Exploration of the experiences of working stressors and coping strategies associated with menstrual symptoms among nurses with shifting schedules: a Q methodology investigation (original) (raw)
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International Journal of Environmental Research and Public Health
This study aimed to explore the cluster patterns of female nursing students’ perceptions of the effects of menstrual distress during clinical practice. This study adopted the Q-methodology study design. We recruited female nursing students from a college in northern Taiwan. Forty-seven Q-statements were constructed to explore participants’ experiences of the impact of menstrual distress on clinical learning. In total, 58 participants subjectively ranked Q-statements concerning menstrual distress experiences during clinical practice and were classified. After Q-sorting, the subjective ranking process PQ Method (version 2.35, Schmolck, Emmendingen, Germany) was employed for factor analysis. Four patterns of shared perspectives, accounting for 46.6% of the total variance, were identified: (a) influencing clinical learning and making good use of painkillers; (b) responsible attitudes and diversified relief of discomfort; (c) seeking peer support and effect on mood; (d) negative impact o...
Scandinavian journal of work, environment & health, 2015
This study aimed to evaluate occupational exposures and menstrual cycle characteristics among nurses. Using cross-sectional data collected in 2010-2012 from 6309 nurses aged 21-45 years, we investigated nurses' menstrual function in the Nurses' Health Study 3. We used multivariable regression modeling to analyze the associations between occupational exposures and prevalence of irregular cycles and long and short cycle lengths. The cohort reported cycle length as <21 (1.5%), 21-25 (15.6%), 26-31 (69.7%), and 32-50 (13.2%) days. In addition, 19% of participants reported irregular cycles. Working ≥41 hours/week was associated with a 16% [95% confidence interval (95% CI): 4-29%] higher prevalence of irregular cycles and a higher prevalence of very short (<21-day) cycles [prevalence odds ratio (OR) 1.93, 95% CI 1.24-3.01] in adjusted models. Irregular menstrual cycles were more prevalent among women working nights only (32% higher; 95% CI 15-51%) or rotating nights (27% hig...
The Impact of Self-perceived Job Stress on Menstrual Patterns among Taiwanese Nurses
Industrial Health, 2007
The purpose of this study was to assess the impact of self-reported job stress on menstrual patterns among nurses. We conducted a cross-sectional survey of nursing staff from five psychiatric institutions and four general hospitals in Taiwan. A total of 746 participants were eligible for the final analysis, among whom, 72.3% were ascertained as having a self-perceived high level of job stress. Self-perceived high job stress was significantly associated with irregular menstrual cycles [Adjusted odds ratio (AOR): 4.8, 95% confidence interval (CI): 3.3-7.2] and longer menstrual bleeding periods (more than 7 d) [AOR: 2.5, 95% CI: 1.7-3.7], but was not significantly related to long or short menstrual cycles. Overall, this study suggests that nurses' self-perceived job stress may be associated with certain aspects of menstrual dysfunction. Further investigations with prospective follow-up studies and urine hormonal measurements are now recommended to provide additional insight into the pathophysiological mechanisms of our findings.
Work stress and menstrual patterns among American and Italian nurses
Scandinavian Journal of Work, Environment & Health, 1999
Hatch MC, Figa-Talamanca I, Salerno S. Work stress and menstrual patterns among American and Italian nurses. Scand J Work Envi ron Heal th 1999;25(2):144-150. Objectives This study assessed whether job stress alters menstrual patterns among nurses working in 2 different settings: a tertiary care hospital in New York (99 nurses) and a university hospital in Rome (25 nurses). Methods Data on menstrual patterns were collected by a daily diary in which the nurses recorded their basal body temperature (BBT) and their menstrual bleeding status for a 3-month period. The BBT curves were used to classify cycles as biphasic or monophasic, and as adequate or inadequate with respect to the luteal phase. Job stress was evaluated by both objective (environmental and work characteristics) and subjective (perceived stress) criteria. Results The American nurses, especially those assigned to high stress units, had an increased risk for long and monophasic cycles [relative risk (RR) 4.3,95% confidence interval (95% CI) 1.1-16.2 and RR 5.5,95% CI 1.2-25.5, respectively]. Among those who perceived their stress at work to be high or reported strenuous work activity, the risk for longer cycles was also raised (RR 2.3,95% CI 0.6--8.0 and RR 1.6,95% CI 0 . 7 4 . 2 , respectively). Luteal phase inadequacy followed the same pattern. Similar trends were observed in the Italian data. In addition, the rotating shiftwork pattern prevalent in the Italian group was possibly associated with higher rates of short cycles and inadequate luteal phases when compared with those of nurses working fixed shifts either day or night. C O~C~U S~O~S Menstrual function may be affected by stressful work conditions.
