https://doi.org/10.4081/ejtm.2022.10909
Effects of workload and job stress on the shift work disorders among nurses: PLS SEM modeling
Submitted: 5 October 2022
Accepted: 31 October 2022
Published: 21 November 2022
Accepted: 31 October 2022
Abstract Views: 1617
PDF: 671
HTML: 47
HTML: 47
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Nurses, as the largest forces in the health system, are always challenged with various work responsibilities such as long working hours, lack of manpower and death of patients. This study aimed at providing a model of the relationship between workload and physical and mental health, sleep disorders, and individual and family problems by the mediation role of job stress. The present study is a cross-sectional study that was conducted on 300 nurses in a specialty and sub-specialty hospital in Tehran. For this reason, various questionnaires including demographic, survey of shift workers (SOS) and job stress questionnaires were used to collect the desired data. The proposed model was presented using structural equation modeling method based on Smart-PLS and SPSS-20 software. The results show that workload has an effect on job stress (β=0.747), mental health (β=-0.291), Physical health (β=-0.253), sleep quality (β=-0.234) and personal and family problems (β=-0.206). Also the results of this study show that job stress has an effect on mental health (β=-0.295), Physical health (β=-0.349), sleep quality (β=-0.295) and Personal and family problems (β=-0.441). In conclusion, results showed that the data fitted well with the model and that workload is associated with physical and mental problems, sleep disorders and individual and family problems both directly and indirectly through job stress mediation.
Moreno CR, Louzada FM. What happens to the body when one works at night? Cad SaudePublica. 2004 Nov-Dec;20(6):1739-45. Epub 2004 Dec 8. PMID: 15608878.
DOI: https://doi.org/10.1590/S0102-311X2004000600034
Esquirol Y, Perret B, Ruidavets JB, Marquie JC, Dienne E, Niezborala M, Ferrieres J. Shift work and cardiovascular risk factors: new knowledge from the past decade. Arch Cardiovasc Dis. 2011 Dec;104(12):636-68. Epub 2011 Nov 21. PMID: 22152516.
DOI: https://doi.org/10.1016/j.acvd.2011.09.004
Rouch I, Wild P, Ansiau D, Marquié JC. Shiftwork experience, age and cognitive performance.Ergonomics. 2005 Aug 15;48(10):1282-93. PMID: 16253945.
DOI: https://doi.org/10.1080/00140130500241670
Ruiz-Fernández MD, Pérez-García E, Ortega-Galán ÁM. Quality of Life in Nursing Professionals: Burnout, Fatigue, and Compassion Satisfaction. Int J Environ Res Public Health. 2020 Feb 15;17(4):1253. PMID: 32075252; PMCID: PMC7068555.
DOI: https://doi.org/10.3390/ijerph17041253
Saksvik-Lehouillier I, Bjorvatn B, Hetland H, Sandal GM, Moen BE, Magerøy N, Akerstedt T, Pallesen S. Individual, situational and lifestyle factors related to shift work tolerance among nurses who are new to and experienced in night work. J AdvNurs. 2013 May;69(5):1136-46. Epub 2012 Jul 31. PMID: 22853193.
DOI: https://doi.org/10.1111/j.1365-2648.2012.06105.x
Carayon P, Gürses AP. A human factors engineering conceptual framework of nursing workload and patient safety in intensive care units.Intensive Crit Care Nurs. 2005 Oct;21(5):284-301. Epub 2005 Feb 24. PMID: 16182125.
DOI: https://doi.org/10.1016/j.iccn.2004.12.003
Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Uchiyama M. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. J AdvNurs. 2005 Nov;52(4):445-53. PMID: 16268848.
DOI: https://doi.org/10.1111/j.1365-2648.2005.03610.x
Wong IS, Dawson D, VAN Dongen HPA. International consensus statements on non-standard working time arrangements and occupational health and safety. Ind Health. 2019;57(2):135-138. PMID: 30930407; PMCID: PMC6449635.
