<p>A survey of the literature revealed that althougth a great deal of research has been carried out relating to stress and coping internationally, little has been written about nurses in South Africa. The aim of this study was to identify the possible causes and frequency of stress experienced by registered nurses working in a hospital, to identify the coping strategies used, to assess the relationship between stress and coping mechanisms of registered nurses, to compare stress and adopted coping strategies among registered nurses in the different units/wards, to identify the support systems that minimize stress and to address stress amongst nurses in South Africa.</p>

The purpose of this study was to determine whether the job satisfaction and motivating potential of nursing jobs would be higher for nurses using Patient Focused Care (PFC) compared with nurses not using PFC. Nurses from a large metropolitan hospital served as subjects. Data were collected using three instruments designed to measure job satisfaction and motivating potential. Those instruments were the Job Diagnostic Survey, the Job Descriptive Inventory, and the McCloskey/Mueller Satisfaction Scale. It was hypothesized that nurses working on PFC nursing units would demonstrate greater job satisfaction and motivating potential than nurses working on non-PFC nursing units. The hypotheses were not supported. Results were explained by, among other things, accounting for the nature of the instruments used. The two instruments which gave data counter to the hypothesized direction were not nursing-oriented.

Submitted in fulfillment of the requirements for the Degree in Master of Health Sciences in Nursing, Durban University of Technology, Durban, South Africa, 2016. / Introduction Moral distress is a widely recorded phenomenon in the nursing profession. It can be described as a form of distress that occurs when one knows the ethically correct thing to do, but is prevented from acting on that perceived obligation. Moral distress impacts patients, nurses and the organization. If the nurse is unable to advocate for her or his patient and avoidance behaviour occurs, increased patient suffering result. Moral distress results in high staff turnover, decreased quality patient care and low patient satisfaction. Unrelieved moral distress jeopardizes nurse’s sense of self-worth and threatens their integrity. Aim of the study The aim of the study was to determine the impact of moral distress on the provision of nursing care amongst critical care nurses. Methodology A quantitative descriptive design was used to determine the intensity and frequency of moral distress amongst critical care nurses, to assess the impact of moral distress on the provision of nursing care to the patient as well as to evaluate the effectiveness of organisational strategies implemented to reduce moral distress. Critical care nurses from both private and public hospitals were selected to participate in the study. Data was collected by means of a survey using the moral distress scale which was revised to meet the objectives of the study. A non-probability purposive sampling technique was utilised to gather data from a sample size of 100 critical care nurses currently working in the critical care environment. Results The study indicates that the frequency and intensity of moral distress is related to specific clinical situations in the critical care environment. The study also specifies that moral distress continues to have a negative effect on the provision of nursing care. Critical care nurses feel that some strategies are effective whereas others are not at all effective. Impact of the research study This study reveals that there is a significant negative effect of moral distress on the provision of nursing care. Nurses experience challenges in the clinical environment that result in them experiencing moral distress. Nurses more attuned to the ethical dimensions of care may be more at risk for moral distress since these nurses see the moral dimensions of nursing being neglected. Nurses may find themselves distancing themselves from patient care, resulting in a perceived lack of care and concern for the patient. / M

M.Cur. / The overall objective of this study is to measure the level of work satisfaction among nurses at Athlone, Lobatse Mental and Scottish Livingstone hospitals, and develop guidelines for the nursing service manager to facilitate work satisfaction. The nursing service manager is responsible and accountable for quality personnel management. Personnel management involves the adequate provision and utilisation of personnel as well as the retention and development of personnel. In view of existing problems such as high turnover rates, too much work and the public's concerns about the standard of nursing, there is need to regularly evaluate the level of work satisfaction among nurses. Hence the study address the formulation of guidelines for the nursing service manager to facilitate work satisfaction and empower nurses. Emanating from the above the following questions are relevant: What is the level of work satisfaction among nurses in the three government hospitals ? What measures need to be put in place in order to increase work satisfaction among nurses ?

