The effect of workload on work stress of nurses in hospital

Prasanti Adriani; Noor Yunida Triana; Rani Prabandari

doi:10.31101/jhes.2727

Authors

Prasanti Adriani Universitas Harapan Bangsa, Indonesia https://orcid.org/0000-0003-1031-6415
Noor Yunida Triana Universitas Harapan Bangsa, Indonesia
Rani Prabandari Universitas Harapan Bangsa, Indonesia

DOI:

https://doi.org/10.31101/jhes.2727

Keywords:

hospital, nurse, workload, work stress

Abstract

The nursing profession is a stressful job and prone to stress due to the complexity of job demands and needs, high expectations, many responsibilities, and limited authority. The purpose of this study is to determine the relationship between workload and the work stress of nurses at the Ajibarang Regional General Hospital, Banyumas Regency in 2021.Â This research is an analytical survey using a cross-sectional approach. The sampling technique used in this study was a total sample of 68 respondents. Data analysis was carried out using the Chi-square test. The majority of respondents were female (60.2%). The workload of nurses was the most in the heavy category (67.6%) while the work stress of the majority of respondents was in the moderate category (61.8%). The results of this study showed a relationship between workload and the incidence of work stress in nurses by a p-value of 0.000 (a= 0.05%). Hospital management is obliged to ensure a balance between the needs of patients and the number and competence of nurses. This is to avoid work stress on nurses in order to improve the quality of service and patient safety.

Author Biography

Prasanti Adriani, Universitas Harapan Bangsa

Nursing Department

References

AkkoÃ§, Ä°., Okun, O., & TÃ¼re, A. (2021). The effect of role-related stressors on nursesâ€™ burnout syndrome: The mediating role of work-related stress. Perspectives in Psychiatric Care, 57(2), 583â€“596. https://doi.org/10.1111/ppc.12581

Alghamdi, M. (2016). Nursing workload: A concept analysis. Journal of Nursing Management, 24, 449â€“457. https://doi.org/10.1111/jonm.12354

Almazan, J. U., Albougami, A. S., & Alamri, M. S. (2019). Exploring nursesâ€™ work-related stress in an acute care hospital in KSA. Journal of Taibah University Medical Sciences, 14(4), 376â€“382. https://doi.org/10.1016/j.jtumed.2019.04.006

Aprilia, T., Somantri, I., & Mirwanti, R. (2019). Beban Kerja Mental Perawat Ruang Kritis dan IGD di RSUD Kota Bandung. Journal of Nursing Care, 2. https://doi.org/10.24198/jnc.v2i3.20372

Babapour, A.-R., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nursesâ€™ job stress and its impact on quality of life and caring behaviors: A cross-sectional study. BMC Nursing, 21(1), 75. https://doi.org/10.1186/s12912-022-00852-y

Banda, Z., Simbota, M., & Mula, C. (2022). Nursesâ€™ perceptions on the effects of high nursing workload on patient care in an intensive care unit of a referral hospital in Malawi: A qualitative study. BMC Nursing, 21(1), 136. https://doi.org/10.1186/s12912-022-00918-x

Baye, Y., Demeke, T., Birhan, N., Semahegn, A., & Birhanu, S. (2020). Nursesâ€™ work-related stress and associated factors in governmental hospitals in Harar, Eastern Ethiopia: A cross-sectional study. PLOS ONE, 15(8), e0236782. https://doi.org/10.1371/journal.pone.0236782

Carlesi, K. C., Padilha, K. G., Toffoletto, M. C., Henriquez-RoldÃ¡n, C., & Juan, M. A. C. (2017). Patient Safety Incidents and Nursing Workload 1. Revista Latino-Americana de Enfermagem, 25, e2841. https://doi.org/10.1590/1518-8345.1280.2841

Cavanaugh, M. A., Boswell, W. R., Roehling, M. V., & Boudreau, J. W. (2000). An empirical examination of self-reported work stress among U.S. managers. The Journal of Applied Psychology, 85(1), 65â€“74. https://doi.org/10.1037/0021-9010.85.1.65

Chang, L.-Y., Yu, H.-H., & Chao, Y.-F. C. (2019). The Relationship Between Nursing Workload, Quality of Care, and Nursing Payment in Intensive Care Units. Journal of Nursing Research, 27(1), e8. https://doi.org/10.1097/jnr.0000000000000265

