|Year : 2017 | Volume
| Issue : 4 | Page : 985-988
|Effects on job stress on Iranian clinical nurses
Mohsen Poursadeghiyan1, Maryam Moghimian2, Raze Nabi Amjad3, Mohammad Mehdi Baneshi4, Ahmadreza Yari5, Mehdi Noroozi6, Mahsa Hami7, Alireza Khammar8, Mehrdad Farrokhi9
1 Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2 Department of Physiology, School of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
3 Department of Nursing, School of Nursing and Midwifery, Alborz University of Medical Sciences, Karaj, Iran
4 Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran
5 Research Center for Environmental Pollutants, Qom University of Medical Sciences, Qom, Iran
6 Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
7 Department of Economic Development and Planning, University of Firoozkooh Branch, Islamic Azad University, Firoozkooh, Iran
8 Department of Occupational Health Engineering, School of Public Health, Zabol University of Medical Sciences, Zabol, Iran
9 Research Center in Emergency and Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Click here for correspondence address and email
|Date of Web Publication||5-Oct-2017|
| Abstract|| |
Background: Nurses constitute the largest professional group in the health-care sector, and they are subjected to high level of occupational stress. Work-related stress is likely to have a profound psychosomatic effect and led to health problem. Objective: The study investigates job stress and its side effects in clinical nurses in a hospital in Iran. Materials and Methods: This study is a cross-sectional with descriptive analytical. The participants included 350 nurses from a hospital of Iran. A job stress questionnaire was used for the purposes of the study. Accident-related documents were also used to collect accident data. The study is a cross-sectional study taking advantage of dossiers and personal memories. SPSS version 22 and Chi-square were used to analyze collected data. Results: Twenty-six percent of the participants stated a very low job satisfaction and only 6% of them were completely satisfied with their job. 71.4% of the nurses, again because of job problems and difficulties, had medium to high levels of stress. The most important stress-causing factors are work load, ambiguity of duty, responsibility, social level, level of managers, and physical environment. Conclusion: The findings of the study indicate that stress causes adverse effects in nurses. The study also shows that physical environment, workload, and ambiguity of duties are the main factors that cause medium- to high-level stress. Furthermore, findings show that stress is severe in nurses with sleep disorder and digestive problem and sued effect of stress is mental.
Keywords: Human factor, job stress, nurses
|How to cite this article:|
Poursadeghiyan M, Moghimian M, Amjad RN, Baneshi MM, Yari A, Noroozi M, Hami M, Khammar A, Farrokhi M. Effects on job stress on Iranian clinical nurses. Ann Trop Med Public Health 2017;10:985-8
|How to cite this URL:|
Poursadeghiyan M, Moghimian M, Amjad RN, Baneshi MM, Yari A, Noroozi M, Hami M, Khammar A, Farrokhi M. Effects on job stress on Iranian clinical nurses. Ann Trop Med Public Health [serial online] 2017 [cited 2020 Feb 28];10:985-8. Available from: http://www.atmph.org/text.asp?2017/10/4/985/215878
| Introduction|| |
In recent years, environment and lifestyles have drastically changed worldwide. These changes have caused social and economic chaos, especially in industrialized countries. Consequently, stress factors have increased in communities and people experience stress constantly.
In these societies, human life, both in terms of environment and lifestyle, has experienced substantial changes in comparison with the past years. Today, almost all countries of the world sources of stress are prevalent more than ever, and the story is worst in industrial countries and the societies where economic chaos has interrupted normal life,, so that stress can be considered the black plague in our time. Stress factors have experienced an increasing growth till the early 1908s, and this led to more stress in work and life in the west. This trend intensified till 1990. Observations show that the science and technology are among factors affect such changes. For instance, the advent of new technologies including airplane and the discovery of electricity in 1900, radar and television in the 1930s, nuclear energy in the 1950s, space explorations in the 1960s and 1970s, and the information technology and the internet in the 1980s and 2000s, intensified job stress, and significantly changed lifestyle., Today, people experience more and more stress in their daily life compare to the past. These changes become more complicated and intensified day by day. Increasing number of the studies in this field and emergence of new scientific fields such as industrial psychiatry and working medicine confirm the correctness of this announcement.,,
According to Jones and Bright, although the level of welfare and health has increased in western countries, stress has increased simultaneously and this trend is already underway. Certainly, to eliminate these stress factors, they should be identified first. Given that, different causes of stress make different effects, then different methods and mechanisms are needed to address them.,,, According to Fletcher (1988), 60% of the absences from work are due to stress-related disorders, so that only in England, 100 million work-day loss due to these absences. Sperry estimated that the costs of physical problems related to psychological disorders amount to 50 or even 100 million dollars a year.
