Occupational stress and associated risk factors among nurses: a cross-sectional study

Kakemam, Edris; Raeissi, Pouran; Raoofi, Samira; Soltani, Ahmad; Sokhanvar, Mobin; Visentin, Denis; Cleary, Michelle

doi:10.1080/10376178.2019.1647791

Cited by 99 publications

(104 citation statements)

References 48 publications

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“…Several researches concluded that stress in the work environment decreases the level of QWL of nurses [ 3 , 9 , 17 ]. A study recently (2019) reported long working hours, shift work, under-staffing, inadequate pay, discrimination at work, unsupportive management, and poor communication as the major sources of occupational stress among Iranian nurses [ 36 ]. This type of stress may have deleterious impacts on a nurse’s physical as well as mental and emotional health [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Quality of work life and factors associated with it among nurses in public hospitals, Iran

Raeissi

Rajabi

Ahmadizadeh

et al. 2019

J. Egypt. Public. Health. Assoc.

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Background: There is an acute shortage of nurses worldwide including Iran. Quality of work life is important for nurses as it affects the safety and quality of care provided for patients as well as organizational factors. The aim of this study was to describe the status of quality of work life and to explore its predictors among nurses in Iran. Methods: A cross-sectional study was conducted on 2391 nurses in 85 Iranian public hospitals, selected through the convenience sampling. Data were collected using demographic information and the quality of work life questionnaires. Results: The mean score for total quality of work life was 2.58, indicating a low level of self-reported quality of work life, with 69.3% of nurses dissatisfied with their work life. The major influencing factors were inadequate and unfair payment, lack of solving staff problems by organization and poor management support, job insecurity, high job stress, unfair promotion policies, and inadequate involvement in the decision-making. Significant predictors in the multivariate analysis for lower quality of work life were male gender, being single, older age, having lower educational levels, and working in teaching hospitals. Conclusion: The quality of nursing work life was at a low level and needs improvement interventions. The predictors identified allow for more targeted interventions. Nursing managers and policymakers should develop and implement successful strategies appropriately to improve the quality of work life. This includes the payments, organizational and managerial support, job security, fair promotion policies, and measures to reduce job stress.

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Section: Discussionmentioning

confidence: 99%

Quality of work life and factors associated with it among nurses in public hospitals, Iran

Raeissi

Rajabi

Ahmadizadeh

et al. 2019

J. Egypt. Public. Health. Assoc.

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“…Nurses are responsible for implementing the majority standards in Iranian hospitals. Insufficient nursing is a key challenge being faced by hospitals in Iran [38,40]. Staff shortages were previously reported as potential barriers to accompany accreditation in hospitals in Iran [1,25,34] and other countries [23,36].…”

Section: Discussionmentioning

confidence: 99%

“…Job stress and physical and mental fatigue was previously reported to accompany hospital accreditation [ 29 , 36 , 37 ]. Stress creates physical and mental problems for employees and negatively affects their quality of life [ 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

Challenges of implementation of hospital accreditation in Iran: an exploratory factor analysis

Tashayoei

Raeissi

Nasiripour

2020

J. Egypt. Public. Health. Assoc.

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Background: Today, accreditation is considered as the most commonly used health assessment approach. Considering the importance and application of the process of this approach in the hospital, this study aimed to investigate the challenges of implementation of hospital accreditation in Iran using exploratory factor analysis. Methods: A cross-sectional study design was carried out from July to December 2017, consisting of 200 managers in the seven hospitals accredited by the MOH in Tehran, Iran. Samples were selected through the purposive sampling method, and data were collected using a structured questionnaire in which validity and reliability were confirmed. Likert's five-choice range was used for the rating of items. Exploratory factor analysis was used to categorize the identified challenges and extract the mathematical model on them. Results: Exploratory factor analysis identified six dimensions (implementation, evaluation, content, structural, psychological, and managerial) with 40 items using a 5-point Likert scale. Each dimension accounted for greater than 63.20% of the total variance. The scale had strong content validity (indices = 0.84). Each dimension of Cronbach's alpha ranged from 0.74 to 0.94. Implementation, evaluation, content, structural, psychological, and managerial components also formed the final identified areas. Conclusion: The present study showed that there were major challenges in the path to successful deployment of Iranian hospital accreditation, requiring serious action by managers and policymakers in this field.

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“…Nurses are exposed to different risk factors, such as the organizational climate, irregular hours, excessive workloads, insufficient support from supervisors and partners, violence at work, and contact with suffering or death [1][2][3][4][5]. These factors may have important consequences for the physical and mental health of these professionals, influencing their performance at work and provoking hypertension, asthma, loss of concentration, apathy, loss of motivation, difficulties in decision making, reduced efficacy, depression, insomnia, anxiety, etc.…”

Section: Introductionmentioning

confidence: 99%

When and how do hospital nurses cope with daily stressors? A multilevel study

et al. 2020

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Background During their workday, nurses face a variety of stressors that are dealt with using different coping strategies. One criticism of the contextual models of work stress is that they fail to focus on individual responses like coping with stress. Neverthless, little is know about the momentary determinants of coping in nurses. Objectives To identify the momentary predictors of problem-focused approaching coping and emotion-focused approaching coping, as well as those for seeking social support and refusal coping strategies, during the working day in nurses. Design This study uses descriptive, correlational, two-level design with repeated measures. Settings Wards of two University hospitals. Participants A random cohort of 113 nurses was studied. Methods An ecological momentary assessment was made of demand, control, effort, reward, nursing task, coping, mood and fatigue, and of coping style by questionnaire. Multilevel two-level statistical analyses were performed in order to identify both within person and between person relationships. Results Different momentary types of coping were associated with different tasks. The problem-focused coping could be explained by the direct care and medication tasks, demand, planning coping style, mood, and negatively by acceptation coping style. Emotion-focused coping could be explained by documentation and medication tasks (negatively), mood, demand, distraction, and disengagement coping styles. Seeking social support coping could be explained by the task of communication, mood, fatigue (negatively), and seeking emotional support as a coping style. Refusal coping could be explained by mood, and the coping style of focusing and venting emotions. Refusal coping is not specific to any task. Conclusions The choice of the coping strategy depends on the task, of their appraisal and on the different styles of coping.

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Occupational stress and associated risk factors among nurses: a cross-sectional study

Cited by 99 publications

References 48 publications

Quality of work life and factors associated with it among nurses in public hospitals, Iran

Quality of work life and factors associated with it among nurses in public hospitals, Iran

Challenges of implementation of hospital accreditation in Iran: an exploratory factor analysis

When and how do hospital nurses cope with daily stressors? A multilevel study

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