Document Type : Original Articles
Authors
1 Department of Ergonomics, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
2 Professor of Occupational Health, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
3 Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract
Background: Evidence shows that job stress potentially has adverse effect on individuals’ health and organizational productivity. It has, therefore, become an important issue in the occupational health context. The aims of this study were to investigate job stress dimensions among nurses of Shiraz University of Medical Sciences (SUMS) hospitals and comparing the results with the findings of the previous studies conducted in other countries. Methods: In this cross-sectional study, 385 randomly selected nurses of SUMS participated. The Persian version of Job Content Questionnaire (P-JCQ) and demographic questionnaire were used for data collection. The linguistic validity and psychometric properties of P-JCQ have been assessed and approved in a previous study. One sample t-test was used to examine the differences between means of job stress dimension scores of the present and those of the previous studies carried out in other countries. Results: The means (SD) of decision latitude, psychological job demands, social support, physical job demands and job insecurity were found to be 58.15 (6.50), 38.19 (5.14), 22.67 (3.67), 16.03 (2.58), and 7.74 (3.85), respectively. The results revealed that decision latitude and social support dimensions were in a low level among the study subjects. In contrast, psychological job demand, physical job demand, and job insecurity dimensions were shown to be in a high level. Conclusion: The SUMS hospital environment collectively imposes higher job stress on the nurses as compared to that of other countries. To prevent harmful effects of job stress on the nurses’ health and job performance, developing macro-ergonomic strategies in this working environment, such as enhancing job control, reducing job demands, and providing supportive climate, seem necessary.
Keywords
- Li J, Yang W, Liu P, Xu Z, Cho SI. Psychometric
- evaluation of the Chinese (mainland) version of Job
- Content Questionnaire: a study in university hospitals.
- Ind Health 2004; 42(2): 260-7.
- LaDou J. Occupational & environmental medicine. 2nd
- ed. New York, Stamford: Prentice-Hall International;
- McGraw-Hill, 1997. p. 585-601.
- Levy BS, Wegman DH, Baron SL, Sokas RK.
- Occupational and environmental health: recognizing
- and preventing disease and injury. 5th ed. Philadelphia,
- Lippincott Williams and Wilkins, 2006. p. 382-395.
- Stellman JM. Encyclopedia of occupational health and
- safety. 4th ed. Geneva, International Labor Office,
- p. 34.2-34.28.
- Karasek RA, Theörell T. Healthy work-stress,
- productivity, and the reconstruction of working life.
- New York, Basic Book, 1990.
- Magnago TSBS, Lisboa MTL, Griep RH, Kirchhof
- ALC, Guido LA. Psychosocial aspects of work and
- musculoskeletal disorders in nursing workers. Rev
- Latino-Am Enfermagem 2010; 18(3): 429-35.
- Josephson M, Lagerström M, Hagberg M, Wigaeus
- Hjelm E. Musculoskeletal symptoms and job strain
- among nursing personnel: a study over a three year
- period. Ocup Environ Med 1997; 54(9): 681-5.
- Menzel NN. Psychosocial factors in musculoskeletal
- disorders. Crit Care Nurs Clin Am 2007; 19(2): 145-53.
- Chiu YL, Chung RG, Wu CS, Ho CH. The effects of
- job demands, control, and social support on hospital
- clinical nursesâ intention to turn over. Appl Nursing
- Res 2009; 22(4): 258-63.
- Kain J, Jex S. Karasekâs (1979) Job Demands-
- Control Model: a summary of current issues and
- recommendations for future research. In: Perrewe
- PL, Ganster DC. New developments in theoretical
- and conceptual approaches to job stress. UK, Emerald
- Group Publishing Limited, 2010, p. 237-67.
- Karasek R, Brisson C, Kawakami N, Houtman I,
- Bongers P, Amick B. The Job Content Questionnaire
- (JCQ): an instrument for internationally comparative
- assessments of psychosocial job characteristics. J
- Occup Health Psychol 1998; 3(4): 322-55.
- Hanse JJ, Forsman M. Identification and analysis
- of unsatisfactory psychosocial work situations: a
- participatory approach employing video-computer
- interaction. Appl Ergon 2001; 32(1): 23-9.
- Nomura K, Nakao M, Takeuchi T, Yano E. Associations
- of insomnia with job strain, control, and support among
- male Japanese workers. Sleep Med 2009; 10(6): 626-9.
- Hansen AM, Hogh A, Persson R, Karlson B, Garde
- AH, Ãrbaek P. Bullying at work, health outcomes,
- and physiological stress response. J Psychosomatic
- Res 2006; 60(1): 63-72.
- Sinokki M, Hinkka K, Ahola K, Koskinen S, Kivimäki
- M, Honkonen T, et al. The association of social support
- at work and in private life with mental health and
- antidepressant use: t he health 2000 study. J A ffect
- Disord 2009; 115(1-2): 36-45.
- Barzideh M, Choobineh AR, Tabatabaee SHR. Job stress
- dimensions and their relationship to musculoskeletal
- disorders in Iranian nurses. Work 2014; 47(4): 423-9.
- World Medical Association declaration of Helsinki,
- Finland, June 1964, and amended by the 59th
- WMA General Assembly, Seoul, Korea, October
- Available from http://www.wma.net/ en/30publications/10policies/b3/ (Accessed December
- , 2011).
- Karasek RA. Job Content Questionnaire and userâs
- guide. Lowell, Massachusetts, Department of Work
- Environment, University of Massachusetts, 1985.
- Choobineh AR, Ghaem H, Ahmadinejad P. Validity
- and reliability of the Persian (Farsi) version of the Job
- Content Questionnaire: a study among hospital nurses.
- EMHJ 2011; 17(4): 335-41.
- Morgan DG, Semchuk KM, Stewart NJ, DâArcy C.
- Job strain among staff of rural nursing homes. A
- comparison of nurses, aides, and activity workers.
- JONA 2002; 32(3): 152-61.
- Tominaga MT, Miki A. A longitudinal study of factors
- associated with intentions to leave among newly
- graduated nurses in eight advanced treatment hospitals
- in Japan. Ind Health 2010; 48(3): 305-16.
- Eum KD, Li J, Jhun HJ, Park JT, Tak SW, Karasek R,
- et al. Psychometric properties of the Korean version
- of the Job Content Questionnaire: data from health
- care workers. Int Arch Occup Environ Health 2007;
- (6): 497-504.
- Shen HC, Cheng Y, Tsai PJ, Lee SH, Guo YL.
- Occupational stress in nurses in psychiatric institutions
- in Taiwan. J Occup Health 2005; 47(3): 218-25.
- Ortiz VG. Assessment of psychosocial stressors at work:
- psychometric properties of the JCQ in Colombian workers.
- Revista Latinoamericana de Psicologia 2011; 43: 329-42.
- Ibrahim S, Smith P, Muntaner C. A multi-group crosslagged
- analyses of work stressors and health using
- Canadian national sample. Soc Sci Med 2009; 68(1):
- -59.