Professional Documents
Culture Documents
qxp:#3
11-11-11
12:29
148
148
30, 2, 2011
N
Nursing and Allied Disiplines
,
Occupational Stress, Job Satisfaction and Quality of Care in
Nursing Staff in Achaia Prefecture f Greece
ABSTRACT
Occupational Stress, Job Satisfaction and Quality of Care in Nursing Staff in Achaia Prefecture f Greece
Thomaella Tsouvaltzidou1, Evangelos Alexopoulos1, Evangelia Vageli1,2, Fani Mesolora1,2,
Ioannis Detorakis1, Eleni Jelastopulu1
1
Department of Public Health, School of Medicine, University of Patras, Rio, Patras, Greece
2
Department of Nursing, Patras Highest Institute of Education and Technology, Patras, Greece
Introduction: The nursing role is associated with multiple and conflicting demands imposed by nurse supervisors,
by administrative and medical staff. This can lead to work overload, poor work performance and burnout. The aim
of the present study was to identify possible sources of stress among the nursing staff and to evaluate job satisfaction, the quality of nursing care, the collaboration between the nursing and medical staff and nurses participation in
administrative decision making, in order to improve the working conditions and the quality of the provided health
care. Methods: Five hundred randomly selected nurses, working in University and various General Hospitals in the
prefecture of Achaia, Greece, were asked to complete an anonymous questionnaire consisting of 79 closed questions.
Statistical analysis was performed using software SPSS v.17.0. Results: The main sources of occupational stress were
attributed to the care of the dying patients (63.8%), to patients unreasonable demands (62.3%), the long working
hours (52.6%) and the shortage of essential resources (54.5%). Regarding job satisfaction, 93% of the participants
declared that the collaboration with their colleagues is good. However, they appear rather dissatisfied regarding their
monthly income (79.1%). Furthermore, we observed statistically significant differences between the participants
work years, number of children and overtime working and the support they receive from their working environment.
Conclusions: This study demonstrates the necessity of developing specific anti-stress measures for the nursing staff
and creating a positive and supportive working environment. [Ach Iatr 2011;30:148-156]
Key words: Job satisfaction, Nurses, Occupational stress
Correspondence: Eleni Jelastopulu
Public Health and Hygiene Laboratory, School of Medicine University of Patras,
Rio 26500, Patras, Greece, el: +30 2610969878, Fax: +30 2610 996101
e-mail: ejela@yahoo.de
Submitted: 7311, Revision accepted: 7411
S 30.2.qxp:#3
11-11-11
12:29
149
1
1
1,2
1,2
1
1
1
2
, ,
,
,
149
:
, . .
,
.
: 500 ,
,
. 79
SPSS v. 17.0.
:
, ,
, 26500
.: 2610969878, : 6977624636
E-mail: ejela@yahoo.de
7-3-11
7-4-11
:
(63,8%),
(62,3%), (52,6%) (54,5%). ,
93% . , (79,1%). ,
,
.
:
. [A 2011;30:148-156]
: E , E ,
, .
,1 ,
.24
.5
,
,
, .6
,
,7 ,
, , ,
. , -
S 30.2.qxp:#3
11-11-11
12:29
150
150
,
.6
,
.8 / ,
,
.9
, ,
, ,
,
.
,
,
.
,
.
.
2006-2007 , 530 /
. 500 . 79
, 4 :
) - ,
) ,
30, 2, 2011
)
)
.
(), , ,
,
.
,
NDNQI-Adapted Index of Work Satisfaction,10
Nurse Stress Index (NSI),11 Index of Job Satisfaction
Brayfield Roth12
Hackman Lawler.13
, ,
.
.
NSI,
, ()
.
18
5
1 ( ) 5 ( ).
, (1=
, 2= , 3= ). ,
.
,
,
.
() ,
.10,12,13
, ,
-
S 30.2.qxp:#3
11-11-11
12:29
151
. ,
, /
,
.
, :
1. .
2.
.
3.
.
4. , .
5. ,
.
1 6 (1= , 2=, 3= , 4= ,
5=, 6= ), 3
(1 =, 2= / 3=).
() .
(1=,
2=, 3= , 4= ),
2 (1= /, 2=
/). ,
, (1=,
2= ). ,
, ,
.
.
SPSS for Windows
v.17.0. , -
151
, 2.
1:
(n=500, %)
91,3/ 8,7
64,7/ 35,3
/ (/ / )
>=1/ 0
65/ 35
( )
<=34/ 35-44/ >44
38,1/ 50,9/ 11
()
<900/ 900-1300/ >1300
( )
<=14/ 15-19/ >=20
( ) >=5/ 1-4
68,4/ 31,6
0 h/ >40 h/ <40 h
60,2/ 39,8
2 () 0/ <8/ >=8
... ... +/- / ... ...
