scholarly journals The Relationship Between Apache Ii Score And Nurses’ Occupational Stress In Icu

2021 ◽  
Vol 17 (29) ◽  
pp. 19
Author(s):  
Pei-Ying Jao ◽  
Noreena Yi-Chin Liu ◽  
Hsiu-Lan Wu ◽  
Cheng-Hui Chou ◽  
Kuan-Chia Lin
Keyword(s):  
Occupational Stress ◽  
Cross Sectional Study ◽  
Stress Factors ◽  
Apache Ii ◽  
Teaching Hospitals ◽  
Apache Ii Score ◽  
Cross Sectional ◽  
Moderation Effect ◽  
Environment Policy ◽  
Nursing Stress

Occupational stress remains one of the major concerns among nurses working in ICU, which affects the individuals as well as the quality of patient care. This paper focuses on investigating the correlation between the ICU patient severity and the nurses’ occupational stress. The paper also identifies a number of occupational stress factors. A total of 81 ICU nurses from the teaching hospitals in Eastern Taiwan have been selected to take part in this study through purposive sampling. Cross-sectional study was adopted for this study and interviews were done through a structured questionnaire. The data was collected using the APACHE II scale and the Nursing Stress scale. The result of the correlation analysis between disease severity and occupational stress was found to be insignificant (p > .05). The regression model analysis shows that patient severity plays a moderation effect between nurses’ characteristics and occupational stress. The results of this study could serve as reference to policymakers and nursing administrators to create a supportive environment. Policy changes to improve the nurses’ working conditions were also proposed in this paper.

scholarly journals Identification and analysis of stress factors at nursing workplace: A comparative study of four clinical departments

2009 ◽  
Vol 62 (1-2) ◽  
pp. 68-73 ◽  
Author(s):  
Dragana Milutinovic ◽  
Nikola Grujic ◽  
Neda Jocic
Keyword(s):  
Work Experience ◽  
Cross Sectional Study ◽  
Stress Factor ◽  
Stress Factors ◽  
Cross Sectional ◽  
Nursing Stress ◽  
Sociodemographic Determinants ◽  
Professional Conflicts ◽  
Clinical Departments ◽  
High Degree

Introduction. Several studies show that nursing is, by its very nature, an occupation exposed to a high degree of stress. The main aims of the present research were to analyze the presence and to identify occupational stress factors and assess stress levels among nurses in clinical/hospital settings. Material and Methods. The research was conducted as a cross-sectional study. The sample included nurses (n=205) employed in different settings, who were also control groups to each other. Expanded Nursing Stress Scale and an additional questionnaire created for the purpose of this investigation were used as research instruments. Results. The results show that stressful situations, in the psychological occupational environment are the greatest stress factors regardless of the workplace; in regard to sociodemographic determinants, married nurses have significantly higher average values as compared to unmarried ones (p<0.05), and the values statistically significantly lower in nurses under 30 years of age, with less than 10 years of work experience (p<0.01). Workload is a potential stress factor from the physical environment, whereas average values of this stress factor highly statistically differ in regard to the workplace (p<0.01). Nurses working in settings without support from their superiors and engaged in inter-professional conflicts, especially between nurses and physicians, face a great problem. Conclusion. It is important to promote conditions of work (work space, providing new equipment), organization of work, as well as social relationships, which is in accordance with the recommendations of ICN.

scholarly journals Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study (Preprint)

2019 ◽  
Author(s):  
Nizar Maswadi ◽  
Yousef S Khader ◽  
Ahmad Abu Slaih
Keyword(s):  
Perceived Stress ◽  
Work Performance ◽  
High Stress ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Stress Factors ◽  
Medical Residents ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional

