Volume 20, Issue 1 (2023)
ioh 2023, 20(1): 106-120 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mehrabian F, Simin Jorshari M, Zamani M, Sobhani Dargah A, Borghei Y, Ashouri A et al . JOB STRESS AND ITS RELATED FACTORS IN NURSES WORKING AT EDUCATIONAL AND MEDICAL CENTERS: A LARGE STUDY FROM IRAN DURING THE COVID-19 PANDEMIC. ioh 2023; 20 (1) :106-120
URL: http://ioh.iums.ac.ir/article-1-3350-en.html
URL: http://ioh.iums.ac.ir/article-1-3350-en.html
Fardin Mehrabian 
, Mohammad Simin Jorshari , Moein Zamani , Ali Sobhani Dargah , Yasaman Borghei , Asieh Ashouri * , Mohammad Assadian Rad
, Mohammad Simin Jorshari , Moein Zamani , Ali Sobhani Dargah , Yasaman Borghei , Asieh Ashouri * , Mohammad Assadian Rad
Research Center of Health and Enviroment, School of Health, Guilan University of Medical Sciences, Rasht, Iran. , a.ashouri@gmail.com
Abstract: (1155 Views)
Abstract
Background and aims: Nurses are one of the most important elements of health care system that have been in a stressful situation during the Covid-19 pandemic. The aim of this study was to investigate the prevalence and sources of nurses' occupational stressand identify related factors during this period.
Methods: This cross-sectional study was performed on 392 nurses of Rasht educational and medical centers in January to March 2021 selected with stratified random method. Demographic and occupational stress data (by Expanded Nursing Stress Scale questionnaire) werecollected. Data analyses performed by descriptive statistics and multiple regression models with SPSS software version 26.
Results: The mean age of nurses were 37.8±8.8 years old. Stress was mild in 62% of nurses, moderate in 20% and severe in 2%. Death and dying situation (1/78±0/74), uncertainty concerning treatments (1.71±0.72) and workload (1.69±0.68), expressed higher occupational stress. Working in the intensive care units or emergency ward, higher education, excessive hours of work and female gender were independently predictors of more occupational stress and these characteristics determined 15% of the variance of stress scores.
Conclusion: Stress related to the job during the Covid-19 pandemic is high, and stress in the workplace, especially in intensive care units and emergency ward, should be reduced and standard work shifts should be developed. Furthermore, training of stress management in situations of patients’ death and dying, high workload and uncertainty concerning treatment in pandemic conditions for at risk population of nurses should be done.
Background and aims: Nurses are one of the most important elements of health care system that have been in a stressful situation during the Covid-19 pandemic. The aim of this study was to investigate the prevalence and sources of nurses' occupational stressand identify related factors during this period.
Methods: This cross-sectional study was performed on 392 nurses of Rasht educational and medical centers in January to March 2021 selected with stratified random method. Demographic and occupational stress data (by Expanded Nursing Stress Scale questionnaire) werecollected. Data analyses performed by descriptive statistics and multiple regression models with SPSS software version 26.
Results: The mean age of nurses were 37.8±8.8 years old. Stress was mild in 62% of nurses, moderate in 20% and severe in 2%. Death and dying situation (1/78±0/74), uncertainty concerning treatments (1.71±0.72) and workload (1.69±0.68), expressed higher occupational stress. Working in the intensive care units or emergency ward, higher education, excessive hours of work and female gender were independently predictors of more occupational stress and these characteristics determined 15% of the variance of stress scores.
Conclusion: Stress related to the job during the Covid-19 pandemic is high, and stress in the workplace, especially in intensive care units and emergency ward, should be reduced and standard work shifts should be developed. Furthermore, training of stress management in situations of patients’ death and dying, high workload and uncertainty concerning treatment in pandemic conditions for at risk population of nurses should be done.
