used the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) as an instrument with final validity test values ranging from -0.701 to 0.966 and a reliability test of 0.83. Data analysis uses univariate analysis, which is shown in the form of a frequency distribution. Almost all respondents experienced moderate burnout, as many as 34 nurses (85%). Based on the burnout dimension show that the dimensions of emotional exhaustion are 27 nurses (67.5%), the dimension of depersonalization is 31 nurses (77.5%), and the dimension of achievement decline is 29 nurses (72.5%), mostly in the medium category. The high burnout of Public health centre nurses will affect the performance of nurses in providing nursing services to patients. The impact of the pandemic has also become a source of stress for nurses in providing services. The possibility of nurses coming into contact with asymptomatic COVID-19-infected patients is substantial. This becomes a burden for nurses in providing services. Keywords: Burnout, Covid-19, Health Centre, Nurse, Pandemic

The Effect Of Work-Family Conflict And Workload On Work Stress Of Female Nurses At Dr. Soeroto Ngawi Hospital Moderated By Hardiness

The aim of this research was to determine the effect of work-family conflict and work load on job stress of female nurses in Dr Soeroto Ngawi hospital which is moderated by hardiness. The research design in this research is descriptive quantitative. The population in this study were all female nurses who have married customers.. The sampling technique in this study used "Non Probability Sampling", and the sampling method in this study was " Saturated Sample (Total Sampling) or Census”. Respondents in this study were 69 people. Data is processed through SPSS for Window and Smart Partial Least Square (SmartPLS) software.
 The results showed that 1) work-family conflict has a significant positive effect on job stress 2) work load has a significant positive effect on job stress 3) hardiness can moderate effect of work-family conflict on job stress 4) hardiness can moderate effect of work load on job stress of female nurses in Dr Soeroto Ngawi hospital.

School Nurses’ Perception of Job Performance Difficulties, Job Stress, Job Identity and Job Satisfaction

Purpose: To examine school nurses' perception of job performance difficulties, stress, identity, and satisfaction, and to identify the factors that affect job satisfaction. Methods: Data were collected through online survey questionnaires distributed to 189 regular school nurses working in Metropolitan I. The self-report questionnaire consisted of three instruments and demographic questions. The data were collected from June 29 to July 31, 2020, and analyzed using frequency, percentage, mean and standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression statistical techniques. Results: Perception of job performance difficulties showed a significant positive correlation with job stress (r=.20. p=.007), job identity (r=-.55, p<.001) and job satisfaction (r=-.39, p<.001), and each showed a negative correlation. Job stress showed a negative correlation with job satisfaction (r=-.65, p<.001), and job satisfaction and job identity showed a positive correlation (r=.53, p<.001). Job stress (β=-.58, p<.001), job identity (β=.43, p<.001), school-level elementary school (β=.19, p<.001), and middle school (β=.13, p=.011) were found to have a significant effect on job satisfaction. Conclusion: As job stress, job identity, and school level are important factors influencing job satisfaction, interventions are needed to lower the job stress of school nurses and strengthen their job identity. In addition, since the job satisfaction of school nurses can have a great impact on the health and happiness of students as well as the quality of life of future generations, it is necessary to improve policies and systems to increase the job satisfaction of school nurses.

Effects of Gratitude Disposition, Social Support, and Occupational Stress of Clinical Nurses on Grit

Purpose: This is a descriptive research that aims to identify the effects of clinical nurses' gratitude disposition, social support, and occupational stress on grit and provide basic data for the development of future grit promotion among clinical nurses.Methods: The study participants were 164 nurses who had worked at three general hospitals in Jeollabuk-do, and data were collected using a structured questionnaire from May 2022 to June 2022. For data analysis, descriptive statistics, independent t-test, ANOVA, Pearson's correlation coefficient, and multiple regression analysis were conducted using SPSS 23.0.Results: The average grit score was 42.26±5.48. Grit showed a positive correlation with gratitude disposition and social support and a negative correlation with occupational stress. The factors influencing grit were gratitude disposition, clinical experience of 12~60 months, and occupational stress; social support did not have any effect on grit. The explanatory power was 25.0%.Conclusion: Results confirmed that the higher the gratitude disposition among clinical nurses, the higher the grit; and the lower the occupational stress, the higher the grit. In order to increase grit among clinical nurses, measures at the nursing organization level, including training and programs that can strengthen gratitude disposition and reduce occupational stress, are needed.

