Occupational Stress Of Nurses Research Articles

Effect of occupational stress and resilience on insomnia among nurses during COVID-19 in China: a structural equation modelling analysis

ObjectivesTo explore the effects of occupational stress and resilience on insomnia among Chinese nurses during the COVID-19 pandemic.Design, settings and participantsA quantitative description study. The data were collected via a...

Predictive factors of occupational stress among nurses during the COVID-19 pandemic: a cross-sectional study in Kashan, Iran

BackgroundConsidering the severe and sudden changes in the job conditions of nurses during the covid-19 pandemic, the increase in job tensions during this critical period and its consequences on the quantity and quality of nursing care, this study aims to investigate the job stress of nurses during the covid-19 pandemic and its predictors in Iran.MethodsThis cross-sectional study was conducted on 400 nurses in ‘Kashan’, Iran, who were randomly selected using stratified sampling. Data were collected using two questionnaires on occupational stress and potential related factors. The data were analyzed in SPSS version 16.ResultsThe results showed that the occupational stress of nurses in Iran was at a medium to high level with a mean and standard deviation of 103.773 ± 15.742 (scale of 34–136). Factors such as satisfaction with physical health, quality of work life, satisfaction with the availability of facilities, sense of coherence, education level, work experience, job burnout, male gender, being native, and workplace were predictors of occupational stress and explained 23.3% of the variance in occupational stress score. The highest contribution was related to satisfaction with physical health.ConclusionConsidering the consequences of occupational stress for nurses, it is crucial for health and nursing authorities to take these factors into consideration in policy-making and planning.

Effectiveness of Individual-Based Strategies to Reduce Nurse Burnout: An Umbrella Review

Aims. This umbrella review aims to comprehensively synthesize and analyze the findings of available systematic reviews on the effectiveness of individual-based strategies for reducing nurse burnout occurring in hospital-based settings. Methods. Following JBI guidelines, an umbrella review was conducted to integrate the effectiveness of various strategies to reduce burnout. Systematic reviews were searched in the Embase, MEDLINE (Ovid), Cochrane Library, CINAHL (EBSCO), Scopus, and WOS databases. Inclusion criteria included studies published in any language from database inception to April 2023. Eligibility assessment involved two independent reviewers who evaluated titles, abstracts, and full texts. The systematic reviews were critically evaluated using JBI SUMARI. The results were narratively synthesized and grouped by strategy. Results. Eleven systematic reviews were included, covering the years 2012 to 2021. The appraisal tools varied, though all included reviews were of high quality. The strategies were categorized into three domains: mental health (51%), physical activities (26%), and professional competence (13%). The interventions most identified were mindfulness-based stress reduction for mental health, yoga for physical activities, and professional competence education. These individual-based strategies were shown to effectively eliminate emotional exhaustion (72.7%), depersonalization (44%), and occupational stress (78%) among nurses in hospital-based settings. Conclusion. Mental health, physical activities, and professional competence are strategies to reduce nurse burnout. Implementing these approaches in healthcare settings can improve emotional exhaustion, depersonalization, and occupational stress of nurses.

Occupational stress and coping strategies of the nursing staff of a Public University Hospital during the COVID-19 pandemic

