Predictors of nurses’ stress working with older people admitted to acute care setting

Abstract

Aim:To identify the predictors of nurses' work stressors who care for older people (i.e., over age 65 years) in Jordan.Background: Nurses sometimes experience stress which could occur as results of caring for older people, for example, with multiple physical and psychological needs.This stress could affect the job satisfaction and reduce the quality of care provided to older people. Thus, identifying sources of stress and predictors that cause stress for nurses is required to enhance quality of care for older people. Design: A cross-sectional design.Methods: Cluster random sampling was used to select study settings (i.e., 3 public hospitals, 3 private hospitals and 17 healthcare centres) in Amman, Jordan. A convenience sampling method was used to select 485 nurses. The Quality-Work-Competence questionnaire and Nurses' Working Life Questionnaire were used. Multiple linear regressions were used to identify predictors of job stress for nurses providing care for older people.Results: Job satisfaction, competence, development skills, gender, organisational climate and employee development, all have demonstrated significant correlations with stress. The regression analysis showed that the model significantly predicted a sizable portion of variance (R 2 = 0.27, p < 0.001) in the physical and psychological stress among nurses working in the older people care settings. Conclusion:The nursing profession and the employing agencies should support nurses who care for older people in practice by conducting special training programmes to cope with stress. Interventional studies should be conducted to confirm the association between the nurses' work stress who care for older people and job satisfaction, competence, development skills, gender, organisational climate and employee development. Implications for practice:It is recommended that rotating appropriate competent nurses who care for older people, in particular dementia patients who are usually very ill may have greater needs due to their cognitive status, through other wards would temporarily reduce the nurses' stress. The nursing profession and the employing agencies should support nurses who care for older people in practice by conducting special training programmes focusing on the teaching skills and knowledge of how to deal with stress. K E Y W O R D Scare of the elderly, Jordan, nurses, nursing satisfaction, staff development, work conditions, work stress 2 of 11 | EL-HNEITI ET aL.

Nurses' stressors and their quality of life: A study on nurses caring for older patients

“…Looking at individual items on the workload subscale, “not enough time to complete all my nursing tasks” was the most frequently selected items. This is consistent with previous studies that found that “the lack of time to provide the care needed by patients” was one of the most common stressors among nurses working with older people (El‐Hneiti et al, 2019; Saarnio, Sarvimäki, Laukkala, & Isola, 2012). This stressor could be clarified by the physical and psychological needs among older people.…”

“…Currently, there has been growing interest in examining occupational stress among nurses working with older patients (El‐Hneiti, Shaheen, Bani Salameh, Al‐Hussami, & Ahmad, 2019). From previous studies, two factors “workloads” and “patient‐related difficulties” were identified as most common stressors among nurses working with older patients (El‐Hneiti et al, 2019; Zwijsen et al., 2014).…”

“…Currently, there has been growing interest in examining occupational stress among nurses working with older patients (El‐Hneiti, Shaheen, Bani Salameh, Al‐Hussami, & Ahmad, 2019). From previous studies, two factors “workloads” and “patient‐related difficulties” were identified as most common stressors among nurses working with older patients (El‐Hneiti et al, 2019; Zwijsen et al., 2014). Exposure to a long period of these stressors can easily cause many negative effects on the nurses' physical and psychological health, including irritability, anxiety and fatigue (Engström, Ljunggren, Lindqvist, & Carlsson, 2006; Jarrad, Hammad, Shawashi, & Mahmoud, 2018).…”

Multilevel approach to individual and organisational predictors of stress and fatigue among healthcare workers of a university hospital: a longitudinal study

“…Workplace stress among HCWs. [4][5][6] In addition, several studies highlight the importance of job satisfaction and favourable work environment in order to prevent stress of HCWs. Indeed, unacceptable work schedule, work overcommitment and shift work appeared to lead to higher stress of HCWs.…”

Visualization Analysis of Literature Big Data on Elderly Service from the International Perspective

“…Elderly service quality. Research on elderly service quality mainly includes #0 elderly-community nurses experience [8] , #4 caregiver empowerment [9] , #6 registered nurses [10] , and #9 nurses knowledge [11] . Among them, #0 mainly includes cluster members: elderly patient communication, non-verbal behaviour and elderly activity recognition.…”