Factors influencing perceived stress among nurses: The case at National Cancer Institute

The aim of this study was to investigate the factors influencing perceived stress among nurses; the case at National Cancer Institute (NCI). The independent factors studied are: workload, patient’s death and dying, inadequate preparation, lack of staff support, uncertainty concerning treatment by ph...

Full description

Saved in:

Bibliographic Details
Main Author:	Kama Azida, Kamarulzaman
Format:	Thesis
Language:	eng eng
Published:	2015
Subjects:	HF5548.7-5548.85 Industrial Psychology HF5548.7-5548.85 Industrial Psychology
Online Access:	https://etd.uum.edu.my/5250/1/s816314.pdf https://etd.uum.edu.my/5250/2/s816314_abstract.pdf
Tags:	Add Tag No Tags, Be the first to tag this record!

id	my-uum-etd.5250
record_format	uketd_dc
institution	Universiti Utara Malaysia
collection	UUM ETD
language	eng eng
advisor	Mohd Yunus, Jasmani
topic	HF5548.7-5548.85 Industrial Psychology HF5548.7-5548.85 Industrial Psychology
spellingShingle	HF5548.7-5548.85 Industrial Psychology HF5548.7-5548.85 Industrial Psychology Kama Azida, Kamarulzaman Factors influencing perceived stress among nurses: The case at National Cancer Institute
description	The aim of this study was to investigate the factors influencing perceived stress among nurses; the case at National Cancer Institute (NCI). The independent factors studied are: workload, patient’s death and dying, inadequate preparation, lack of staff support, uncertainty concerning treatment by physician, conflict with physicians and conflict with other nurses. This study examined the level of perceived stress encountered by nurses at the NCI and to identifying the influential among the occupational stressor on nurses at NCI. The Nursing Stress Scale (NSS) by Gray-Toft and Anderson (1981) and the Perceived Stress Scale (PSS) by Cohen et al., (1983) were use as the research instrument. A total of 182 nurses were selected as respondents from a population of 390 nurses. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (correlation and multiple regressions). Overall, the findings indicate low level of perceived stress experienced by nurses in NCI. The results of the correlation analysis showed that out of seven factors, six have a low and positive relationship with perceived stress while (uncertainty concerning treatment by physician) shows no relationship at all. Based on multiple regression result study, 19.7% of the perceived stress could be explained by the factors studied. The most influential factors are the inadequate preparation and conflict with physicians factor. This study would like to suggest to the NCI management to initiate proactive measures to address the stress issues exist by providing a range of appropriate on-going training courses that would include techniques of handling stress at work in order to produce productive worker with an excellent work culture
format	Thesis
qualification_name	masters
qualification_level	Master's degree
author	Kama Azida, Kamarulzaman
author_facet	Kama Azida, Kamarulzaman
author_sort	Kama Azida, Kamarulzaman
title	Factors influencing perceived stress among nurses: The case at National Cancer Institute
title_short	Factors influencing perceived stress among nurses: The case at National Cancer Institute
title_full	Factors influencing perceived stress among nurses: The case at National Cancer Institute
title_fullStr	Factors influencing perceived stress among nurses: The case at National Cancer Institute
title_full_unstemmed	Factors influencing perceived stress among nurses: The case at National Cancer Institute
title_sort	factors influencing perceived stress among nurses: the case at national cancer institute
granting_institution	Universiti Utara Malaysia
granting_department	Othman Yeop Abdullah Graduate School of Business
publishDate	2015