Background & Aim: Nursing staff are exposed to high-stress levels daily due to the demanding work environment. This study examined nursing staff occupational stress and coping mechanisms during the COVID-19 pandemic.‎
 Methods & Materials: A cross-sectional study with a sample of 108 nursing staff was carried out. The Expanded Nursing Stress Scale (ENSS), the Brief Coping Orientation to Problems Experienced (Brief COPE) Scale, and constructed questions were used for data collection. Data were analyzed using chi-square (χ2), Pearson methods, and Multiple linear regression analysis. Statistical significance was determined at p-value ≤ 0.05.
 Results: Overall Occupational stress was assessed with a mean score of 146.8 (SD±35.3). In Brief COPE Scale, a higher mean was assessed for “social support - information seeking” and lower for “substance use” or “withdrawal” (p<0.001). A significant difference in response distributions was observed regarding their degree of concern or fear about COVID-19 (p<0.01). Increased levels of Overall Occupational Stress (ENSS) were associated with higher levels of BCOPE. Emotional Focus and Venting and Diffusion of Emotions (β=5.15, p=0.026), younger age of the participants (β=-5.78, p=0.033), years of working in the healthcare sector (β=14.46, p=0.004) or the highest fear/concern about being infected and infecting their patients (β=6.22, p=0.032).
 Conclusion: Nursing staff experienced moderate levels of occupational stress, while challenges raised by the pandemic were handled through seeking social support, positive reframing and acceptance, taking protective measures, and turning to religion. Developing meaningful administrative and educational strategies for staff empowerment and resilience may reduce anxiety and occupational stress for nurses.

Prevalence of occupational stress in nurses who work in urgency and emergency in the city of Boa Vista - RR

O stress exerce uma influência direta com a vida pessoal de todos os indivíduos. O estresse ocupacional passou a ser um dos grandes vilões causadores de adoecimento e esgotamento físico e mental tornando-se um grande risco para o bem-estar do trabalhador. Objetivo: O estudo tem como objetivo avaliar a prevalência de estresse ocupacional em enfermeiros que atuam na urgência e emergência. Método: Trata-se de um estudo observacional, transversal e quantitativo que foi realizado com 20 enfermeiros de ambos os gêneros, residentes na Cidade de Boa Vista-RR, por meio de um questionário auto administrável na Plataforma Google Forms. O questionário foi enviado pelo aplicativo WhatsApp® por meio de mensagem. Os participantes tiveram acesso ao questionário somente após aceitar o Termo de Consentimento Livre e Esclarecido. Para avaliação do estresse ocupacional foi utilizada a versão resumida da Job Stress Scale(JSS). Resultados: Esta pesquisa buscou chamar atenção para o estresse que o profissional vem enfrentando por ter uma ocupação ativa, de alta demanda psicológica, tendo em vista que 100% (n 20) dos voluntários declaram passar por tal situação em seu ambiente de trabalho. Conclusão: Espera-se que este estudo possa contribuir com melhorias aos enfermeiros da urgência e emergência, visando uma maior valorização, chamando atenção para importância da saúde mental daqueles que atuam em um setor estressante.

Prevalence and Risk Factors Underlying Occupational Stress and Depression Among Clinical Nurses in Secondary and Tertiary Hospitals of China During COVID-19 Setting.

This study was designed to develop an effective measurement tool for occupational stress among medical staff and to identify the underlying risk factors among clinical nurses in China under depression during and after COVID-19. In the first stage, an occupational stress scale was developed for medical staff based on qualitative and quantitative methods. The dimensions of the scale were based on childhood stress and seven other parameters of working stress. In the second stage, a provincial survey was conducted among clinical nurses in Hainan. The structure of Medical Staff Occupational Stress Scale was tested in secondary and tertiary hospitals. The socio-demographic information, occupational stress (measured using the developed scale), and current depression symptoms (assessed with the nine-item Patient Health Questionnaire) were evaluated. The risk factors for occupational stress-induced depression were tested using multivariate logistic regression. The Medical Staff Occupational Stress Scale consisted of 42 items under eight dimensions with strong reliability and validity. Almost 80% of the clinical nurses reported obvious symptoms of depression. Based on multivariate logistical regression analysis, the significant risk factors for depression in nurses at secondary hospitals and tertiary hospitals were childhood stress, teaching stress, relationship with patient stress, and administration stress. The Medical Staff Occupational Stress Scale utilized in nursing population is based on strong psychometric features. Childhood stress contributes to occupational stress in nurses. The selection of nurses for clinical work may require evaluation of past history for childhood stress to prevent occupational depression. Teaching stress, relationship with patient stress and administration stress play significant roles in the prevention of depression among clinical nurses.