BACKGROUND Medical residents in Jordanian hospitals are involved in many clinical and nonclinical tasks that expose them to various stress factors. High stress and burnout have the potential to negatively impact work performance and patient care, including medication errors, suboptimal care, clinical errors, and patient dissatisfaction. OBJECTIVE This study aimed to determine the perceived stress among medical residents in Jordanian hospitals and its associated risk factors. METHODS A cross-sectional study was conducted among residents in Jordanian hospitals. A cluster sample of 5 hospitals with residency programs was selected from different health sectors. All residents who were working in the selected hospitals were invited to participate in this study, during the period from April to July 2017. A total of 555 residents agreed to participate in this study, giving a response rate of 84%. The perceived stress scale (PSS) was used for assessment. RESULTS A total of 398 male and 157 female residents were included in this study. The mean PSS score in this study was 21.6; 73% (405/555) of the residents had moderate level of stress, and 18% (100/555) had high level of stress. About 6.7% (37/555) of the residents had hypertension, 2.7% (15/555) had diabetes, 3.2% (18/555) had heart disease, and 8.5% (47/555) were anemic. 233 (42%) respondents complained of back pain, and 161 (29%) of the respondents complained of insomnia. Stress was associated with higher workload, sleep deprivation, and dissatisfaction in the relationship with colleagues, with income, and with the program. In multivariate analysis, the following factors were significantly associated with stress: female gender, dissatisfaction with working environment, and facing work-related, academic, and family stressors. CONCLUSIONS The majority of medical residents in Jordanian hospitals felt nervous and stressed. Conducting stress management programs during residency and improving the work environment are strongly recommended.

scholarly journals Occupational Stress among Nurses of tertiary Care Hospitals in Tiruvarur

2018 ◽  
Vol 6 (02) ◽  
Author(s):  
R. Sasikala ◽  
Dr.G. Ramu
Keyword(s):  
Occupational Stress ◽  
Tamil Nadu ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Teaching Hospitals ◽  
Probability Method ◽  
Mild Stress ◽  
Cross Sectional ◽  
Study Results ◽  
Related Stress

Stress is physiological and psychological response towards any occurrences. It is very much vitalto learn about occupational stress because as it deters health and decreases the quality of work of nurses. The main objective was to determine prevalence, intensity and causes of occupational stress among nurses.Hospital based analytical cross-sectional study was conducted from January to November 2017 at two tertiary care teaching hospitals of Tiruvarur. The study was carried out on 265 registered nurses, having valid license by Tamil Nadu Nursing Council. Convenient non-probability method was used to access subjects. After taking consent, semi-structured and pre-tested occupational stress questionnaire was used to obtain the data. The study results revealed that majority of nurses 125 (47.2%) were between 25 to 30 years of age.Maximum ratio of nurses were female 160(60.4%) and out of them 148(55.8%) were married. Two hundredand one (75.8%) were diploma holders in nursing, while only 2(0.8%) had done their master in nursing. Thestudy participants reported to suffer with job related stress; mild stress 2.0%, moderate stress 36.5% and severe61.5%.

scholarly journals Work-Related stress factors in nurses at Slovenian hospitals – A cross-sectional study

2018 ◽  
Vol 57 (4) ◽  
pp. 192-200 ◽  
Author(s):  
Mojca Dobnik ◽  
Matjaž Maletič ◽  
Brigita Skela-Savič
Keyword(s):  
Work Organization ◽  
Cross Sectional Study ◽  
Healthcare Management ◽  
Stress Factors ◽  
Design Strategies ◽  
Related Factors ◽  
Cross Sectional ◽  
Work Related ◽  
Nursing Stress ◽  
High Level

Abstract Background Surveys conducted among healthcare workers revealed that nursing staff often face various stressors associated with occupational activities, which reduce their work efficiency. The aim of the study was to establish the level of stress in nurses working at hospitals in Slovenia and to identify stress-related factors. MethodsA cross-sectional epidemiological design and a standardized instrument called the “Nursing stress scale” were used. The sample included 983 nurses from 21 Slovenian hospitals. The research was conducted in 2016. ResultsPrevalence of high level of stress was 56.5% of respondents (M (median)=75). Prevalence of high level of stress and stress factors may be statistically significant attributable to dissatisfaction at work (p<0.001), disturbing factors at work (p<0.001), inability to take time off in lieu after working on weekend (p=0.003), shorter serving (p=0.009), fixed-term work (p=0.007), and an increased number of workdays on Sunday (p=0.030). ConclusionThe stress rate and stress factors are substantially influenced by variables reflecting work organization, competences and skills of healthcare management to work with people. Results reflect the need for nursing management and policy makers to design strategies to ensure adequate staffing, efficient organization and an encouraging work environment.

