PDF herunterladen
CC BY 4.0 · Journal of Health and Allied Sciences NU 2025; 15(01): 017-025
DOI: 10.1055/s-0044-1786992
Original Article

Occupational Stress, Strain, and Coping among Nursing Personnel: A Hospital-Based Cross-sectional Study

Shamili Kowshik 
1   Department of Psychology and Psychiatry (N), Rajarajeswari Group of Institutions, Bengaluru, India
,
Dhanpal HN 
2   Department of Psychiatric Nursing, Victory College of Nursing, Harsha Institutions, Bengaluru, India
,
Rahul Shil 
3   Department of MSN (Neuroscience), Victory College of Nursing, Harsha Institutions, Bengaluru, India
› Institutsangaben Funding None.
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Background Nurses are the backbone of the health care system and the largest health care force in the world. They work in multidisciplinary areas in hospitals, nursing homes, government and private sectors, and research and development, which makes them the most stressful personnel in clinical areas.

Objectives This paper aims to explore occupational stress, strain, and coping among nurses working in a hospital in Bengaluru.

Methodology A nonexperimental hospital-based cross-sectional study was conducted from November 2, 2022, to December 2, 2022, using a purposive sampling technique. A total of 77 nurses from different areas participated in the study. Data were collected by the researcher himself through the revised version of the Occupational Stress Inventory scale. Descriptive statistics were used with the mean, standard deviation, frequency, and percentage. To check the association, chi-square analysis was used.

Results The research shows that the majority of the nurses had maladaptive stress in terms of role insufficiency, role ambiguity, role boundary, and physical environment (PE). It was observed that there was a high level of vocational strain (VS) and interpersonal strain with an average social support system (SS) among nurses. A significant association was found between gender and occupational role questionnaire (ORQ) factors like PE, designation of the nurse and ORQ in the area of responsibility, and PE of the working area. In the personal strain questionnaire factor, VS was significantly associated with gender. Furthermore, a significant association was also found between gender and personal resources questionnaire factors like self-care coping and SS coping skills.

Conclusion Our data suggested a moderate to high level of occupational stress with less SS among nurses. Consequently, it is imperative for health care organizations to acknowledge the existence of occupational stress and collaborate toward devising a resolution, enabling nurses to provide patients with optimal care.

Keywords

occupational stress - coping - cross-sectional study - nursing personnel - strain

Authors Contribution

All authors made significant contributions to this research. S.K. made the study design, conception, and execution. D.H.N. did the analysis and interpretation, and R.S. drafted, analyzed, and made the final manuscript. Finally, all authors read, revised, drafted, and gave their final approval of the version to be published based on the selected journal to which the article has been submitted according to the author's guidelines.