DOI: https://doi.org/10.2486/indhealth.57_202
Ulrich B, Barden C, Cassidy L, Varn-Davis N. Critical Care Nurse Work Environments 2018: Findings and Implications. Crit Care Nurse. 2019 Apr;39(2):67-84. Epub 2019 Feb 6. PMID: 30728131.
DOI: https://doi.org/10.4037/ccn2019605
Aiken LH, Sloane DM, Ball J, Bruyneel L, Rafferty AM, Griffiths P. Patient satisfaction with hospital care and nurses in England: an observational study. BMJ Open. 2018 Jan 11;8(1):e019189. PMID: 29326193; PMCID: PMC5781188.
DOI: https://doi.org/10.1136/bmjopen-2017-019189
Shaw JB, Weekley JA. The effects of objective work-load variations of psychological strain and post-work-load performance. J Manag. 1985 Apr;11(1):87-98.
DOI: https://doi.org/10.1177/014920638501100108
Dall'Ora C, Ball J, Reinius M, Griffiths P. Burnout in nursing: a theoretical review. Hum Resour Health. 2020 Jun 5;18(1):41. PMID: 32503559; PMCID: PMC7273381.
DOI: https://doi.org/10.1186/s12960-020-00469-9
D'Ettorre G, Pellicani V, Caroli A, Greco M. Shift work sleep disorder and job stress in shift nurses: implications for preventive interventions. Med Lav. 2020 Jun 26;111(3):195-202. PMID: 32624561; PMCID: PMC7809943.
Bardhan R, Heaton K, Davis M, Chen P, Dickinson DA, Lungu CT. A Cross Sectional Study Evaluating Psychosocial Job Stress and Health Risk in Emergency Department Nurses.Int J Environ Res Public Health. 2019 Sep 4;16(18):3243. PMID: 31487874; PMCID: PMC6765813.
DOI: https://doi.org/10.3390/ijerph16183243
van der Wal RAB, Wallage J, Bucx MJL. Occupational stress, burnout and personality in anesthesiologists. Curr Opin Anaesthesiol. 2018 Jun;31(3):351-356. PMID: 29474215.
DOI: https://doi.org/10.1097/ACO.0000000000000587
Järvelin-Pasanen S, Sinikallio S, Tarvainen MP. Heart rate variability and occupational stress-systematic review. Ind Health. 2018 Nov 21;56(6):500-511. Epub 2018 Jun 16. PMID: 29910218; PMCID: PMC6258751.
DOI: https://doi.org/10.2486/indhealth.2017-0190
Clough BA, March S, Chan RJ, Casey LM, Phillips R, Ireland MJ. Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review. Syst Rev. 2017 Jul 17;6(1):144. PMID: 28716112; PMCID: PMC5514490.
DOI: https://doi.org/10.1186/s13643-017-0526-3
Jasiński AM, Derbis R, Walczak R. Workload, job satisfaction and occupational stress in Polish midwives before and during the COVID-19 pandemic. Med Pr. 2021 Dec 22;72(6):623-632. Epub 2021 Oct 12. PMID: 34636367.
DOI: https://doi.org/10.13075/mp.5893.01149
Angermeyer MC, Bull N, Bernert S, Dietrich S, Kopf A. Burnout of caregivers: a comparison between partners of psychiatric patients and nurses. Arch Psychiatr Nurs. 2006 Aug;20(4):158-65. PMID: 16846776.
DOI: https://doi.org/10.1016/j.apnu.2005.12.004
Gander P, van den Berg M, Signal L. Sleep and sleepiness of fishermen on rotating schedules. Chronobiol Int. 2008 Apr;25(2):389-98. PMID: 18533331.
DOI: https://doi.org/10.1080/07420520802106728
Books C, Coody LC, Kauffman R, Abraham S. Night Shift Work and Its Health Effects on Nurses. Health Care Manag (Frederick). 2017 Oct/Dec;36(4):347-353. PMID: 28953576.
DOI: https://doi.org/10.1097/HCM.0000000000000177
Ribet C, Derriennic F. Age, working conditions, and sleep disorders: a longitudinal analysis in the French cohort E.S.T.E.V. Sleep. 1999 Jun 15;22(4):491-504. PMID: 10389225.
