Work-related stress among primary healthcare workers (original) (raw)
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Stress levels and related factors in primary care health professionals: an integrative review
REVISTA CIÊNCIAS EM SAÚDE
Objective: To identify, based on evidence, stress levels and related factors in health professionals working in Primary Care. Methods: An integrative review was carried out, with the guiding question "What are the levels of stress and factors related to them in health professionals working in Primary Care?". The research took place in December 2022, in the databases: LILACS, MEDLINE, CINAHL and Scopus. Primary studies available in full in English, Portuguese and Spanish were included. Results: Of the 1,358 productions initially found, 14 texts were included as a sample. It was observed that professionals face different levels of stress in their daily work. Stress can be related to physical and emotional exhaustion, dissatisfaction, overload and less engagement at work, longer working hours, female sex, work in the Covid-19 pandemic, organizational and communication problems. Conclusions: The evidence allows critical reflection on the need for greater concern and involvemen...
2017
Objectives: To identify and compare the stressors in the work environment experienced by employees in primary health care and secondary health care, amongphysiciansand nurses. Patients and methods: The survey was conducted to identify types of stressors by assessing health care workers employed in the primary and secondary health care services of the Public Institution, the Health Centre of the Sarajevo Canton, using a questionnaire about stress in the workplace. Results: Among all study participants stressors connected to the organization of work, fi nance and communication were found to aff ect their mental health most strongly. The results show a signifi cant diff erence between primary and secondary health care in experience of stressors related to the organization of work, communication, and stressors related to the emotional and physical risks. Primary health care physicians report a signifi cantly higher experience of stress and impact on mental health compared with other physicians related to emotional diffi culties when working in the fi eld of palliative care. Our results also indicate a signifi cant diff erence between primary and secondary health providers in experiencing stressors related to the organization of work, such as: on-call duty shifts, an inadequate working environment and in the assessment of administrative work overload. Conclusion: The survey identifi ed the most intense stressors for doctors and nurses at primary and secondary levels of health care services. The results of the study indicate that doctors and nurses have a diff erent hierarchy of stressors, as well as subjects at Primary and Secondary Health Care. The results of the study indicate that subjects et Primary Health Care perceive more stressful organizational, emotional and communicational problems.
Work related stress among healthcare
Objectives: Occupational stress among healthcare workers is an important concern due to its crucial contribution in attaining maximum job output and optimal quality of working life. Our study aims to compare job stress levels of healthcare employees based on 1) sector, 2) category and 3) specialisation. Methods: Stress severity and frequency were evaluated using the 9-point scale Job Stress Survey (Job Stress, Job Pressure, Lack of Support). A crosssectional sample of 223 healthcare providers were enrolled from seven health institutions in Peninsular Malaysia (East Coast = 55%; mean age = 30 years; female = 78.9%; < 2 years experience = 35.9%; government-based = 48%; supportive = 62.8%). Results: No significant difference was found between government and private sector workers. Supportive staff reported significantly higher stress frequency in contrast to professionals who demonstrated significantly higher stress severity in all dimensions (p < .05). Within the supportive group, radiographers were the most stressed, followed by nurses and medical laboratory technologists (p > .05). Research-based professionals experienced significantly worse stress frequency in all components compared to professional practitioners (p < .05). Conclusion: Because stress levels are affected by job category and specialisation, flexible strategies to ensure employees' job productivity, contentment and personal well-being should be implemented.