Publikationsverlauf

Artikel online veröffentlicht:
07. Juni 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Exposure to stress: occupational hazards in hospital. Center for Disease Control and Prevention; 2008. . Accessed November 28, 2023 at: https://www.cdc.gov/niosh/docs/2008-136/pdfs/2008-136.pdf
    Suche in Google Scholar
  • 2 Leap-Han LL-SB. Job stress and coping mechanisms among nursing staff in public health services. Int J Acad Res Bus Soc Sci 2012; 2 (07) 131-176
    Suche in Google Scholar
  • 3 Yahya SS, Afiq IM, Chow C, Siti Sara D. Stress and its associated factors amongst ward nurses in a public Hospital Kuala Lumpur. Malays J Public Health Med 2011; 11: 45906962
    Suche in Google Scholar
  • 4 Tsai YC, Liu CH. Factors and symptoms associated with work stress and health-promoting lifestyles among hospital staff: a pilot study in Taiwan. BMC Health Serv Res 2012; 12: 199
    CrossrefPubMedSuche in Google Scholar
  • 5 Bernal D, Campos-Serna J, Tobias A, Vargas-Prada S, Benavides FG, Serra C. Work-related psychosocial risk factors and musculoskeletal disorders in hospital nurses and nursing aides: a systematic review and meta-analysis. Int J Nurs Stud 2015; 52 (02) 635-648
    CrossrefPubMedSuche in Google Scholar
  • 6 Alhajjar BI. Occupational stress among hospital nurses in Gaza-Palestine [dissertation]. University of Manchester; 2013
    Suche in Google Scholar
  • 7 Bhatia N, Kishore J, Anand T, Jiloha RC. Occupational stress amongst nurses from two tertiary care hospitals in Delhi. Aust Med J 2010; 3 (11) 731-738
    CrossrefSuche in Google Scholar
  • 8 Urbanetto JdeS, Magalhães MC, Maciel VO. et al. [Work-related stress according to the demand-control model and minor psychic disorder in nursing workers]. Rev Esc Enferm USP 2013; 47 (05) 1186-1193
    PubMedSuche in Google Scholar
  • 9 Yaribeygi H, Panahi Y, Sahraei H, Johnston TP, Sahebkar A. The impact of stress on body function: a review. EXCLI J 2017; 16: 1057-1072
    PubMedSuche in Google Scholar
  • 10 Hsu HY, Chen SH, Yu HY, Lou JH. Job stress, achievement motivation and occupational burnout among male nurses. J Adv Nurs 2010; 66 (07) 1592-1601
    CrossrefPubMedSuche in Google Scholar
  • 11 Thomas LS, Valli A. Levels of occupational stress in doctors working in a South African public-sector hospital. S Afr Med J 2006; 96 (11) 1162-1168
    PubMedSuche in Google Scholar
  • 12 Dagget T, Molla A, Belachew T. Job related stress among nurses working in Jimma Zone public hospitals, South West Ethiopia: a cross sectional study. BMC Nurs 2016; 15: 39
    CrossrefPubMedSuche in Google Scholar
  • 13 Onasoga Olayinka A, Osamudiamen OS, Ojo AA. Occupational stress management among nurses in selected hospital in Benin city, Edo state, Nigeria. Eur J Exp Biol 2013; 3 (01) 473-481
    Suche in Google Scholar
  • 14 Fiabane E, Giorgi I, Musian D, Sguazzin C, Argentero P. Occupational stress and job satisfaction of healthcare staff in rehabilitation units. Med Lav 2012; 103 (06) 482-492
    PubMedSuche in Google Scholar
  • 15 Chao MC, Jou RC, Liao CC, Kuo CW. Workplace stress, job satisfaction, job performance, and turnover intention of health care workers in rural Taiwan. Asia Pac J Public Health 2015; 27 (02) NP1827-NP1836
    CrossrefPubMedSuche in Google Scholar
  • 16 Faraji O, Ramazani AA, Hedaiati P, Aliabadi A, Elhamirad S, Valiee S. Relationship between job characteristics and organizational commitment: a descriptive analytical study. Iran Red Crescent Med J 2015; 17 (11) e19815
    CrossrefPubMedSuche in Google Scholar
  • 17 Teng CI, Hsiao FJ, Chou TA. Nurse-perceived time pressure and patient-perceived care quality. J Nurs Manag 2010; 18 (03) 275-284
    CrossrefPubMedSuche in Google Scholar
  • 18 Kemper K, Bulla S, Krueger D, Ott MJ, McCool JA, Gardiner P. Nurses' experiences, expectations, and preferences for mind-body practices to reduce stress. BMC Complement Altern Med 2011; 11: 26
    CrossrefPubMedSuche in Google Scholar
  • 19 Eleni M, Fotini A, Maria M, Ioannis ZE, Constantina K, Theodoros CK. Research in occupational stress among nursing staff-a comparative study in capital and regional hospitals. Sci J Hell Regul Body Nurs 2010; 3 (03) 79-84
    Suche in Google Scholar
  • 20 Jamal M. Job stress, job performance and organizational commitment in a multinational company. Int J Bus Soc Sci 2011; 2 (20) 20-29
    Suche in Google Scholar
  • 21 Milenkovic M. Worrying workplace stress statistics. The American Institute of Stress; . Daily Life [Online Article]. 2019. . Accessed December 2, 2023 at: https://www.stress.org/42-worrying-workplace-stress-statistics
    Suche in Google Scholar
  • 22 Hassard J, Teoh KRH, Visockaite G, Dewe P, Cox T. The cost of work-related stress to society: a systematic review. J Occup Health Psychol 2018; 23 (01) 1-17
    CrossrefPubMedSuche in Google Scholar
  • 23 Pawlina MMC, Schnorr GP. Prevalence of stress in health workers in the context hospital. Psychology Behav Med Open Access J. 2018; 0 (00) 15-21
