Some health effects of work-related stress among nurses working in critical care units

2021 ◽  
pp. 074823372097741
Author(s):  
A Seif Eldin ◽  
Dina Sabry ◽  
Marwa Abdelgwad ◽  
Mona Abdallah Ramadan
Keyword(s):  
Critical Care ◽  
Health Effects ◽  
Critical Care Nurses ◽  
Exposed Group ◽  
Enzyme Linked Immunosorbent Assay ◽  
Control Group ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress ◽  
Stimulating Hormone

Occupational stress is a major health problem among nurses. Critical care nurses appear to experience more stress at work compared to others. Stress is associated with multiple system disorders, hormonal, and immunological disturbances, and genetic effects. The aim of our study was the detection of health effects of work-related stress and to investigate the link between stress and immune response, alterations of hormones, and expression of micro-RNA (miRNA) among critical care nurses. An exposed 80 critical care nurses matched to 80 controls were involved in our study. Full history, psychological assessment using the General Health Questionnaire (GHQ12) and a complete clinical examination were done for both groups. Serum interleukin (IL)-6, IL-10, luteinizing hormone (LH), follicle-stimulating hormone, thyroid-stimulating hormone (TSH), free triiodothyronine, and free thyroxine (FT4) were measured by enzyme-linked immunosorbent assay, micro-RNA26, and 142 extractions. The exposed group had a mean age of 41 ± 10 years old and mean work duration of 22 ± 9.7 years, matched to 80 controls. The exposed group (32.5%) was associated with severe psychological distress (GHQ scores > 20) compared to only 5% among controls. In addition, the exposed group had a significantly higher level of miRNA 26, miRNA 142, TSH, LH, and IL-6 when compared to the control group. However, there a significantly lower level of FT4 among the exposed group compared to the control group, there were no statistically significant differences between the studied participants regarging FT3,FSH and IL-10 levels. Stress is prevalent among critical care nurses and is reflected on their psychological health with an increase in inflammatory cytokines and disturbances in endocrine functions.

ICU nurses' coping measures: response to work-related stressors

1992 ◽  
Vol 12 (2) ◽  
pp. 18-23 ◽  
Author(s):  
DJ Lewis ◽  
JA Robinson
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Critical Care Nurses ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress ◽  
Work Related Stressors

Stress is an integral part of every workplace. The environment of an intensive care unit exposes critical care nurses to a proportionately greater amount of work-related stress than most occupations. Several components contributing to stress as well as coping measures are discussed in this article.

scholarly journals Self-reported sick leave following a brief preventive intervention on work-related stress

2021 ◽  
Vol 31 (Supplement_3) ◽  
Author(s):  
A-M Hultén ◽  
P Bjerkeli ◽  
K Holmgren
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Sick Leave ◽  
Brief Intervention ◽  
Intervention Group ◽  
Control Group ◽  
Work Related Stress ◽  
Work Related ◽  
Primary Health ◽  
Related Stress

Abstract Background General practitioners (GPs) play an important role for early identification and prevention of sick leave among patients perceiving ill health due to work-relates stress. In order to fulfil the role, they need adequate methodologies and tools. This study aimed to evaluate the effectiveness of a brief intervention in primary health care including early identification of work-related stress combined with feedback at consultation on the number of self-reported sick leave days. Methods A randomised controlled trial was performed at seven primary health care centres in western Sweden. Self-reported sick leave data collected between November 2015 and January 2017 were analysed prospectively. The study included 271 employed, non-sick-listed patients aged 18-64 years seeking care for mental and/or physical health complaints. The intervention group received a brief intervention about work-related stress, including training for GPs, screening of patients' work-related stress, feedback to patients on screening results and discussion of measures at GP consultation. The control group received treatment as usual. Results At 6-month follow-up 59/105 (56%) in the intervention group and 61/115 (53%) in the control group reported no sick leave. At 12-month follow-up the corresponding numbers were 61/119 (51%) and 57/122 (47%) respectively. There were no statistically significant differences between the intervention group and the control group in the median number of self-reported sick leave days. Conclusions The brief intervention showed no effect on the numbers of self-reported sick leave days. However, using sick leave as an outcome measure was difficult, as sick leave is multifactorial and the data has a non-normal distribution. In addition, sick leave might be used as an indicator as well as a possible treatment of ill health. Other actions and interventions to address patients perceiving ill health due to work-related stress should be explored. Key messages Sick leave is used as an indicator and as a treatment of ill health, which can complicate the evaluation of studies. The complexity of primary health care trials calls for other evaluation methods.

