Stress prevalence and stressors among anaesthesiology and intensive care unit workers: A multicentre survey study

Kwiatosz-Muc, Magdalena; Fijałkowska-Nestorowicz, Anna; Fijałkowska, Magdalena; Aftyka, Anna; Kowalczyk, Michał

doi:10.1016/j.aucc.2017.11.001

Cited by 23 publications

(20 citation statements)

References 18 publications

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“…With respect to group differences between nurses and physicians, the nursing staff showed an overall higher symptom burden, which is consistent with previous studies in hospitals ( 9 ) and a recent study conducted in an ICU and an anesthesiology unit ( 64 ). Interestingly, no group differences were found between nurses and physicians regarding SOC, general resilience, and LOC.…”

Section: Discussionsupporting

confidence: 90%

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Mental Health in Anesthesiology and ICU Staff: Sense of Coherence Matters

et al. 2018

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Background: Hospitals, and particularly intensive care units (ICUs), are demanding and stressful workplaces. Physicians and nurse staff are exposed to various stressors: emergency situations, patients' deaths, and team conflicts. Correspondingly, several studies describe increased rates of PTSD symptoms and other mental health problems in hospital staff. Therefore, it is important to identify factors that lower the risk of psychopathological symptoms. High levels of sense of coherence (SOC) and general resilience as well as an internal locus of control (LOC) have already been identified as important health-benefitting factors in medical staff. The current study aimed to evaluate their unique impact in an ICU and an anesthesiology unit.Method: The cross-sectional online survey investigated SOC, LOC, general resilience, general mental health problems as well as PTSD symptoms in nurses and physicians within an ICU and an anesthesiology unit (N = 52, 65.4% female). General mental health problems were assessed using the ICD-10-Symptom-Rating (ISR) and PTSD symptoms were measured using the PTSD Checklist for DSM-5 (PCL-5). The Sense of Coherence Scale (SOC-L9) assessed SOC, the Resilience Scale (RS-11) measured general resilience, and LOC was determined using a 4-item scale for the assessment of control beliefs (IE-4).Results: As expected, SOC, r = −0.72, p < 0.001, general resilience, r = −0.46, p < 0.001, and internal LOC, r = −0.51, p < 0.001, were negatively correlated with general mental health problems while an external LOC showed a positive association, r = 0.35, p = 0.010. However, in a multiple regression model, R2 = 53.9%, F(4, 47) = 13.73, p < 0.001, only SOC significantly predicted general mental health problems by uniquely accounting for 13% of the variance. For PTSD symptoms, which were highly correlated with general mental health problems, a similar pattern of results was found.Conclusion: SOC was found to be the most important correlate of both general mental health problems and PTSD symptoms in an ICU and an anesthesiology unit. Thus, if further evidenced by longitudinal studies, implementing interventions focusing on an enhancement of SOC in training programs for ICU and anesthesiology unit staff might be a promising approach to prevent or reduce psychopathological symptoms.

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Section: Discussionsupporting

confidence: 90%

“…1 Thus, the impact of the differing demands in an ICU and an anesthesiology unit could not be addressed, but they might have influenced the results by acting as a moderating variable. However, a recent study, which compared stress levels in ICU and anesthesiology staff, did not report any differences ( 64 ).…”

Section: Discussionmentioning

confidence: 99%

Mental Health in Anesthesiology and ICU Staff: Sense of Coherence Matters

et al. 2018

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“…The results of this investigation have already been published as part of a larger research study. Our study showed that contemporary ICU and anaesthesiology personnel exhibit moderate stress levels (19). Jones et al (2015) measured the stress levels of 680 French ICU workers with the PSS-10 (20).…”

Section: Discussionmentioning

confidence: 72%

Stress coping styles among anaesthesiology and intensive care unit personnel – links to the work environment and personal characteristics: a multicentre survey study