Different definitions, models, and theories are developed on how stress affects people in workplaces., After a comprehensive review, Cox defines the stress as a complex psychological condition which derives from cognitive power of the person, according to the requirements of his or her job. Sharit and Salvendy categorized stress in physiological, psychological, and social kinds. According to them, both the responsibilities that demand higher than the person's ability and those that demand lower than the person's ability can cause stress.,,
According to Cooper and Marshall, managers experience different psychological symptoms of job stress. Heart coronary blood vessels, stomach and duodenal ulcers, misusage of drugs, and anxiety, among the others, are some of disorders that may result from chaos in the life circumstances of the individuals and their families.,, Physical and mental effects of stress make people vulnerable and impose large costs on their employing organizations. Organizations mostly do not consider these costs although they affect the total performance of workers. From their point of view, job stress is not as important as other problems. According to Fletcher (1988), 60% of wok absences are due to stress-related disorders, and only in England, these absences include 100 million work-days. Sperry revealed that problems related to psychological disorders impose about 50–100 million dollars a year. He analyzed the costs in his study.
Human factors account for 60%–70% of accidents. Human factors include everything related to human that is involved and interacting with the system. The factors can be categorized as psychological, biological, or social, and all of them can affect worker's behavior in a way. These effects, if negative and unfavorable, can cause accidents. The studies show an increase in job stress leads to increase in car accidents. Simon and Corbett (1996) the reason behind this fact is that in stress conditions, the workers do not observe the rules and do not notice the alarming signs.
The present study aims to provide a managerial solution to measure job stress and its adverse effects and consequently to reduce these problems.
| Materials and Methods|| |
The present descriptive-analytical study was performed in a cross-sectional design study. The participants include 350 nurses in a hospital in Iran. Life history and referring to the working medicine clinic were considered. Then, for depression (Beck Anxiety Inventory) and job-stress (OSIPOW), questionnaires and reply of degree of job satisfaction were used., Finally, the data were collected and analyzed through statistical software and the results were reported. The study is a cross-sectional one based on dossiers and personal memoirs.SPSSr version 21.0 (SPSS Inc., Chicago, IL) was used to analyze collected data.
| Results|| |
The average age of the nurses taking part in the study was 38.4 ± 8.22, and they ranged from 25 to 60 years. The mean of their working hour was 13.62 ± 3.64 h. The nurses' work history is presented in [Table 1].
As observed in the table, most of nurses have been unsatisfied with their job.
According to [Table 3], most of the nurses had medium to high degrees of stress
As it can be seen from [Table 4], the main factors which cause stress in the medium to high level are as follows: physical environment, work load, social level, level of managers and colleagues, and organization.
| Discussion|| |
As it can be seen from [Table 2], a high percentage of the participants are not satisfied with their job. According to the table, 26% of the participants stated a very low job satisfaction and only 6% of them were completely satisfied with their job. Therefore, it can be said that this group of nurses enjoy a very low level of job satisfaction. These dissatisfactions are due to job problems. In addition, 71.4% of the nurses, again because of job problems and difficulties, had medium to high levels of stress. The most important stress causing factors [Table 4] are work load, ambiguity of duty, responsibility, social level, level of managers, and physical environment. These factors are the most important factors that cause the most job stress in the nurses. These findings are consistent with findings presented by Yao et al.
In this study, the relationship between cardiac diseases, digestive diseases, and sleep disorders and degree of stress were investigated [Table 6]. As it can be seen from the table, there is a direct relationship between degrees of stress and having a previous record of being afflicted with these diseases. Yao et al. investigated the effects of job stress on cardiovascular performance. They measured stress-causing factors, blood pressure, blood sugar, and blood triglycerides in 839 participants. Their study indicated that blood pressure is higher among older individuals and those who stand up for longer periods. These findings are also consistent with findings by Yu et al. The survey of the degrees of depression and job satisfaction was also investigated in our study based on [Table 5] in the findings of the other study show a direct relationship between depression and stress and an inverse relationship between job satisfaction and stress.
|Table 6: Relationship between the record of cardiac diseases, digestive diseases, and sleep disorders with the degree of stress|
Click here to view
Some of the causes of stress in shift work, this problem is solved by bright light shock for adaptation to night works.,,
| Conclusion|| |
These findings show that stress is severe in nurses with sleep disorder and digestive problem and effect on mental health. The main causes of stress among them in hospital nurses were physical environment, workload and ambiguity of duties, responsibility
We would like to thank authorities and nurses of University of Social Welfare and Rehabilitation Sciences for their valuable cooperation and unflinching support for this study.
Financial support and sponsorship
This study was supported by grant No 1549 in University of Social Welfare & Rehabilitation Sciences.
Conflicts of interest
There are no conflicts of interest.
| References|| |
Abbasi M, Zakerian A, Mehri A, Poursadeghiyan M, Dinarvand N, Akbarzadeh A, et al.