Occupational Stress of Nurses and its Related Factors During the COVID-19 Pandemic: A Systematic Review

Background and Objectives: Occupational stress is one of the most common psychiatric disorders in nurses during the COVID-19 pandemic. The present study aims to investigate the occupational stress level of nurses and its related factors during the COVID-19 pandemic. Methods: This is a systematic review study that was conducted in 2022 by searching for articles in both Persian and English in Web of Science, SID, Scopus, Google Scholar, Cochran, MagIran, IranDoc and PubMed databases without time limit. The used keywords were nurse, Iran, COVID-19, occupational stress, and job stress in Persian and English. Initial search yielded 3860 articles. Of these, 15 articles were finally reviewed. Results: In the reviewed studies, nurses’ occupational stress during the COVID-19 pandemic was at a high level. The highest score was related to the “demands” dimension and the lowest score was related to “the changes” dimension of the health and safety executive questionnaire. Demographic, occupational, and mental factors and quitting job had a significant positive relationship with nurses’ occupational stress, while low rest, job-related affective well-being, organizational commitment, productivity, organizational climate, and knowledge had a significant negative relationship with their occupational stress. Conclusion: The occupational stress of nurses is high during the COVID-19 pandemic. Occupational stress is related to demographic, occupational, psychological, and organizational factors. It is recommended to form committees to monitor nurses’ occupational stress in hospitals.

Effects of Integrated Workplace Violence Management Intervention on Occupational Coping Self-Efficacy, Goal Commitment, Attitudes, and Confidence in Emergency Department Nurses: A Cluster-Randomized Controlled Trial.

Patient and visitor violence (PVV), the most prevalent source of workplace violence, is largely ignored, underreported, and a persistent problem in emergency departments. It is associated with physical injuries, psychological distress, and occupational stress in nurses. A randomized controlled trial was conducted in Taiwan from January to December 2020. This study aimed to test the efficacy of an integrated Workplace Violence Prevention and Management Training Program on PVV in 75 emergency department (ED) nurses from a hospital. Cluster sampling was used because the policy of subdivision strategy was enforced during the COVID-19 pandemic. ED nurses received either the intervention or 1-hour in-service class. Data were collected from questionnaires. Data were analyzed mainly by the repeated measure analysis of variance and generalized estimating equations. The intervention had positive effects on developing stronger goal commitment, improving occupational coping self-efficacy, increasing confidence in ability to deal with violent situations, and modifying attitudes toward the causes and management of PVV in ED nurses (p < 0.05). The marginal R2 of the generalized estimating equation model for goal commitment, occupational coping self-efficacy, confidence, attitudes toward aggression in ED and aggressive behavior variables was high as 0.54 (p < 0.001), 0.45 (p < 0.001), 0.58 (p < 0.001), 0.29 (p < 0.05), and 0.72 (p < 0.001), respectively. These study models could effectively predict changes in the mean values. The benefit was driven by the effect of the intervention in ED nurses. Thus, the intervention, when applied in conjunction with routine in-service class, could exert synergistic improvements on outcomes measured in nurses.

Effectiveness of educational intervention on reducing oxidative stress caused by occupational stress in nurses: A health promotion approach.