url	https://etd.uum.edu.my/5250/1/s816314.pdf https://etd.uum.edu.my/5250/2/s816314_abstract.pdf
_version_	1747827892718403584
spelling	my-uum-etd.52502021-03-18T08:21:14Z Factors influencing perceived stress among nurses: The case at National Cancer Institute 2015 Kama Azida, Kamarulzaman Mohd Yunus, Jasmani Othman Yeop Abdullah Graduate School of Business Othman Yeop Abdullah Graduate School of Business HF5548.7-5548.85 Industrial Psychology HF5549-5549.5 Personnel Management. Employment The aim of this study was to investigate the factors influencing perceived stress among nurses; the case at National Cancer Institute (NCI). The independent factors studied are: workload, patient’s death and dying, inadequate preparation, lack of staff support, uncertainty concerning treatment by physician, conflict with physicians and conflict with other nurses. This study examined the level of perceived stress encountered by nurses at the NCI and to identifying the influential among the occupational stressor on nurses at NCI. The Nursing Stress Scale (NSS) by Gray-Toft and Anderson (1981) and the Perceived Stress Scale (PSS) by Cohen et al., (1983) were use as the research instrument. A total of 182 nurses were selected as respondents from a population of 390 nurses. Data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (correlation and multiple regressions). Overall, the findings indicate low level of perceived stress experienced by nurses in NCI. The results of the correlation analysis showed that out of seven factors, six have a low and positive relationship with perceived stress while (uncertainty concerning treatment by physician) shows no relationship at all. Based on multiple regression result study, 19.7% of the perceived stress could be explained by the factors studied. The most influential factors are the inadequate preparation and conflict with physicians factor. This study would like to suggest to the NCI management to initiate proactive measures to address the stress issues exist by providing a range of appropriate on-going training courses that would include techniques of handling stress at work in order to produce productive worker with an excellent work culture 2015 Thesis https://etd.uum.edu.my/5250/ https://etd.uum.edu.my/5250/1/s816314.pdf text eng public https://etd.uum.edu.my/5250/2/s816314_abstract.pdf text eng public masters masters Universiti Utara Malaysia AbuAlRub, R. F. (2004). Job Stress, Job Performance, and Social Support among Hospital Nurses. J Nurs Scholarsh, 36(1): 73-8. Alhajjar, B. I. (2013). Occupational Stress among Hospital Nurses in Gaza-Palestine. Aliaga, M., & Gunderson, B. (2000). Interactive Statistics. Almost, J. (2006). Conflict within Nursing Work Environments: Concept Analysis. Journal of Advanced Nursing, 53(4), 444-454. Australian Nursing and Midwifery Federation. (2013). High workloads will see more nurses quit. Retrieved from http://anmf.org.au/news/ entry/high-workloads-will-seemore-nurses-quit (accessed on 8th June 2015). Ayed, A., Eqtait, F., Fashafsheh, I., Basheer, M., Aqel, M., Nassar, D., & Omary, M. (2014). Exploring the Work Related Stress Sources and Its Effect among the Palestinian Nurses at the Governmental Hospitals. Journal of Education and Practice, 5(21), 100–110. Babatunde, A. (2013). Occupational Stress: A Review on Conceptualisations, Causes and Cure. Economic Insights - Trends & Challenges, 65(3), 73–80. Barbouletos, S. (2011). Discrepancy between Role Expectations and Job Descriptions: The Impact on Stress and Job Satisfaction. Master of Arts in policy Studies, University of Washington Bothell. Bartz, C. C. (2010). International Council of Nurses and person-centered care. International Journal of Integrated Care, 10. Better Health Channel (2012). Work-related stress. Retrieved from http://www.betterhealth.vic.gov.au/bhcv2/ bhcarticles.nsf/pages/Workrelated_stress?open (accessed on 26th June 2015). Bhatia, N., Kishore J., Anand, T. and Jiloha, R. C. (2010). Occupational Stress amongst Nurses from Two Tertiary Care Hospitals in Delhi. Medical Journal AMJ, 3(11), 731-738. Bogaert, P. V., Clarke, S., Roelant, Meulmans, H., & Van de Heyning, P. (2010). Impacts of Unit-Level Nurse Practice Environment And Burnout On Nurse-Reported Outcomes: A Multilevel Modelling Approach. Journal of Clinical Nursing, 19, 1664- 1974. Brannon, D., Barry, T., Peter Kemper andrea Schreiner and Vasey, J. (2007). Job Perceptions and Intent to Leave Among Direct Care Workers: Evidence From the Better Jobs Better Care Demonstrations. The Gerontological Society of America, 47(6),820-829. Carlson, D. S. (1999). Personality And Role Variables as Predictors Of Three Forms of Work-Family Conflict. Journal of Vocational Behavior, 55, 236–253. Charanjeev, S., Sharma, S., and Sharma, R. K. (2011). Level of Stress and Coping Strategies Used by Nursing Interns. Nursing and Midwifery Research Journal, 7(4). Chochinov, M. H. M. and Breitbart, W. (2000). Handbook of Psychiatry in Palliative Medicine. New York, Oxford University Press. Cohen S. (1994). Perceived Stress Scale. Mind Garden, Inc. Cohen, S., Kamarch, T., & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and Social Behavior, 24, 385-396. College of Nurses of Ontario (2009). Practice Guideline: Conflict Prevention and Management. Toronto, College of Nurses of Ontario. Collins, J. (2005). The Components and Importance of Job Descriptions in the GI Suite, SGNA‟s 32nd Annual Course, Minneapolis, Minnesota. Corner, J. (2002). Nurses’ Experiences with Cancer. European Journal of Cancer Care, 11, 193-199. Costello, J. (2001). Nursing Older Dying Patients; Findings from an Ethnographic Study Of Death And Dying in Elderly Care Wards. Journal of Advanced Nursing, 35(1), 59-68. Cox, T. and Brockley, T. (1984) The Experience and Effects of Stress in Teachers. British Educational Research Journal, 10(1), 83-87. Damit, A. R. (2007). Identifying Sources of Stress and Level of Job Satisfaction Amongst Registered Nurses Within The First Three Years of Work As A Registered Nurse In Brunei Darussalam. Masters by Research Thesis, Queensland University of Technology. Davis, J. A. (1971). Elementary survey analysis. Englewood Cliffs, NJ: Prentice Hall Eastburg, M.C., Williamson, M., Gorsuch, R., and Ridley, C. (1994). Social-Support, Personality, and Burnout in Nurses. Journal of Applied Social Psychology. 24(14): 1233-1250. Edwin, R. V. T. and Hundley, V. (2001). The Importance of pilot studies. Department of Sociology, University of Surrey. Evans K. (2001). Expectations of Newly Qualified Nurses. Nurs Stand, 15(41), 33-8. Farrell, G. A. (1997). Aggression in Clinical Settings: Nurses' Views. Journal of Advanced Nursing, 25(3), 501-508. Farrell, G. A. (2001). From tall poppies to squashed weeds: Why don’t nurses pull together more? Journal of Advanced Nursing, 35(1), 26-33. Farrington, A. (1995). Stress and Nursing. British Journal of Nursing, 4: 574–578. Finola, G. and Anita, D. (2010). Oncology and Cancer Support Services, St. Vincent's University Hospital, Dublin. British Journal of Nursing, 19(12): 761-7. French, J. R. P. and Caplan, R. D. (1972). Organizational Stress and Individual Strain in A. J. Morrow (Ed), The Failure Success (30-66). New York : Amacom. George, A. Johanson and Gordon, P. Brooks (2010). Initial Scale Development: Sample Size for Pilot Studies. Educational and Psychological Measurement, 70, 394. Graham, J. and Ramirez, A. (2002). Improving the working lives of cancer clinicians. Eur J Cancer Care, 11(3), 188-92. Gray-Stanley, J. A., Muramatsu, N., Heller, T., Hughes, S., Johnson, T. P. and Ramirez-Valles, J. (2010): Work stress and depression among direct support professionals: the role of work support and locus of control. J Intellect Disabil