TheThe Sources of Work Stress among Nurses in Private Hospitals in Shiraz, 2016 Sources of Work Stress among Nurses in Private Hospitals in Shiraz, 2016

Document Type : Articles



Introduction: Since there are few studies on stress experienced by nursing staff in private hospitals, this study aimed to determine the sources of job stress among nurses in private hospitals in southwest of Iran.Method: In a cross-sectional design, nurses in private hospitals in Shiraz were investigated; about 160 nurses were selected by single-stage cluster sampling as the study samples in three selected hospitals. A standard questionnaire on the sources of job stress was used for data collection. The data were analyzed through SPSS, version 21, using Mann-Whitney and Kruskal-Wallis tests. The level of significance was considered as 0.05.Results: Five important causes of stress among nurses were low income, lack of job security, work-home interface, lack of enough time for work, and exposure with unsuitable physical situation. There were significant associations between the source of stress and having persons with chronic disease in family and concurrent education and work (P = 0.021, X2= 426.5 and P = 0.022, X2 = 717.5, respectively).Conclusion: The sources of job stress should be considered for effective working of the hospital. Attention to nurses’ salary and job security reduces job stress.Keywords: Nurse, Stress, Hospital, Salaries, Iran

  1. Al-Aameri AS. Source of job stress for nurses in public hospitals. Saudi Med J. 2003 Nov;24(11):1183-7.
  2. World Health Organization. Stress at the workplace, 14th February 2007: World Health Organization (WHO); 2014.
  3. Gopalakrishnan V, Umabalan T, Affan M, Zamri A, Kamal A, Sandheep S. Stress perceived by houseman in a hospital in northern Malaysia. The Medical journal of Malaysia. 2016;71(1):8-11.
  4. Sahraian A, Davidi F, Bazrafshan A, Javadpour A. Occupational stress among hospital nurses: Comparison of internal, surgical, and psychiatric wards. International Journal of Community Based Nursing and Midwifery. 2013;1(4):182-90.
  5. Steiner B, Wooldredge J. Individual and environmental sources of work stress among prison officers. Criminal Justice and Behavior. 2015:0093854814564463.
  6. Stecker M, Stecker MM. Disruptive staff interactions: A serious source of inter-provider conflict and stress in health care settings. Issues in mental health nursing. 2014;35(7):533-41.
  7. Ozyurt A, Hayran O, Sur H. Predictors of burnout and job satisfaction among Turkish physicians. Qjm. 2006;99(3):161-9.
  8. Al-Dubai SAR, Ganasegeran K, Perianayagam W, Rampal KG. Emotional burnout, perceived sources of job stress, professional fulfillment, and engagement among medical residents in Malaysia. The Scientific World Journal. 2013;2013.
  9. Moustaka Å, Constantinidis TC. Sources and effects of Work-related stress in nursing. Health Science Journal. 2010;4(4).
  10. Johnson S, O’Connor E, Jacobs S, Hassell K, Ashcroft D. The relationships among work stress, strain and self-reported errors in UK community pharmacy. Research in Social and Administrative Pharmacy. 2014;10(6):885-95.
  11. Kath LM, Stichler JF, Ehrhart MG, Schultze TA. Predictors and outcomes of nurse leader job stress experienced by AWHONN members. Journal of Obstetric, Gynecologic, & Neonatal Nursing. 2013;42(1):E12-E25.
  12. Khamisa N, Oldenburg B, Peltzer K, Ilic D. Work related stress, burnout, job satisfaction and general health of nurses. International journal of environmental research and public health. 2015;12(1):652-66.
  13. Dagget T, Molla A, Belachew T. Job related stress among nurses working in Jimma Zone public hospitals, South West Ethiopia: a cross sectional study. BMC nursing. 2016;15(1):39.
