Emergency department nurses’ experiences of occupational stress: A qualitative study from a public hospital in Bangkok, Thailand

Yuwanich, Nuttapol; Sandmark, Hélène; Akhavan, Sharareh

doi:10.3233/wor-152181

Cited by 42 publications

(48 citation statements)

References 38 publications

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“…The patients and their relatives have higher expectations and demand more from private hospitals since they pay by themselves for health care services [22]. In contrast, no disrespect from patients and their relatives were reported by the nurses at a public hospital [3], presumably since public hospital patients have different expectations and demands compared with private hospital patients. Providing clear information about waiting times and what to expect at the ED can prevent such a misunderstanding [23].…”

Section: Discussionmentioning

confidence: 84%

“…To simultaneously consider a patient's potentially serious medical condition and pay ability generates a stressing ethical dilemma. This problem does not exist at public hospitals [3]. On the other hand, the violence experienced in public hospitals was not reported at the private hospitals [3].…”

Section: Discussionmentioning

confidence: 99%

“…This problem does not exist at public hospitals [3]. On the other hand, the violence experienced in public hospitals was not reported at the private hospitals [3].…”

Section: Discussionmentioning

confidence: 99%

“…performing physicians' tasks and being a mentor for new junior nurses, also caused stress. Limited decision-making authority (job control) and being in an uncontrollable situation, interfered with their capacity to complete their tasks [3] [17]. The sub-category "seeking and accepting support" reflected the nurses' experiences of inadequate support at work.…”

Section: Discussionmentioning

confidence: 99%

“…These problems affected the ED nurses' physical and mental health, family relationships, job satisfaction, and the quality of their nursing care [3]. Emergency care is also provided in the private care sector, but less is known if the experience of stress among ED nurses is the same as in public care sector.…”

Section: Introductionmentioning

confidence: 99%

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Experiences of Occupational Stress among Emergency Nurses at Private Hospitals in Bangkok, Thailand

Yuwanich¹,

Akhavan²,

Nantsupawat³

et al. 2017

OJN

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Introduction: Occupational stress has negative effects on employee's health and organizational productivity. Nurses in emergency department are more exposed to stress than nurses in other departments. Aim: To explore nurses' experiences of occupational stress in emergency departments in private hospitals in Bangkok, Thailand. Design: A descriptive qualitative design, with a deductive approach based on the Job Demand-Control-Support model was used. Methods: Fifteen emergency department nurses at two different hospitals were interviewed and the data were analyzed using a manifest content analysis. Results: Three main categories: "work context is an issue", "consequences of reactions to stress", and "coping with work stress", including seven sub-categories emerged from the data analysis. Conclusion: The patients' and their relatives' behaviors were experienced as the primary stressor at the private hospital, in addition to excessive work tasks. Other important stressors were misunderstanding and conflicts between emergency department nurses and the other health care professionals, presumably related to hierarchy and power relations between health care professions. Creating a better working environment and a balance between the number of patients and nurses would reduce workload and stress, encourage ED nurses to stay in the profession and ultimately maintain patient safety.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

“…This problem does not exist at public hospitals [3]. On the other hand, the violence experienced in public hospitals was not reported at the private hospitals [3].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Experiences of Occupational Stress among Emergency Nurses at Private Hospitals in Bangkok, Thailand

Yuwanich¹,

Akhavan²,

Nantsupawat³

et al. 2017

OJN

Self Cite

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Late‐onset PTSD and coping strategies for frontline nurses during the COVID‐19 epidemic in China

Jiang

et al. 2021

Nursing Open

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Aim To evaluate the late‐onset post‐traumatic stress disorder (PTSD) situation, coping strategies and social supports for frontline clinical nurses 6 months after involvement in fighting against coronavirus disease 2019 (COVID–19) outbreak in China. Design A cross‐sectional design. Methods We recently randomly distributed a questionnaire online to Chinese nurses who had taken care of COVID‐19 patients since the end of January 2020. The questionnaire was made up of three professional scales, the impact of event scale‐revised, simplified coping style questionnaire and social support rating scale included. Results The general prevalence of late‐onset PTSD among frontline nurses was 88.19%. Nurses who worked in Hubei Province (the kindle place of the COVID‐19 outbreak) showed lower risk of late‐onset PTSD symptoms than those who did not. We also found that positive coping strategies were correlated with less late‐onset PTSD symptoms. Meanwhile, getting more social supports could help these nurses to obtain positive coping strategies.

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Chinese version of the stressor scale for emergency nurse: A methodological study design

et al. 2022

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Aim The aim of this study was to modify and test the psychometric properties of the Chinese version of the stressor scale for emergency nurses. Design The methodological design was carried out in two phases: (a) form the Chinese version by Delphi method and (b) test the psychometric properties by cross‐sectional survey. Methods The translated scale was administered to 420 nurses in Qingdao. Validity was assessed in terms of content validity, calibration correlation validity and construct validity using exploratory factor analysis and confirmatory factor analysis. Internal consistency was estimated using Cronbach α coefficients. Results The Chinese version of the SSEN retains 27 items, four common factors were extracted by exploratory factor analysis, and the factor cumulative variance contribution rate was 78.463%. The fitting indexes of the four‐factor model of CFA were all in the acceptable range[χ2 = 711.30, df = 312, p < 0.001, χ2/df = 2.280, CFI = 0.933, TLI = 0.924, IFI = 0.933, RMSEA = 0.079 (90% confidence interval = 0.071–0.086)].The item‐level content validity index of the Chinese SSEN is 0.89 ~ 1.00; the scale‐level content validity index is 0.98; the Cronbach α coefficient of the total table is 0.971 and the split‐half reliability is 0.877. Patient or Public Contribution The C‐SSEN can be used to help nursing managers accurately formulate management measures to improve the stress coping ability of nurses in the ED, stabilize the nursing team and ensure nursing safety.

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Emergency department nurses’ experiences of occupational stress: A qualitative study from a public hospital in Bangkok, Thailand

Cited by 42 publications

References 38 publications

Experiences of Occupational Stress among Emergency Nurses at Private Hospitals in Bangkok, Thailand

Experiences of Occupational Stress among Emergency Nurses at Private Hospitals in Bangkok, Thailand

Late‐onset PTSD and coping strategies for frontline nurses during the COVID‐19 epidemic in China

Chinese version of the stressor scale for emergency nurse: A methodological study design

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