Perceived job stress among community nurses: A multi‐center cross‐sectional study

Abstract

Aim China is reforming its health care system, which aimed to strengthen primary health care through building community health centers (stations) and assigning a “gate‐keeper” role to primary care providers. Community nurses play a key role in the reform. Little is known about the level of job stress among community nurses. Thus, this study aims to explore the level of perceived job stress and its influencing factors among community nurses. Method A cross‐sectional design was used to conduct a survey with 1015 nurses from 56 community health centers in Sichuan province. Job stress was measured by the Community Nurses Stress Scale. Data were collected between March and November 2015. Results Community health nurses in China perceived high levels of job stress. The job stress was related to nurses' individual characteristics and work environments. Permanently employed nurses, shift workers, and those older than 45 years age and with less training related to community nursing and involvement in childcare were more likely to experience high levels of stress. Conclusion Reform is required of the community nursing personnel system, and development of continuing education programs and stress‐alleviating measures to reduce community nurses' job stress. The results of this study favour future advanced practice community health nursing practice and education.

Why so stressed? a comparative study on stressors and stress between hospital and non-hospital nurses

“…In contrast, older age and junior are associated with higher stress level among non-hospital nurses. This is consistent with nding among community health nurses in China and Saudi Arabia [39,43] which may be explained by low work ability and overstretched among older workers [48] and lower training or competency among junior workers [43]. Nevertheless, all these postulations need to be con rmed in future study as previous studies did not conduct a comparative study to enable statistical measurement of signi cant difference.…”

“…Previous studies also reported that hospital nurses may face higher stressors related to workload, death and dying, and con ict with family members or colleague [27][28][29]. The stressors could also be implicated by shift work which could adversely impact social, personal, family and occupational life [41][42] and made complicated by marriage life [39,[42][43].…”

Why so stressed? A comparative study on stressors and stress between hospital and non-hospital nurses

“…Previous studies also reported that hospital nurses may face higher stressors related to workload, death and dying, and con ict with family members or colleagues [27][28][29]. The stressors could also be implicated by shift work which could adversely impact social, personal, family and occupational life [41][42] and made complicated by marriage life [39,[42][43].…”

Profesionalni Stres Kod Medicinskog Osoblja

“…Istraživanja stranih autora pokazuju da medicinsko osoblje koje je u braku ima više nivoe profesionalnog stresa u odnosu na razvedene ili udovce i u odnosu na samce (Al-Makhaita & Hafez, 2014;Hongxia et al, 2019;Ozor et al, 2016) što može da navodi na razmišljanje i pretpostavku da su zdravstveni radnici koji imaju porodične obaveze podložniji doživljavanju viših nivoa stresa na poslu ili da je frustraciona tolerancija zbog mnogo porodičnih obaveza i problema manja na radnom mestu. U istraživanju Olotunjija i Mokuolua (2014) su dobijeni suprotni nalazi tačnije da zdravstveno osoblje iz kategorije samci pokazuju više nivoe profesionalnog stresa.…”

“…Dakle, žene medicinski radnici su emocionalno responsivnije na visoke zahteve medicinskog poziva, što se odražava na sklonost da u značajno višem stepenu određene aspekte posla percipiraju kao visoko stresogene. U ovom istraživanju nisu dobijene značajne razlike u ukupnom nivou profesionalnog stresa u odnosu na bračno stanje, za razliku od istraživanja stranih autora koja pokazuju da medicinsko osoblje koje je u braku ima viši nivo profesionalnog stresa u odnosu na razvedene ili udovce i u odnosu na samce (Al-Makhaita & Hafez, 2014;Hongxia et al, 2019;Ozor et al, 2016). Nalazi stranih autora u kojima su se pokazale razlike prema bračnom stanju ostavljaju prostor za razmišljanje i pretpostavke da su zdravstveni radnici koji imaju porodične obaveze podložniji doživljavanju viših nivoa stresa na poslu ili je frustraciona tolerancija zbog mnogo porodičnih obaveza manja na radnom mestu.…”