60,2/ 39,8
//
/
/
S 30.2.qxp:#3
11-11-11
12:29
152
152
30, 2, 2011
2: (n=500, %)
24
1
.
2
.
(63,8%),
(62,3%) / (62%).
3 ,
(93%)
.
/
16,8
18,4
18,9
27,6
24,7
29,1
30,2
28,9
28,5
35,2
39
32,9
43,9
44,8
54,9
54,9
47,7
53,8
19,4
19,3
19,1
17,1
20,8
18,3
17,8
21,3
22,4
17,1
20,1
27,3
17,3
17
12,7
12,7
20,1
15,1
63,8
62,3
62
55,3
54,5
52,6
52
49,8
49,1
47,7
40,9
39,8
38,8
38,2
32,4
32,4
32,2
31,1
3
,
,
.
4
,
(71,7%).
,
, / ,
, 51,1% .
5
-
S 30.2.qxp:#3
11-11-11
12:29
153
153
3: (n=500, %)
79,7
/
15
13,1
29,9
57
11,1
75,3
37,4
20,2
51,5
4,5
65,3
23,1
11,6
38,5
43,2
18,3
19,5
45,2
35,5
36,5
45,8
17,7
49,8
34,4
15,8
41,2
35,3
23,5
44,9
6,7
59,3
25,8
34,8
30,5
29,3
28,9
20,3
62,8
11,4
45,3
5,3
3: (n=500, %)
5,9
15
79,1
22,5
29,9
47,5
19
37,7
43,3
18
44,3
37,7
32,8
40,7
26,5
38
38,8
23,2
50,2
36,9
12,9
60
32,9
7,1
S 30.2.qxp:#3
11-11-11
12:29
154
154
30, 2, 2011
4:
( %)
28,9
71,1
37,4
62,6
46,9
53,1
58,4
41,6
28,8
71,2
45,2
54,8
.
(p=0,046) 10 .
.
, 24
.
,
.
,
.7, 9, 1416
, ,17
.
5:
OR p-value
95% CI
0
1
2
3
,304
,023
,165
0
<10
10-19
>=20
,271
,179
0
,042
,128
,010 - ,532
-,051 - ,411
,537
,454
,717
0
,007
,028
,004
,145 - ,929
,049 - ,859
,227 - 1,207
( 2 )
<8 h
>8 h
,
.
,
.
,
, .18, 19
, .
,20, 21
.
S 30.2.qxp:#3
11-11-11
12:29
155
(
)
(40 /),
.
:
1. .
2. :
.
3.
.22, 23
,
,24, 25
,
.2630
REFERENCES
1. Visser MRM, Smets EMA, Oort FJ, De Haes HCJM.
Stress, satisfaction and burnout among Dutch medical
specialists. CMAJ 2003;168:271-275
2. Faragher EB, Cass M, Cooper CL. The relationship between job satisfaction and health: A meta-analysis.
Occup Environ Med 2005;62:105-112
3. Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular
disease and implications for therapy. Circulation 1999;
99:2192-2217
4. Weinberg A, Creed F. Stress and psychiatric disorder in
healthcare professionals and hospital staff. Lancet 2000;
355:533-537
5. Butterworth T, Carson J, Jeacock J, White E, Clements
A. Stress, coping, burnout and job satisfaction in British
nurses: Findings from the clinical supervision evaluation project. Stress Medicine 1999;15:27-33
6. McGrath A, Reid N, Boore J. Occupational stress in
155
S 30.2.qxp:#3
11-11-11
12:29
156
156
30, 2, 2011
20. Zeytinoglu IU, Denton M, Davies S, Baumann A, Blythe J, Boos L. Retaining nurses in their employing hospitals and in the profession: Effects of job preference,
unpaid overtime, importance of earnings and stress.
Health Policy 2006;79:57-72
25. . :
. 2003;42:414-419
22. Mahmood-Yousuf K, Munday D, King N, Dale J. Interprofessional relationships and communication in primary palliative care: Impact of the Gold Standards
Framework. Br J Gen Pract 2008;58:256-263
23. Fagin CM. Collaboration between nurses and physicians: No longer a choice. Acad Med 1992; 67:295-303
24. Hayhurst A, Saylor C, Stuenkel D. Work environmental
factors and retention of nurses. J Nurs Care Qual
2005:20:283-288
28. Severinsson EI. Confirmation, meaning and self-awareness AS core concepts of the nursing supervision
model. Nurs Ethics 2001;8:36-44
29. Hall DS. The relationship between supervisor support
and registered nurse outcomes in nursing care units.
Nurs Adm Q 2007;31:68-80
30. McGilton KS, McGillis Hall L, Boscart V, Brown M.
Effects of director of care support on job stress and job
satisfaction among long-term care nurse supervisors.
Nurs Leadersh 2007;20:52-66