when the requirements of job do not match the capabilities, resources, or needs of the worker in the work environment. Hospital work stress is a nosocomial stress characterized by stressors like; work over load, understaffing, use of redundant equipment, poor promotion, poor managerial relationship with staff, poor working environment, excessive/prolonged working hours, etc. This study sought to determine the workrelated stress among healthcare workers in Ugep. Data were collected using primary and secondary source. 198 semi-structured questionnaires were designed/administered through purposive sampling. Data generated were analysed using descriptive statistics such as mean, percentages, and illustrative graphs. Results and findings showed that 180 (92.8%) healthcare workers felt stressed at work due to two or more of the following factors; work over-load, emergencies, adhoc duties (3.5%), lack of equipment (30.8%), poor work environment, poor managerial support, poor staff attitude to work and fellow staff (29.8%). Findings from this study also showed that headaches/migraine (76.3%), poor concentration (11.6%), and loss of work interest (10.1%) were the major effects of WRS. The study demonstrates that there is significant relationship between workrelated stress on healthcare workers and service delivery, work overload and increase in work stress, and poor managerial relationship/support and staff attitude to service delivery. This study recommends that, stress reduction strategies and management interventions lie in the adoption of both managerial/organizational interventions that reduce stress at source and to some extent involves the application of individual (staff) interventions. Reducing and managing the level of nosocomial stress will go a long way to positively influence service delivery. Healthcare workers tend to work more efficiently in a comfortable, safe and protective environment where there are sufficient equipment, proper remuneration, management interest on staff welfare, proper management of shifts and days off as well as staff involvement in issues and decisions that concerns their job and overall wellbeing.
GLOBAL PUBLISHING HOUSE INDIA, 2017
Stress experience has a significant negative impact on a healthcare professional and his/her service delivery. Occupational stress has been a long-standing concern of the health care industry and is increasingly becoming a significant societal phenomenon in the current scenario. This is partly because medical service involves taking care of other peoples ' lives therefore mistakes or errors could be costly and sometimes irreversible. It is thus expected that the medical doctors, nurses, and other medical staff must be in a perfect state of mind devoid of morbid worries and anxieties. Health care workers have higher rates of substance abuse and suicide than other professions and elevated rates of depression and anxiety linked to job stress. In addition to psychological distress, other outcomes of job stress include burnout, absenteeism, employee intent to leave, reduced patient satisfaction, and diagnosis and treatment errors. It calls for immediate interventions to address its surge and to promote mental wellness. being of nurses, doctors, and other healthcare workers, and understanding the factors leading to occupational stress among health care professionals. The purpose of this study is to make a critical review of the existing literature and identify the sources of occupational stress, identify the adverse health effects of occupational stress, and recommend work practices to reduce occupational stress.
AN EXPLORATION OF JOB STRESS AMONG HEALTH CARE WORK FORCE
Asia Pacific Journal of Health Management, 2021
The aim of this study is unique and will be useful in elucidating the level and sources of job stress among nurses working in government and private sector health institutions in the Kurdistan Region. This research could be useful in developing future nursing and healthcare manpower planning policies. In this research work, the objective is to evaluate the job stress among hospital nurses in the Kurdistan region. The research part basically explains about work-related stress and how it is harmful to the health of the employees. METHODS: With the help of questionnaires, the authors collected primary data from the nurses working in 34 public and 56 private hospitals all over the Kurdistan region. To collect the data author used a simple random sampling method. The proposed study is descriptive in nature and authors collected data from 252 staff nurses working in the Kurdistan region. To do the analysis author used statistical tools like descriptive statistics, mean, cluster, chi-square, and correspondence analysis. To analyses, the data author used statistical software package SPSS 28.
Medical Archives, 2017
Objectives: To identify and compare the stressors in the work environment experienced by employees in primary health care and secondary health care, amongphysiciansand nurses. Patients and methods: The survey was conducted to identify types of stressors by assessing health care workers employed in the primary and secondary health care services of the Public Institution, the Health Centre of the Sarajevo Canton, using a questionnaire about stress in the workplace. Results: Among all study participants stressors connected to the organization of work, fi nance and communication were found to aff ect their mental health most strongly. The results show a signifi cant diff erence between primary and secondary health care in experience of stressors related to the organization of work, communication, and stressors related to the emotional and physical risks. Primary health care physicians report a signifi cantly higher experience of stress and impact on mental health compared with other physicians related to emotional diffi culties when working in the fi eld of palliative care. Our results also indicate a signifi cant diff erence between primary and secondary health providers in experiencing stressors related to the organization of work, such as: on-call duty shifts, an inadequate working environment and in the assessment of administrative work overload. Conclusion: The survey identifi ed the most intense stressors for doctors and nurses at primary and secondary levels of health care services. The results of the study indicate that doctors and nurses have a diff erent hierarchy of stressors, as well as subjects at Primary and Secondary Health Care. The results of the study indicate that subjects et Primary Health Care perceive more stressful organizational, emotional and communicational problems.
