Volume 27, Issue 89 (Aug 2014)                   IJN 2014, 27(89): 40-49 | Back to browse issues page

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1- Assistant Professor, Dept. of Critical Care, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
2- Department of Medical-Surgical Nursing, Khomein Faculty of Nursing and Midwifery, Arak University of Medical Sciences, Arak., Iran (Corresponding Author). Tel: +98 9186441698 Email: morady.fahimeh@yahoo.com
3- Professor, Dept. of Medical Surgical Nursing, Center for Nursing Care Research, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran
4- MS. in Biostatistics, Faculty member, Dept. of Biostatistics, School of Health, Iran University of Medical Sciences, Tehran, Iran
Abstract:   (8704 Views)


  Background & Aims: There are many stressful situations in nursing profession which could lead to the problems such as reduction of the quality and quantity of care, physical illness, fatigue and sleep disorders. This study was aimed to investigate job stress and its relationship with sleep quality and fatigue in nurses.

  Material & Methods: This cross-sectional, correlational study was conducted on 200 nurses recruited by stratified random sampling and working in hospitals affiliated to Tehran University of Medical Sciences that. Data was collected by demographic sheet, Nursing Stress Scale (NSS), fatigue dimension of Checklist Individual Strength (CIS) and Pittsburgh sleep quality questionnaire (PSQI) and analyzed by descriptive statistics (mean and standard deviation) and statistical tests ( ANOVA and Pearson correlation coefficient) using SPSS-PC (v.16 ).

  Results: The results showed that 54%, 43% and 3% of nurses experienced severe, moderate and mild stress respectively and encountering with the patients’ suffering and death was reported as the most important stressor. Nurses’ job stress had also a statistically significant and direct correlation with sleep quality (P<0/004) and fatigue (P<0/001).

Conclusion: The findings indicated that nurses' quality of sleep decreases and their fatigue increases with an increase in job stress. According to the results, managers can make appropriate decisions to reduce fatigue and sleep disorders in nurses.
Keywords: Fatigue, Job, Stress, Nurse, Sleep, Quality
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Type of Study: Research | Subject: nursing
Received: 2014/05/18 | Accepted: 2014/08/13 | Published: 2014/08/13