Chatzigianni, D., Tsounis, A., Markopoulos, N., & Sarafis, P. (2018). Occupational Stress Experienced by Nurses Working in a Greek Regional Hospital: A Cross-sectional Study. Iranian Journal of Nursing and Midwifery Research, 23(6), 450â€“457. https://doi.org/10.4103/ijnmr.IJNMR_120_17

Dalri, R. de C. de M. B., da Silva, L. A., Mendes, A. M. O. C., & Robazzi, M. L. do C. C. (2014). Nursesâ€™ workload and its relation with physiological stress reactions. Revista Latino-Americana de Enfermagem, 22(6), 959â€“965. https://doi.org/10.1590/0104-1169.3292.2503

Darawad, M. W., Al-Hussami, M., Saleh, A. M., Mustafa, W. M., & Odeh, H. (2015). Violence Against Nurses in Emergency Departments in Jordan: Nursesâ€™ Perspective. Workplace Health & Safety, 63(1), 9â€“17. https://doi.org/10.1177/2165079914565348

Desima, R. (2013). Tingkat Stres Kerja Perawat Dengan Perilaku Caring Perawat. Jurnal Keperawatan, 4(1), Article 1. https://doi.org/10.22219/jk.v4i1.2380

Dessler, G. (2016). Human Resource Management (15th edition). Pearson.

Dobnik, M., MaletiÄ, M., & Skela-SaviÄ, B. (2018). Work-Related Stress Factors in Nurses at Slovenian Hospitals â€“ A Cross-sectional Study. Slovenian Journal of Public Health, 57(4), 192â€“200. https://doi.org/10.2478/sjph-2018-0024

Ebrahimi, H., Jafarjalal, E., Lotfolahzadeh, A., & Kharghani Moghadam, S. M. (2021). The effect of workload on nursesâ€™ quality of life with moderating perceived social support during the COVID-19 pandemic. Work (Reading, Mass.), 70(2), 347â€“354. https://doi.org/10.3233/WOR-210559

FagerstrÃ¶m, L., Kinnunen, M., & Saarela, J. (2018). Nursing workload, patient safety incidents and mortality: An observational study from Finland. BMJ Open, 8(4), e016367. https://doi.org/10.1136/bmjopen-2017-016367

Ghanei Gheshlagh, R., Valiei, S., Rezaei, M., & Rezaei, K. (2013). The relationship between personality characteristics and Nursing occupational stress. Iranian Journal of Psychiatric Nursing, 1(3), 27â€“34.

Greenwood, H. (2021, September 9). 60 Key Nursing Statistics and Trends for 2021. University of St. Augustine for Health Sciences. https://www.usa.edu/blog/nursing-statistics/

Gu, B., Tan, Q., & Zhao, S. (2019). The association between occupational stress and psychosomatic wellbeing among Chinese nurses: A cross-sectional survey. Medicine, 98(22), e15836. https://doi.org/10.1097/MD.0000000000015836

Happell, B., Dwyer, T., Reid-Searl, K., Burke, K. J., Caperchione, C. M., & Gaskin, C. J. (2013). Nurses and stress: Recognizing causes and seeking solutions. Journal of Nursing Management, 21(4), 638â€“647. https://doi.org/10.1111/jonm.12037

Haryanti, -, Aini, F., & Purwaningsih, P. (2013). Hubungan Antara Beban Kerja Dengan Stres Kerja Perawat Di Instalasi Gawat Darurat Rsud Kabupaten Semarang. Jurnal Manajemen Keperawatan, 1(1), Article 1. https://jurnal.unimus.ac.id/index.php/JMK/article/view/949

Havaei, F., & MacPhee, M. (2020). The impact of heavy nurse workload and patient/family complaints on workplace violence: An application of human factors framework. Nursing Open, 7(3), 731â€“741. https://doi.org/10.1002/nop2.444

Ikhsan, I., Nurlaili, N., & Sardaniah, S. (2020). Hubungan Beban Kerja Dengan Stres Kerja Pada Perawat Di Rumah Sakit Raflesia Kota Bengkulu. Jurnal Vokasi Keperawatan (JVK), 2, 87â€“101. https://doi.org/10.33369/jvk.v2i2.10687

Jacob, S., Mwagiru, D., Thakur, I., Moghadam, A., Oh, T., & Hsu, J. (2020). Impact of societal restrictions and lockdown on trauma admissions during the COVID-19 pandemic: A single-centre cross-sectional observational study. ANZ Journal of Surgery, 90(11), 2227â€“2231. https://doi.org/10.1111/ans.16307