A enfermagem é considerada uma profissão que sofre o impacto do stress, que advém do cuidado constante com pessoas doentes e situações imprevisíveis, principalmente na unidade de pronto socorro. A finalidade deste estudo foi de levantar os estressores dos enfermeiros atuantes em unidades de pronto socorro nas cinco regiões brasileiras. A população do estudo constituiu-se de uma amostra de 143 enfermeiros atuantes em unidades de pronto socorro das regiões brasileiras e que estavam inseridos em instituições de alta complexidade de assistência prestada. Os dados foram coletados utilizando-se a Escala Bianchi de Stress, constituída por caracterização sócio-demográfica e por 51 itens, que versavam sobre as atividades desempenhadas pelos enfermeiros. A análise estatística dói descritiva e inferencial, usando análise de variância ANOVA. Com a finalidade de promover a comparação e estudo dos dados, foi realizado o escore de stress, em seis domínios, englobando o relacionamento(A), funcionamento da unidade(B), administração de pessoal(C), assistência de enfermagem(D), coordenação da unidade(E) e condições de trabalho(F). Os níveis obtidos foram classificados em baixo (até 3,0), médio (de 3,1 a 4,0) alerta (de 4,1 a 5,9) e alto (acima de 6,0).A amostra foi eminentemente feminina (90,9%), jovem (71,1% com menos de 40 anos), com 2 a 5 anos de formação, atuantes na unidade de pronto socorro há aproximadamente 36 meses, sendo 82,5% dos enfermeiros com cargos assistenciais, 73,2% com pós-graduação latu sensu, e 46,2% dos enfermeiros atuavam em instituições da região Sudeste. Verificou-se que, os enfermeiros obtiveram escore individual de stress entre 3,1 e 5,9, o que denota médio nível a alerta para alto nível de stress. Considerando-se o escore de stress por região obtive-se que SE > NE > S > CO > N. Na análise dos seis domínios, obteve-se, em ordem decrescente, F > C > E > D > B > A, independentemente da região geográfica a que pertencia o enfermeiro. O cargo de \"gerência\" foi a variável com relação estatisticamente significante (p < 0,05), demonstrando que \"ser gerente\", é estressante e aumenta à medida que aumenta também o tempo de formado. Pode-se inferir que tanto a estrutura organizacional da instituição hospitalar tem responsabilidade no nível de stress dos enfermeiros de pronto socorro como também o próprio enfermeiro, na procura de estratégias para enfrentamento da situação, que pode interferir no âmbito pessoal e profissional. / The nursing is considered as stressed work due to treating sick people and improvable situations as in Emergency Department (ED). The goal of this study is to search stressors among Brazilian nurses who work at ED. The sample was constituted by 143 nurses who work at high complexity hospitals. Data was obtained using a \"Bianchi Stress Inventory\" that enclosed socio-demographic data and 51 activities developed by nurses. Statistical analyses was descriptive and inferential using ANOVA. In order to compare data, there was used a score of stress and classified into six areas: relationship(A), unit functioning(B), staff administration(C), nursing assistance(D), unit coordination(E) and work conditions(F). The stress level was determined as low (under 3,0), medium (from 3,1 to 5,9) and high (above 6,0). The sample was feminine (90,9%); young (71,1% under 40 years old); from 2 to 5 years after finishing of undergraduate course; has worked at ED for 36 months as staff nurse (82,5%), concluded graduate course latu sense (73,2%) and 46,2% work in Southeast States. The individual score of nurses varied from 3,1 to 5,9 considered medium level. The stress score among states, in decrescent order, was: Southeast > Northeast > South > Center-West > North. After analyzing the six areas, the classification was: F > C > E > D > B > A and was independent of geographical localization. The \"management\" nurses were more stressed than the others and the result was statistically significant (p < 0,05) and increased with the period after finished undergraduation. The consequences of those results are that the hospital has the responsibility to offer work conditions for nurses and, on the other hand, nurses must know their stress reaction and stressors and improve the use of coping strategies, to diminish personal and professional interferences.