The Associations between Menstrual Function and Life Style/Working Conditions among Nurses in Taiwan
Journal of Occupational Health, 2005
The Associations between Menstrual Function and Life Style/Working Conditions among Nurses in Taiwan: Fen-Fang CHUNG, et al. Department of Nursing, Chang Gung Institute of Technology, Taiwan, R.O.C.-This study was aimed at understanding the relationship among menstrual pattern, dysmenorrhea, life style and working conditions in nurses. The nurses were randomly selected from a medical center in Northern Taiwan. Each subject completed daily records including life and working conditions during the study period. The study showed that there were statistically significant differences in work years, daily working hours and type of work shift among nurses that worked at different units in the hospital. In the perceived regular cycle group, nurses that worked the night shift only exhibited the shortest menstrual cycles, less than 25 d. There was a significant difference (p<0.05) among the nurses' menstrual cycles. Many life factors (such as passive tobacco smoke exposure, perceived life satisfaction and perceived life stress) and working factors (such as work years, perceived work satisfaction and perceived work stress) were not significantly related to menstrual cycle regularity. In addition, 30% of the nurses complained of dysmenorrhea. Some factors including age, marital status and perceived life satisfaction were significantly related to dysmenorrhea. However, other life factors (such as passive tobacco smoke exposure, smoking, coffee, alcohol, cold drink habits, exercise and perceived life stress) and working factors (such as working places, type of work shift, daily work hours, perceived work satisfaction and perceived work stress) showed no correlation with dysmenorrhea. This study indicates that women should pay attention to their menstrual function and dysmenorrhea phenomenon.
Survey on women's expectation from organization during menstruation and impact on their productivity
Journal of emerging technologies and innovative research (JETIR), 2023
Menstruation is an ordinary and wholesome phase of existence for most women. Many women face difficulties during this cycle. They need to continue their work even when they are in pain. Hence, this study aimed to survey menstrual cycle effects on performance, physical condition and concentration on Indore women. Data was collected using selfreported surveys approaching a convenience sampling method. They want to work in that organization where they will have facilities of paid leave during menstruation. They wish that their organization should provide quality pads and must install pad disposable machines.