scholarly journals Perceived Stress Among Resident Doctors in Jordanian Teaching Hospitals: Cross-Sectional Study

10.2196/14238 ◽  
2019 ◽  
Vol 5 (4) ◽  
pp. e14238 ◽  
Author(s):  
Nizar Maswadi ◽  
Yousef S Khader ◽  
Ahmad Abu Slaih
Keyword(s):  
Perceived Stress ◽  
Work Performance ◽  
High Stress ◽  
Cross Sectional Study ◽  
Working Environment ◽  
Stress Factors ◽  
Medical Residents ◽  
Teaching Hospitals ◽  
Sectional Study ◽  
Cross Sectional

Background Medical residents in Jordanian hospitals are involved in many clinical and nonclinical tasks that expose them to various stress factors. High stress and burnout have the potential to negatively impact work performance and patient care, including medication errors, suboptimal care, clinical errors, and patient dissatisfaction. Objective This study aimed to determine the perceived stress among medical residents in Jordanian hospitals and its associated risk factors. Methods A cross-sectional study was conducted among residents in Jordanian hospitals. A cluster sample of 5 hospitals with residency programs was selected from different health sectors. All residents who were working in the selected hospitals were invited to participate in this study, during the period from April to July 2017. A total of 555 residents agreed to participate in this study, giving a response rate of 84%. The perceived stress scale (PSS) was used for assessment. Results A total of 398 male and 157 female residents were included in this study. The mean PSS score in this study was 21.6; 73% (405/555) of the residents had moderate level of stress, and 18% (100/555) had high level of stress. About 6.7% (37/555) of the residents had hypertension, 2.7% (15/555) had diabetes, 3.2% (18/555) had heart disease, and 8.5% (47/555) were anemic. 233 (42%) respondents complained of back pain, and 161 (29%) of the respondents complained of insomnia. Stress was associated with higher workload, sleep deprivation, and dissatisfaction in the relationship with colleagues, with income, and with the program. In multivariate analysis, the following factors were significantly associated with stress: female gender, dissatisfaction with working environment, and facing work-related, academic, and family stressors. Conclusions The majority of medical residents in Jordanian hospitals felt nervous and stressed. Conducting stress management programs during residency and improving the work environment are strongly recommended.

Occupational stress and associated factors among clinical nurses from Hung Vuong and Tu Du hospitals, who are studying bachelor degree, in 2019

2020 ◽  
Vol 04 (04) ◽  
pp. 53-61
Author(s):  
Thai Quynh Chi Nguyen ◽  
Minh Sang Le
Keyword(s):  
Occupational Stress ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Average Score ◽  
Group Discussions ◽  
Cross Sectional ◽  
Bachelor Degree ◽  
Clinical Nurses ◽  
Nursing Stress ◽  
Total Average

This cross-sectional study using quantitative and quailitative methods conducted among clinical nurses from Hung Vuong and Tu Du hospitals, who are studying bachelor degree at Nguyen Tat Thanh University. The study was implemented from April to August 2019 and aimed at describing occupational stress of clinical nurses and associated factors. Quantitative data (applying Enxpanded Nursing Stress Scale) were collected from 232 nurses and analyzed by SPSS 20.0. Qualitative information from 02 focus group discussions were analyzed by themes. Results showed that occupational stress of clinical nurses was moderate (with total average score of 2.14). The most 3 stressful components were: Facing the patient fatality, Issues related to the patients’ relatives, Workload. Asociated factors included: individual, family, and studying factors. Key words: occupational stress, nursing, working-studying nurse, ENSS

