Stress and stressors in the clinical environment: a comparative study of fourth-year student nurses and newly qualified general nurses in Ireland

Suresh, Patricia and Matthews, Anne and Coyne, Imelda (2013) Stress and stressors in the clinical environment: a comparative study of fourth-year student nurses and newly qualified general nurses in Ireland. Journal of Clinical Nursing, 22 (5/6). pp. 770-779. ISSN 09621067

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Abstract

Aims and objectives. To measure and compare the perceived levels of job-related stress and stressors of newly qualified nurses and fourth-year student nurses in the clinical environment and to explore the participants' views on stress and stressors. Background. Stress in the nursing workplace has significant consequences for the person, the patient and the organisation, such as psychological and physical health deterioration and impaired professional practice. To address this problem, stress and stressors need to be measured and identified. Design. This study used a cross-sectional survey design and self-reporting questionnaires to measure and compare levels of stress in both groups. Convenience sampling involved all newly qualified nurses ( n = 120) and fourth-year student nurses ( n = 128) in Dublin North-East region in Ireland. Methods. The instrument used was 'The Nursing Stress Scale' (Gray-Toft & Anderson 1981, Journal of Behavioral Assessment 3, 11-23). Descriptive, qualitative analysis was conducted on an open-ended question. Data were obtained from newly qualified nurses ( n = 31) and fourth-year student nurses ( n = 40) in six acute hospital sites. Results. Levels of perceived stress and stressors were high in both groups. Themes identified from the responses to the open question by both groups included excessive workload, difficult working relationships and unmet clinical learning needs. Student nurses also reported the combination of academic demands with clinical placement as a major stressor. There was no significant difference between each group. Conclusion. Stress continues to be a problem for nurses in the clinical setting. Excessive workload requires urgent attention by hospital managers in view of widespread retention difficulties. Themes identified could provide a framework for possible interventions for improving the clinical environment for nurses. Relevance to clinical practice. These results can help stakeholders in nurse education and practice to develop interventions to reduce stress for both groups and to ease the transition from student to graduate nurse. [ABSTRACT FROM AUTHOR]; Copyright of Journal of Clinical Nursing is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Item Type: Article
Additional Information: Suresh, Patricia 1 Matthews, Anne 2 Coyne, Imelda 3; Affiliation: 1: Clinical Nurse Specialist, Louth County Hospital, Dundalk 2: Senior Lecturer, Faculty of Science and Health, School of Nursing and Human Sciences, Dublin City University, Dublin 3: Professor, Faculty of Health Sciences, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland; Source Info: Mar2013, Vol. 22 Issue 5/6, p770; Subject Term: COMPARATIVE studies; Subject Term: CONFLICT (Psychology); Subject Term: DEATH; Subject Term: WORKING hours; Subject Term: JOB stress; Subject Term: RESEARCH -- Methodology; Subject Term: NURSE & physician; Subject Term: NURSES -- Attitudes; Subject Term: NURSING students; Subject Term: OBSERVATION (Scientific method); Subject Term: POSTAL service; Subject Term: QUESTIONNAIRES; Subject Term: SAMPLING (Statistics); Subject Term: SCALES (Weighing instruments); Subject Term: SELF-evaluation; Subject Term: STRESS (Psychology); Subject Term: STUDENTS -- Attitudes; Subject Term: WORK environment; Subject Term: EMPLOYEES -- Workload; Subject Term: GRADUATES; Subject Term: PEER relations; Subject Term: SOCIAL support; Subject Term: THEMATIC analysis; Subject Term: INFORMATION needs; Subject Term: CROSS-sectional method; Subject Term: DESCRIPTIVE statistics; Subject Term: SOCIAL role change; Subject Term: IRELAND; Author-Supplied Keyword: newly qualified nurse; Author-Supplied Keyword: role transition and clinical environment; Author-Supplied Keyword: stress; Author-Supplied Keyword: stressors; Author-Supplied Keyword: student nurse; NAICS/Industry Codes: 561431 Private Mail Centers; NAICS/Industry Codes: 491110 Postal Service; NAICS/Industry Codes: 541910 Marketing Research and Public Opinion Polling; NAICS/Industry Codes: 333997 Scale and Balance Manufacturing; NAICS/Industry Codes: 333990 All other general-purpose machinery manufacturing; NAICS/Industry Codes: 624190 Other Individual and Family Services; Number of Pages: 10p; Illustrations: 3 Charts; Document Type: Article
Uncontrolled Keywords: COMPARATIVE studies; CONFLICT (Psychology); DEATH; WORKING hours; JOB stress; RESEARCH -- Methodology; NURSE & physician; NURSES -- Attitudes; NURSING students; OBSERVATION (Scientific method); POSTAL service; QUESTIONNAIRES; SAMPLING (Statistics); SCALES (Weighing instruments); SELF-evaluation; STRESS (Psychology); STUDENTS -- Attitudes; WORK environment; EMPLOYEES -- Workload; GRADUATES; PEER relations; SOCIAL support; THEMATIC analysis; INFORMATION needs; CROSS-sectional method; DESCRIPTIVE statistics; SOCIAL role change; IRELAND; newly qualified nurse; role transition and clinical environment; stress; stressors; student nurse
Depositing User: National Forum
Date Deposited: 06 Dec 2015 19:09
Last Modified: 12 Dec 2015 16:34
URI: http://eprints.teachingandlearning.ie/id/eprint/3758

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