The Stress of Caring: The Manifestation of Stress in the Nurse-Patient Relationship

Schoombee, Johannes Christiaan; Merwe, Johanna Marié van der; Kruger, Lou‐Marié

doi:10.15270/41-4-318

Cited by 7 publications

(27 citation statements)

References 49 publications

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“…Schoombie et al argue that nurses form the largest part of the healthcare workforce and they are likely to influence the experience and quality of care for patients the most. [13] Therefore, nurses suffer higher levels of stress and are at risk of burnout regardless of whether the stress was perceived positively or negatively, which may contribute to illness eventually. [8] Majority of the respondents agreed that work stress causes increased rate of absenteeism among nurses, high staff turnout and deterioration in quality of service provided to patients.…”

Section: Discussionmentioning

confidence: 99%

Working Conditions and Productivity among Nurses in Selected Hospitals in Southwest Nigeria

Hanson

Onasoga

Babalola

2017

Int. J. Transl Med Res Public Health

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Background: Occupational stress and burnout are both one of the factors that bedevil the healthcare sector in developing countries, particularly in Nigeria. The study explored the perceived impact of working condition on the productivity of nursing staffs in selected hospitals in south-west Nigeria.Methodology: Descriptive survey design, comprising of 200 respondents selected randomly. Data were collected using questionnaires and descriptive statistics were used to analyze the data generated. The reliability of the instrument was determined using test-re-test at the interval of two weeks.Results: Majority 106 (53%) of the respondents reported that work stress caused increased rate of absenteeism among nurses, high staff turnout and deterioration in quality of service provided to patients. Majority (87.0%) of the respondents were females, while (13.0%) were males. Respondents were aged between 26 and 35 years and were married. About 79% of respondents agreed that their workplace had a warm, friendly and a pleasant atmosphere. However, 47.5% of respondents said that the work overload was too high and they were unable to cope with its demands.Conclusions and Implications for Practice: Stress arising from poor working conditions can have adverse impact on the organization with the most common detrimental effects being increased absenteeism, deterioration in the morale of nurses, lack of job satisfaction and performance. To improve the organization's effectiveness, employer must implement strategies that are beneficial to both employees and health organization because hospital workers face variety of highly stressful working conditions while meeting the physical and psychological needs of patients.

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Section: Discussionmentioning

confidence: 99%

Working Conditions and Productivity among Nurses in Selected Hospitals in Southwest Nigeria

Hanson

Onasoga

Babalola

2017

Int. J. Transl Med Res Public Health

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“…Indeed, South African studies have repeatedly found PHC nurses to suffer from extremely high levels of stress and burn-out as a result of the circumstances in which they work (Cilliers, 2002; Walker & Gilson, 2004). Patient abuse in turn becomes a strategy for gaining power and control within resource-constrained circumstances where power and control are consistently undermined (Schoombee, van der Merwe, & Kruger, 2005).…”

Section: Nurses’ Abuse Of Patients In Phc Settings: Socio-structural mentioning

confidence: 99%

“…Maternity care nurses are thus likely to be faced with highly distressed patients who face significant challenges with interpersonal relationships and health system engagement, ultimately making it even more difficult to fulfil their care-taking responsibilities (Honikman, Fawcus, & Meintjes, 2015). This may only heighten nurses’ feelings of exhaustion, disempowerment and burn-out, ultimately intensifying “othering” tendencies (Kruger & Schoombee, 2010; Schoombee et al., 2005).…”

Section: Nurses’ Abuse Of Patients In Phc Settings: Socio-structural mentioning

confidence: 99%

“…At the same time, this ''normalization'' of patient abuse might stem from a lack of empathic care ideologies within clinical and health education settings. Health facilities in South Africa, with their chains of command and rigid hierarchies, tend to instill a culture of ''command and control'' (Schoombee et al, 2005). Moreover, the pervasive audit culture increasingly dictated by institutional bureaucracies is resulting in the prioritization of measures aimed at efficiency, over the more interpersonal dimensions of care practices (Joyner et al, 2014;Sprague et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

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The Secret History method and the development of an ethos of care: Preparing the maternity environment for integrating mental health care in South Africa

Honikman

Field

Cooper

2019

Transcult Psychiatry

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South Africa, like many low-and-middle-income countries, is integrating mental health services into routine Primary Health Care (PHC) through a task-shifting approach to reduce the gaps in treatment coverage. There is concern, however, that this approach will exacerbate nurses’ abuse of patients currently common within PHC in the country. To address this concern, the Perinatal Mental Health Project developed its Secret History method, a critical pedagogical intervention for care-providers working within maternity settings. This article describes the method’s theoretical underpinnings and practical application amongst nurses. Drawing on Augusto Boal’s Theatre of the Oppressed and contrary to traditional nursing training in South Africa, the method creates a space for nurses to interrogate and reimagine nurse–patient relations. By introducing nurses to a counter ideology of empathic care, the method seeks to prepare the maternity environment for mental health task-shifting initiatives and ensure these initiatives are more democratic, responsive and humane.

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“…Studying work environment in the healthcare sector, Lewy (1991) stated that hospital workforce face one of the most stressful and challenging working environments where they constantly have to meet the demands and requirements of patients. People working in healthcare sector have the ability to influence and affect the experience and quality of services being provided to patients (Schoombie et al, 2014). Moreover, the healthcare professionals are at the highest risk of stress and work pressure thus establishing the fact that work environment and working conditions are integral to wellbeing of the workers.…”

Section: Literature Reviewmentioning

confidence: 99%

Employee Satisfaction as per Working Environment in King Salaman Military Hospital, Tabuk, Saudi Arabia

Alazab¹

2018

IBR

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In the current knowledge economy, it is important for organizations to utilise their resources in growing a favourable working environment for its employees. Development and sustenance of a reliable working environment is a prerequisite for a company to achieve effective growth and maximum productivity in the current era of cut throat competition. Job satisfaction is directly linked with a healthy work environment and researches have indicated the presence of several components in determining the job satisfaction rate for any employee. This research has used a cross–sectional descriptive design within the premises of King Salaman Military hospital in Tabuk. The data was collected through questionnaire from 139 employees of King Salaman Military hospital. The research has found that the overall satisfaction has a statistical relationship with gender and nationality whereas no statistical relationship was observed between nature of work and overall satisfaction, educational level, age group, and years of experience.

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The Stress of Caring: The Manifestation of Stress in the Nurse-Patient Relationship

Cited by 7 publications

References 49 publications

Working Conditions and Productivity among Nurses in Selected Hospitals in Southwest Nigeria

Working Conditions and Productivity among Nurses in Selected Hospitals in Southwest Nigeria

The Secret History method and the development of an ethos of care: Preparing the maternity environment for integrating mental health care in South Africa

Employee Satisfaction as per Working Environment in King Salaman Military Hospital, Tabuk, Saudi Arabia

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