Factors associated with professional stress at the teachers

2017 ◽  
Vol 41 (S1) ◽  
pp. S417-S417 ◽  
Author(s):  
N. Halouani ◽  
F. Smaoui ◽  
C. Derbel ◽  
R. Naoui ◽  
J. Alouloi ◽  
...  
Keyword(s):  
High School ◽  
Occupational Stress ◽  
Female Gender ◽  
Cross Sectional Study ◽  
Stress Factors ◽  
Stress Profile ◽  
Cross Sectional ◽  
Factors Associated ◽  
High School Degree ◽  
Competing Interest

IntroductionTeaching, as a profession, is recognized as demanding and stressful.Objectives(1) Evaluate the professional teacher stress, (2) Identify possible factors associated with it.MethodsThis is a cross-sectional study, descriptive and analytical, conducted among teachers of high school Mahmoud Magdich in Sfax. (Tunisia). Participants were asked to complete the anonymous form detailing the socio-demographic, professional characteristics and any work stressors.The evaluation of occupational stress was evaluated by the scale of “Karasek”.ResultsThirty-six teachers replied to the questionnaires. The sex ratio (M/F) was 0.38. The mean age was 48.77 years. The average number of years of exercise was 23.20 years and the average number of hours worked per week was 16.25 hours. The participants stress profile according to the scale of “Karasek” was: 55.6% stressed, 27.8%, assets, 11.1% liabilities, and 5.6% relaxed. The main stress factors mentioned were respectively: the inadequate salary (58.3%), difficult working conditions (52.8%), problems with students and parents (25%) and lack of organization at work (22.2%). Factors correlated with the profile “stressed” were: female gender (P = 0.026), lack of pastime practice (P = 0.034), teaching high school degree (P = 0.04), feeling that they work “too hard” in their work (P = 0.005), they are “the end” at the end of the working day (P = 0.015) and low social support (P = 0.005).ConclusionThe occupational stress among teachers was quite important. Knowing how to identify factors and taking action would be interesting for the guarantee development for teachers. Students would be the ultimate beneficiaries.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals The Medical Outcomes Distribution and the Interpretation of Clinical Data Based on C4.5 Algorithm for the RCC Patients in Taiwan

2021 ◽  
Vol 11 (6) ◽  
pp. 2566
Author(s):  
Hsi-Chieh Lee ◽  
Ju-Hsia Liu ◽  
Ching-Sung Ho
Keyword(s):  
Care Center ◽  
Characteristic Curve ◽  
Cross Sectional Study ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Medical Outcomes ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
C4.5 Algorithm

The aim of our study is to explore the medical outcomes among patients in the respiratory care center (RCC) and related factors. A cross-sectional study was performed at a regional hospital in central Taiwan from January 2018 to December 2018. The sample consisted of 236 patients who received RCC medical services. The chi-square test, multiple ordinal logistic regression analyses, and C4.5 decision tree algorithm were performed. The risk factors for medical outcomes in critical or deceased patients were obesity (BMI ≥ 27.0) (OR = 2.426, 95% C.I. = 1.106–5.318, p = 0.027), being imported from home (OR = 2.104, 95% C.I. = 1.106–3.523, p = 0.005), and with the Acute Physiology and Chronic Health Evaluation II (APACHE II) score ≥ 25 (OR = 2.640, 95% C.I. = 1.283–5.433, p = 0.008). The results of the C4.5 algorithm showed a precision of 79.80%, a recall of 78.80%, an F-measure of 78.20%, a receiver operating characteristic curve (ROC) area of 89.20%, and a precision-recall curve (PRC) area of 81.70%. It is important to design effective intervention strategies for patients who are obese and with high APACHE II scores and propose timely treatments for the patients’ onset of disease at home. Moreover, by using the C4.5 algorithm, data can be interpreted in terms of decision trees to aid the understanding of the medical outcomes of the RCC patients.