Investigation of Anxiety, Stress and Depression Levels of Nurses Working during the COVID-19 Pandemic and Their Perceptions of Psychological Care

Çalışmanın amacı, COVID-19 döneminde çalışan hemşirelerin stres, depresyon, anksiyete düzeyleri ile psikolojik bakım algılarını incelemektir. Tanımlayıcı olarak yapılan çalışma, 224 hemşireyle, demografik soru formu, depresyon anksiyete stres ölçeği kullanılarak gerçekleştirilmiştir. Hemşirelerin %55,8’inin pandemi sürecinde hiçbir ruh sağlığı hizmetini kullanmadığı, %14,8’inin ruh sağlığı hizmeti olarak medya kaynaklarını kullandığı görülmüştür. Hemşirelerden %37,9’unun COVID-19 öncesi döneme göre sağlık durumunu kötü olarak algıladığı, %63,8’inin psikolojik bakım gereksinimlerinin karşılanmadığı, %29,4’ ünün bu süreçte aile ve akrabalarından yardım almak istediği belirlenmiştir. Hemşirelerin orta düzeyde depresyon ve anksiyete, hafif düzeyde stres yaşadıkları saptanmıştır. Çalışmada yaşın stres ve anksiyete ile ilişkili olduğu belirlenmiştir. Çalışmamızda erişilen ruh sağlığı hizmetleri ile depresyon düzeyi arasında ilişki olduğu saptanmıştır. Hemşirelerin pandemi sürecinde kimden yardım almak istedikleri ile depresyon, stres ve anksiyete düzeyleri ile ilişki olduğu belirlenmiştir. Bulgularımız COVID-19 pandemisinin hemşireler üzerinde önemli psikososyal etkilerinin olduğunu ve hemşirelerin psikolojik bakım algılarının olumsuz olduğunu göstermektedir. Sonuç olarak hemşireleri psikolojik olarak desteklemek, özellikle mesleki stres düzeylerinin çok yüksek olduğu durumlarda sağlıklarını koruyabilmek için esastır.

Occupational low back pain prevention capacity of nurses in China: A multicenter cross-sectional study.

Nurses have a high prevalence of occupational low back pain, especially since the outbreak of the COVID-19 pandemic, which has increased the nurses' workloads. It has brought a huge burden on nurses and their professional development. Nurses' occupational low back pain prevention capacity is the logical starting point and core of interventions to prevent its occurrence. To date, there is no study investigating it with a scientific scale. Therefore, a multicenter cross-sectional study was conducted to explore the current status of nurses' capacity in occupational low back pain prevention and its influencing factors in China. Using a two-stage, purposive and convenience mixed sampling method, 1331 nurses from 8 hospitals across 5 provinces (Hubei, Zhejiang, Shandong, Henan, and Sichuan) in the southern, western, northern, and central areas of mainland China were involved in this study. The demographic questionnaire and occupational low back pain prevention behavior questionnaire were used for data collection. The descriptive analysis, univariate analysis, and multiple stepwise linear regression were used for data analysis. The results showed that the occupational low back pain prevention behavior questionnaire score was 89.00 (80.00, 103.00) [M (Q1, Q3)], which indicated that nurses' ability was at a moderate level. Participation in prevention training before, perceived stress at work, and working hours per week were predictors for nurses' occupational low back pain prevention capacity. To improve nurses' prevention ability, nursing managers should organize various training programs, strengthen regulations to reduce nurses' workload and stress, provide a healthy workplace, and offer incentives to motivate nurses.

Impact of personal protective equipment attached powered air-purifying respirator on nursing-skill performance and psychosocial stress of intensive care unit COVID-19 nurses: A cross-sectional study.

To investigate how personal protective equipment with an attached powered air-purifying respirator worn by intensive care unit nurses caring for COVID-19 patients in Korea impacts nursing-skill performance and psychosocial stress. A cross-sectional descriptive study was designed using purposive sampling. Online data collection was conducted from 3 March 2021-20 March 2021on 181 nurses who had worked for more than 1 month in COVID-19 critical care settings wearing personal protective equipment with a powered air-purifying respirator. A structured questionnaire was used to gather data on sociodemographic characteristics, attitude toward personal protective equipment, nursing-skill performance wearing personal protective equipment and psychosocial stress. Data was sourced from structured questionnaire responses. Nursing skill performance decreased to 63.4%, compared with normal performance. Subjects' perceptions and attitudes related to PPE scored 3.56 out of 5; 44.7% of subjects reported severe psychosocial stress, which was significantly affected by attitude toward personal protective equipment usage, nursing performance, experience caring for COVID-19 patients and length of personal protective equipment usage per shift. Greater negative attitude toward usage of personal protective equipment with a powered air-purifying respirator, results in lower nursing-skill performance and higher the psychosocial stress of nurses responding to COVID-19 outbreaks. High negative attitude toward PPE and low nursing-skill performance due to PPE with an attached PAPR results in significant and debilitating psychosocial stress in ICU nurses responding to COVID-19 outbreaks. To respond effectively to future infectious disease outbreaks and improve nursing performance, minimising the inconvenience and restrictions experienced by nurses wearing personal protective equipment is critical. We adhered to relevant EQUATOR guidelines to report. No patient or public contribution.

