Effect of Workload on Job Stress of Ghanaian OPD Nurses: The Role of Coworker Support

다국어 초록 (Multilingual Abstract)

Background: Although the concept of workload is important to nursing practice, only a few nursing researchers have focused on the issue of workload within the nursing context. Knowledge of how the dynamics of workload affects the job stress of nurses working in a specific unit or department in a hospital setting, and the influence of coworker support on this relationship, still remains limited. This study, therefore examined the effect of workload on job stress of Ghanaian outpatient department nurses and the moderating effect of coworker support on this relationship.
Methods: A cross-sectional survey design was used, and questionnaire was used to collect data from a sample of 216 outpatient department nurses from four major hospitals in Ghana. The data collected measured workload, job stress, and coworker support using National Aeronautics and Space Administration (NASA) Task Load Index, job stress scale, and coworker support scale, respectively. Data were analysed using descriptive statistics, correlation, and hierarchical regression.
Results: High levels of workload were associated with high levels of job stress of the nurses. Also, higher levels of workload were related to higher levels of job stress for nurses who received high levels of coworker support, but this was not the case for those who received low levels of coworker support (reserve buffering effect).
Conclusion: The finding reiterates the adverse effect of workloads on employees’ health, and the reverse buffering effect implies that supporting a colleague at work should be conveyed in a positive manner devoid of negative appraisal.

참고문헌 (Reference)

1 House JS, "Work stress and social support" Addison-Wesley Pub 1981

2 Beehr TA, "The role of social support in coping with organizational stress" 375-398, 1985

3 Asamani JA, "The influence of workload levels on performance in a rural hospital" 21 : 577-586, 2015

4 Spooner-Lane R, "The influence of work stress and work support on burnout in public hospital nurses" Queensland University of Technology 2004

5 Ghana Health Service, "The health sector in Ghana: facts and figures" 2017

6 Winning AM, "The emotional impact of errors or adverse events on healthcare providers in the NICU : the protective role of coworker support" 74 (74): 172-180, 2018

7 Ellis BH, "Supportive communication among nurses: effects on commitment, burnout, and retention" 6 (6): 77-96, 1994

8 Jenkins R, "Stressors, burnout and social support : nurses in acute mental health settings" 48 : 622-631, 2004

9 Liang J, "Social exchange and well-being : is giving better than receiving" 16 : 511-523, 2001

10 McGowan B, "Self-reported stress and its effects on nurses" 15 : 33-38, 2001

11 Almendra C, "Relationships among Job demand, job control, social support and job stress in registered nurses working in skilled nursing facilities" Rutgers University-Graduate School-Newark 2010

12 Gomes SFS, "Psycho-social risks at work : stress and coping strategies in oncology nurses" 21 : 1282-1289, 2013

13 Kwansah J, "Policy talk: incentives for rural service among nurses in Ghana" czs016-, 2012

14 Nedd N, "Perception of empowerment and intent to stay" 24 (24): 13-18, 2006

15 Jennings BM, "Patient safety and quality: an evidence-based handbook for nurses" Agency for Healthcare Research and Quality (US) 2008

16 Parker DF, "Organizational determinants of job stress" 32 : 160-167, 1983

17 Sveinsdottir H, "Occupational stress, job satisfaction, and working environment among Icelandic nurses : a cross-sectional questionnaire survey" 43 : 875-889, 2006

18 Nabirye RC, "Occupational stress, job satisfaction and job performance among hospital nurses in Kampala, Uganda" 19 (19): 760-768, 2011

19 Mosadeghrad AM, "Occupational stress and turnover intention : implications for nursing management" 1 (1): 169-, 2013

20 Gulavani A, "Occupational stress and job satisfaction among nurses" 3 : 733-740, 2014

21 Aiken LH, "Nurses’ reports on hospital care in five countries" 20 : 43-53, 2001

22 Caruso CC, "Negative impacts of shift work and long work hours" 39 (39): 16-25, 2014

23 Aiken LS, "Multiple regression: testing and interpreting interactions" Sage 1991

24 AbuAlRub RF, "Job stress, job performance, and social support among hospital nurses" 36 : 73-78, 2004

25 Beh LS, "Job stress and coping mechanisms among nursing staff in public health services" 2 : 131-176, 2012

26 Chou LP, "Job stress and burnout in hospital employees : comparisons of different medical professions in a regional hospital in Taiwan" 4 : e004185-, 2014

27 Baba V, "Job stress and burnout among Canadian managers and nurses : an empirical examination" 91 (91): 454-460, 2000

28 Blanco-Donoso LM, "Job resources and recovery experiences to face difficulties in emotion regulation at work : a diary study among nurses" 24 (24): 107-134, 2017

29 Hart LM, "Job demands, job decision latitude, and mental strain implications for job redesign" 24 (24): 285-308, 1988

30 Karasek R, "Job demands, job decision latitude and mental strain : implications for job redesign" 24 : 285-306, 1979

31 Montgomerya A, "Job demands, burnout, and engagement among nurses : a multi-level analysis of ORCAB data investigating the moderating effect of teamwork" 2 : 71-79, 2015

32 Karasek RA, "Healthy work: stress, productivity and the reconstruction of working life" Basic Books 1990

33 Bowling NA, "Explaining potential antecedents of workplace social support : reciprocity or attractiveness" 9 : 339-350, 2004

34 Donkor J, "Effects of stress on the performance of nurses : evidence from Ghana" 1 : 64-74, 2013

35 Al Hosis KF, "Effects of job stress on health of Saudi nurses working in Ministry of Health hospitals in Qassim region in KSA" 10 : 1036-1044, 2013

36 Cudjoe EA, "Effect of Ghanaian nurses’ mental stress on their job satisfaction:the role of workload and time pressure" University of Ghana 2015

37 Pow J, "Does social support buffer the effects of occupational stress on sleep quality among paramedics? A daily diary study" 22 : 71-85, 2017

38 Field A, "Discovering statistics using SPSS" Sage publications 2009

39 Romano M, "Cross-sectional study on the determinants of work stress for nurses and intention of leaving the profession" 68 : 203-210, 2015

40 Montgomerya A, "Connecting organisational culture and quality of care in the hospital : is job burnout the missing link" 25 : 108-123, 2011

41 Kowalski C, "Burnout in nursesethe relationship between social capital in hospitals and emotional exhaustion" 19 (19): 1654-1663, 2010

42 Wazqar DY, "An integrative review of the influence of job strain and coping on nurses’ work performance : understanding the gaps in oncology nursing research" 4 (4): 418-429, 2017

43 Needham J, "Accuracy in workload measurement : a fact or fallacy" 5 (5): 83-87, 1997