Attitudes of Anaesthetists and Nurses to Anaesthetic Pollution

1987 ◽  
Vol 15 (4) ◽  
pp. 411-420 ◽  
Author(s):  
J. L. Plummer ◽  
C. H. Sandison ◽  
A. H. Ilsley ◽  
M. J. Cousins
Keyword(s):  
Radiation Exposure ◽  
Health Effects ◽  
Occupational Hazards ◽  
Occupational Groups ◽  
Work Related Stress ◽  
Adverse Health Effects ◽  
Work Related ◽  
Anaesthetic Gases ◽  
Operating Theatres ◽  
Related Stress

A survey was conducted to investigate the attitudes of anaesthetists and nurses to anaesthetic pollution. In order that the results could be viewed in context, attitudes to other possible occupational hazards, including radiation exposure and work-related stress, were also investigated. Four hundred (66%) completed questionnaires were returned. All the anaesthetists (n = 81) thought that their work involved some exposure to anaesthetic gases or vapours; however, 21 (7%) of the 319 nurses believed they were not exposed although they spent some time in operating theatres or recovery rooms. Fourteen per cent of anaesthetists and 24% of nurses were ‘quite concerned’ or ‘very concerned’ about possible effects of anaesthetic pollution on their health. Levels of concern were similar for radiation exposure; however, both occupational groups expressed higher levels of concern about work-related stress. Seventeen (21%) anaesthetists and 46 (14%) nurses reported having suffered adverse health effects which they thought were due to anaesthetic pollution. The most frequent complaints were headache and fatigue.

Professional training in mental health self-care for nurses starting work in hospital departments

Work ◽  
2020 ◽  
Vol 67 (3) ◽  
pp. 583-590
Author(s):  
Monika Bernburg ◽  
David Groneberg ◽  
Stefanie Mache
Keyword(s):  
Mental Health ◽  
Emotion Regulation ◽  
Emotional Exhaustion ◽  
Professional Training ◽  
Self Care ◽  
Control Group ◽  
Work Related Stress ◽  
Stress Management Training ◽  
Work Related ◽  
Related Stress

BACKGROUND: Nurses working in hospitals can suffer from occupational stress due to high workloads and low job and/or personal resources. This can lead to work-related stress, exhaustion, health problems, and low quality of care. OBJECTIVE: The aim of the study was to evaluate the effectiveness of work-related self-care skill training for nurses. METHODS: A pilot study was conducted with 94 nurses in hospital departments in Germany. Nurses were either assigned to the intervention group that received competence training or to a waitlist control group. The intervention took place in groups over a period of 12 weeks. Training content included i.e. work-related stress management training, problem-solving techniques, and solution-focused counselling. The outcomes studied were changes in work-related stress, emotional exhaustion, emotion regulation, and job satisfaction. Three follow-up assessments were arranged. RESULTS: Nurses in the IG achieved a decrease in perceived job stress and emotional exhaustion as well as improvements with regard to enhanced emotion regulation skills. The intervention was evaluated with high satisfaction scores. CONCLUSIONS: This study showed first indications that training of mental health self-care skills for junior nurses could be a supportive approach for nurses starting work in hospital departments. However, replication studies are needed to verify the results.

scholarly journals Effectiveness of Workplace Yoga Interventions to Reduce Perceived Stress in Employees: A Systematic Review and Meta-Analysis

2020 ◽  
Vol 5 (2) ◽  
pp. 33 ◽  
Author(s):  
Elisabetta Della Valle ◽  
Stefano Palermi ◽  
Irene Aloe ◽  
Roberto Marcantonio ◽  
Rocco Spera ◽  
...  
Keyword(s):  
Perceived Stress ◽  
Meta Analysis ◽  
Public Health Issue ◽  
Control Group ◽  
Work Related Stress ◽  
Yoga Intervention ◽  
Work Related ◽  
Solution Strategies ◽  
Related Stress ◽  
Reducing Stress

Work-related stress represents a relevant public health issue and solution strategies are mandatory. Yoga is a common approach to manage stress and its effectiveness has been extensively confirmed. Therefore, this study aims systematically to review the effectiveness of Yoga interventions carried out at workplace on work-related stress among employees and to assess their impact quantitatively. Springerlink, MEDLINE, PubMed, CINAHL, Web of Science, Scopus, Cochrane CENTRAL and PEDro databases were searched. Clinical trials comparing workplace Yoga interventions to control groups, and evaluating perceived stress as outcome measure, were assessed for eligibility. All forms and styles of Yoga were considered for the analysis. Out of 3392 initially identified, 6 studies were included in the meta-analysis; 266 participants practicing Yoga interventions at worksite were compared to 221 subjects in control group. Included studies showed “some concerns” about different domains of source of bias. Quantitative analysis showed an overall effect size of −0.67 [95% confidence interval (CI): −0.86, −0.49] in favor of Yoga intervention in reducing stress outcome measures. Hence, workplace Yoga interventions were more effective when compared to no treatment in work-related stress management. Further high-quality studies are needed to improve the validity of these results and to specify more characteristics of the Yoga intervention, such as style, volume, and frequency.