The effectiveness of the training program on accepting and expressing emotions on the psychological resilience and depression levels of nurses: A two-year follow-up study

PurposeThis study aimed to examine the effectiveness of the training program which was based on cognitive behavioral theory on accepting and expressing emotions in terms of nurses' psychological resilience and depression levels. Design and methodsThe study is an intervention study with a control group conducted with pretest, posttest, and two-year follow-up test design in line with Consolidated Standards of Reporting Trials (CONSORT). The participants in the intervention group attended an eight-week accepting and expressing emotions training program, while those in the control group did not. The Psychological Resilience Scale for Adults (RSA) and Beck's Depression Inventory (BDI) were applied to both groups as pre-test, post-test and 6-month follow-up (T2), 12-month follow-up (T3) and 24-month follow-up (T4). ResultsIt was determined that there was a significant change in RSA scale scores of the intervention group, and that the effect of group ∗ time interaction for all scores was significant. An increase in the total score was found for all follow-up periods with respect to T1. A significant decrease was determined in BDI scores of the intervention group, and the effect of group-time interaction for all scores was found to be significant. It was found that there was a decrease in the scores of the intervention group in all follow-up periods with respect to T1. ConclusionsThe results obtained from the study showed that the training program conducted with groups on accepting and expressing emotions was effective on the nurses' psychological resilience and depression scores. Practice implicationsTraining programs that develop the skills of accepting and expression emotions can help nurses find their thoughts underlying their emotions. Thus, depression levels of nurses can decrease, and their psychological resilience can improve. This situation can help in terms of reducing workplace stress of nurses and can cause their working life to be more effective.

THE RELATIONSHIP BETWEEN WORKLOAD AND STRESS ON NURSES DURING THE COVID-19 PANDEMIC IN INTENSIVE CARE UNIT (ICU) OF MERAUKE HOSPITAL

Workload becomes a source of stress if the amount is not proportional to both physical ability and expertise and the time available to nurses. In addition, nurses are faced with the covid-19 pandemic situation which requires them to work longer and more carefully due to the infectious nature of the virus, especially in intensive care rooms. Patient care in the ICU during the pandemic requires nurses to go the extra mile because they are at the forefront of their response. This study will examine the relationship between workload and stress in nurses in the ICU room of Merauke Hospital. The method used is quantitative association with Cross Sectional approach. A total of 40 nurses were designated as research samples with total sampling techniques. The research measuring instrument used questionnaires using univariate data analysis using frequency distribution and bivariate data analysis using rho spearman. The results of the analysis of the relationship between the two variables using the Spearman rho correlations statistical test with the help of the SPSS program showed significant (p) = 0.000 smaller than (α) = 0.05. This means that there is a significant relationship between workload and nurse work stress in the ICU room of Merauke Hospital. With the Spearman correlation coefficient rho (r) = 0.964. This means that it has a strong level of relationship strength and a positive correlation coefficient value so that the relationship is unidirectional. There is a meaningful relationship between workload and nurse work stress in the ICU room of Merauke Hospital. The higher the workload, the higher the nurse's work stress level
 

Self-Assessed Capabilities, Attitudes, and Stress among Pediatric Nurses in Relation to Cardiopulmonary Resuscitation.

In emergency medicine, cardiopulmonary resuscitation (CPR) is one of the most stressful scenarios for nurses who conduct both basic and advanced resuscitation methods. This study aimed to assess nurses' self-assessed capabilities, attitudes, and stress related to CPR. This cross-sectional, observational study was carried out on 748 pediatric nurses at six governmental hospitals. A self-assessed ability questionnaire and a structured stress and attitude questionnaire was used for data collection. For self-assessed abilities, 45.5% of the nurses had moderate scores. Concerning stress, 48.3% had moderate scores and 63.1% negative attitudes. Also, attitude and self-assessed abilities had a high-frequency negative effect on stress scores (P<0.05). Attitude scores increased and stress scores decreased significantly with postgraduate educational level, attendance at training courses on pediatric basic life support and automated external defibrillator use, being exposed to >10 cardiac arrest cases in the previous year, and having an advanced life-support license (P<0.05). Positive attitudes and improving self-assessed abilities decreased the nurses' stress levels related to CPR.