Kang, L., Ma, S., Chen, M., Yang, J., Wang, Y., Li, R., Yao, L., Bai, H., Cai, Z., Xiang Yang, B., Hu, S., Zhang, K., Wang, G., Ma, C., & Liu, Z. (2020). Impact on mental health and perceptions of psychological care among medical and nursing staff in Wuhan during the 2019 novel coronavirus disease outbreak: A cross-sectional study. Brain, Behavior, and Immunity, 87, 11â€“17. https://doi.org/10.1016/j.bbi.2020.03.028

Kasmarani, M. K. (2012). Pengaruh Beban Kerja Fisik dan Mental terhadap Stres Kerja pada Perawat di Instalasi Gawat Darurat (Igd) RSUD Cianjur. Jurnal Kesehatan Masyarakat Universitas Diponegoro, 1(2), 18807.

Kokoroko, E., & Sanda, M. A. (2019). Effect of Workload on Job Stress of Ghanaian OPD Nurses: The Role of Coworker Support. Safety and Health at Work, 10(3), 341â€“346. https://doi.org/10.1016/j.shaw.2019.04.002

Labrague, L. J., Nwafor, C. E., & Tsaras, K. (2020). Influence of toxic and transformational leadership practices on nursesâ€™ job satisfaction, job stress, absenteeism and turnover intention: A cross-sectional study. Journal of Nursing Management, 28(5), 1104â€“1113. https://doi.org/10.1111/jonm.13053

Lasater, K. B., Aiken, L. H., Sloane, D. M., French, R., Martin, B., Reneau, K., Alexander, M., & McHugh, M. D. (2021). Chronic hospital nurse understaffing meets COVID-19: An observational study. BMJ Quality & Safety, 30(8), 639â€“647. https://doi.org/10.1136/bmjqs-2020-011512

Liu, J., & Liu, Y. (2020). Reducing the Harmful Impact of Work Stress on Creativity? Buffering Model of Available Resources. Open Journal of Social Sciences, 8(2), 62â€“76. https://doi.org/10.4236/jss.2020.82006

Mao, L., Ma, L., Liu, N., Chen, B., Lu, Q., Ying, C., & Sun, X. (2016). Self-reported health problems related to traditional dietary practices in postpartum women from urban, suburban and rural areas of Hubei province, China: The â€œzuÃ² yuÃ¨zi.â€ Asia Pacific Journal of Clinical Nutrition, 25(1), 158â€“164. https://doi.org/10.6133/apjcn.2016.25.2.03

Mo, Y., Deng, L., Zhang, L., Lang, Q., Liao, C., Wang, N., Qin, M., & Huang, H. (2020). Work stress among Chinese nurses to support Wuhan in fighting against COVID-19 epidemic. Journal of Nursing Management, 28(5), 1002â€“1009. https://doi.org/10.1111/jonm.13014

Najimi, A., Goudarzi, A. M., & Sharifirad, G. (2012). Causes of job stress in nurses: A cross-sectional study. Iranian Journal of Nursing and Midwifery Research, 17(4), 301â€“305.

Nasirizad Moghadam, K., Chehrzad, M. M., Reza Masouleh, S., Maleki, M., Mardani, A., Atharyan, S., & Harding, C. (2021). Nursing physical workload and mental workload in intensive care units: Are they related? Nursing Open, 8(4), 1625â€“1633. https://doi.org/10.1002/nop2.785

Oâ€™Connor, T. (2015). Men Choosing Nursing: Negotiating a Masculine Identity in a Feminine World. The Journal of Menâ€™s Studies, 23(2), 194â€“211. https://doi.org/10.1177/1060826515582519

Pereira Lima Silva, R., GonÃ§alves Menegueti, M., Dias Castilho Siqueira, L., AraÃºjo, T. R., Auxiliadoraâ€Martins, M., Mantovani Silva Andrade, L., & Laus, A. M. (2020). Omission of nursing care, professional practice environment and workload in intensive care units. Journal of Nursing Management, 28(8), 1986â€“1996. https://doi.org/10.1111/jonm.13005

Pich, J. V., Kable, A., & Hazelton, M. (2017). Antecedents and precipitants of patient-related violence in the emergency department: Results from the Australian VENT Study (Violence in Emergency Nursing and Triage). Australasian Emergency Nursing Journal: AENJ, 20(3), 107â€“113. https://doi.org/10.1016/j.aenj.2017.05.005

Putra, C. S. (2017). Buku Ajar Manajemen Keperawatan (Teori dan Aplikasi Praktek Dilengkapi Dengan Kuesioner Pengkajian Praktek Manajemen Keperawatan. In Media.