Kwiatosz-Muc

Fijałkowska-Nestorowicz

Fijałkowska

et al. 2019

Scandinavian Caring Sciences

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Background High levels of stress among anaesthesiology and intensive care unit workers are commonly reported. Personnel in these units are prone to stress because of specific characteristics of their work. Their development of skills to cope with stress may affect their psychophysical condition and, consequently, patient safety. Objectives The aim of this study was to define the coping styles of anaesthesiology and intensive care unit personnel and to evaluate the connections between the work environment as well as personal characteristics and the dominant coping styles. Methods Anaesthesiology and intensive care unit personnel from 15 selected Polish hospitals were surveyed using the Coping Inventory for Stressful Situations, which examines task‐oriented coping, emotion‐oriented coping and avoidance‐oriented coping. The Perceived Stress Scale was used to assess stress levels. Results The analysis included 425 successfully completed surveys. The examined population was divided into two groups: Group N comprised 311 nurses (73.18%) and group P comprised 114 physicians (26.82%). For 167 participants (39.29%), the dominant coping style was defined. The most common style was the task‐oriented coping style; it was dominant in 96 participants (22.58% of the entire examined population). This style was significantly predominant among men. The domination of some coping styles coexisted with marital status, number of children and financial situation. The occurrence of different coping styles did not significantly differ among workers at different‐sized hospitals, with different job seniority or with different living locations. Perceived stress was correlated with all coping styles. Conclusions Work‐related stress among anaesthesiology and intensive care unit workers is an important problem. Further investigations of stress levels and the causes and effects of stress in this population are necessary.

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“…Nursing by its very nature is associated with high levels of stress. It requires high level skills, teamwork in different situations, providing 24-hour care and the resulting emotional burdens can bring about a wide range of occupational stressors (Amanya, Nakitende, & Ngabirano, 2016;Kwiatosz, Fijałkowska-Nestorowicz, Fijałkowska, Aftyka, & Kowalczyk, 2017).…”

Section: Original Articlementioning

confidence: 99%

Occupational Stress and its Relation to Insomnia among Nurses of Educational Hospitals in Qazvin

Yazdi¹,

Javadi²,

Afsari³

et al. 2018

Sleep Hypn

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Stress is an inevitable part of life. It is a universal phenomenon and general experience of human which is necessary for his/ her survival and growth. It affects everyone irrespective of age, gender, race, economical condition or educational level. Although stress can be natural and necessary, if it is strict, continuous and repetitious and an individual is not able to respond to it effectively or if supportive sources are limited, it becomes a negative phenomenon which brings about physical and psychological disorders. The present study aimed to determine occupational stress level and conditions causing stress among nurses of educational hospitals in Qazvin Province. This is a sectional study on 194 nurses working in health care centers of Qazvin Province. Demographic questionnaire and Philip Rice's occupational stress questionnaire were completed by the nurses. In addition, they were requested to answer four more questions about insomnia and then the data was collected and analyzed using SPSS statistical software. Occupational stress has very high prevalence among nurses. The study showed that 91/2% of them experienced high levels of occupational stress. There is a significant relation between wards and occupational stress. In addition, the most important stressors among the nurses were recognized and the ways they respond to them were also studied. Moreover, the relation between the nurses' occupational stress and insomnia was examined. This study showed that the level of occupational stress among nurses was significant and there was a clear and meaningful relation between stress and the ward they work in. Among the stressors were physical tiredness due to work, emergency situations, heavy workloads and performing tasks requiring less knowledge and last but not least having multiple chiefs. It was also found out that nurses' occupational stress played a pivotal role in their insomnia status.

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Stress prevalence and stressors among anaesthesiology and intensive care unit workers: A multicentre survey study

Cited by 23 publications

References 18 publications

Mental Health in Anesthesiology and ICU Staff: Sense of Coherence Matters

Mental Health in Anesthesiology and ICU Staff: Sense of Coherence Matters

Stress coping styles among anaesthesiology and intensive care unit personnel – links to the work environment and personal characteristics: a multicentre survey study

Occupational Stress and its Relation to Insomnia among Nurses of Educational Hospitals in Qazvin

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