Res., 54(8): 749-761. Gronkjaer, L. L. (2013). Nurses’ Experience of Stress and Burnout: A Literature Review. Clinical Nursing, 27(1), 15-26. Hair, J., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Upper saddle River, New Jersey: Pearson Education International. Hajbaghery, M. A., Khamechian, M., and Alavi, N. M. (2012). Nurses’ Perception of Occupational Stress and its Influencing Factors: A Qualitative Study. Iran J Nurs Midwifery Res., 17(5): 352–359. Hall, E. (2005). Nurse Burnout In A High Stress Health Care Environment: Prognosis Better Than Expected? Working Paper 05/01. Hamaideh, S. H., Mrayyan, M. T., Mudallal, R., Faourirn, I. G. and Khasawneh, N. A. (2008). Jordanian nurses' job stressors and social support, International Nursing Review, 55(1), 40-47. Hazard Munro, B. (2001). Statistical Methods for Healthcare Research (4th edition) New York: Lippincott Williams and Wilkins. Health and Safety Executive. Change: Are you doing enough?. Retrieved from http://www.hse.gov.uk/stress/ standards/pdfs/suggestions.pdf (accessed on 7th August 2015). Hillhouse, J. J. and Adler, C. M. (1997). Investigating Stress Effect Patterns in Hospital Staff Nurses: Results of a Cluster Analysis. Social Science Medical, 45(12), 1781–1788. Huckabay, L.J. (1979). Nurses’ Stress Factors in the Intensive Care Unit. J Nurs Adm, 2, 21-26. Italia, S., Favara-Scacco, C., Di Cataldo, A., and Russo, G. (2007). Evaluation and Art Theraphy Treatment of the Burnout Syndrome in Oncology Units. Psycho- Oncology, Wiley InterScience, 17. Jennings, B. M. (2008). Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville : Hughes RG Editor. Joseph A. Gliem Rosemary R. Gliem (2003). Calculating, interpreting, and Reporting Cronbach’s Alpha Reliability Coefficient for Likert-Type Scales. Midwest Research to Practice Conference in Adult, Continuing, and Community Education, 82-88. Kane, P. P. (2009). Stress Causing Psychosomatic Illness among Nurses. Indian Journal of Occupational and Environmental Medicine, 13(1), 28–32. Kendall, S. (2007) Witnessing Tragedy: Nurses' Perceptions of Caring for Patients with Cancer. International Journal of Nursing Practice, 13(2), 111–120. Khan N., Anwar H. and Sayed M. (2015). Prevalence of Stress Factors in Nurses in Leady Reading Hospital (LRH), Khyber Teaching Hospital (KTH) and Hayatabad Medical Complex (HMC) Hospitals, Peshawar, KPK. International Journal of Innovative Research and Development, 4(4). Kipping, C. (2000). Stress and Coping in Mental Health Nurses. Mental Health Nursing, 17, 18-22 Klassen, C. G. (2013). Job Stress and Turnover among Registered Nurses In Acute Care: A Regression Analysis. Master thesis, Trinity Western University. Konstantinos, N., & Christina, O. (2008). Factors Influencing Stress and Job Satisfaction on Nurses Working in Psychiatric Unit: A Research Review. Heath Science Journal, 4, 183–195. Krejcie, R. V., & Morgan, D. W. (1970). Determining Sample Size for Research Activities. Educational and Psychological Measurement, 30, 607-610. Kupperschmidt, B., (2006). Addressing Multigenerational Conflict: Mutual Respect and Carefronting as Strategy. The Online Journal of Issues in Nursing, 11(2). Lam, L. C. (2013). Job satisfaction and stress of nurses and their association with turnover intention rate in an acute Hong Kong public hospital, Pamela Youde Nethersole Eastern Hospital. Master of Public Health, University of Hong Kong. Leon, A. C., Davis, L. L. and Kraemer, H. C. (2010). The Role and Interpretation of Pilot Studies in Clinical Research. J Psychiatr Res, 45(5), 626–629. Leplat J. (1977) Factors Determining Workload. Ergonomics, 21, 143-9. Lou., (1997). The process of work stress: A dialogue between theory and research. Chinese Journal of Mental Health, 10, 19-25. Manion, J. (2003). Joy at work? Journal of Nursing Administration, 33, 652-659. Marshall, P. (2006). Conflict