scholarly journals Assessment of occupational stress among farmers in Aurangabad district, Maharashtra

2018 ◽  
Vol 5 (4) ◽  
pp. 1434 ◽  
Author(s):  
Javed Shabbir Kureshi ◽  
K. V. Somsundaram
Keyword(s):  
Occupational Stress ◽  
Cross Sectional Study ◽  
Stress Factors ◽  
Community Based ◽  
Related Factors ◽  
Cross Sectional ◽  
Policy Makers ◽  
Farming Community ◽  
Sizeable Number ◽  
Stress Work

Background: Since many years Indian farming community, especially farmers from drought prone areas have been under constant occupational stress. This research study was conducted in Aurangabad district of Maharashtra, which has witnessed a sizeable number of farmer’s deaths in recent years, to find out which component of stress was contributing more and affecting the lives of the farmers.Methods: A community based descriptive cross-sectional study was conducted during 2016 in two most affected blocks of Aurangabad where the highest incidence of farmer suicide attempt cases occurred. A stratified random sample of 120 farmers from three strata viz. small, medium and large, from six most affected villages of two Blocks were interviewed with a standard, duly modified, pre-tested farm stress inventory questionnaire which includes questions on various stress related factors such as financial stress, farming hassles, weather stress, work overload and other people as stressor.Results: The results of study revealed that while farming occupation encompasses all types of stresses to farmers, the study area farmers were experiencing unpredictable weather and financial problems as major stress factors. The study also revealed that the differences of stress levels on various factors were statistically significant when compared to size of landholding of the farmers - small farmers were most susceptible.Conclusions: The present study concluded that weather and financial stresses were the most significant as compared to other components of stress for farmers. Weather fluctuations and unpredictability leads to significant effects on the production of crop and which is directly related to the annual income of the farmers, hence policy makers, agricultural scientists, marketing and financial experts create a suitable environment for farmers to overcome these stressors. 

scholarly journals A descriptive study to quantify severity in patients with severe scrub typhus in hilly city of Northern India

2019 ◽  
Vol 6 (4) ◽  
pp. 1182
Author(s):  
Nishant Nadda ◽  
Nidhi Chauhan ◽  
Anjali Mahajan ◽  
Ankit Chaudhary ◽  
Kritika Katoch ◽  
...  
Keyword(s):  
Scrub Typhus ◽  
Financial Burden ◽  
Clinical Signs ◽  
Case Fatality ◽  
Cross Sectional Study ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Cross Sectional ◽  
Presenting Symptoms ◽  
Prompt Treatment

Background: Himachal Pradesh is an endemic area for scrub typhus. If not treated early, it can lead to life threatening complications. Therefore, more emphasis needs to be laid on the diagnosis and prompt treatment, so that mortality due to severe scrub typhus can be prevented. So, this study was done with an objective to study the clinical profile of patients diagnosed with severe scrub typhus and assess their severity using APACHE II score in IGMC, Shimla.Methods: Authors conducted a descriptive cross-sectional study in Indira Gandhi Medical College, Shimla over one year (June 2016-May 2017). Out of 538 confirmed scrub typhus cases, 58 severe cases were reported, and their severity was assessed with predefined criteria of sepsis and APACHE II score.Results: Mean age of males (50.18±18.6 yrs) was found to be more than that of females (45.52±14.5 yrs), the difference being statistically insignificant t(56)= -1.01, (P=0.32). Fever (100%), headache (84.5%), vomiting (79.3%) were the major presenting symptoms and tachycardia (96.5%), hypotension (87.9%), tachypnoea (94.8%) were the main clinical signs. The mean APACHE II score on admission was 16.25±5.0 with a predicted mortality of 23.5%, that was found to be less than actual reported hospital mortality (25.8%).Conclusions: APACHE II score was found reliable tool for risk stratification. Case fatality in diagnosed cases of severe scrub typhus was found high. Early diagnosis and prompt treatment according to guidelines would help in decreasing the mortality, financial burden on patient, society and health system.

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