Type of Study: Full Text |
Subject:
Occupational Diseases
Received: 2022/02/25 | Accepted: 2023/01/16 | Published: 2023/03/30
Received: 2022/02/25 | Accepted: 2023/01/16 | Published: 2023/03/30
References
1. Faraji O, Valiee S, Moridi G, Ramazani A, Rezaei FM. Relationship between job characteristic and job stress in nurses of Kurdistan University of Medical Sciences educational hospitals. Iran J Nurs Res. 2012;7(25): 54-63.[Persian].
2. Bahmani A. Investigating the Effect of Work Shifts in Coronavirus Conditions on Employee Burnout With the Mediating Role of Coronavirus Stress. J Nurs Manag. 2021;9(4):20-26. [Persian].
3. Barzgar M, Mostafazadeh A, Habibzadeh H, Radfar M, Khalkhali HR. Prediction Ooccupational burnout based Job Stress in Nurses in emergency Department. Iran J Psychiatr Nurs. 2021;8(6): 20-28.[Persian].
4. Babapour AR, Gahassab-Mozaffari N, Fathnezhad-Kazemi A. Nurses' job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC nursing. 2022;21(1):1-10. [DOI:10.1186/s12912-022-00852-y]
5. Golshiri P, Pourabdian S, Najimi A, Mosa ZH, Hasheminia J. Factors effective on job stress of nurses working in emergency wards. J Health Syst Res. 2013;9(1):50-56.[Persian].
6. Abedikooshki S, Roohafzaei SH, Shahdousti H. Relationship between organizational climate, job stress and job satisfaction in nurses of Covid-19 ward of Imam Khomeini Esfarayen hospital. S J Nursing, Midwifery and Paramedical Faculty. 2021; 7(2):34-46.[Persian].
7. Mo Y, Deng L, Zhang L, Lang Q, Liao C, Wang N, et al. Work stress among Chinese nurses to support Wuhan in fighting against COVID‐19 epidemic. J Nurs Manag. 2020;28(5):1002-1009. [DOI:10.1111/jonm.13014]
8. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Netw Open. 2020;3(3):1-12. [DOI:10.1001/jamanetworkopen.2020.3976]
9. Shahrour G, Dardas LA. Acute stress disorder, coping self-efficacy and subsequent psychological distress among nurses amid COVID-19. J Nurs Manag. 2020;28:1686-1695. [DOI:10.1111/jonm.13124]
10. Sheikhbardsiri H, Doustmohammadi MM, Afshar PJ, Heidarijamebozorgi M, Khankeh H, Beyramijam M. Anxiety, stress and depression levels among nurses of educational hospitals in Iran: Time of performing nursing care for suspected and confirmed COVID-19 patients. J Edu Health Promot. 2021;10:447-452. [DOI:10.23736/S2724-6612.21.02137-3]
11. Khanmohammadi S, Hajibeglo A, Rashidan M, Bekmaz K. Relationship of resilience with occupational stress among nurses in coronavirus ward of Khatam Al-Anbia Hospital, Gonbad Kavous, 2020. Neuropsych Neuropsych. 2020;15: 1-6. [DOI:10.5114/nan.2020.97397]
12. French SE, Lenton R, Walters V, Eyles J. An empirical evaluation of an expanded nursing stress scale. J Nurs Meas. 2000;8(2):161-178. [DOI:10.1891/1061-3749.8.2.161]
13. Ghassemi-Pirbalouti M, Ahmadi R, Alavi-Eshkaftaki SS. Association of organizational culture and job stress with mental health in nurses in Hajar and Kashani hospitals of Shahrekord city. J Clin Nurs Midwifery. 2013;2(3):53-63.[Persian].
14. Ilić IM, Arandjelović MŽ, Jovanović JM, Nešić MM. Relationships of work-related psychosocial risks, stress, individual factors and burnout-Questionnaire survey among emergency physicians and nurses. Med Pr. 2017;68(2):167-178. [DOI:10.13075/mp.5893.00516]
15. Asadi Fakhr A, Asadi S. Investigation of the amount of stressors in operating room nurses. Pajouhan Sci J. 2017;15(2):27-31.[Persian].