1. Nicholl H, Timmins F. Programme‐related stressors among part‐time undergraduate nursing students. J Adv Nurs. 2005;50(1):93-100. [DOI:10.1111/j.1365-2648.2004.03352.x] [PMID]
2. Wu S, Zhu W, Wang Z, Wang M, Lan Y. Relationship between burnout and occupational stress among nurses in China. J Adv Nurs. 2007;59(3):233-9. [DOI:10.1111/j.1365-2648.2007.04301.x] [PMID]
3. Rahimi A, Ahmadi F, Akhond M. [An investigation of amount and factors affecting nurses' job stress in some hospitals in Tehran]. Hayat. 2004;10(3):13-22.
4. Dickinson T, Wright KM. Stress and burnout in forensic mental health nursing: a literature review. Br J Nurs. 2008;17(2):82-7. [DOI:10.12968/bjon.2008.17.2.28133] [PMID]
5. Noorian C, Parvin N, Mehrabi T. [Evaluation of the relationship between occupational stress and general health condition in nurses working in Isfahan university hospitals 2005]. Community Health Journal. 2010;5(1):45-52.
6. Adriaenssens J, de Gucht V, Maes S. The impact of traumatic events on emergency room nurses: Findings from a questionnaire survey. Int J Nurs Stud. 2012;49(11):1411-22. [DOI:10.1016/j.ijnurstu.2012.07.003] [PMID]
7. Assarroudi A, Golafshani A & Akbari A. [The relationship between spiritual well-being and quality of life in nurses]. Journal North Khorasan University of Medical Sciences. 2011; 9(2): 156-62.
8. Potter P, Deshields T, Divanbeigi J, Berger J, Cipriano D, Norris L, et al. Compassion fatigue and burnout. Clin J Oncol Nurs. 2010;14(5):E56-E62. [DOI:10.1188/10.CJON.E56-E62] [PMID]
9. Bagheri H, Shahabi Z, Ebrahimi H, Alaeenejad F. [The association between quality of sleep and health-related quality of life in nurses]. Hayat. 2006;12(4):13-20.
10. Zakeri Moghadam M, Shaban M, Kazemnejad A K, Ghadiani L. [Comparison Of Effective Factors On Sleeping The Nurses And Hospitalized Patients' Viewpoints]. Hayat. 2006; 12(2): 5-12.
11. Ohida T, Takemura S, Nozaki N, Kawahara K, Sugie T, Uehata T. The influence of lifestyle and night-shift work on sleep problems among female hospital nurses in Japan. Nihon Koshu Eisei Zasshi.2001; 48(8): 595-603. [PMID]
12. Lin SH, Liao WC, Chen MY, Fan JY. The impact of shift work on nurses' job stress, sleep quality and self-perceived health status. J Nurs Manag. 2014; 22(5): 604-12. [DOI:10.1111/jonm.12020] [PMID]
13. Rocha MCPd, Martino MMFD. Stress and sleep quality of nurses working different hospital shifts. Rev Esc Enferm USP. 2010;44(2):280-6. [PMID]
14. Yoder EA. Compassion fatigue in nurses. Appl Nurs Res. 2010;23(4):191-7. [DOI:10.1016/j.apnr.2008.09.003] [PMID]
15. Rassouli M, Zandiye S, Noorian M, Zayeri F. [Fatigue and its related factors in pediatric and adult oncology nurses]. IJN.2011; 24(72): 37-47.
16. Kuerer HM, Eberlein TJ, Pollock RE, Huschka M, Baile WF, Morrow M, et al. Career satisfaction, practice patterns and burnout among surgical oncologists: report on the quality of life of members of the Society of Surgical Oncology. Ann Surg Oncol. 2007;14(11):3043-53. [DOI:10.1245/s10434-007-9579-1] [PMID]
17. Raftopoulos V, Charalambous A, Talias M. The factors associated with the burnout syndrome and fatigue in Cypriot nurses: a census report. BMC Public Health. 2012 ;12(1):457. [DOI:10.1186/1471-2458-12-457] [PMID] [PMCID]
18. Gray-Toft P, Anderson JG. The nursing stress scale: development of an instrument. J Behav Assess. 1981;3(1):11-23. [DOI:10.1007/BF01321348]
19. Vercoulen JHMM, Albert M, Bleijenberg G. The checklist individual strength (CIS). Gedragstherapie. 1999; 32(5):131-136
20. Buysse DJ, Reynolds III CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Research. 1989;28(2):193-213. [DOI:10.1016/0165-1781(89)90047-4]
21. Zautcke JL, Neylan VD, Hart RG. Stress in the emergency department clerical staff. J Emerg Med. 1996;14(2):247-9. [DOI:10.1016/0736-4679(95)02109-4]
22. Ghasemi SA, Attar M. Assessing the intensity of job stressors in nurses worked in the babal, Sari and behshahr hospitals. Available at: http://www.betsaonline.com/ergonomy/ faEstress Shoghli.pdf. Accessed March 2013.
23. Hinds PS, Srivastava DK, Randall EA, Green A, Stanford D, Pinlac R, et al. Testing the revised stress-response sequence model in pediatric oncology nurses. J Pediatr Oncol Nurs. 2003;20(5):213-32. [DOI:10.1177/1043454203253785] [PMID]
24. Abdi H, Shahbazi L. [Evaluation of work-related stress and its relationship with nurses in intensive care units in Yazd. Proceedings of the Fourth Congress of Stress]. Tehran; 1991: 206-7.
25. Hazavehei MM, Moghimbeigi A, Hamidi Y. [Assessing stress level and stress management among Hamadan hospital nurses based on precede model]. The Horizon of Medical Sciences. 2012;18(2):78-85.
26. Sheerbafinejad J, Lakdizji S, Namdar H, GHujazadeh M, Fartashnaeimi A. [Occupational stressors in nursing]. Nurs Mid J.2008; 10(3): 26-30.
27. Lee I, Wang H-H. Perceived occupational stress and related factors in public health nurses. J Nurs Res. 2002;10(4):253-60. [DOI:10.1097/01.JNR.0000347606.91295.76] [PMID]
28. Soleymani M, Nasiri Ziba FN, Kermani A, Hosseini F. [Comparison of sleep quality in two groups of nurses with and without rotation work shift hours]. IJN. 2007; 20(49): 29-38.
29. Silva Borges FNd, Fischer FM. Twelve-hour night shifts of healthcare workers: a risk to the patients? Chronobiol Int. 2003;20(2):351-60. [DOI:10.1081/CBI-120019341]
30. Taylor C, Lillis C, LeMone P, Lynn P. Fundamental of nursing. 7th ed. Philadelphia: Lippincott Williams & Wilkins.
31. Shahsavand E, Mehrdad R, Sadeh niiat Haghighi KH. [Survey about sleep disorders prevalence among nurses in Emam Khomeini Hospital-Tehran and effective factors on it]. J Urmia Univers Med Sci. 2002; 12(3): 237-45.
32. Rahimpoor F. FayyazS, Fazli A,Mohammadi S. [The relationship of sleep quality and general health in shift working nurses]. TKJ. 2013; 4(4):8-13.
33. Nazatul S, Saimy I, Moy F, Nabila A. Prevalence of sleep disturbance among nurses in a Malaysian government hospital and its association with work characteristics. J U M ME C. 2008;11(2):66-71.
34. Al Hosis KF, Mersal FA, Keshk LI. Effects of Job Stress on Health of Saudi Nurses Working in Ministry of Health Hospitals in Qassim Region in KSA. Life Science Journal. 2013;10(1): 1036-1044.
35. Milutinović D, Golubović B, Brkić N, Prokeš B. Professional stress and health among critical care nurses in Serbia. Arch Ind Hyg Toxicol. 2012;63(2):171-80. [DOI:10.2478/10004-1254-63-2012-2140]
36. Mojoyinola J. Effects of job stress on health, personal and work behaviour of nurses in public hospitals in Ibadan Metropolis, Nigeria. Ethno-Med. 2008;2(2):143-8. [DOI:10.1080/09735070.2008.11886326]
37. Saheb Alzzamani M, Safavi M, Farahani H. [Burnout of Nurses Employed at Tehran Psychiatric Hospitals and its Relation with Social Supports]. Med Sci J Islam Azad Univers.2009; 19(3): 206-11

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