Daily music listening to reduce work-related stress: a randomized controlled pilot trial

2019 ◽  
Author(s):  
A Raglio ◽  
D Bellandi ◽  
M Gianotti ◽  
E Zanacchi ◽  
M Gnesi ◽  
...  
Keyword(s):  
Statistical Significance ◽  
Pilot Trial ◽  
Well Being ◽  
Stress Index ◽  
Control Group ◽  
Positive Trend ◽  
Music Listening ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

AbstractBackgroundLiterature shows that music can reduce stress conditions. This pilot study investigated the effects of music listening on work-related stress and well-being in healthcare professionals.MethodA total of 45 subjects were randomly assigned to three treatment groups: No Music, Individualized Music and Melomics-Health Listening. Music groups experienced a daily 30-min-playlist listening for 3 weeks at home. The Maugeri Stress Index-Revised (MASI-R) and the Psychological General Well-Being Index (PGWBI) were administered at baseline, after 3 weeks and after 7 weeks (follow-up). Longitudinal data were analyzed by means of a nested ANOVA model, testing the main effects of time and treatment and the interaction between them.ResultsMASI-R scores showed a positive trend in music groups and a worsening in the control group. Only the interaction time/treatment emerged as supporting a trend toward statistical significance (P = 0.07). PGWBI showed a stability in music groups and a clear decline in controls, without significant effects.ConclusionsResults from the study support the need for a larger clinical trial: it is suggested that daily music listening could be implemented to reduce work-related stress and that the effects may be related, not only to individual musical preferences and familiarity, but also to specific music structures and parameters.

scholarly journals Perceived work-related stress and coping strategies among critical care nurses – A preliminary study from Sri Lanka

2021 ◽  
Vol 11 (2) ◽  
pp. 95-99
Author(s):  
N Sutharshan ◽  
MB Nufais ◽  
N Shrirajanie ◽  
MH Abdul Munaff ◽  
Gnanaselvam Kisokanth
Keyword(s):  
Critical Care ◽  
Sri Lanka ◽  
Coping Strategies ◽  
Perceived Stress ◽  
Time Management ◽  
Positive Thinking ◽  
Religious Activities ◽  
Work Related Stress ◽  
Work Related ◽  
Related Stress

Introduction: Work-related stress has become a major concern among the nurses over the years. Nurses experience a high level of work-related stress when work demands exceed their ability to cope. The study aimed to assess the perceived work-related stress level and coping strategies among nurses working in Critical Care Units at a Base Hospital in the Eastern Province of Sri Lanka. Methods: A cross sectional descriptive study was conducted among all staff nurses (105) working in critical care units. Data were collected using a validated and pre-tested self-administered questionnaire. A Perceived Stress Scale developed by Cohen et al. (1983) and validated in Sri Lanka was used to assess the work-related stress, along with coping strategies. Data were analyzed by descriptive statistics using SPSS version 21. Results: Around 30% of nurses had higher level of perceived stress while 45% had moderate level of perceived stress. Nearly 81% of nurses stated that religious activities are used as a common coping strategy. In addition, 96% of them used ‘positive thinking’ while 70% of them used ‘time management’ as the main coping strategy. Conclusion: The prevalence of work-related perceived stress among critical care nurses was high. Further, nurses use various emotion focused coping strategies such as regular engagement in religious activities and positive thinking and problem focused coping strategies such as time management and talk with friends/loved ones to overcome the work-related stress.

scholarly journals Effects of nature-based mindfulness training on resilience/symptom load in professionals with high work-related stress-levels: findings from the WIN-Study

2019 ◽  
Vol 11 (2) ◽  
pp. 20-24 ◽  
Author(s):  
Caroline Lücke ◽  
Sylvia Braumandl ◽  
Bernhard Becker ◽  
Sebastian Moeller ◽  
Christina Custal ◽  
...  
Keyword(s):  
Sense Of Coherence ◽  
Mindfulness Training ◽  
Control Group ◽  
Work Related Stress ◽  
Content Type ◽  
Work Related ◽  
Significant Difference ◽  
Symptom Load ◽  
Related Stress ◽  
High Work

Purpose The levels of work-related stress and the incidence rates of subsequent related illnesses are increasing in our society, leading to high individual and socioeconomic burdens. Mindfulness training has been shown to be an effective method of improving stress resilience. This paper aims to investigate the efficacy of nature-based mindfulness training in professionals with high levels of work-related stress. Design/methodology/approach In this controlled pilot study, a total of 56 volunteers completed a nature-based mindfulness training progam and were compared to 8 participants (waitlist controls). Psychometric assessments were performed at baseline and after two and four months of training. Findings After two months of training, the scores for self-efficacy, sense of coherence, level of mindfulness and overall psychiatric symptom load had significantly improved in the intervention group, while the control group did not show any significant improvements. A comparison between the intervention and control groups showed a significant difference regarding the sense of coherence only. Research limitations/implications Since this was an exploratory study with a small control group, further studies are needed to verify our findings. Practical implications In conclusion, nature-based mindfulness training seems to be a promising tool for the improvement of resilience and overall psychological health in professionals. Originality/value This was the first study to systematically investigate effects of nature-based mindfulness training in people with high work-related stress.

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