Volume 9, Issue 4 (Autumn 2021)                   Iran J Health Sci 2021, 9(4): 1-11 | Back to browse issues page

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Yusefi A R, Nikmanesh P, Bordbar S, Khammarnia M, Kavosi Z. Workload status and its relationship with job stress in nurses during the COVID-19 pandemic. Iran J Health Sci. 2021; 9 (4) :1-11
URL: http://jhs.mazums.ac.ir/article-1-778-en.html
Department of Public Health, School of Health, Jiroft University of Medical Science, Jiroft, Iran , alirezayusefi67@gmail.com
Abstract:   (150 Views)
 Background and Purpose: Currently, the high prevalence of COVID-19 and increased workload in hospitals has posed a threat to the physical, mental, and emotional health of nurses. The present study was an attempt to investigate the workload and its relationship with job stress of nurses in COVID-19 reference hospitals in southern Iran.
Methods: This descriptive-analytical and cross-sectional study was conducted in 2021 on 431 nurses from COVID-19 reference hospitals in southern Iran. Data collection tools included the NASA workload and OSIPOW job stress standard questionnaires. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient in SPSS23 Software and at a significance level of 0.05
Results: The mean age and work experience of the nurses participating in the study were 31.03±5.23 and 6.42±4.61, respectively. The mean scores of the workload and job stresses were 83.64 ± 17.24 (of 100) and 236.68 ± 16.54 (of 300), respectively. Mental load dimension (85.81 ±19.31, of 100) among workload dimensions and role workload dimension (43.62 ± 19.14, of 50) among job stress dimensions had the highest mean score. Thus, there was found a statistically significant relationship between workload and job stress of nurses (P= 0.04, r= 0.19).
Conclusion: Workload and job stress of the studied nurses were estimated at a high level. There was a significant positive correlation between these two variables, and increasing workload resulted in an increase in job stress.
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1. Karampelias V, Karonis D, Psaroudi V. The psycho-emotional impact of COVID-19 on surgical staff working in emergency departments. European Journal of Trauma and Emergency Surgery. 2020; 46(4):747-9. [DOI:10.1007/s00068-020-01411-3] [PMID] [PMCID]
2. Doshmangir L, Mahbub-Ahari A, Qolipour K, Azami-Aghdash S, Kalankesh L, Doshmangir P, et, al. East Asia's Strategies for Effective Response to COVID-19: Lessons Learned for Iran. Management Strategies in Health System. 2020; 4(4): 370-373. [Persian] [DOI:10.18502/mshsj.v4i4.2542]
3. Yusefi AR, Faryabi R, Bordbar S, Daneshi S, Nikmanesh P. Job burnout status and its relationship with resilience level of healthcare workers during Covid-19 pandemic: A case of southern Iran. Iranian Journal of Heath Sciences. 2021; 9(3): 1-11. [DOI:10.18502/jhs.v9i3.7305]
4. Bueno-Notivol J, Gracia-García P, Olaya B, Lasheras I, López-Antón R, Santabárbara J. Prevalence of depression during the COVID-19 outbreak: A meta-analysis of community-based studies. International journal of clinical and health psychology. 2021; 21(1): 100196. [DOI:10.1016/j.ijchp.2020.07.007] [PMID] [PMCID]
5. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. International journal of environmental research and public health. 2020; 17(5): 1729. [DOI:10.3390/ijerph17051729] [PMID] [PMCID]
6. Xiao C. A novel approach of consultation on 2019 novel coronavirus (COVID-19)-related psychological and mental problems: Structured letter therapy. Psychiatry investigation. 2020; 17(2): 175. [DOI:10.30773/pi.2020.0047] [PMID] [PMCID]
7. Farnoosh G, Alishiri G, Hosseini-Zijoud SR, Dorostkar R, Jalali-Farahani A. Understanding the 2019-novel Coronavirus (2019-nCoV) and Coronavirus Disease (COVID-19) Based on Available Evidence - A Narrative Review. Journal of Military Medicine 2020; 22(1): 1-11. [Persian]
8. Shoja E, Aghamohammadi V, Bazyar H, Moghaddam HR, Nasiri K, Dashti M, et al. Covid-19 effects on the workload of Iranian healthcare workers. BMC public health. 2020; 20(1):1-7. [DOI:10.1186/s12889-020-09743-w] [PMID] [PMCID]
9. El-Hage W, Hingray C, Lemogne C, Yrondi A, Brunault P, Bienvenu T, et al. Health professionals facing the coronavirus disease 2019 (COVID-19) pandemic: What are the mental health risks? Encephale. 2020: S73-80. [DOI:10.1016/j.encep.2020.04.008] [PMID] [PMCID]
10. Xiang YT, Yang Y, Li W, Zhang L, Zhang Q, Cheung T, Ng CH. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. The Lancet Psychiatry. 2020; 7(3):228-9. [DOI:10.1016/S2215-0366(20)30046-8]
11. Lemos DR, Dangelo SM, Farias LA, Almeida MM, Gomes RG, Pinto GP, et al. Health system collapse 45 days after the detection of COVID-19 in Ceara, Northeast Brazil: a preliminary analysis. Revista da Sociedade Brasileira de Medicina Tropical. 2020; 53: e20200354. [DOI:10.1590/0037-8682-0354-2020] [PMID] [PMCID]
12. Mohammadi MT. Psychological Impacts of Covid-19 Outbreak on Mental Health Status of Society Individuals: A Narrative Review. Journal Mil Med. 2020; 22(2): 184-92.