    Suche in Google Scholar
  • 24 Salam A, Abu-Helalah M, Jorissen SL. et al. Job stress and job satisfaction among health care professionals. Eur Sci J 2014; 10 (32) 156-173
    Suche in Google Scholar
  • 25 Boran A, Shawaheen M, Khader Y, Amarin Z, Hill Rice V. Work-related stress among health professionals in northern Jordan. Occup Med (Lond) 2012; 62 (02) 145-147
    CrossrefPubMedSuche in Google Scholar
  • 26 Onowhakpor AO, Abdulkabir SAT, Okojie OH. Occupational stress: prevalence, sources and coping mechanisms among medial doctors in a tertiary institution. The Niger Health J 2018; 18: 34-44
    Suche in Google Scholar
  • 27 Adeolu JO, Yussuf OB, Popoola OA. Prevalence and correlates of job stress among junior doctors in the university college hospital, Ibadan. Ann Ib Postgrad Med 2016; 14 (02) 92-98
    PubMedSuche in Google Scholar
  • 28 Salilih SZ, Abajobir AA. Work-related stress and associated factors among nurses working in public hospitals of Addis Ababa, Ethiopia: a cross-sectional study. Workplace Health Saf 2014; 62 (08) 326-332
    CrossrefPubMedSuche in Google Scholar
  • 29 Birhanu M, Gebrekidan B, Tesefa G, Tareke M. Workload determines workplace stress among health professionals working in Felege-Hiwot referral hospital, Bahir Dar, Northwest Ethiopia. J Environ Public Health 2018; 2018: 6286010
    CrossrefPubMedSuche in Google Scholar
  • 30 Adib-Hajbaghery M, Khamechian M, Alavi NM. Nurses' perception of occupational stress and its influencing factors: a qualitative study. Iran J Nurs Midwifery Res 2012; 17 (05) 352-359
    PubMedSuche in Google Scholar
  • 31 Gómez-Urquiza JL, De la Fuente-Solana EI, Albendín-García L, Vargas-Pecino C, Ortega-Campos EM, Cañadas-De la Fuente GA. Prevalence of burnout syndrome in emergency nurses: a meta-analysis. Crit Care Nurse 2017; 37 (05) e1-e9
    CrossrefPubMedSuche in Google Scholar
  • 32 Leiter MP, Maslach C. Nurse turnover: the mediating role of burnout. J Nurs Manag 2009; 17 (03) 331-339
    CrossrefPubMedSuche in Google Scholar
  • 33 Regan A, Howard RA, Oyebode JR. Emotional exhaustion and defense mechanisms in intensive therapy unit nurses. J Nerv Ment Dis 2009; 197 (05) 330-336
    CrossrefPubMedSuche in Google Scholar
  • 34 Zhang H, Shao MM, Lin XD. A cross-sectional survey on occupational stress and associated dyslipidemia among medical staff in tertiary public hospitals in Wenzhou, China. Brain Behav 2021; (11) 3-8
    Suche in Google Scholar
  • 35 Menzies IE. Nurses under stress. Int Nurs Rev 1960; 7: 9-16
    Suche in Google Scholar
  • 36 Sharma P, Davey A, Davey S, Shukla A, Shrivastava K, Bansal R. Occupational stress among staff nurses: controlling the risk to health. Indian J Occup Environ Med 2014; 18 (02) 52-56
    CrossrefPubMedSuche in Google Scholar
  • 37 Abushaikha L, Saca-Hazboun H. Job satisfaction and burnout among Palestinian nurses. East Mediterr Health J 2009; 15 (01) 190-197
    CrossrefPubMedSuche in Google Scholar
  • 38 Marine A, Serra C. Effectiveness of occupational stress management programmes. [protocol] Cochrane Database Syst Rev 2000; 2: 1-4
    Suche in Google Scholar
  • 39 Hashim N, Ismail A, Ibrahim S. Occupational stress, psychological strain and coping resources among nurses at Institut Perubatan Dan Pergigian Termaju. Health Scope 2019; 1: 34-36
    Suche in Google Scholar
  • 40 Charkhat Gorgich EA, Zare S, Ghoreishinia G, Barfroshan S, Arbabisarjou A, Yoosefian N. Job stress and mental health among nursing staff of educational hospitals in South East Iran. Thrita 2017; 6 (01) e45421
    Suche in Google Scholar
  • 41 Najimi A, Goudarzi AM, Sharifirad G. Causes of job stress in nurses: a cross-sectional study. Iran J Nurs Midwifery Res 2012; 17 (04) 301-305
    PubMedSuche in Google Scholar
  • 42 Wu SY, Li HY, Yang SJ, Zhu W, Wang XR. The mediating and moderating role of personal strain and coping resource in the relationship between work stressor and quality of life among Chinese nurses. Int Arch Occup Environ Health 2012; 85 (01) 35-43
    CrossrefPubMedSuche in Google Scholar
  • 43 Santana RDS, Fontes FLL, Morais MJA. et al. Occupational stress among emergency and urgent care nurses at a public hospital in Teresina, Piaui, Brazil. Rev Bras Med Trab 2020; 17 (01) 76-82
    PubMedSuche in Google Scholar
  • 44 Pino O, Rossini G. Perceived organizational stressors and interpersonal relationships as predictors of job satisfaction and well-being among hospital nurses. Int J Psychol Behav Sci 2012; 2 (06) 196-207
    CrossrefSuche in Google Scholar
  • 45 Bajeli-Datt K. Almost half of India's nurses are trained in five southern states: Centre. The New Indian Express [online article]. 2023 . Accessed December 6, 2023 at: https://www.newindianexpress.com/thesundaystandard/2023/Aug/13/almost-half-of-indias-nurses-are-trained-in-five-southern-states-centre-2604676.html
    Suche in Google Scholar