Shader K, Broome ME, Broome CD, West ME, Nash M. Factors influencing satisfaction and anticipated turnover for nurses in an academic medical center. J Nurs Adm. 2001 Apr;31(4):210-6. PMID: 11324334.
DOI: https://doi.org/10.1097/00005110-200104000-00010
Stevens RG. Light-at-night, circadian disruption and breast cancer: assessment of existing evidence. Int J Epidemiol. 2009 Aug;38(4):963-70. Epub 2009 Apr 20. PMID: 19380369; PMCID: PMC2734067.
DOI: https://doi.org/10.1093/ije/dyp178
Lunde LK, Skare Ø, Mamen A, Sirnes PA, Aass HCD, Øvstebø R, Goffeng E, Matre D, Nielsen P, Heglum HSA, Hammer SE, Skogstad M. Cardiovascular Health Effects of Shift Work with Long Working Hours and Night Shifts: Study Protocol for a Three-Year Prospective Follow-Up Study on Industrial Workers. Int J Environ Res Public Health. 2020 Jan 16;17(2):589. PMID: 31963313; PMCID: PMC7014249.
DOI: https://doi.org/10.3390/ijerph17020589
Khamisa N, Oldenburg B, Peltzer K, Ilic D. Work related stress, burnout, job satisfaction and general health of nurses. Int J Environ Res Public Health. 2015 Jan 12;12(1):652-66. PMID: 25588157; PMCID: PMC4306884.
DOI: https://doi.org/10.3390/ijerph120100652
Rasool SF, Wang M, Zhang Y, Samma M. Sustainable Work Performance: The Roles of Workplace Violence and Occupational Stress. Int J Environ Res Public Health. 2020 Feb 1;17(3):912. PMID: 32024195; PMCID: PMC7037902. 28.
DOI: https://doi.org/10.3390/ijerph17030912
Osipow SH. Occupational stress inventory, revised edition (OSI-R). Psychological Assessment Resources, Incorporated; 1998.
Komeili-Sani M, Etemadi A, Boustani H, Bahreini M, Hakimi A. The relationship between nurses' clinical competency and job stress in Ahvaz university hospital. Journal of clinical nursing and midwifery. 2015;4.
Barton J, Spelten E, Totterdell P, Smith L, Folkard S, Costa G. The Standard Shiftwork Index: a battery of questionnaires for assessing shiftwork-related problems. Work & Stress. 1955;9(1):4-30.
DOI: https://doi.org/10.1080/02678379508251582
Choobineh A, Soltanzadeh A, Tabatabai S, Jahangiri M, Khavvaji S. Comparison of shift work-related health problems in 12-hour shift schedules of petrochemical industries. Iran Occupational Health. 2010;7(4). 49-54.
Stein CM, Morris NJ, Hall NB, Nock NL. Structural Equation Modeling. Methods Mol Biol. 2017;1666:557-580. PMID: 28980265.
DOI: https://doi.org/10.1007/978-1-4939-7274-6_28
George D. SPSS for windows step by step: A simple study guide and reference, 17. update, 10/e: Pearson Education India; 2011
Chin WW. The partial least squares approach to structural equation modeling. Modern methods for business research. 1998;295 (2). 295-336.
Nunnally JC. Psychometric theory 3E: Tata McGraw-hill education; 1994
Fornell C, Larcker DF. Structural equation models with unobservable variables and measurement error: Algebra and statistics. Sage Publications Sage CA: Los Angeles, CA; 1981.
DOI: https://doi.org/10.2307/3150980
Henseler J, Ringle CM, Sarstedt M. A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the academy of marketing science. 2015;43(1)35-115.
DOI: https://doi.org/10.1007/s11747-014-0403-8
Cohen J. Statistical power analysis Jbr the behavioral. Sciences Hillsdale (NJ): Lawrence Erlbaum Associates.1988.18-74.
