Job-related stress among nurses in primary healthcare centers in Arar city, Saudi Arabia

Authors

  • Amal Elwan Mohamed MD., Lecturer of Public Health and Community Medicine, Faculty of Medicine, Zagazig University, Zagazig, Egypt,Consultant of Public Health and Community Medicine, Saudi Board of Family Medicine, Northern Borders Region, Arar, Kingdom of Saudi Arabia

Keywords:

Nurses; Stress; Primary care center; Saudi Arabia

Abstract

Background: Occupational stress can lead to poor health and work-related injuries. Nurses have a unique work place environment that can impact job-related stress in a unique way. Objectives: To determine the prevalence and associated factors of job stress among nurses in primary health centers in Arar city.  Methods: This cross-sectional study was carried out on 101 nurses covering all primary healthcare centers (n=12) in Arar city, Saudi Arabia between December 2017 and February 2018. All nurses working in primary healthcare levels, of all ages, sexes, Saudi and non-Saudi were eligible for study inclusion. Nurses with mental health problems and those of work duration less than one year were excluded from the study. Data were collected using a self-administered questionnaire including demographic characteristics of nurses and a work stressor questionnaire to evaluate job stress among them. The data were entered and analyzed using IBM© SPSS© Statistics version 20. Chi-Square test of independence and Fisher Exact test were used. p≤0.05 was considered significant. Results: All nurses at primary healthcare centers in Arar city were included in the study (101nurses). The most frequent areas of work-related stress among nurses were time pressure (42.6%), followed by boredom-induced stress (32.7%), pressure on the job (31.7%), work underload stress (26.7%), and disagreement and indecision (25.7). Almost one-third (34.7%) of the nurses had work-related stress. Higher educated nurses (Bachelor or above) were more likely to have work-related stress compared to diploma educated nurses; 55.2% versus 26.4% (OR=3.4, CI: 1.3-8.4, p=0.006) Conclusion: Work-related stress is a considerably prevalent problem among nurses working at primary healthcare centers in Arar city, Saudi Arabia as it impacts almost one third of them. Application of interventional programs to relieve sources of stress, and providing more training of nurses on stress management is a necessity.

References

Australian Psychological Association. APS - EQIP - Information sheets -Stress. 2013

Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Homeostasis, Stress, and Adaptation. Brunner &

Suddarth’s textbook of medical-surgical nursing.12th ed. Philadelphia: Wolters Kluwer Health/Lippincott

Williams &Wilkins; 2010: 78-95.

Glehart JK. Revisiting the Canadian Health Care System. N Engl J Med. 2000; 34: 2007–12. doi:

1056/NEJM200006293422624. PMID: 10874071.

Grunfeld E, Zitzelsberger L, Coristine M, Whelan TJ, Aspelund, F, Evans WK. Job stress and job

satisfaction of cancer care workers. Psychooncology. 2005; 14: 61-9. doi: 10.1002/pon.820. PMID:

Gundersen L. Physician burnout. Ann Intern Med. 2001; 135(2): 145-8. doi: 10.7326/0003-4819-135-2- 200107170-00023. PMID: 11453722.

Salam A, Segal DM, Abu-Helalah MA, Gutierrez ML, Joosub I, Ahmed W, et al. The impact of workrelated stress on medication errors in Eastern Region Saudi Arabia. International Journal for Quality in

Health Care. 2018; 31(1): 30-5. doi: 10.1093/intqhc/mzy097. PMID: 29741703.

Demir F, Pinar AY, Erbas M, Özdil M, Yasar E. The prevalence of depression and its associated factors

among resident doctors working in a training hospital in Istanbul. Turk Psikiyatri Derg. 2007; 18(1): 31-7.

Klein J, Frie KG, Blum K, Knesebeck OV. Psychosocial stress at work and perceived quality of care

among clinicians in surgery. BMC Health Service Research. 2011; 1: 109. doi: 10.1186/1472-6963-11-109.