13. Wang Z, Liu H, Yu H, Wu Y, Chang S, Wang L. Associations between occupational stress, burnout and well-being among manufacturing workers: mediating roles of psychological capital and self-esteem. BMC psychiatry. 2017; 17(1): 364. [DOI:10.1186/s12888-017-1533-6] [PMID] [PMCID]
14. Mollaei M, Allahyari T, Arsalani N, Khalkhali H. An investigation of the relationship between psychosocial work factors and cognitive failures in nursing. Iran Occupational Health. 2018; 15(3): 89-102. [Persian]
15. Kang L, Li Y, Hu S, Chen M, Yang C, Yang BX, et al. The mental health of medical workers in Wuhan, China dealing with the 2019 novel coronavirus. The Lancet Psychiatry. 2020; 7(3): e14. [DOI:10.1016/S2215-0366(20)30047-X]
16. Salehi H.R. Schematics of a civil liability of nurses. Journal of Medical Ethics. 2013; 7(25): 164-186. [Persian]
17. Esmaeili R, Moosazadeh M, Alizadeh M, Afshari M. A Systematic Review of the Workload of Nurses in Intensive Care Units Using NAS. Acta Medica Mediterranea. 2015;31(7):1455-60.
18. Saini R, Kaur S, Das K. Assessment of stress and burnout among intensive care nurses at a tertiary care hospital. Journal of Mental Health and Human Behavior. 2011; 16(1):43-48.
19. Warshawsky NE, Havens DS. Nurse Manager Job Satisfaction and Intent to Leave. Nursing economic. 2014; 32(1): 32-38.
20. Kaewboonchoo O, Yingyuad B, Rawiworrakul T, Jinayon A. Job Stress and Intent to Stay at Work among Registered Female Nurses Working in Thai Hospitals. Journal of occupational health. 2014; 56(2): 93-9. [DOI:10.1539/joh.12-0204-OA] [PMID]
21. Buljac-Samardžić M, Van Woerkom M. Improving Quality and Safety of Care in Nursing Homes by Team Support for Strengths Use: A Survey Study. Plos one. 2018;13(7):1-16. [DOI:10.1371/journal.pone.0200065] [PMID] [PMCID]
22. Kiekkas P, Sakellaropoulos GC, Brokalaki H, Manolis E, Samios A, Skartsani C, et al. Association between nursing workload and mortality of intensive care unit patients. Journal of nursing scholarship. 2008; 40(4): 385 90. [DOI:10.1111/j.1547-5069.2008.00254.x] [PMID]
23. Forsyth KL, Hawthorne HJ, El-Sherif N, Varghese RS, Ernste VK, Koenig J, Blocker RC. Interruptions Experienced by Emergency Nurses: Implications for Subjective and Objective Measures of Workload. Journal of emergency nursing. 2018; 44(6):614-623. [DOI:10.1016/j.jen.2018.02.001] [PMID]
24. Xiao YM, Wang ZM, Wang MZ, Lan YJ. The appraisal of reliability and validity of subjective workload assessment technique and NASA-task load index. Chinese journal of industrial hygiene and occupational diseases. 2005; 23(3): 178-81.
