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

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.

Factores estresores en profesionales de enfermería que laboran en áreas críticas hospitalarias

El objetivo fue identificar los factores estresores en las profesionales de enfermería que laboran en áreas críticas del Hospital III de Essalud Puno (Perú). El tipo de investigación fue descriptivo comparativo transversal donde participaron 45 profesionales. El instrumento aplicado fue la escala de Nursing Stress Scale (NSS) que mide situaciones estresantes en el profesional de enfermería. Los resultados indican que los factores se presentan en el ambiente físico, psicológico y social. El más afectado fue el ambiente físico considerando la carga de trabajo en un 28.9%. En el ambiente psicológico se observó la falta de apoyo en 28.9%, incertidumbre en el tratamiento con un 24.4%, preparación insuficiente en 17.8%, y muerte-sufrimiento en l6.7%. En el ambiente social los problemas con el médico son de 28% y con otros miembros (enfermera u otros) el 17.8%. Comparando las áreas críticas en el hospital III de Essalud existen factores estresores frecuentemente en las áreas de Unidad de Cuidados Intensivos- Unidad de Cuidados Intermedios, neonatología, emergencias y centro quirúrgico. También se evidenció que el estado civil afecta en el ambiente físico a las solteras en 31.8%, en el ambiente psicológico a las casadas en 20.7%. Según los años de servicio las más afectado son las profesionales que tenían de 21 a 25 años de servicio en un 100.0% y de 2 a 5 años refirieron estrés en el ambiente físico en un 66.7%.

Thực trạng và một số yếu tố liên quan đến stress nghề nghiệp của điều dưỡng viên hệ vừa làm vừa học tại Trường Đại học Y Dược Hải Phòng năm 2018

Mục tiêu của nghiên cứu là mô tả thực trạng và một số yếu tố liên quan đến stress nghề nghiệp của điều dưỡng viên hệ vừa làm vừa học tại trường Đại học Y Dược Hải Phòng năm 2018. Nghiên cứu mô tả cắt ngang được tiến hành trên 266 điều dưỡng viên hệ vừa làm vừa học tại trường Đại học Y Dược Hải Phòng năm 2018 từ tháng 1/2018 đến 9/2018. Sử dụng bảng câu hỏi để thu thập thông tin cá nhân, mức độ stress được đánh giá bằng bộ công cụ Nursing Stress Scale (NSS). Kết quả nghiên cứu cho thấy tỷ lệ stress chung của đối tượng nghiên cứu là 52,0%, chủ yếu stress nhẹ 35,0% và stress vừa 11,7%. Một số yếu tố liên quan đến tình trạng stress ở đối tượng nghiên cứu của chúng tôi gồm: Tuổi: Nhóm tuổi ≤ 30 tuổi (OR = 1,7); chưa lập gia đình (OR = 2,5); có đi trực đêm (OR = 1,8); không có công việc ổn định (OR = 3,4); làm việc trong môi trường thiếu sáng (OR = 3,3); áp lực vừa làm vừa học (OR = 2,7). Do đó, cần đề xuất các biện pháp để cải thiện tình trạng stress nghề nghiệp của điều dưỡng viên, đặc biệt mở rộng đối tượng nghiên cứu.

Development and Validation of the Brief Nursing Stress Scale (BNSS) in a Sample of End-of-Life Care Nurses

Nursing has been identified as a very stressful profession. Specifically in end-of-life care, nurses frequently experience stressful situations related to death and dying. This study aims to develop and validate a short scale of stress in nurses, the Brief Nursing Stress Scale. A cross-sectional survey of Spanish end-of-life care professionals was conducted; 129 nurses participated. Analyses included a confirmatory factor analysis of the Brief Nursing Stress Scale, estimation of reliability, relation with sex, age and working place, and the estimation of a structural equation model in which BNSS predicted burnout and work satisfaction The confirmatory factor analysis showed an adequate fit: χ2(9) = 20.241 (p = 0.017); CFI = 0.924; SRMR = 0.062; RMSEA = 0.098 [0.040,0.156]. Reliability was 0.712. Women and men showed no differences in stress. Younger nurses and those working in hospital compared to homecare showed higher levels of stress. A structural equation model showed nursing stress positively predicted burnout, which in turn negatively predicted work satisfaction. Nursing stress also had an indirect, negative effect on work satisfaction. The Brief Nursing Stress Scale showed adequate estimates of validity, reliability, and predictive power in a sample of end-of-life care nurses. This is a short, easy-to-use measure that could be employed in major batteries assessing quality of healthcare institutions.