PMID: 21599882, PMCID: PMC3119178.

Donovan R. Stress in the Workplace: A Framework for research and practice. Soc Casework. 1987; 5: 254- 66. doi: 10.1177/104438948706800501.

Anderson W, Cooper C, Willmott M. Sources of Stress in the National Health Services: a comparison of

seven occupational groups. Work Stress. 1996; 10: 88-95. doi: 10.1080/02678379608256787.

Abu-Helalah AM, Jorissen SL, Niaz K, Al Qarni A. Job stress and job satisfaction among primary health

care professionals. European Scientific Journal November. 2014; 10(32): 156-73.

Al-Makhaita HM, Sabra AA, Hafez AS. Predictors of work-related stress among nurses working in primary

and secondary health care levels in Dammam, Eastern Saudi Arabia. J Family Community Med. 2014;

(2): 79–84. doi: 10.4103/2230-8229.134762. PMID: 24987275, PMCID: PMC4073564.

Saquib N, Zaghloul MS, Saquib J, Alhomaidan HT, Al‐Mohaimeed A, Al‐Mazrou A. Association of

cumulative job dissatisfaction with depression, anxiety, and stress among expatriate nurses in Saudi Arabia.

J Nurs Manag. 2019; 27(4): 740-8. doi: 10.1111/jonm.12762. PMID: 30784143.

Aboshaiqah A. Strategies to address the nursing shortage in Saudi Arabia. Int Nurs Rev. 2016; 63(3): 499- 506. doi: 10.1111/inr.12271. PMID: 27324589.

American Institute of preventive medicine. Work-stressor questionnaire. 2012. Available from:

https://healthylife.com/online/stress/lamaru/work-stessor-questionnaire.html.

Rodrigues VM, Ferreira AS. Stressors in nurses working in intensive care unit. Rev Lat Am Enfermagem.

; 19(4): 1025-33. doi: 10.1590/S0104-11692011000400023. PMID: 21876957.

Higazee M. Types and levels of conflicts experienced by nurses in the hospital settings. Health Sci J. 2015;

(6): 1-7.

Al-Hawajreh K. Exploring the relationship between occupational stress and organizational commitment

among nurses in selected Jordanian Hospitals. An Najah Univ J Res. 2011; 25: 1931–72.

Dagget T, Molla A, Belachew T. Job related stress among nurses working in Jimma Zone public hospitals,

South West Ethiopia: across-sectional study. BMC Nurs. 2016; 15: 39. doi: 10.1186/s12912-016-0158-2.

PMID: 27313502, PMCID: PMC4910212.

Salilih SZ, Abajobir AA. Work-related stress and associated factors among nurses working in public

hospitals of Addis Ababa, Ethiopia: a cross-sectional study. Work Health and Safety. 2014; 62(8): 326-32.

doi: 10.1177/216507991406200803. PMID: 25101930.

Salem EA, Ebrahem SM. Psychosocial work environment and oxidative stress among nurses. J Occup

Health. 2018; 60(2): 182–91. doi: 10.1539/joh.17-0186-OA. PMID: 29311439, PMCID: PMC5886886.

Asefzadeh S, Kalhor R, Tir M. Patient safety culture and job stress among nurses in Mazandaran, Iran.

Electron Physician. 2017; 9(12): 6010-6. doi: 10.19082/6010. PMID: 29560154, PMCID: PMC5843428.

Gheshlagh RG, Parizad N, Dalvand S, Zarei M, Farajzadeh M, Karami M, et al. The prevalence of job

stress among nurses in Iran: A meta-analysis study. Nursing and Midwifery Studies, 2017; 6(4): 143-8. doi:

4103/nms.nms_33_17.

Alshehri BA, Al Shimemeri S, Al Aomry A, Saleh JY. Factors leading to stress among Saudi nurses. The

Middle East Journal of psychiatry and Alzheimer. 2012; 3(2): 17.

