“…376 van der C olff ScRothmann Macro organisational work context influences Lambert and Lambert (2001) found that the following factors in South Africa contribute to a stressful work environment for nurses: impaired communication with management, racism, lack o f fair competitive remunera tion and disregard for professional worth, non-conducive physical and psychological surroundings, lack of support from supervisors, high responsibility, long working hours and task overload (Lambert, Lambert, Petrini, Li, & Zhang, 2007;Lim, Bogossian, & Ahem, 2010;Nabirye et al, 2011); caring and dealing with pain, suffering and dying of patients (Lambert et a l, 2012); role conflict and ambiguity (Levert, Lucas, & Ortlepp, 2000), under-staffing (Kilfedder, Power, & Wells, 2001); improper working equipment (Wua, Fox, Stokes, & Adam, 2012); conflict at work (Lim et al, 2010), and limited possibilities for decision making (Tuvesson et al, 2012). James (2002) and Maluwa et al (2012) found that nurses often experience a lack of resources. This lack of resources, such as staff, linen, food, and equipment, left the nurses with a feeling of dissatisfaction because they could not do their work as expected of them.…”