A Qualitative Study on the Causes and Effects of Occupational Stress: The Case of Nurses at the Trauma and Specialist Hospital, Winneba-Central Region

International Journal of Humanities and Social Science
© 2022 by SSRG - IJHSS Journal
Volume 9 Issue 1
Year of Publication : 2022
Authors : Juliet Sam-Wiah, Papa Damptse Johnson, Prince Laryea
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How to Cite?

Juliet Sam-Wiah, Papa Damptse Johnson, Prince Laryea, "A Qualitative Study on the Causes and Effects of Occupational Stress: The Case of Nurses at the Trauma and Specialist Hospital, Winneba-Central Region," SSRG International Journal of Humanities and Social Science, vol. 9,  no. 1, pp. 51-58, 2022. Crossref, https://doi.org/10.14445/23942703/IJHSS-V9I1P108

Abstract:

This study set out to explore the causes and effects of occupational stress among nurses at the Trauma and Specialist Hospital in Winneba, Ghana. The study was qualitative in nature, adopting a phenomenological study approach. Thirteen nurses (general, community, enrolled, health assistants, midwives and a psychiatry nurse) were sampled through stratified and convenience techniques. An interview guide was employed to collect qualitative data. The qualitative data was thematically analyzed. The findings are presented in the succeeding section. The results revealed that the nurses identified various factors that caused stress within the hospital setting. Five key themes emerged from the fieldwork. These occupational stressors were shift work, work overload, inadequate staff, experiences of "death and dying", and shortage of equipment. Nurses at the Trauma and Specialist Hospital in Winneba, Ghana, were also found to be experiencing some significant consequences, not only on their health and well-being but also on their working relationships at the hospital. The nurses had headaches and body aches as the physical effects; behavioural responses included being pettish and aggressive and expressing outbursts towards patients, especially uncooperative and difficult ones. Conclusively, nurses at the Trauma and Specialist hospital faced several occupational stressors, including shift work, work overload, lack of staff and lack of equipment. However, loss of concentration, feelings of frustration and de-motivation were commonly reported among the nurses. Therefore, the study recommends that hospital management should explore the possibility of recruiting more nurses to revamp the provision of nursing care at the hospital.

Keywords:

Occupational Stress, Nurses, Trauma and Specialist Hospital.

References:

[1] Dr Jhilla Adeb-Saeedi, “Stress amongst Emergency Nurses,” Australian Emergency Nursing Journal, vol. 5, no. 2, pp. 19-24, 2002. Crossref, https://doi.org/10.1016/S1328-2743(02)80015-3
[2] Adzakpah Godwin, Laar Alexander Suuk, and Fiadjoe Harrison Selorm, “Occupational Stress and its Management Among Nurse at St. Dominic Hospital, Akwatia, Ghana,” Health Science Journal, vol. 10, no. 6, p. 467, 2016.
[3] Linda H Aiken et al., “Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job Dissatisfaction,” JAMA, vol. 288, no. 16, 1987- 1993, 2002. Crossref, https://doi.org/10.1001/jama.288.16.1987
[4] Qamra Alomani, “Causes and Effects of Occupational Stress in Nursing,” 17th LASTEM International Conference, Istanbul, Turkey, 2016.
[5] Steve L. Alves, “A Study of Occupational Stress, Scope of Practice, and Collaboration in Nurse Anesthetists Practicing in Anesthesia Care Team Settings,” American Association of Nurse Anesthetists Journal, vol. 73, no. 6, pp. 443-452, 2005.
[6] E. E Anyebe et al., “An Assessment of Stress amongst Nurses in Zaria Metropolis, Northwest Nigeria,” West African Journal of Nursing, vol. 25, no. 1, pp. 53-70, 2014.
[7] A B Bakker et al., “Effort– Reward Imbalance and Burnout among Nurses,” Journal of Advanced Nursing, vol. 31, no. 4, pp. 884-891, 2000. Crossref, https://doi.org/10.1046/j.1365-2648.2000.01361.x
[8] Paul Bennett et al., “Stress in Nurses: Coping, Managerial Support and work Demand,” Stress & Health: Journal of the International Society for the Investigation of Stress, vol. 17, no. 1, pp. 55-63, 2001. Crossref, https://doi.org/10.1002/1532-2998(200101)17:13.0.CO;2-2
[9] Hilary Brown, Fred Zijlstra, and Evanthia Lyons, “The Psychological Effects of Organizational Restructuring on Nurses,” Journal of Advanced Nursing, vol. 53, no. 3, pp. 344-357, 2006. Crossref, https://doi.org/10.1111/j.1365-2648.2006.03723.x
[10] D'Arcy, L. Stress, 2007. [Online]. Available: http://www.kidshealth.org
[11] Abena Kyreaa Dapaah, “Causes of Stress Among Nurses in the Greater Accra Region,” International Journal of Research in Social Sciences, vol. 3, no. 8, pp. 74-81, 2014.
[12] Mariano García-Izquierdo, and María Isabel Ríos-Rísquez, “The Relationship between Psychosocial Job Stress and Burnout in Emergency Department: An Exploratory Study,” Nursing Outlook, vol. 60, no. 5, pp. 322-329, 2012. Crossref, https://doi.org/10.1016/j.outlook.2012.02.002
[13] Gerrish, K., and Lacey, A., The Research Process in Nursing, 6th Edition, Chichester: Wiley Blackwell, 2010.
[14] Ghana Health Service, Annual Report, Ministry of Health, Ghana Health Service, Accra, 2011.
[15] Ghana Health Workers Observatory, Human Resources for Health Country, 2011.
[16] Ghana News Agency, Government to Employ 27,000 Health Professionals, 2018. [Online]. Available: http://www.ghananewsagency.org/health/government-to-employ-27-000health-professionals-in2018-d-g-130558.
[17] Ghana Web, Winneba Trauma/Specialist Hospital Underutilized, 2013. [Online]. Available: https://www.ghanaweb.com/GhanaHomePage/health/artikel.php?ID=292699
[18] Sharon Glazer, and Terry A. Beehr, “Consistency of Implications of Three Role Stressors Across four Countries,” Journal of Organizational Behavior, vol. 26, no. 467-487, 2005.
[19] Sharon Glazer, and Anett Gyurak, “Sources of Occupational Stress among Nurses in Five Countries,” International Journal of Intercultural Relations, vol. 32, no. 1, pp. 49-66, 2008. Crossref, https://doi.org/10.1016/j.ijintrel.2007.10.003
[20] P. L Grubb, and J. W Grosch, Alleviating Job Stress in Nurses: Approaches to Reducing Job Stress in Nurses, 2012. [Online]. Available: http://www.cdc.gov/niosh/nioshtic-2/20042107.html 
[21] Amy J Hoffman, and Linda D Scott, “Role Stress and Career Satisfaction among Registered Nurses by Work Shift Patterns,” Journal of Nursing Administration, vol. 33, no. 6, pp. 337-342, 2003.
[22] C Jones, “Stress and Coping Strategies in Renal Staff,” Nursing Times, vol. 110, no. 10, pp. 22-25, 2014.
[23] Kyreaa D. A., “Causes of Stress among Nurses in the Greater Accra Region,” International Journal Research Social Science, vol. 3, no. 8, pp. 74-81, 2014.
[24] Victor Olufolahan Lasebikan, and Modupe Olusola Oyetunde, “Burnout among Nurses in a Nigerian General Hospital: Prevalence and Associated Factors,” International Scholarly Research Network, pp. 1-6, 2012. Crossref, https://doi.org/10.5402/2012/402157
[25] Kirsti Malterud, Volkert Dirk Siersma, and Ann Dorrit Guassora, “Sample Size in Qualitative Interview Studies: Guided by Information Power,” Qualitative Health Research, vol. 26, no. 3, pp. 1753-1760, 2016. Crossref, https://doi.org/10.1177/10497323155617444
[26] G Mark, and A P Smith, “Occupational Stress, Job Characteristics, Coping, and the Mental Health of Nurses,” British Journal of Health Psychology, vol. 17, no. 3, pp. 505-521, 2012. Crossref, https://doi.org/10.1111/j.2044-8287.2011.02051.x
[27] B McGowan, “Self-Reported Stress and Its Effects on Nurses,” Nursing Standard, vol. 15, no. 42, pp. 33-38, 2001. Crossref, https://doi.org/10.7748/ns2001.07.15.42.33.c3050
[28] Ali Mohammad Mosadeghrad, “Occupational Stress and Turnover Intention: Implications for Nursing Management,” International Journal of Health Policy and Management, vol. 1, no. 2, pp. 169-176, 2013. Crossref, https://doi.org/10.15171/ijhpm.2013.30
[29] Εleni Moustaka, and Theodoros C Constantinidis, “Sources and Effects of Work-Related Stress in Nursing,” Health Science Journal, vol. 4, no. 4, pp. 210-216, 2010.
[30] NIOSH, Exposure to Stress: Occupational Hazards in Hospitals. Cincinnati OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS, 2008.
[31] Nina OgiƄska-Bulik, “Occupational Stress and its Consequences in Healthcare Professionals: The Role of Type D Personality,” International Journal of Occupational Medicine & Environmental Health, vol. 19, no. 2, pp.113-122, 2006. Crossref, https://doi.org/10.2478/v10001-006-0016-7
[32] Lusine Poghosyan et al., “Nurse Burnout and Quality of Care: Cross-National Investigation in Six Countries,” National Institutes of Health, vol. 33, no. 4, pp. 288-298, 2010. Crossref, https://doi.org/10.1002/nur.20383
[33] Anna Regan, Ruth A Howard, and Jan R Oyebode, “Emotional Exhaustion and Defence Mechanisms in Intensive Therapy Unit Nurses,” The Journal of Nervous and Mental Disease, vol. 197, no. 5, pp. 330-336, 2009. Crossref, https://doi.org/10.1097/NMD.0b013e3181a20807
[34] Katherine M Richardson, and Hannah R Rothstein, “Effects of Occupational Stress Management Intervention Programs: A Meta-Analysis,” Journal of Occupational Health Psychology, vol. 13, no. 1, pp. 69-93, 2008. Crossref, https://doi.org/10.1037/1076-8998.13.1.69
[35] Nizar B. Said, Filipe Nave, and Filomena Matos, “The Quality of Working Life among Nurses in Pediatric Setting,” Social and Behaviour Sciences, Future Academy, pp. 5-14, 2015. Crossref, https://doi.org/10.15405/epsbs.2015.01.3
[36] Mary Ann Yeboah et al., “Determinants of Workplace Stress among Healthcare Professionals in Ghana: An Empirical Analysis,” International Journal of Business and Social Science, vol. 5, no. 4, pp. 140-151, 2014.