Shift Work Pattern and Menstrual Characteristics among Nurses in Egypt
Biomedicine and Nursing 2016;2(4), 2016
Background: Rotating shift work may interrupt the normal function of the biological clock, so considered to be one of the factors leading to alter endocrine regulation and increased risk of menstrual cycle abnormality. Aim: to assess the impact of shift work pattern on menstrual characteristics among nurses. Methodology: Research design used for the present study was a cross-sectional comparative design with three months of monitoring. The survey conducted in three hospitals in Benha city, Egypt which affiliated to the Ministry of health. After recognizing the inclusion and exclusion criteria, the study sample was 100 (100 out of 678) active female nurse staff who were in reproductive age below 40 years and had at least one year of work experience. A convenient type of sample was used to collect the data. The researchers designed an interviewing assessment sheet, and semi-structured menstrual self-assessment tool was adopted by the researcher to collect the data. Results: The present study showed that there were statistically significant differences in educational attainment, work duration and drinking tea habit among nurses in rotating shifts compared to day shift one. Heavy menstrual bleeding and severe dysmenorrhea were significantly higher among rotating shifts group nurses (MC P=0.034* and P=0.021*, respectively). Also, inter-menstrual bleeding and short cycle length were higher among nurses in rotating shifts group but not a significant difference. Also, Irregular menstrual cycle and very severe dysmenorrhea were significantly higher among nurses with more than 12-night shifts rotation at the last twelve months of work (P=0.001* and MC P=0.005*, respectively). For short menstrual and prolonged menstrual cycle, numbers of pads used, heavy menstrual bleeding, and inter-menstrual bleeding were higher among nurses with more than 12-night shifts rotation at the last 12 months of work but not reach the significant. Conclusions: Rotating shifts work has a negative impact on the menstrual cycle. Rotating shift has been associated with heavy menstrual bleeding, severe dysmenorrhea as well as intermenstrual bleeding and short cycle length. Also, Increased the numbers of night shifts more than 12-night shift rotation at last 12 months associated with severe dysmenorrhea and irregular menstrual cycle. So this finding can be used to guide preventive measures to eliminate or decrease the menstrual problems among rotating shift nurses. Conclusion: The results of this study which done to assess the impact of shift work pattern on menstrual characteristics among nurse staff in Egypt are comparable with those reported in other parts of the world. It can conclude from the results of this study that rotating shifts work associated with increased risk of menstrual disturbances. Nurses working in rotating shifts had a significant heavy menstrual bleeding and severe dysmenorrhea.
Menstrual characteristics and night work among nurses
INDUSTRIAL HEALTH, 2015
Night work has been associated with adverse effects in terms of reproductive health. Specifically, menstruation has been suggested to be negatively impacted by night work, which again may influence fertility. This study investigated whether working nights is related to menstrual characteristics and if there is a relationship between shift work disorder (SWD) and menstruation. The study was cross-sectional, response rate 38%. The sample comprised female nurses who were members of the Norwegian Nurses Association; below 50 years of age, who were not pregnant, did not use hormonal pills or intrauterine devices and who had not reached menopause (n=766). The nurses answered a postal survey including questions about night work and menstrual characteristics. Fifteen per cent reported to have irregular menstruations. Thirty-nine per cent of the nurses were classified as having SWD. Logistic regression analyses concerning the relationship between irregular menstruations and night work did not show any associations. Furthermore, no associations were found between cycle length or bleeding period and night work parameters. No associations were found between menstrual characteristics and SWD.
The relationship between menopausal symptoms and burnout. A cross-sectional study among nurses
BMC Women's Health
Background Despite the growing presence of menopausal women in workplaces, studies aimed at exploring the link between menopausal symptoms and job well-being are scarce. In the interest of addressing this gap, the present study aimed to explore whether menopausal symptoms might contribute to increased levels of burnout and whether this relationship can be moderated by social or personal resources. Method The study design was cross-sectional and non-randomized. Ninety-four menopausal nurses completed a self-report questionnaire including scales aimed at measuring menopausal symptoms, burnout, social (i.e., support from superiors and colleagues) and personal (i.e., self-efficacy, resilience, and optimism) resources. Moderated regression analyses were performed to test study hypotheses. Results Whereas menopausal symptoms were associated significantly with emotional exhaustion, no social or personal resources were found to moderate this relationship. Regarding depersonalization, our st...
Nurses’ perspective of work-related stressors
IOP Conference Series: Earth and Environmental Science, 2021
There are many issues affecting the human resources in organizations today. The volatility in the global economy has brought about many changes and the human resources are the most affected. They have to learn to adapt to these changes and cope with the daily pressures. No industry is spared as change is seen as the only constant. This research attempts to ascertain stressors from the perception of nurses at a private hospital in Malaysia. It investigates issues pertaining to their workload, work environment, social support, and manpower. Random sampling determined the sample size from the population frame provided by the hospital’s human resource department. Of the 108 nurses selected as respondents only 80 questionnaires were usable. The use of close-ended questionnaires using nominal and interval scales extracted information from the respondents. The data was then analyzed using the SmartPLS 3.3.2. Findings show that workload and manpower availability are stressors among the nurs...