Nursing is one of the most stressful occupations. Educational intervention regarding stress management can play an important role in reducing occupational stress among nurses The present study aimed to determine the effectiveness of educational intervention on reducing oxidative stress caused by occupational stress in nurses: A health promotion approach in a hospital in western Iran. The present interventional study was performed in 2019 among 92 nurses working at the Kosar Hospital located in the city of Sanandaj in the country of Iran. Occupational stress was evaluated using the Osipow Occupational Stress Questionnaire. Oxidative stress was measured by taking blood samples and measuring the enzymatic activity of superoxide dismutase (SOD), malondialdehyde, and catalase (CAT) using SOD, malondialdehyde (MDA), and CAT kits. Educational intervention was carried out in the second stage. Three months after the intervention, data were taken again. The results of the present study indicated that there was a significant difference in occupational stress between before and after the educational intervention (P < 0.05). A significant reduction in MDA (P = 0.038) and SOD (P = 0.048) was observed after educational intervention, but this was not the case for CAT (P = 0.592). There was no significant correlation between occupational stress with oxidative stress parameters before and after the educational intervention (P < 0.05). No significant difference in occupational stress was observed between men and women. Among the oxidative stress parameters under evaluation, MDA was higher among men compared to women and this was statistically significant. Educational intervention regarding occupational stress is effective in reducing oxidative stress among nurses. The group meetings teach stress management to the participants and enable them to better manage their stress by utilizing their own capabilities. Thus, attention to this issue is vital in maintaining the mental and physical health of nurses and, in turn, improves the quality of care rendered.

Stress in the nursing staff: first aid, assessment of causes and nature of stress, management methods

The aim of the study occupational stress in nurses and develop a program for coping with occupational stress in nurses. In modern conditions, a clearly expressed need for fundamental and applied knowledge about the essence, development and ways of preventing occupational stress has formed in society. The solution to the problem under consideration can help to overcome the difficulties that have emerged in connection with the need to manage stress in the organizational environment. Results. The concept of «stress» is disclosed, the causes of the onset and stages of development of stress, as well as its consequences, are determined. The concept of «professional stress» and the peculiarities of its development among nursing staff have been studied. Conclusion. A detailed disclosure of material on this topic will allow the healthcare professional to overcome stress among the nursing staff. Research materials can be used in the training, retraining and advanced training of nurses; when conducting individual consultations with teachers, parents and students of medical schools and universities; when conducting personality-oriented trainings.

The effect of resilience training on the occupational stress of nurses in the emergency department

Introduction: Due to their professional nature, nurses face many stressful situations, which affect their job performance. Therefore, this study was conducted to determine the effect of resilience training on occupational stress of nurses. Material and methods: The present study is a quasi-experimental study with pre-test and post-test groups, during which 60 nurses working in emergency department were studied in two (intervention and control) groups of 30 people. Thus, the intervention group received eight 30-minute sessions of resilience training over a period of two months, and no intervention was performed in the control group during this period. Occupational stress was assessed in both groups before the intervention and 1 month after the end of the intervention by the Gray-Toft &amp; Anderson Nursing Stress Scale. Statistical analysis was performed by SPSS version 22, descriptive statistical indicators, and RM-ANOVA statistical test. Results: Based on the results, the level of occupational stress had a decrease in both intervention and control groups after the intervention, but this difference was not statistically significant (p &lt; 0.05). Conclusion: The results of this study show that resilience training can be used in the field of nursing occupational stress, but it is recommended that in subsequent studies, confounding variables be moderated or controlled as much as possible.

The Influence of Psychological Flexibility of Nurses on Occupational Stress during the COVID-19 under the Background of Big Data：The Mediating Effect of Error Management Climate

Objective: Understand the current situation of hospital error management climate, nurses' psychological flexibility and occupational stress during the COVID-19 under the background of big data, to explore the influence of nurses' psychological flexibility on occupational stress and the intermediary role of error management climate. Provide a basis for improving the hospital's error management climate during the COVID-19 and major public health emergencies under the background of big data, provide an improvement path for improving nurses' psychological flexibility and reducing occupational stress level. Methods: In April 2020, 587 nurses were investigated with error management climate scale, psychological flexibility scale and occupational stress scale. Results: Psychological flexibility is negatively correlated with occupational stress, and error management climate mediates the relationship between the two. Conclusion: Different types of nurses perceive different levels of error management climate, psychological flexibility and occupational stress, among them, gender, education background and working years may be the influencing factors; the higher the level of psychological flexibility of nurses; the better the level of perceived error management climate, and the lower the level of occupational stress of nurses.

