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Abstract: The primary aim of the study was to assess occupational stress among nurses working at tertiary care hospital. job related
stress increasingly large disorder among nurses stress has a cost for individual in term of health, wellbeing and for organization in term
of absenteeism and turnover which indirectly affect quality of patient care. Objectives: To assess occupational stress among nurses
working in tertiary care hospitals, and to find out association between occupational stress, selected demographic variables among
nurses. A study was conducted on 100 staff nurses Modified expanded nurses stress scale was used and requires 15-30 min to salve for
each questionnaire. Majority 49% of nurses had reported frequent occurrence of stress, due to uncertainty of concerning treatment.
Whereas maximum 48% of nurses had reported frequent occurrence of stress, due to dealing with patient and. Majority 59% due to
workload as cause of stress. Inadequate emotional preparation is reported by 68%,24% and 8% of nurses as occasional, frequent and
extremely occurring cause of stress respectively. Maximum 49% reported frequent occurrence, due to conflict with the doctors. 52%
nurses reported frequent occurrence of stress, because of supervisors as a cause of stress. Maximum 50% nurses reported extreme
occurrence of stress due to death and dying as cause of stress. 53%, nurses reported occasional, frequent and extreme occurrence of
stress due to conflict with peers as a cause of stress respectively. 48% nurses reported occasional, frequent and extreme occurrence of
stress due to discrimination as a cause of stress respectively. There was no significant association found between occupational stress,
and age, sex, professional education, year of experience. CONCLUSION: Nurses have to face frequent occurrence of stress which could
have negative impact on organizational climate in the future. Out of all considered causes of stress, workload and supervisors are two
major factors responsible for frequent occurrence of stress among majority of nurses.
Inclusion criteria All the nurses working at selected tertiary care hospital were
Nurses working at Krishna hospital and medical research invited for lecture on stress management organized by
centre, Karad. investigator on 9th October 2013.self answered questionnaire
Nurses those who have registered at state nursing council. were distributed among nurses before initiation of lectute.20
Those who are present during period of data collection minutes was give for participant to salve questionnaire.
and are willing to participate in
Exclusion criteria 4.12Plan for data analysis
Nurses those who are not present during data collection
period and those who are not willing to participate in the The obtained data was analyzed in terms of objective of the
study study using descriptive and inferential statistics. Licensed
copy of SPSS software was used to analyze data. Frequency
4.8 Description of tool and data collection procedure: and percentage was calculated to get distribution of nurses as
per demographic variables, to assess stress and job
Self answered questionnaire was used to collect data. The satisfaction. Chi square test is used to get association
tool comprises of three sections between occupational stress demographic variables.
Section I : Demographic variables.
Section II: Modified Expanded nurses stress scale 5.Major Findings of the Study
4.9 Demographic Variables 5.1 Findings related to demographic variable:
This section include collection of information about sample Data on sample characteristics revealed that out of 100
characteristics includes designation, clinical area, age, sex, nurses maximum 88%of nurses were working as staff
marital status. number of children, professional education, nurses,54% were in age group of 21to30 years, being female
year of experience, type of family, monthly income, with sex 86% and 57%were married where as maximum
dependent member in the family. 45% with no child . maximum 60% nurses were with
professional education of RGNM,51%were having below 5
4.10Modified Expanded nurses stress scale: years of experience and 68% belong nuclear family with
maximum 35% were having more than three dependent
The expanded nurses stress scale (French, lenton, walkters member in their family.
and eyles,1995)is self report questionnaire that no longer
than 15 minutes to complete. the expanded nurses stress 5.2 Findings related to occupational stress
scale was developed using factor analysis of nurses
responses to a list of stressful nursing situation that had been Majority 49% of nurses had reported frequent occurrence of
identified on nursing stress (Healy and McKay,1999, Tyler stress,30% reported occasional occurrence of stress,21%
and Cushway 1995;1992, Gray Toft and reported extreme occurrence of stress due to uncertainty of
Anderson,1981).The expanded nursing stress incorporates concerning treatment as a cause of stress. Whereas
59 item with nine subscales[26],each item required maximum 48% of nurses had reported frequent occurrence
respondent to rate on four point likert type ranging from 0 of stress,30% reported occasional occurrence of stress,21%
for never stressful or not applicable to 3for extremely reported extreme occurrence of stress due to dealing with
stressful. The higher score more respondent agree that the patient and family as cause of stress. Majority 59% reported
situation was stressful. Total and subscale score can be frequent occurrence, 29% reported occasional
derived from this instrument..The subscale include occurrence,12% reported extreme occurrence of stress due to
Uncertainty by concerning treatment workload as cause of stress. Inadequate emotional
Conflict with physician preparation is reported by 68%,24% and 8% of nurses as
Work Load occasional, frequent and extremely occurring cause of stress
Death and dying respectively. Maximum 49% reported frequent occurrence,
Conflict with supervisors 38% reported occasional occurrence,8% reported extreme
Inadequate emotional preparation occurrence of stress due to conflict with the doctors. 52%
Discrimination nurses reported frequent occurrence of stress,32% reported
Conflict with peers extreme occurrence and 16% reported occasional occurrence
of stress because of supervisors as a cause of stress.
Dealing with patient and families
Maximum 50% nurses reported extreme occurrence of stress
The modified expanded nursing stress scale is designed in
due to death and dying as cause of stress, 30% reported
simple and understandable English language.
occasional occurrence and 20% reported extreme occurrence
Though both tools are in English, as ANM nurses were
of stress because of it. 53%, 34% and 13% nurses reported
included in present study it was converted in respondent’s
occasional, frequent and extreme occurrence of stress due to
mother tongue (Marathi) and then validated from expert in
conflict with peers as a cause of stress respectively. 48%,
the field.
33% and 19% nurses reported occasional, frequent and
extreme occurrence of stress due to discrimination as a cause
of stress respectively.
Volume 3 Issue 6, June 2014
www.ijsr.net
Paper ID: 02014409 1002
Licensed Under Creative Commons Attribution CC BY
International Journal of Science and Research (IJSR)
ISSN (Online): 2319-7064
Impact Factor (2012): 3.358
Saudi Arebia dealing with patient and their family as
5.3 Findings related to association between occupational frequently stressful event and inadequate emotional
stress and selected demographic variables: preparation as least stressful event.
There was no significant association found between Though there is variation in causes for occupational stress
occupational stress ,job satisfaction and age, sex, among nurses in different work setting, average level of
professional education, year of experience. stress is been reported by all nurses around world.