APG(Acceleration Plethysmography) Correlate with Moods in Nursing Workers with Fatigue after Work

Fatigue or stress in the workplace is a serious problem. The profession of nursing, in particular, is physically and mentally stressful, which often leads to job retrenchment, and shortage of workers. Solving this problem requires a deeper understanding of the fatigue and stress caused by work, and there is a need to consider countermeasures. Purpose: The purpose of this study is to assess the correlation between the psychological and physiological fatigue of healthy nurses during normal work, and to measure nursing stress and fatigue more conveniently. Method: We examined healthy nurses’ physiology (Acceleration Plethysmography: APG and Blood Pressure: BP) and psychology (Visual Analogue Scale: VAS and Mood Inventory Scale: MIS) before and after a normal workday. Results: We observed that after a normal days’ work, the nurses’ autonomic activity, high-frequency component power (HF), low-frequency component power/high-component power ratio (LF/HF ratio), and total power (LF་HF) increased significantly. Psychologically, VAS increased significantly, while the MIS Refreshing Mood decreased remarkably. The HF value correlated significantly with VAS and the MIS Refreshing Mood. The MIS Refreshing Mood correlates significantly with increased sympathetic and autonomic nervous function. Thus, an MIS test may alternative for physiological tests to detect fatigue more quickly and easily. Conclusion: These findings may help nurses and other workers reduce fatigue, cope with stress, and prevent illness. We hope this study will contribute towards addressing the issues related to workers’ mental health in the workplace.

REDUCING THE JOB-RELATED STRESS AMONG NURSING OFFICERS IN A BASE HOSPITAL, SRI LANKA

Introduction: Stress is a one of risk factors affecting all health categories including nursing officers. Objective: To implement a Mindfulness Base Stress Reduction (MBSR) intervention for nursing officers at base hospital Horana Sri Lanka. Methodology: Intervention study with randomizing nursing officers for two groups (i.e., control group and intervention group) was conducted in Base hospital, Horana. A sample of 96 nursing officers was randomized to two groups. Prior to randomization, baseline stress level was assessed by Expanded Nursing Stress Scale (ENSS). A six-week mindfulness-based stress reduction (MBSR) package was implemented for intervention group. Similar to the baseline assessment, effectiveness of the MBSR package was assessed following the implementation in both groups. Student t test was used to compare intervention and non-intervention group. Initially, 48 participants were selected for each arm. Out of the remaining participants, 42 in non-intervention group and 41 in the intervention group were completed the post intervention assessment, successfully. Results: Several aspects of stress were improved with the intervention. As examples, perception of stress due to issues of inpatient care including procedure painful to patient (p =001), The death of a patient with whom you develop with a close relationship ( p<0.001)), Physician(s)not being present when patients dying ( p =0.001), watching the patient suffer( p <0.001), were significantly improved in the intervention group. Conclusion: Result of present study shows benefits of MBSR intervention to reduce perception of stress among nursing officers. The MBSR package is recommended for other hospitals.

GAMBARAN STRES KERJA PADA PERAWAT WANITA DI RS.X PALEMBANG

Sektor kesehatan berisiko menimbulkan stres kerja tak terkecuali pada perawat wanita. Penelitian ini bertujuan untuk mengetahui angka stres kerja berdasarkan sumber stres kerja pada perawat wanita di RS. X Palembang. Penelitian ini merupakan penelitian deskriptif dengan pendekatan cross-sectional dengan sampel sebanyak 54 orang perawat wanita di RS. X Palembang. Data diambil menggunakan Expanded Nursing Stress Scale (ENSS) versi Bahasa Indonesia. Responden dengan nilai di atas rerata sebanyak 21 orang (38,9%) untuk skor total, Subskala Kematian dan Sekarat sebanyak 28 orang (51,9%), Subskala Konflik dengan Dokter sebanyak 24 orang (44,4%), Subskala Tidak Cukup Persiapan sebanyak 32 orang (59,3%), Subskala Permasalahan dengan Teman Kerja sebanyak 23 orang (42,6%), Subskala Permasalahan dengan Supervisor/Atasan 22 orang (40,7%), Subskala Ketidakjelasan Pengobatan dengan responden sebanyak 22 orang (40,7%), Subskala Permasalahan dengan Pasien sebanyak 29 orang (53,7%), dan Subskala Beban Kerja sebanyak 24 orang (44,4%). Uji Chi-Square yang dilakukan mendapatkan ­p-value yang berbeda pada setiap variabel yaitu, usia (p-value = 0,445), status gizi (p-value = 0,802), masa kerja (p-value = 0,025), kebiasaan olahraga (p-value = 0,268), dan tingkat pendidikan (p-value = 0,076). Terdapat perbedaan yang bermakna pada stres kerja dengan masa kerja dan Subskala Tidak Cukup Persiapan merupakan sumber stres kerja dengan angka tertinggi.