The correlation between worker-occupation fit and occupational stress in nurses

Objective: To explore the relationship between the worker-occupation fit and occupational stress in nurses. Methods: Convenience sampling method was used to collect 1 463 nurses from one general hospital and three specialized hospitals from July to October 2019. Depression-anxiety-stress scale (DASS-21) was used to assess the level of occupational stress. Pearson correlation and multivariate logistic regression model were used to analyze the relationship between the worker-occupation fit and occupational stress. Results: The average age of 1 463 nurses was (31.8±7.2) years, and 92.3% (n=1 350) of nurses were female. 47.2% (n=690) of nurses had occupational stress and the mean score of worker-occupation fit was (34.4±6.1). The worker-occupation fit and occupational stress had a significant negative correlation (r=-0.472, P<0.001). The moderate and high level of the worker-occupation fit, characteristic fit, need supply fit, and demand ability fit had protective effects on occupational stress based on the outcome of multivariate logistic regression model [OR (95%CI) were 0.40 (0.28-0.59), 0.16 (0.10-0.24); 0.32 (0.22-0.47), 0.18 (0.11-0.20); 0.33 (0.21-0.52), 0.18 (0.11-0.30); 0.59 (0.37-0.9), 0.54 (0.38-0.78), respectively]. Conclusion: The worker-occupation fit and different types of fit, including characteristic fit, need supply fit, and demand ability fit, could be associated with the occupational stress.

Investigation of Relationship between Occupational Stress and Cardiovascular Risk Factors among Nurses.

Background:One of the major causes of various work-related health problems among nurses is occupational stress. Hence, the main purpose of the present research was to find association between occupational stress of nurses and risk factors of cardiovascular disease.Methods:In this cross-sectional study, the Osipow job stress questionnaire was employed to assess the occupational stress among the 250 nurses in Emam Khomeini hospital of Tehran in 2018. Based on stress score for participants, subjects divided into two groups: Scoring of group one was 60–179 (mild and average stress) and group two between 180 and 300 (average to acute and acute stress). Systolic and diastolic blood pressures were recorded for subjects after 10hrs fasting. Then the blood samples were collected to measure cholesterol, triglyceride and glucose levels. For determining the association between education level, job experience and study groups, the Chi-square test and for comparing job stress between two groups of study the Mann–Whitney U test was used.Results:Subjects with job stress in group one was 70(28%) and group two was 180(72%). The association between level of education and two study groups was not significant (P=0.129) while between job experience and two study groups was significant (P=0.004). Mean of Blood glucose levels for group I (98.0± 37.5), was higher than group II (82.5±12.0) and statistically significant (P=0.001). No significant difference was found between two groups of study for other parameters.Conclusion:High level of work-related stress among subjects affected the values related to blood glucose level, but no significant relationship was found between other risk factors of cardiovascular diseases and occupational stress among nurses.

Occupational stress in nurses and their intentions to continue working in hospitals for community-based care

Occupational stress in nurses and their intentions to continue working in hospitals for community-based care

Occupational stress andburnoutsyndrome in nurses whoact in emergency

Objective Which occasional factors to identify or the development of occupational stress and burnout syndrome in nurses working in the emergency Methods This is a qualitative study using the method integrative literature review The bibliography collected and selected for this study had the articles SciELO and LILACS from to Results Conducting the integrative literature review provided key interpretations and reflections for understanding the factors que lead to the development of occupational stress in nurses bringing the the main results Following factors overload and work poor organization to work lack of materials among other factors Conclusion It concludes that it is necessary to create strategies routines and norms so that it is possible to offer psychological support to all health professionals

Effectiveness of stress management interventional programme on occupational stress for nurses: A systematic review.