An Integrated Model for the Assessment of Stress-related Risk Factors in Health Care Professionals
Industrial Health, 2011
To assess the risk from exposure to occupational stress and burnout in health care workers (HCW), a cross-sectional study was planned to compare objective data that can represent potential job stressors in hospital wards and subjective symptoms reported by the workers. Medical doctors, nurses and ancillary workers of the Internal Medicine Wards of a large public hospital in Northern Italy participated in the study. Three subjective questionnaires were administered: the Job Content Questionnaire (JCQ), the State-Trait Anxiety Inventory (STAI), the Maslach Burnout Inventory (MBI). In addition, seven objective parameters were collected as average during the 3 months period prior to the study: a) working understaffed; b) ratio number of patients/HCW on service; c) ratio number of HCW on sick leave/ HCW on service; d) number of skipped days off after night shifts; e) days of sick leave; f) number of deceased patients; g) number of accidents at work. A total group of 230 HCW were examined, employed in six different sub-units of the Medical wards. The female workers were 67.8% and the male workers 32.2%, the mean age was 37.4 yr (SD 9.3) in the total group of HCW, 35.1 yr (SD 7.9) in females and 42.3 yr (SD 10.3) in males. The average scores of subjective and objective parameters resulted significantly higher in the same sub-units. The correlation analysis showed that the subjective questionnaires were highly inter-related. The multivariate analysis showed that the days of sick leave were significantly related to the subjective questionnaires, and the subjective subscales of emotional exhaustion (from MBI), job demand and decision latitude (from JCQ) and STAIt were significantly related to some of the objective parameters. These results support the integrated use of multiple subjective and objective assessment as the most appropriate approach for the evaluation of occupational stress.
Empirical study on mental stress among healthcare staffs and the influencing workplace stressors
Engineering Management in Production and Services, 2021
This study provides empirical indicators on the presence of alarming mental stress levels among healthcare staffs as a result of the work environment. The study uses a comprehensive survey to identify work stressors and to addresses stress symptoms and coping behaviours among the healthcare givers in Jordan as a case study. The study aims to direct management’s attention to work conditions that largely contribute to increasing mental stresses among their healthcare staffs. Moreover, the study identifies out stress symptoms that employees, team leaders and managers should not ignore to help their fellow workers cope with their stresses through legitimate coping behaviours. A total of 300 responses from 176 nurses, 45 technicians and 79 physicians from three hospitals with high patient flows were included in the statistical analyses. Results demonstrate that stressors related to high job demands, especially long working hours, have the highest impact on the development of stress among...
Comparison of sources and expressions of stress among hospital and primary health care physicians
Alexandria Journal of Medicine, 2012
Background: Work stress is an important problem that affects physicians. Sources and expressions of stress among hospital physicians (HP) and primary health care (PHC) physicians (PHCP) differ due to the nature of clinical work duties. Objective: Was to compare sources and expressions of stress among HP and PHCP. Subjects and Methods: Data were collected from 247 HP working in a general hospital and 250 working in PHC centers in Kuwait using the Quick Stress Questionnaire (QSQ), in addition to sociodemographic and work characteristics of physicians. Results: Both HP and PHCP suffered from only few sources of stress. Also they had relatively low mean percent scores for the three studied domains of stress. HP tended to significantly suffer from more sources of stress than PHCP (2.33 + 1.88 compared with 1.91 + 1.956, P = 0.003). Signifi-* Corresponding author. Present/permanent address