Chang EM, Daly J, Hancock KM, Bidewell JW, Johnson A, Lambert VA, Lambert CE. The relationships among workplace stressors, coping methods, demographic characteristics, and health in Australian nurses. J Prof Nurs. 2006 Jan-Feb;22(1):30-8. PMID: 16459287.
DOI: https://doi.org/10.1016/j.profnurs.2005.12.002
Kokoroko E, Sanda MA. Effect of Workload on Job Stress of Ghanaian OPD Nurses: The Role of Coworker Support. Saf Health Work. 2019 Sep;10(3):341-346. Epub 2019 Apr 18. PMID: 31497331; PMCID: PMC6717885.
DOI: https://doi.org/10.1016/j.shaw.2019.04.002
McNeely E. The consequences of job stress for nurses' health: time for a check-up. Nurs Outlook. 2005 Nov-Dec;53(6):291-9. PMID: 16360700.
DOI: https://doi.org/10.1016/j.outlook.2005.10.001
Wilson CB. Safer handling practice for nurses: a review of the literature. Br J Nurs. 2001 Jan 25-Feb 7;10(2):108-14. PMID: 12170493.
DOI: https://doi.org/10.12968/bjon.2001.10.2.5393
de Gaudemaris R, Levant A, Ehlinger V, Hérin F, Lepage B, Soulat JM, Sobaszek A, Kelly-Irving M, Lang T. Blood pressure and working conditions in hospital nurses and nursing assistants. The ORSOSA study. Arch Cardiovasc Dis. 2011 Feb;104(2):97-103. Epub 2011 Jan 22. PMID: 21402344.
DOI: https://doi.org/10.1016/j.acvd.2010.12.001
Mönnikes H, Tebbe JJ, Hildebrandt M, Arck P, Osmanoglou E, Rose M, Klapp B, Wiedenmann B, Heymann-Mönnikes I. Role of stress in functional gastrointestinal disorders. Evidence for stress-induced alterations in gastrointestinal motility and sensitivity. Dig Dis. 2001;19(3):201-11. PMID: 11752838.
DOI: https://doi.org/10.1159/000050681
Chandola T, Brunner E, Marmot M. Chronic stress at work and the metabolic syndrome: prospective study. BMJ. 2006 Mar 4;332(7540):521-5. Epub 2006 Jan 20. PMID: 16428252; PMCID: PMC1388129.
DOI: https://doi.org/10.1136/bmj.38693.435301.80
Huang Y, Hu Y, Mai W. Stress and sleep disturbance--a connection in CVD. Nat Rev Cardiol. 2012 Oct;9(10):598; author reply 598. Epub 2012 Aug 14. PMID: 22889951.
Olofsson B, Bengtsson C, Brink E. Absence of response: a study of nurses' experience of stress in the workplace. J Nurs Manag. 2003 Sep;11(5):351-8. PMID: 12930542.
DOI: https://doi.org/10.1046/j.1365-2834.2003.00384.x
Tennant C. Work-related stress and depressive disorders. J Psychosom Res. 2001 Nov;51(5):697-704. PMID: 11728512.
DOI: https://doi.org/10.1016/S0022-3999(01)00255-0
Mealer ML, Shelton A, Berg B, Rothbaum B, Moss M. Increased prevalence of post-traumatic stress disorder symptoms in critical care nurses. Am J RespirCrit Care Med. 2007 Apr 1;175(7):693-7. Epub 2006 Dec 21. PMID: 17185650.
DOI: https://doi.org/10.1164/rccm.200606-735OC
Arora VM, Georgitis E, Siddique J, Vekhter B, Woodruff JN, Humphrey HJ, Meltzer DO. Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. JAMA. 2008 Sep 10;300(10):1146-53. PMID: 18780843.
DOI: https://doi.org/10.1001/jama.300.10.1146
How to Cite
Saedpanah, K., Ghasemi, M., Akbari, H., Adibzadeh, A., & Akbari, H. (2022). Effects of workload and job stress on the shift work disorders among nurses: PLS SEM modeling. European Journal of Translational Myology, 33(1). https://doi.org/10.4081/ejtm.2022.10909
Copyright (c) 2022 The Authors
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.