The purpose of this systematic review is to evaluate the effectiveness of stress management interventional programme in reducing occupational stress among nurses. Nursing professionals are placed continuously at the forefront in the area of health care which makes them highly exposed to professional stress. Randomized controlled trial studies (RCTs) were systematically searched in eight different databases for works published in English from 2011 to 2019; inclusion criteria were applied by two reviewers critically and assessed the risk of bias using Consolidated Standards of Reporting Trials (CONSORT). The systematic search contributed to the extraction of approximately 10 most relevant RCTs. Most of the RCTs considered in this systematic review revealed that the stress reduction interventions and strategies were effective in reducing the levels of occupational stress experienced by nurses. Current review shows that stress management interventional programme tends to be effective, but additional well-designed RCTs are needed to confirm their effectiveness. Implementing stress management interventions within health care organisations are likely to assist nurses in reducing occupational stress and in improving coping strategies used by nurses for dealing with stress.

Occupational stress of nurses from the Mobile Emergency Care Service.

To evaluate stress, and to associate it with sociodemographic and clinical aspects of nurses from the Mobile Emergency Care Service. This is an observational, cross-sectional and quantitative study conducted with 123 nurses, who answered a questionnaire to assess sociodemographic and clinical variables, and the Job Stress Scale, which evaluates stress in the workplace. The results indicated that most of them were women, 20 to 40 years old, married, without another employment bond and with specialization course. They had low control and low demand at work and performed a passive work. Women reported passive work and high stress levels, while men were equally divided in active and passive work with low stress levels. Passive work is harmful to health and it is related to lack of autonomy, decision-making, and social support. It may lead to reduced ability to solve problems faced in daily work routine.

The Correlation Between Workload And Occupational Stress Of Nurses In The Emergency Department Of Regional Public Hospital Rsud Prof. Dr. W. Z. Johannes Kupang

&lt;p&gt;The emergency department in a hospital tends to pose a high stress level. This is due to the conditions, i.e., life-threatening condition of patients that often trigger the stress on the nurses. The nurses are required to act immediately and to possess specific skills to provide accurate treatment to the patients. Such a condition signifies the major role of nurses in a hospital. It also demands improvement in the performances of the nurses to conceptualize quality health services. Occupational stress is a term used to refer to depression or emotion, being irritable towards the situation of the workplace, and it is signified by both mental and physical condition of a person. This inevitably affects one’s health as and the spiritual condition. Excessive workload is among the factors causing occupational stress. This study aims at exploring the correlation between workload and occupational stress of nurses in the emergency department of Regional Public Hospital RSUD. Prof. Dr. W. Z. Johannes Kupang. The cross-sectional study involved 40 respondents selected using a &lt;em&gt;total sampling &lt;/em&gt;method. The data were analyzed using the Pearson chi-square correlation. It is revealed that the p-value 0.000 is lower than α 0.05, meaning that H0 is rejected and signifying that workload correlates with the occupational stress of the nurses in the research site. &lt;/p&gt;

Occupational Stress in Intensive Care Units Nurses: A Cross-sectional Study

BackgroundOccupational stress can have seriously negative effects on the physical, psychological, and economic dimensions of nurses working in the intensive care units (ICUs).ObjectivesThus, this study was conducted to determine occupational stress in nurses who work in ICUs.MethodsThis cross-sectional study was carried out on 120 nurses in three hospitals in Kerman, southeastern Iran. Data were gathered by Socio-Demographic Information and Osipow Occupational Stress questionnaires.ResultsThe mean of occupational stress and all its constructs were at the moderate-high level. The highest mean score was related to role overload (37.11±3.63) while the lowest mean score belonged to role boundary (30.32±3.66). No statistically significant differences were found between the mean of occupational stress and participants’ characteristics.ConclusionConsidering the moderate-high level of occupational stress in ICU nurses, we recommend hospital authorities to take appropriate measures to prevent and manage stressors in ICU nurses to improve the quality of care and patients’ satisfaction