Job related stress escort pp

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Job related stress escort pp

  1. 1. Job Related Stress Among The Nurses Working in Critical Care Areas at BPKIHS R S Mehta Medical-Surgical Nursing Department B.P. Koirala Institute of Health Sciences Dharan, Sunsari, Nepal
  2. 2. BP Koirala Institute of Health Sciences (BPKIHS) BPKIHS is one of the pioneers Health Sciences university of Nepal. It was established in 1993 with the help of GOI. Over the years it has been grown in every sphere and render the hospital services in various specialties and super specialty. At present the bed strength of hospital is more than 700 and about 400 nurses are working.
  3. 3. Introduction: • Nurses positioned to influence the health care and Nursing • Demand for lifelong learning with: foresight, environmental scanning & sound health policies. • In UK: 342 nurses committed suicide ( 1992-1998=6 years) • Stress is: inevitable & is a part of our life, Majority of people suffer from it.
  4. 4. Introduction ( continue): • It is impossible to avoid stress • We live in an imperfect and unpredictable world. • Stress causes: Positive as well as Negative influence in our life. • Positive Influences: Motivating force towards progress • Negative influence: Creates feelings of distress, rejection and depression.
  5. 5. Negative influences: • Causes physical and psychological Problems. • Stress may causes: High BP, Heart attack, APD, Headache, Asthma, Cancer, Depression • Stress causes Reduced attention, forgetting & poor work performance. • Stress and depression are like a virus: you catch it at work and take it. All of are potentially dangerous for critical care unit nurses.
  6. 6. Objective of the study: The main objective of this study was to find out the job-related stress among the nurses working in critical care areas at BPKIHS.
  7. 7. Research Design and Methodology: • Design: Hospital based descriptive exploratory study. • Areas: All critical care units ( 63 bedded) • Population: All the 81 nurses working in critical care units were included. • Sampling: Total enumerative sampling technique was used. • Sample size: 57 subjects were participated (sample mortality =24)
  8. 8. • Tools: semi-structured questionnaire • Ethical clearance: written permission from concerned authority & Informed verbal consent from participants • Methods of data collection: - Tool given in self-addressed envelop - Anonymity & personal identity was not included in the tool • Analysis of Data: SPSS-10.5 software package was used
  9. 9. Results & Discussions:
  10. 10. Unit wise distribution of bed strength, population & sample: N=57 Fig. -I Unit wise distribution of Subjects 35 30 28 30 Bed strenght 20 20 15 10 20 15 1314 8 6 4 5 IC U IC U /M P N IC U /N ur se ry E m er ge nc y C C U 0 units/ Wards Total Staff Nurse (Population) 12 8 7 6 6 IC U Number 25 Study Subject (Sample)
  11. 11. Age group of the study subject: Fig. II Age group of the study subjects 9% 26% 65% <25 years 26 - 30 years >30 years N=57
  12. 12. Level of job satisfaction: N=57 S.N. Factors Responses: (%) Not at all (<25% ) Slightly (25 – 50%) Moderately (50 – 80%) Fully satisfied (> 80%) a. Job security 25.5 21.3 34.0 19.1 b. Pay scale 31.9 29.8 31.9 6.4 c. Nursing administration 40.4 25.5 27.7 6.4 d. Evaluation system 44.7 23.4 21.3 10.6 e. Nursing care provided to the Patient 6.4 6.4 38.3 48.9 f. Security service 27.6 21.3 34.0 17.0 g. Cooperation from helpers 12.8 40.4 31.9 14.9 h. Guidance & supervision service 12.8 42.6 25.1 19.5 i. Physical facilities available in the unit i.e. light toilet, furniture, etc. 6.4 27.7 36.2 29.8 j. Overall career. 10.7 31.9 36.2 21.2 satisfaction with nursing
  13. 13. Factors of stress related to workload: N=57 S N Stress factors a. Responsibility on patient care b. Shortage of staff d. Inadequate time to complete task e. Workload too high f. Trying to achieve minimum standard Responses: (%) Not at all (< 25% ) Slightly (25 – 50%) Moderately (50 – 80%) Very much (> 80%) 29.8 14.9 14.9 40.4 4.2 14.9 23.4 57.7 23.3 34.0 29.8 12.8 6.3 12.8 21.3 59.6 21.3 23.4 40.4 14.9
  14. 14. Factors of stress related to lack of support and involvement N=57 Responses: (%) S.N Stress factors . Not at all ( 25% ) Slightly (25 – 50%) Moderately (50 – 80%) Very much (> 80%) a. Lack of friendly working condition 25.5 36.1 21.3 17.0 b. Lack of colleagues 51.1 27.6 12.8 8.5 c. Poor Motivation 42.6 25.5 10.6 21.3 d. Lack of recognition for ones effort 21.2 25.5 23.3 29.8 e. High sickness among staff 19.2 34.0 27.7 19.1 support from
  15. 15. Stress factors related to patients/relatives: N=57 Responses: (%) S.N Stress factors Not at all ( <25% ) Slightly (25 – 50%) Moderately (50 – 80%) Very much (> 80%) a. Demanding patients 36.1 27.7 23.5 12.6 b. Aggressive relatives 8.5 31.9 27.6 31.9 d. Pressure from other staff 36.2 31.9 21.1 10.8
  16. 16. Stress related to administrative problems: N=57 Responses: (%) Not at all ( <25% ) Slightly (25 – 50%) Moderately (50 – 80%) Very much (> 80%) from 34.0 21.3 19.1 25.5 b. Poor promotion opportunity 10.6 14.9 25.5 48.9 c. Poor structure 19.1 34.0 23.4 23.4 d. Limited annual leave 19.1 27.7 31.9 19.1 e. Organizational managerial problems 21.2 25.5 27.7 25.5 S.N. Stress factors a. Lack of supervisor support organizational and
  17. 17. Major findings: Too high workload (59.6%) & shortage of Staff (57.5%) are main reasons for job dissatisfaction. • Half of the subjects (48.9%) were satisfied with Nursing care, they provided. • 44.7% subjects not satisfied with evaluation system. • Similar findings were reported in the study conducted by Hall, Shaver, Makhija, & Bhattacharya.
  18. 18. Recommendations • A similar study on a large sample including various units can be conducted. • Continuous & scientific evaluation system can decreases stress among the nurses. • In-service education programme can be arranged for the nurses working in the critical care unit in various aspect like, communication, interpersonal relations, technical component to raise the satisfaction level.
  19. 19. References:• • • • • • • Bhattacharya A. Stress among Cardiac nurses related to patient’s satisfaction during hospitalization. Asian Journal Of Cardiovascular Nursing 1998;6 (1). Makhija N, Gupta R. Personality Development and Stress Reduction in Nursing Personnel. NJI. 2000; 89 (12): 275276. Hall DS. Work related stress of registered nursed in a hospital setting. Journal of nurses staff development. 2004;20(1):6-14. Shaver KH , Lacey LM. Job and carrer satisfaction among staff nurses: effect of Job setting and environment. Journal of nursing administration.2003, 33(3):166-72. Sura O. strategies for stress. Nursing Times . 1989. Sept: 13-19. Riding R. Occupational stress and cognitive style in nurses. BJN: 1992, 4 (2). Julia C . Opting out of burn out. Nursing Times. 1991, May ;15-21.
  20. 20. Thank you

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