Investigation into effects of work-related quality of life and some related factors on cognitive failures among nurses. Int J Occup Saf Ergon 2017;23:3, 386-92.
Biglari H, Ebrahimi MH, Salehi M, Poursadeghiyan M, Ahmadnezhad I, Abbasi M. Relationship between occupational stress and cardiovascular diseases risk factors in drivers. Int J Occup Med Environ Health 2016;29:895-901.
Khammar A, Amjad RN, Farrokhi M, Yari AR, Noroozi M, Poursadeghian A, et al
. Survey of shift work disorders and occupational stress among nurses: A cross-sectional study. Ann Trop Med Public Health 2017;10:978-84. [Full text]
Murphy LR. Occupational stress management: A review and appraisal. J Occup Psychol 2011;57:1-15.
Cooper CL, Cooper R, Eaker L. Living with stress. London, UK: Penguin. 1988.
Gherman EM. Stress and the Bottom Line: A Guide to Personal Wellbeing and Corporate Health. New York: AMACOM; 1981.
Poursadeghiyan M, Amjad RN, Baneshi MM, Farrokhi M, Poursadeghian A, Rohani M, et al
. Drowsiness trend in night workers and adaptation to night shift in hospital staff. Ann Trop med Public Health 2017;10:989-92. [Full text]
Cascio WF. Whither industrial and organizational psychology in a changing world of work. Am Psychol 1995;50:928-39.
Hamborg K, Grief S. New technologies and stress. Handbook of Work and Health Psychology. Chichester, UK: Wiley; 1996.
Jones FI, Bright J. Stress: Myth, Theory and Research. Harlow, UK: Prentice Hall; 2001. p. 10-300.
Sperry L. Enhancing corporate health, mental health and productivity. Individ Psychol 1991;47:247-54.
Cooper CL, Marshall J. Sources of managerial and with collar stress. Stress at Work. Chichester, UK: Wiley; 1978. p. 81-106.
Kasl SV. Epidemiological contributions to the study of work stress. Stress at work. Chichester, UK: Wiley; 1978.
Fletcher BC. The epidemiology of occupational stress. Causes, Coping and Consequences of Stress at Work. Chichester, UK: Wiley; 1988.
Cooper CL, Payne R. Stress at Work. Chichester, UK: Wiley; 1978.
Branthwaite A, Garcia S. Depression in the young unemployed and those on Youth Opportunities Schemes. Br J Med Psychol 1985;58(Pt 1):67-74.
Cox T, Griffiths A. The nature and measurement of work stress: Theory and practice. In: Wilson JR, Corlett EN. editors. Evaluation of Human Work: A Practical Ergonomics Methodology. London: Taylor & Francis; 1995.
Sharit J, Salvendy G. Occupational stress: Review and reappraisal. Hum Factors 1982;24:129-62.
Caplan RD, Vinokur AD, Price RH, van Ryn M. Job seeking, reemployment, and mental health: A randomized field experiment in coping with job loss. J Appl Psychol 1989;74:759-69.
Kristensen OS. The unemployed and adult education: A longitudinal study of unemployed persons in adult basic education. Scand J Educ Res 1991;35:145-59.
Khandan M, Aligol MH, Shamsi M, Poursadeghiyan M, Biglari H, Koohpaei A. Occupational health, safety, and ergonomics challenges and opportunities based on the organizational structure analysis: A case study in the selected manufacturing industries in Qom Province, Iran, 2015. Ann Trop Med Public Health 2017;10:606-11. [Full text]
Simon F, Corbett C. Road traffic offending, stress, age, and accident history among male and female drivers. Ergonomics 1996;39:757-80.
Yao SQ, Fan XY, Jin YL, Bai YP, Qu YE, Zhou Y, et al.
Effect of occupational stress on cardiovascular function of different vocational population. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2003;21:20-2.
Yu SF, Li KR, Yang Y, Gu GZ, Ma LQ, Duan XY, et al.
The relationship between occupational stress and cardiovascular disease risk factor. Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi 2003;21:12-5.
Karchani M, Kakooei H, Yazdi Z, Zare M. Do bright-light shock exposures during breaks reduce subjective sleepiness in night workers? Sleep Biol Rhythms 2011;9:95-102.
Khammar A, Moghimian M, Ebrahimi MH, Abbasi M, Baneshi MM, Yari AR, et al
. Effects of bright light shock on sleepiness and adaptation among night workers of a hospital in Iran. Ann Trop Med Public Health 2017;10:595-9. [Full text]
Research Center in Emergency and Disaster Health, University of Social Welfare and Rehabilitation Sciences, Tehran
Source of Support: None, Conflict of Interest: None
[Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6]
| Article Access Statistics|
| Viewed||1930 |
| Printed||28 |
| Emailed||0 |
| PDF Downloaded||18 |
| Comments ||[Add] |