Mental wellness and its relationship with work related stress. A research on nursing personnel

Eleni Moustaka1,2, Charilaos Koutis1,3, Fotoula Babatsikou1,4, Pavlos Sarafis5, Maria Malliarou6, Theodoros Constantinidis1,7

1. Postgraduate Programme Health and Safety in Workplace, Medical School, Democritus University of Thrace in collaboration with Public Health and Nursing School of “ Technological Educational Institute of Athens”.
2. Major RN, MSc, PhDc.
3. Professor of Hygiene, Epidemiology and Public Health, Laboratory of Epidemiology, Department of Public Hygiene, Technological Educational Institute (T.E.I.) of Athens.
4. Assistant Professor of Nursing, Laboratory of Community Heath Nursing, Department of Nursing A΄, Technological Educational Institute (T.E.I.) of Athens. G
5. Lecturer, Department of Nursing, Technological Educational Institute (T.E.I.) of Lamia.
6. Major RN, MSc, PhDc, 404 Military Hospital .
7. Occupational Physician, Ass. Professor of Hygiene, Director of Laboratory of Hygiene and Environmental Protection, Medical School, Democritus University of Thrace.

ABSTRACT

Introduction: According to surveys, there is an important evidence that high levels of occupational stress is strongly associated with low self – assessed mental health and wellbeing.

Aim: The purpose of this study was to assess the mental well-being of nursing staff in our country and to explore its relationship with work-related stress.

Material – method: Our research constituted 328 registered nurses and nurse assistants from fifteen hospitals situated inside the capital and the province areas of Greece. Data was collected by using an anonymous, self- completing questionnaire, that was specially modified from a) Expanded Nursing Stress Scale (ENSS) b) RAND 36-item Health Survey (Version 1.0). The first part of questionnaire was contained questions on socio- demographic and job characteristics. The second part included the Expanded Nursing Stress Scale by Susan E. French, Rhonda Lenton, Vivienne Walters and John Eyles. The level of mental well-being was evaluated in third part using the item «emotional well-being» of RAND 36-item Health Survey (Version 1.0).

Results: Using the statistical test of Pearson, emerged a negative linear relationship between work stress and mental well-being (r = -0,347, p <0,001). The same relationship has emerged between mental health, and the factors of work-related stress scale ENSS, as shown by the following data. “Workload» (r =- 0,340 **, p <0,001), «Patients and their families» (r =- 0,311 **, p <0,001), «Uncertainty treatment», (r =- 0,293 **, p <0,001), «Discrimination at Work», (r =- 0,123 *, p = 0,028), «Conflict with the doctors», (r =- 0,286 **, p <0,001), «Inadequate preparation to meet the emotional needs of patients and their families» (r=-0,246**, p<0,001), «Problems with colleagues», (r=-0,265**, p<0,001), «Death and dying (r =- 0,196 **, p <0,001),« Problems with the heads », (r = -0,357 **, p <0,001), (* Correlation is significant at the 0.05 ( 2 – tailed), ** Correlation is significant at the level of 0,01 (2 – tailed))

Conclusions: The conclusion of this research is that work-related stress can be considered a prognostic factor for impaired mental health nursing staff. To enable essential work stress management at the hospitals, required infrastructure, trained staff in the Health and Safety, and targeted prevention policy.

Keywords: Work-related Stress, Mental Health and well-being, Nurses.

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