25. Hart SG. NASA-task load index (NASA-TLX); 20 years later. In: Proceedings of the human factors and ergonomics society annual meeting. Los Angeles: Sage publications sage CA; 2006. [DOI:10.1037/e577632012-009]
26. Hill SG, Iavecchia HP, Byers JC, Bittner Jr AC, Zaklade AL, Christ RE. Comparison of four subjective workload- rating scales. Human factors. 1992; 34(4): 429-39. [DOI:10.1177/001872089203400405]
27. Mohammadi M, Mazloumi A, Zeraati H. Designing questionnaire of assessing mental workload and determine its validity and reliability among ICUs nurses in one of the TUMS's hospitals. Journal of School of Public Health and Institute of Public Health Research. 2013; 11(2):87-96. [Persian]
28. Sharifian SA, Aminian O, Kiyani M, Barouni SH, AMIRI F. The evaluation of the degree of occupational stress and factors influencing it in forensic physicians working in legal medicine organization in Tehran-autumn of 2005. Scientific Journal of Forensic Medicine. 2006; 12(3):144-157. [Persian]
29. Biganeh J, Ashtarinezhad A, Behzadipour D, Khanjani N, Tavakoli nik A, Hosseinabadi MB. Investigating the relationship between job stress, workload and oxidative stress in nurses. International Journal of Occupational Safety and Ergonomics. 2021: 1-20. [DOI:10.1080/10803548.2021.1877456] [PMID]
30. Kouhnavard B, Hosseinpour K, Honarbakhsh M, Ahmadiazad A, Pashangpour S. Investigating the Relationship between Job Stress and Working Pressures and Their Effect on the Job Performance of Personnel in Educational Hospitals of Larestan University of Medical Sciences. Journal of Health. 2020; 11(4): 497-506. [Persian] [DOI:10.29252/j.health.11.4.497]
31. Malekpour F, Fazli Ochhesar B, Mohammadpour Y, Mohammadian Y, Hasanluei B. Assessmen of relationship between quality of life and mental workload among nurses of Urmia Medical Science University hospitals. The Journal of Urmia Nursing and Midwifery Faculty. 2014; 12(6): 499-505. [Persian]
32. Arghami S, Kamali K, Radanfar F. Task performance induced work load in nursing. Journal of Occupational Hygiene Engineering. 2015; 2(3): 45-54. [Persian]
33. Safari S, Mohammadi-Bolbanabad H, Kazemi M. Evaluation mental work load in nursing critical care unit with National Aeronautics and Space Administration Task Load Index (NASA-TLX). Journal of Health System Research. 2013; 9(6): 613-9. (Persian)
34. Ortiz-Solis M, Maldonado-Macias AA, Barajas-Bustillos MA, Arredondo-Soto K, Carrillo- Gutiérrez T. Human Error identification and mental workload index setting during a computer power source change task: a case study. International Conference on Applied Human Factors and Ergonomics. 2018; 427-38. [DOI:10.1007/978-3-319-94196-7_39]
35. Farzi N, Bahlakeh A, Bordbar G. Relationship between nurses'job stress and procrastination: a case study. Nursing Management. 2015; 4(2): 71-79. [Persian]
36. Bardhan R, Heaton K, Davis M, Chen P, Dickinson DA, Lungu CT. A cross sectional study evaluating psychosocial job stress and health risk in emergency department nurses. International journal of environmental research and public health. 2019; 16(18):3243. [DOI:10.3390/ijerph16183243] [PMID] [PMCID]
37. Guo H, Ni C, Liu C, Li J, Liu S. Perceived job stress among community nurses: A multi‐center cross‐sectional study. International journal of nursing practice. 2019; 25(1): e12703. [DOI:10.1111/ijn.12703] [PMID]
38. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA network open. 2020; 3(3): e203976-. [DOI:10.1001/jamanetworkopen.2020.3976] [PMID] [PMCID]
39. Shahrour G, Dardas LA. Acute stress disorder, coping self‐efficacy and subsequent psychological distress among nurses amid COVID‐19. Journal of nursing management. 2020; 28(7): 1686-95. [DOI:10.1111/jonm.13124] [PMID] [PMCID]
40. Komeili Sani H, Etemadi A, Boustani H, Bahreini M, Hakim AS. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital. 2013. Journal of Clinical Nursing and Midwifery. 2015; 4(1): 39-49. [Persian]
41. Kokoroko E, Sanda MA. Effect of workload on job stress of Ghanaian OPD nurses: the role of coworker support. Safety and Health at work. 2019; 10(3):341-6. [DOI:10.1016/j.shaw.2019.04.002] [PMID] [PMCID]
42. Yen PY, Pearl N, Jethro C, Cooney E, McNeil B, Chen L, et al. Nurses' stress associated with nursing activities and electronic health records: Data triangulation from continuous stress monitoring, perceived workload, and a time motion study. AMIA Annual Symposium Proceedings. 2020; 2019: 952-961.
43. Sandrin E, Gillet N, Fernet C, Leloup M, Depin‐Rouault C. Effects of motivation and workload on firefighters' perceived health, stress, and performance. Stress and Health. 2019; 35(4):447-56. [DOI:10.1002/smi.2873] [PMID]
44. Gonzalez-Munoz EL, Gutiérrez-Martínez RE. Contribution of mental workload to job stress in industrial workers. Work (Reading, Mass.). 2007; 28(4):355-61.
45. Kwansah J, Dzodzomenyo M, Mutumba M, Asabir K, Koomson E, Gyakobo M, et al. Policy talk: incentives for rural service among nurses in Ghana. Health policy and planning. 2012; 27(8): 669-76. [DOI:10.1093/heapol/czs016] [PMID]
46. Donkor J. Effects of stress on the performance of nurses: evidence from Ghana. International Journal of Accounting, Banking and Management. 2013; 1: 64-74.
47. Karasek Jr RA. Job demands, job decision latitude, and mental strain: Implications for job redesign. Administrative science quarterly. 1979: 285-308. [DOI:10.2307/2392498]
48. Aoki M, Keiwkarnka B, Chompikul J. Job stress among nurses in public hospitals in Ratchaburi province, Thailand. Journal of Public Health and Development. 2011; 9(1): 19-27.

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