Resolution: What Nurses Need to Know. Retrieved from www.mediatecalm.ca/pdfs/ what%20nurse%20need%20to%20know.pdf (accessed on 9th June 2015). Maslach, C., Shaufeli, B. & Leiter, M.P. (2000). Job burnout. Annual Review of Psychology, 52, 397–422. Mc Vicar A. (2003). Workplace Stress in Nursing: A Literature Review. J Adv Nurs, 44(6), 633-42. Milutinovis, D., Golubovic, B., Brkic, N. and Prokess, B, (2012). Professional Stress And Health Among Critical Care Nurses In Serbia. Archives of Industrial Hygiene and Toxicology, 63(2), 171–180. Mohite, N., Shinde, M. and Gulavan, A. (2014). Job Satisfaction among Nurses Working at Selected Tertiary Care Hospitals. International Journal of Science and Research (IJSR), 3(6). Mojoyinola, J. K. (2008). Effects of Job Stress on Health, Personal and Work Behaviour of Nurses in Public Hospitals in Ibadan Metropolis, Nigeria. Ethno-Med., 2(2), 143-148. Mooney, Z. and Duval, R. D. (1993). Bootstrapping: A Nonparametric Approach to Statistical Inference (Quantitative Applications in the Social Sciences). Newbury Park : SAGE Publications. Moore, K. A. (2001). Hospital Restructuring: Impact on Nurses Mediated by Social Support and Perception of Challenge. Journal of Health and Human Resources Administration, 23(4): 490-517. Munley, A. (1985). Sources of hospice staff stress and how to cope with it. Nurs Clin North Am, 20(2): 343-55. Nordqvist, C. (2014). What is stress? How to deal with stress. Retrieved from http://www.medicalnewstoday.com/articles/145855. php. Occupational Safety and Health Act 1994 (Act 514). Olayinka, A. O., Osamudiamen, O. S., and Ojo, A. A. (2013). Occupational Stress Management Among Nurses in Selected Hospitali in Benin City, Edo State, Nigeria. European Journal of Experimental Biology, 3(1), 473–481. Pamela Gray-Toft, and James, G. Anderson (1981). The Nursing Stress Scale: Development of an Instrument. Journal of Behavioral Assessment, 3(1), 11-23. Pan American Health Organisation. (2006). Safe Staffing saves lives. Nursing Update. 30 (4), 22-25. Peters, J., & Pearce, J. (2012). Relationship and Early Career Teachers: A Role for School Principals. Teachers and Teaching: Theory and Practice, 18(2), 249-262. Podrasky, D. L., & Sexton, D. L. (1988). Nurses' Reactions to Difficult Patients. Journal of Nursing Scholarship, 20, 16–20. Poete, B. and Rousseau, T. (2003). The Workload - From Evaluation to Negotiation. Preacher, K. J., Curran, P. J., & Bauer, D. J. (2006). Computational Tools for Probing Interaction Effects in Multiple Linear Regression, Multilevel Modeling, And Latent Curve Analysis. Journal of Educational and Behavioral Statistics, 31, 437–448. Rajasekar, S., Philominathan, P. and Chinnathambi, V. (2013). Research Methodology. Ramsay, M. A. E (2001). Conflict in The Health Care Workplace. Proc (Bayl Univ Med Cent), 14(2), 138–139. Rees, D. and L. Cooper (1992). Occupational Stress in Health Service Workers. The U.K. Stress Medicine, 8(2), 79-90. Reynaldo., J. and Santos, A. (1999). Cronbach‘s Alpha: A Tool for Assessing the Reliability of Scales. Journal of Extension, 37(2). Rickerson, E. et al Rickerson, E. M., Somers, C., Allen C., Lewis, B., and Strumpf N. and David J. Casarett (2005). How Well Are We Caring For Caregivers? Prevalence Of Grief Related Symptoms and Need For Bereavement Support Among Long Term Care Staff. Journal of Pain and Symptom Management, 30(3), 227-233. Rita, A. A., Atindanbila, S., Portia, M. N. P. and Abepuoring, P. (2013). The Causes Of Stress And Job Satisfaction Among Nurses At Ridge And Pantang Hospitals In Ghana. International Journal of Asian Social Science, 3(3): 762-771. Robbins, S. P. and Timothy, A. Judge T. A. (2013). Organizational Behavior. United States: Pearson. Roberts, R., Grubb, P. L., and Grosch, J. W. (2012). Alleviating Job Stress in Nurses. Retrieved from, http://www.medscape.com/viewarticle/ 