16. Pour S. Exploring psychological stressors with regard to the moderating role of perceived social support in Female nurses of hospital emergency department. Iran Occup Health. 2013;10(4):65-74. [Persian].
17. Royani Z, Sabzi Z, Mancheri H, Aryaie M, Aghaeinejad A, Goleij J. The relationship between job stressors and coping strategies from critical nurses' perspective. Iran J Psych Nurs. 2016;4(3):25-32.[Persian]. [DOI:10.21859/ijpn-04034]
18. Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakimi A. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital, 2013. J Clin Nurs Midwifery. 2015;4(1):39-49.[Persian].
19. Mohammadi M, Vaisi-Raygani A, Jalali R, Salari N. Prevalence of job stress in nurses working in Iranian hospitals: a systematic review, meta-analysis and meta-regression study. J Health Saf Work. 2020;10(2):119-128.[Persian].
20. Liu C-Y, Yang Y-z, Zhang X-M, Xu X, Dou Q-L, Zhang W-W, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiol Infect. 2020;148:1-7. [DOI:10.1017/S0950268820001107]
21. Hajiseyedrezaei SR, Alaee N, Zayeri F. Surveyofstatusstressamong nurses thatworking in critical care unitsat hospitals of Tehran city, 2019. Nurs Midwifery J. 2020; 18(1): 1-10.[Persian].
22. Shareinia H, Khuniki F, Bloochi Beydokhti T. Comparison between job stress among emergency department nurses with nurses of other departments. J Nurs Manag. 2018;6(3):48-56.[Persian]. [DOI:10.29252/ijnv.6.3.4.48]
23. Sabzi Z, Royani Z, Mancheri H, Aghaeinejad A, Kochaki GM, Kalantari S, et al. The relationship between occupational stress and coping strategies in critical care nurses. Iran Occup Health. 2017.14(5):45-52.[Persian].
24. Delirrooyfard A, Masoumi K, Forouzan A. Occupational stress among emergency department nurses of Golestan and Emam Khomeini hospitals in Ahvaz. Jundishapur Sci Med J. 2015;14(3):296-300.[Persian].
25. McVicar A. Workplace stress in nursing: a literature review. J Adv Nurs. 2003;44(6):633-642. [DOI:10.1046/j.0309-2402.2003.02853.x]
26. Landa JMA, López-Zafra E, Martos MPB, del Carmen Aguilar-Luzon M. The relationship between emotional intelligence, occupational stress and health in nurses: a questionnaire survey. Int J Nurs Stud. 2008;45(6):888-901. [DOI:10.1016/j.ijnurstu.2007.03.005]
27. Milutinović D, Golubović B, Brkić N, Prokeš B. Professional stress and health among critical care nurses in Serbia. Arh Hig Rada Toksikol. 2012;63(2):171-179. [DOI:10.2478/10004-1254-63-2012-2140]
28. Murat M, Köse S, Savaşer S. Determination of stress, depression and burnout levels of front‐line nurses during the COVID‐19 pandemic. Int J Ment Health Nurs. 2021;30(2):533-543. [DOI:10.1111/inm.12818]
29. Rafi A, Bandani A, Zade S, Darabiyan P, Jamshidi Z, Hasanzadeh M, et al. Evaluation of Nursing stress and its effective factors in nurses of Shahidzadeh Hospital in Behbahan in 2019: Challenges in Nursing. Int j Ayurvedic med. 2020;11(3):419-425. [DOI:10.47552/ijam.v11i3.1620]
30. Scholze AR, Martins JT, Robazzi M, Haddad M, Galdino M, Ribeiro R. Occupational stress and associated factors among nurses at public hospitals. Cogitare Enferm. 2017;22(3):1-10. [DOI:10.5380/ce.v22i3.50238]
31. Sarboozi Hosein Abadi T, Askari M, Miri K, Namazi Nia M. Depression, stress and anxiety of nurses in COVID-19 pandemic in Nohe dey hospital in Torbat Heydariyeh city, Iran. J Mil Med. 2020;22(6):526-533.[Persian].
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