Restuputri, D. P., Pangesti, A. K., & Garside, A. K. (2019). The Measurement of Physical Workload and Mental Workload Level of Medical Personnel. Jurnal Teknik Industri, 20(1), 34â€“44. https://doi.org/10.22219/JTIUMM.Vol20.No1.34-44

Rizkianti, I., & Haryani, A. (2020). The Relationship Between Workload and Work Stress With Caring Behavior Of Nurses in Inpatient Rooms. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 5(2), 159â€“166. https://doi.org/10.30604/jika.v5i2.338

Robbins, S. P., Cenzo, D. A. D., & Coulter, M. (2016). Fundamentals of Management: Management Myths Debunked!, plus MyManagementLab with Pearson eText, Global Edition (10th edition). Pearson.

Samuel, R., Zaini, N. H., Hassan, W. H. W., Talib, A. N., & Ramly, F. A. (2021). Nursesâ€™ perspective of work-related stressors. IOP Conference Series: Earth and Environmental Science, 704(1), 012026. https://doi.org/10.1088/1755-1315/704/1/012026

Sarafis, P., Rousaki, E., Tsounis, A., Malliarou, M., Lahana, L., Bamidis, P., Niakas, D., & Papastavrou, E. (2016). The impact of occupational stress on nursesâ€™ caring behaviors and their health related quality of life. BMC Nursing, 15(1), 56. https://doi.org/10.1186/s12912-016-0178-y

Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and Factors Associated With Nurse Burnout in the US. JAMA Network Open, 4(2), e2036469. https://doi.org/10.1001/jamanetworkopen.2020.36469

Spector, P. E., Zhou, Z. E., & Che, X. X. (2014). Nurse exposure to physical and nonphysical violence, bullying, and sexual harassment: A quantitative review. International Journal of Nursing Studies, 51(1), 72â€“84. https://doi.org/10.1016/j.ijnurstu.2013.01.010

Stanley, D., Beament, T., Falconer, D., Haigh, M., Saunders, R., Stanley, K., Wall, P., & Nielson, S. (2016). The male of the species: A profile of men in nursing. Journal of Advanced Nursing, 72(5), 1155â€“1168. https://doi.org/10.1111/jan.12905

Sugiri, I. M. A. A., Suardana, I. K., & Sri K., K. M. (2015). Hubungan Beban Kerja, Stress Kerja Dengan Kepuasan Kerja Perawat Di Ruangan Nakula Rsud Sanjiwani Gianyar. Coping Ners, 3(3), Article 3. https://erepo.unud.ac.id/id/eprint/15348/

Tubbs-Cooley, H. L., Mara, C. A., Carle, A. C., & Gurses, A. P. (2018). The NASA Task Load Index as a measure of overall workload among neonatal, paediatric and adult intensive care nurses. Intensive & Critical Care Nursing, 46, 64â€“69. https://doi.org/10.1016/j.iccn.2018.01.004

Unaldi Baydin, N., Tiryaki Sen, H., Kartoglu Gurler, S., Dalli, B., & Harmanci Seren, A. K. (2020). A study on the relationship between nursesâ€™ compulsory citizenship behaviours and job stress. Journal of Nursing Management, 28(4), 851â€“859. https://doi.org/10.1111/jonm.13009

Waddill-Goad, S. M. (2019). Stress, Fatigue, and Burnout in Nursing. Journal of Radiology Nursing, 38(1), 44â€“46. https://doi.org/10.1016/j.jradnu.2018.10.005

World Health Organization. (2018). Improving the quality of health services: Tools and resources. Turning recommendations into practice. https://apps.who.int/iris/bitstream/handle/10665/310944/9789241515085-eng.pdf

Yang, C.-L., & Chen, C.-H. (2018). Effectiveness of aerobic gymnastic exercise on stress, fatigue, and sleep quality during postpartum: A pilot randomized controlled trial. International Journal of Nursing Studies, 77, 1â€“7. https://doi.org/10.1016/j.ijnurstu.2017.09.009

Zamanzadeh, V., Valizadeh, L., Negarandeh, R., Monadi, M., & Azadi, A. (2013). Factors Influencing Men Entering the Nursing Profession, and Understanding the Challenges Faced by Them: Iranian and Developed Countriesâ€™ Perspectives. Nursing and Midwifery Studies, 2(4), 49â€“56.