765974_3 (accessed on 9th June 2015). Rolf, M. J. (1999). Acute Care Nursing: Are Perceived Work Stressors Different for Nurses Working in Critical Care and Non-Critical? Masters Theses, Grand Valley State University. Saleh A. M. and AbuRuz M. E. (2013). The Impact of Stress on Job Satisfaction for Nurses in King Fahad Specialist Hospital-Dammam-KSA. Journal of American Science, (3). Saunders, M. N. K and Rojon, C. (2011). On The Attributes of a Critical Literature Review. An International Journal, 4(2), 156-162. School of Medicine, University of Missouri (2011). Retrieved from http://ethics.missouri.edu/Relations.aspx (accessed on 1st July 2015). Schwab, L., (1996). Individual Hardiness and Staff Satisfaction. Nursing Economics., 14(3),171-173. Schwartz, A. M. and Karasu, T. B. (1997). Psychotherapy with Dying Patient. Am J Psychother, 31, 61-7. Scott, E. (2014), What Are Stressor? Retrieved from http://stress.about .com/od/stressmanagementglossary/g/stressors. htm (accessed on 5th July 2015.) Sekaran, U., and Bougie, R. (2013). Research Methods for Business. United Kingdom: John Wiley & Sons Ltd. Singh, I., Morgan, K., Verma, A. and Aithal, S. (2015). Does Nurses' Education Reduce their Work-related Stress in the Care of Older People? Journal of Clinical Gerontology & Geriatrics, 6 : 34-37. Sjogren K. (2013). The Boss, Not the Workload, Causes Workplace Depression. Retrieved from http://sciencenordic. com/boss-not-workload-causes-workplacedepression (accessed on 5th July 2015). Springs, J. (2012). An ever-increasing workload is causing burnout and exhaustion. Nursing Standard, 26(25), 12–13. Suresh, P. (2009). Stress and Stressors in the Clinical Environment: A Comparative Study of Fourth-Year Student Nurses and Newly Qualified General Nurses in Ireland. Master’s Degree in Science, Dublin City University. Sveinsdottir, H. (2006). Self -Assessed Quality Of Sleep, Occupational Health, Working Environment, Illness Experience and Job Satisfaction of Female Nurses Working Different Combinations of Shifts. Scandinavian Journal of Caring Services, 20(2): 229-237. Tabak, N. and Orit, K. (2007). Relationship Between How Nurses Resolve Their Conflicts with Doctors, Their Stress and Job Satisfaction. J Nurs Manag, 3: 321-31. Vachon, Mary. L. S. (1998). Caring For The Caregiver in Oncology and Palliative Care. Seminars in Oncology Nursing, 14(2), 152-157. Whitman, M. F. (2000). Can Personality Traits Influence International Experience Success and Stress Management Strategies of Organizational and Self Initiating Expatriates? The Journal of Global Business Management, 8(1), 102-110. Wilkinson, J (1999): Implementing Reflective Practice. Nursing Standard, 13(21), 37-39. Wilson, J. and Marilyn, K. (2011). Effects of Patient Death on Nursing Staff: A Literature Review. British Journal of Nursing, 20 (9), 559-563. Woodrow, P. (2006). Intensive Care Nursing: A Framework for Practice. 2nd Edition. Routledge, London. World cancer report 2014. IARC Nonserial Publication. Retrieved from http://www.who.int/ mediacentre/factsheets/fs297/en/ (accessed on 20th July 2015). World Health Organization (2009). Global Health Risk : Mortality And Burden Of Disease Attributable To Selected Major Risks. Yahaya, A. and Husain, N. D. H. N. (2007). Stress Level and its Influencing Factors among Secondary School Teachers in Johor, Melaka, Negeri Sembilan and Selangor. Yao, M. (2008). The Relationships among Work Related Stress, Health Status, and Physical Activity Participation of Nurses in Teaching Hospitals in Taipei, Taiwan. Zainiyah, S. Y. S. and Afiq, I. M., Chow, C. Y. and Siti Sara, D. (2011). Stress and its Associated Factors amongst Ward Nurses in a Public Hospital Kuala Lumpur. Malaysian Journal of Public Health Medicine, 11(1), 78-85.

Factors influencing perceived stress among nurses: The case at National Cancer Institute

Similar Items