  14. Chien W-T, Yick S-Y. An Investigation of Nurses’ Job Satisfaction in a Private Hospital and Its Correlates. The Open Nursing Journal. 2016;10(1).
  15. Khammarnia M, Tourani S, Mohammadi R. The effect of social capital dimensions on burnout in female nurses. Bimonthly Journal of Hormozgan University of Medical Sciences. 2011;15(3):209-17.
  16. Khammarnia M, Kassani A, Amiresmaili M, Sadeghi A, Jaberi ZK, Kavosi Z. Study of patients absconding behavior in a general hospital at southern region of Iran. International journal of health policy and management. 2015;4(3):137.
  17. Houtman I, Jettinghof K, Cedillo L. Raising awareness of stress at work in developing countires: a modern hazard in a traditional working environment: advice to employers and worker representatives33: World Health Organization (WHO); 2007.
  18. Khammarni M, Sharifian R, Keshtkaran A, Zand F, Barati O, Khonia E, et al. Prescribing errors in two ICU wards in a large teaching hospital in Iran. International Journal of Risk & Safety in Medicine. 2015;27(4):169-75.
  19. Rahmani M, Alinejad R, Hossienpour M. Source of job stress in medical and health staff in Iran. Shahib Beheshit University, MSc Thesis. 2010.
  20. Knezević B, Belosević L. [Stress at work among military doctors: a preliminary study]. Acta medica Croatica: casopis Hravatske akademije medicinskih znanosti. 2006;60(4):309-14.
  21. Chen H-C, Chuang C-H. A discourse on female nurse job stress and reproductive hazards. Hu Li Za Zhi. 2011;58(6):101.
  22. Ko W, Kiser-Larson N. Stress Levels of Nurses in Oncology Outpatient Units. Clinical journal of oncology nursing. 2016;20(2):158-64.
  23. Foxall MJ, Zimmerman L, Standley R, Bene Captain B. A comparison of frequency and sources of nursing job stress perceived by intensive care, hospice and medical‐surgical nurses. Journal of Advanced Nursing. 1990;15(5):577-84.
  24. Hayes B, Bonner A. Job satisfaction, stress and burnout associated with haemodialysis nursing: a review of literature. Journal of Renal Care. 2010;36(4):174-9.
  25. Laranjeira CA. The effects of perceived stress and ways of coping in a sample of Portuguese health workers. Journal of clinical nursing. 2012;21(11‐12):1755-62.
  26. Semmer NK, Jacobshagen N, Meier LL, Elfering A, Beehr TA, Kälin W, et al. Illegitimate tasks as a source of work stress. Work & Stress. 2015;29(1):32-56.
  27. Lindop E. Individual stress among nurses in training: why some leave while others stay. Nurse Education Today. 1991;11(2):110-20.
  28. Pulido‐Martos M, Augusto‐Landa J, Lopez‐Zafra E. Sources of stress in nursing students: a systematic review of quantitative studies. International Nursing Review. 2012;59(1):15-25.
  29. Pishgooie AH, Rahimi A, Khaghanizadeh M. Experiences of Iranian Nursing Faculty Members on Working in Conflict Climate. Iranian Red Crescent Medical Journal. 2016;18(1).
  30. Cousino MK, Hazen RA. Parenting stress among caregivers of children with chronic illness: a systematic review. Journal of pediatric psychology. 2013;38(8):809-28.
  31. Mullins LL, Wolfe-Christensen C, Pai ALH, Carpentier MY, Gillaspy S, Cheek J, et al. The relationship of parental overprotection, perceived child vulnerability, and parenting stress to uncertainty in youth with chronic illness. Journal of pediatric psychology. 2007;32(8):973-82.
  32. Simpson LA, Grant L. Sources and magnitude of job stress among physicians. Journal of Behavioral Medicine. 1991;14(1):27-42.
  33. Tluczek A, McKechnie AC, Brown RL. Factors associated with parental perception of child vulnerability 12 months after abnormal newborn screening results. Research in nursing & health. 2011;34(5):389-400.