Alenezi AM, Aboshaiqah A, Baker O. Work-related stress among nursing staff working in government

hospitals and primary health care centres. Int J Nurs Pract. 2018; 24(5): e12676. doi: 10.1111/ijn.12676.

PMID: 30003631.

Al-omar BA. Sources of work-stress among hospital-staff at the Saudi MOH. JKAU: Econ & Adm. 2003;

(1): 3-16. doi: 10.4197/Eco.17-1.1.

Alabdullah A, Brian L, Whiting L. Workplace stress amongst nurses in pediatric intensive care units in

Saudi Arabia. 47th Global Nursing & Healthcare Conference. J Nurs Care. 2018; 7: 72.

Tao L, Guo H, LiuS, Li J. Work stress and job satisfaction of community health nurses in Southwest China.

Biomedical Research. 2018; 29(3): 510-8. doi: 10.4066/biomedicalresearch.29-17-2604.

Sveinsdóttir H, Biering P, Ramel A. Occupational stress, job satisfaction, and working environment among

Icelandic nurses: a cross-sectional questionnaire survey. Int J Nurs Stud. 2006; 43(7): 875-89. doi:

1016/j.ijnurstu.2005.11.002. PMID: 16360157.

Yau SY, Xiao XY, Lee Y, Tsang AY, Wong SL, Wong KF. Job stress among nurses in China. ApplNurs

Res. 2012; 25(1): 60-4. doi: 10.1016/j.apnr.2011.07.001. PMID: 21855294.

Ojekou GP, Dorothy OT. Effect of Work Environment on Level of Work Stress and Burnout among Nurses

in a Teaching Hospital in Nigeria. Open Journal of Nursing. 2015; 5: 948-55. doi:

4236/ojn.2015.510100.

Adzakpah G, Laar AS, Fiadjoe HS. Occupational stress among nurses in a hospital setting in Ghana. Clin

Case Rep Rev. 2016; 1. doi: 10.15761/CCRR.1000207.

Lee I, Wang HH. Perceived occupational stress and related factors in public health nurses. J Nurs Res.

; 10: 253–60. doi: 10.1097/01.JNR.0000347606.91295.76.

Verhaeghe R, Vlerick P, De Backer G, Van Maele G, Gemmel P. Recurrent changes in the work

environment, job resources and distress among nurses: A comparative cross-sectional survey. Int J Nurs

Stud. 2008; 45: 382–92. doi: 10.1016/j.ijnurstu.2006.10.003. PMID: 17140580.

Tyson PD, Pongruengphant R. Five-year follow-up study of stress among nurses in public and private

hospitals in Thailand. Int J Nurs Stud. 2004; 41: 247–54. doi: 10.1016/S0020-7489(03)00134-2.

Abd El-Fatah M. Doctoral Thesis Faculty of Nursing Cairo University. Impact of organizational features of

work environment on quality of nursing care and nurses commitment in critical care unit ina selected

hospital within Cairo governorate. Unpublished Dissertation. 2002.

Wilson B, Laschinger HK. Staff nurse perception of job empowerment and organizational commitment. A

test of Kanter's theory of structural power in organizations. J Nurs Adm. 1994; 24: 39–47. doi:

1097/00005110-199404011-00007.

Botha C, Pienaar J. South Africa correctional official occupational stress: The role of psychological

strengths. J Crim Justice, 2006; 34S: 73–84. doi: 10.1016/j.jcrimjus.2005.11.008.

Al Hosis KF, Mersa FA, Keshk LI. Effects of Job Stress on Health of Saudi Nurses Working in Ministry of

Health Hospitals in Qassim Region in KSA. Life Science Journal. 2013; 10(1).

Qattan A. The Effect of Work-Related Stress and Burnout on Nursing Performance and Job Satisfaction: a

Study of Hospitals in Saudi Arabia. PhD thesis, University of Sheffield. 2017. Aailable from:

etheses.whiterose.ac.uk/20208/.

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Published

2021-12-14