Impact Of Occupational Stress On Nurses Productivity

Occupational stress of nurses has been widely researched, for example in specific health care units �" intensive care, specific conditions �" cancer. Personal characteristics like emotional involvement and depersonalization of patients are also suggested as stressors for nurses. In Nigeria the Department of Health has made a number of changes since 2014. One of the changes involved the restructuring of the different departments to unify the fragmented health services. No comparison study was found for professional and trainee nurses. The objectives of this study were to determine the Impact Of Occupational Stress On Nurses Productivity. A cross-sectional survey design was used. A random sample of professional nurses (N = 980) and enrolled (N = 800) nurses were used. The NSI was developed as measuring instrument and administrated together with a biographical questionnaire. Descriptive statistics and inferential statistics were used to analyse the data.

Five internally consistent factors were extracted. The first factor was labelled Stress: Patient Care. It relates to stress because of the care nursing staff provide to patients. The second factor was labelled Stress: Job Demands, and refer to the demands associated with the work of the nurse. The third factor indicated a lack of support in the organization as well as from supervisors and colleagues, and was labelled Stress: Lack of Support. The fourth factor was labelled Stress: Staff Issues, because it included item loadings on things like shortage of staff, and fellow workers not doing their job. The fifth factor contains items concerning working hours, especially overtime, and was labelled Stress: Overtime.

The results indicated that a difference in stress levels exists between professional and trainee nurses. Professional nurses' severity for the different stressors are higher on all five the extracted factors than those of the trainee nurses. The sources of occupational stress for professional and trainee nurses were almost the same. One source of stress for professional nurses that the trainee nurses did not experience is management of staff. Professional nurses (compared with trainee nurses) obtained practically significant higher scores on two stressors, namely stress because of making a mistake when treating a patient and stress because of disagreement with medical practitioners or colleagues concerning the treatment of a patient. Recommendations for future research were made.

SUMMARY, CONCLUSION AND RECOMMENDATION

5.1 SUMMARY

The primary objective of the influence of work related stress towards nursing care of patients amongst selected nurses. A qualitative descriptive survey design and 120 nurses were used. A questionnaire was developed according to the objectives of the study to guide in the generation of information. Socio-demographic characteristics of the respondents and the research question were analyzed using simple frequency and percentage. Results revealed that the sources of stress among nurseswere shown to include health work and activities (95.5%), role-based challenges and task execution (93.2%), changing nature of relationship with other people (79.5%), work calendar and tests (84.1%), and home and school interface (87.5%). From the findings, the effects of stress on nurseswere shown to include headache (56.2%), anger (70.7%), tiredness (69.0%), low self-esteem (50.0%), being absent more than usual (75.9%), loss of concentration (84.5%), poor interpersonal relationship (73.9%), and eating disorder (62.5%). From the findings, the most preferred stress management practices were building group norms of cooperation not competition (94.8%), indulging in hobbies, leisure activities, recreation (93.1%), planning instead of responding to pressure (84.9%), build satisfactory relationship with lecturers (85.9%), and developing peer support (80.7%).

5.2 CONCLUSIONS

The following conclusions with regard to the specific objectives are made:

• Stress and its effects on professional and trainee nurses. In the literature of stress concerning nurses, a large number of stressors received attention. The research concentrated on between one and three stressors at a time, and in a specific unit/ward, e.g. intensive care (Le Blanc, De Jonge, De Rijk & Schaufeli, 2011; Couden, 2012), psychiatric or mental wards (Erasmus; Poggenpoel, & Gmeiner, 1998; Humpel, & Caputi, 2011; Levert, Lucas, & Ortlepp, 2010), general nurses (Yip, 2011). A few comparison studies between different wards/units were found e.g. emergency department and general ward nurses (Yang, Koh, Lee, Chan, Dong, & Chia, 2011), general and mental nurses (Tummers, Janssen, Landeweerd, & Houkes, 2011), urban and rural nurses (Wilkens, & Beale, 2011). No comparisons for stressors were find for professional and enrolled nurse.
• Different levels of stress for professional and trainee nurses. The research clearly indicates that a difference in stress levels exists between professional and trainee nurses. Professional nurses' severity for the different stressors are higher on all five the extracted factors than those of the trainee nurses.
• Different sources of occupational stress. The sources for occupational stress for professional and trainee nurses are almost the same. One source of stress for professional nurses that the trainee nurses did not experience, is management of staff.
• Internal consistency and construct validity of the Nursing Stress Indicator. The alpha coefficients of the five extracted factors of the NSI are highly acceptable to the guideline of O,70 (Nunnaly & Bernstein, 2014). The values can be considered high and thus explain a large portion of the variance in the different scales (Clark & Watson, 2015). The mean inter-item correlation coefficients are in the recommended range (0, confirming the internal consistency of the factors of the NSI. This satisfactory internal consistency points to the utility of the instrument used in the research.

5.3 RECOMMENDATIONS

The following recommendations were made based on the findings of the study;

• Nurses should be informed in advance of what difficulties they might face and encourage them to develop their own strategies to achieve personal goals during the influx of patients.
• The hospital management should add stress management skills into the routine or through seminars and workshops or through interactive session between the nurse and the hospital authorities to enlighten and educate on stress management.
• Improving hospital mental services and organizing peer counseling and self-help group can be of help in managing stress.
• The hospital management should create a friendly management / nurses’ relationships

ABSTRACT

CHAPTER ONE INTRODUCTION

1.1 BACKGROUND TO THE STUDY

1.2 STATEMENT OF PROBLEM

1.3 PURPOSE OF THE STUDY

1.4 OBJECTIVES OF THE STUDY

1.6 HYPOTHESIS

1.7 SIGNIFICANCE OF THE STUDY

1.8 DEFINITION OF TERMS

1.9 STUDY LIMITATION

1.10 ORGANIZATION OF THE STUDY

CHAPTER TWO LITERATURE REVIEW

2.1 CONCEPTUAL REVIEW

2.2 THEORETICAL FRAMEWORK

2.4 EMPIRICAL STUDIES

2.5 SUMMARY OF LITERATURE REVIEW

CHAPTER THREE

3.0 METHODOLOGY

3.1 RESEARCH DESIGN

3.2 RESEARCH SETTING

3.3 TARGET POPULATION

3.4 SAMPLING

3.5 SAMPLING TECHNIQUE

3.6 INSTRUMENTS FOR DATA COLLECTION

3.7 VALIDITY OF INSTRUMENT

3.8 RELIABILITY OF INSTRUMENT

3.9 METHOD OF DATA COLLECTION

3.10 METHOD OF DATA ANALYSIS

3.11 ETHICAL CONSIDERATION

CHAPTER FOUR RESULTS AND DISCUSSION

4.1 DATA PRESENTATION

4.2 DEMOGRAPHICS CHARACTERISTICS OF THE RESPONDENTS

4.3 HYPOTHESES

4.2 DISCUSSION

CHAPTER FIVE SUMMARY, CONCLUSION AND RECOMMENDATION

5.1 SUMMARY

5.2 CONCLUSION

5.3 RECOMMENDATIONS

REFERENCES

APPENDIX

• Work Family Conflict, Occupational Stress And Life Satisfaction Among Married Career Women
• Influence Of Shift Work And Marital Status On Occupational Stress Among Nurses

• Midwifery Project Topics and Materials