Investigating the impact of written emotion disclosure on the level of occupational stress among intensive care nurses.

The present study was conducted with the aim of determining the impact of rewriting pleasant events on the level of occupational stress in Intensive Care Unit (ICU) nurses. This is a quasi-experimental research conducted on nurses working in the intensive care units of Imam Khomeini and Golestan hospitals in Ahvaz, from July to November 2021. Seventy-six nurses were selected based on the inclusion criteria, and were then randomly assigned to the intervention and the control groups. The nurses' demographic information form and the Expanded Nursing Stress Scale (ENSS) were used to collect data. In the intervention group, the technique of rewriting pleasant events was used for 8 weeks, at least once a week. The data was analyzed with SPSS V20. No significant difference in the demographic characteristics was observed between the intervention and the control groups (p > 0.05). The pre-intervention occupational stress of the nurses in the intervention and the control groups were reported to be 173.86 ± 26.75 and 173.05 ± 24.47, respectively, showing no statistically significant difference (p = 0.89). After the intervention, the occupational stress scores were 134.21 ± 16.09 and 172.36 ± 24.33, respectively, showing a significant difference between the two groups (p < 0.001). Considering the impact of rewriting pleasant events on the level of occupational stress of ICU nurses, it is recommended that nursing managers and nurses plan training programs for nurses in this area, and encourage other nurses to do so, too. It is also suggested to implement this intervention on the nurses of other wards as well.

Examining the Effectiveness of Mindfulness Based Stress Reduction on Mental Fatigue, Perceived Stress, and Emotion Regulation in Nurses

Examining the Effectiveness of Mindfulness Based Stress Reduction on Mental Fatigue, Perceived Stress, and Emotion Regulation in Nurses

Job demands at the patient’s bedside and their effects on stress and satisfaction of nurses

AimThe study aimed to assess job demands at the patient’s bedside and to evaluate the contribution of this central workplace to the stress and satisfaction of nurses.DesignIn this cross-sectional survey...

A Systematic Review of the Effect of Post-traumatic Stress Disorder Programs for Nurses

IntroductionNurses are at an increased risk for work-related stress resulting in post-traumatic stress disorder (PTSD). They are susceptible due to frequent exposure to traumatic situations providing care for patients.ObjectivesThe purpose of this systematic review is to comprehensively review the content and characteristics of intervention programs for reducing the post-traumatic stress of nurses or nursing students, providing a basis for developing a standardized protocol for programs to promote the integrated health of nurses and protect them from stress events in clinical environments.MethodsThis is a systematic review. Participants (P) targeted nurses or nursing students; Intervention (I) included intervention programs for reducing post-traumatic stress; Comparison (C) was control groups provided with usual or no interventions ; and Outcomes (O) referred to changes in physical or emotional reactions toward post-traumatic stress. Two researchers searched four databases including PubMed, CINAHL, PsycINFO, and EMBASE with keywords such as “nurse,” “post-trumatic stress disorder,” “program,” and “intervention”. A total of 7,523 studies were searched and 10 studies were included for final analysis (Image 1). The Risk of Bias2 (Image 2) and the Risk of Bias for Non-randomized Study I (Image 3) were used to evaluate the quality the included studies.ResultsThe number of studies is increasing, with four studies published before 2020, and six studies published since, of which three in 2022. Definitions of trauma situations to which nurses are exposed included diverse elements such as patient death, workplace violence, the COVID-19 pandemic, and complex trauma experiences due to working environments. Most studies have provided multiple intervention sessions, which is appropriate considering the characteristics of PTSD. Most studies examined the secondary effects on mental health such as anxiety, depression, and burnout caused by stress rather than evaluating stress itself. The quality of the study was generally highly biased. The risk of bias increased for the two randomized controlled trials in terms of measurement outcomes and outcome description. The other eight non-randomized studies all included a self-reporting questionnaire of participants, leading to a risk of bias in terms of measurement outcomes.Image:Image 2:Image 3:ConclusionsStudies have been conducted to confirm the effectiveness of interventions given heightened concerns about PTSD in nurses. However, the concept of the trauma experienced by nurses was not integrally defined, and information on interventions was often limited. Efforts are required to improve the quality of research in terms of experimental study design.Disclosure of InterestNone Declared