Orientador: Wilsa Carla Spiri / Banca: Magda Crisitina Queiroz Dell'Acqua / Banca: Andrea Bernardes / Resumo: O ambiente de trabalho é um dos fatores intervenientes da qualidade assistencial ao usuário. Os processos de acreditação hospitalar avaliam a qualidade e contribuem para o alcance da excelência. Correlacionar o ambiente de trabalho com a certificação de qualidade pode contribuir com o conhecimento nessa temática. Dentre as possibilidades de identificar o ambiente de trabalho das organizações de saúde o instrumento Nursing Work Index - Revised (NWI-R) tem sido utilizado em diferentes culturas e ambientes da prática do enfermeiro. O NWI-R foi traduzido, adaptado e validado para a cultura brasileira e denominado Nursing Work Index - Revised - Versão Brasileira (B-NWI-R). Esse estudo tem como objetivo analisar o ambiente de trabalho do enfermeiro de dois hospitais públicos, comparar o ambiente de trabalho desses hospitais e compreender os fatores relacionados ao ambiente de trabalho do enfermeiro que mais interferem no processo de trabalho. Foi realizado estudo na abordagem quantitativa e qualitativa. Na quantitativa foram dois estudos transversais em paralelo, com enfermeiros assistenciais dos hospitais entre janeiro a setembro de 2014. O hospital A não era acreditado e o hospital B acreditado (nível 1). A coleta de dados foi por meio de um questionário com dados sóciodemográficos laborais e o B-NWI-R com 57 itens e quatro domínios: autonomia, controle sobre o ambiente, relacionamento médico e enfermeiro e suporte organizacional. A confiabilidade do instrumento foi medida pelo alpha de Cronbach. Responderam o instrumento 106 enfermeiros, 50 do hospital A e 56 do B. Na qualitativa adotou-se a análise de conteúdo, com oito gerentes de enfermagem. A coleta dos dados utilizou entrevistas audiogravadas e semiestruturadas com a questão norteadora: "Segundo sua perspectiva, quais são os fatores relacionados ao ambiente de trabalho do enfermeiro que mais interferem no processo de trabalho deles?" As entrevistas duraram... / Abstract: The working environment is one of the influencing factors of service quality to the user. The hospital accreditation process evaluates the quality and contributes to the achievement of excellence. Correlating the working environment with quality certification can contribute to the knowledge in this subject. Among the possibilities of identifying the working environment of health organizations the source Nursing Work Index - Revised (NWI-R) has been used in different cultures and nursing practice environments. The NWI-R was translated, adapted and validated for the Brazilian culture and called Nursing Work Index - Revised - Brazilian version (B-NWI-R). This study aims to analyze the working environment of nurses from two public hospitals, compare their environment and understand the factors related to nurses' workplace that affect the work process. A study was conducted in quantitative and qualitative approach. The quantitative research covered two cross-sectional studies in parallel, with hospital nurses between January and September 2014. Hospital A was not accredited and Hospital B was accredited (level 1). Data collection was carried through a questionnaire with labor socio-demographic data and the B-NWI-R with 57 items and four areas: autonomy, control over the working environment, doctor and nurse relationship and organizational support. The reliability of such resource was measured by Cronbach's alpha. The test was answered by 106 nurses, 50 from Hospital A and 56 from Hospital B. The qualitative research adopted the content analysis, with eight nursing managers. Data collection used audio recorded and semi-structured interviews with the guiding question: "According to your perspective, what are the factors related to the nursing working environment that interfere in the working process?" The interviews lasted 30 minutes. The research was approved by the Research Ethics Committee, Platform Brazil No. 23304713.4.0000.5411. The ... / Mestre

Thesis (M.A. (Nursing Science)) --University of Limpopo, 2018 / Introduction and background The shortage of human resources in rural areas remains a crisis, especially in subSaharan Africa, affecting rural primary health centres. The purpose of this study was to identify and describe factors influencing the retention of health care workers in rural clinics, in order to develop strategies to improve retention in rural clinics. Methodology A quantitative research method and descriptive design was used in this study. The population was professional nurses and operational managers in rural clinics. Simple random sampling was used to select the clinics, the professional nurses and operational managers. The sample size were 210 professional nurses and operational managers. Only 170 professional nurses and operational managers participated in the study. Data were collected using a questionnaire, and all ethical principles were adhered to. The data was analysed using SPSS version 22.0. Results The study revealed that there are complex interconnecting factors that affect retention. It was further revealed that age is the core factor affecting retention (P= 0.001) with 19 (100%) of those aged < 30 years intending to leave rural practice. Furthermore, more than half of the respondents 118 (87.06%) were dissatisfied with the salary they earned. Only 1 (0.6%) of the respondents had a masters’ degree. Conclusion It is therefore concluded that both financial and non-financial incentives such as education, improving working conditions and relationship with colleagues needs to be incorporated in order to improve nurse retention. Key words: Retention, migration, rural health care workers, job satisfaction

Workplace mistreatment (bullying, horizontal violence, and incivility) has been shown to impact nurses’ work satisfaction, job turnover, and physical and mental health. However, there are limited studies that examine its effect on patient outcomes. A correlational descriptive study of 79 acute care nurses was used to test a social justice model for examining the relationship between workplace mistreatment, quantified as threats to dimensions of nurses’ well-being (health, personal security, reasoning, respect, attachment, and self-determination), and nurses’ ability to provide quality patient care. In addition, this study considered the moderating effect of caring work environment among co-workers on nurses’ ability to provide quality patient care in the face of workplace mistreatment. Stories of workplace mistreatment were collected anonymously and analyzed for alignment with threats to six dimensions of well-being. Ability to provide patient care was measured using the Healthcare Productivity Survey and a caring work environment was measured via the Culture of Companionate Love scale. The results demonstrated that threats to all six dimensions of well-being described by Powers and Faden (2006) were expressed in nurses’ stories of workplace mistreatment. Furthermore, 87% reported a decrease in ability to provide patient care after an incident of workplace mistreatment. Yet frequency of threatened dimensions did not have a significant relationship with ability to provide patient care. Moreover, there was a significant moderator effect of the caring work environment on the relationship between number of threatened dimensions of well-being and ability to provide quality patient care. Nurses in high caring environments loss less ability to provide care than nurses in low caring environments when one to three dimensions of well-being were threatened. However, this relationship reversed when four or more dimensions were threatened. Implications include further research on the relationship between workplace mistreatment and nurse well-being and changing practice to include fostering a caring work environment in healthcare facilities. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2017. / FAU Electronic Theses and Dissertations Collection

The purpose of this thesis was to examine the relationship between locus of control and the intensive care nurse's perception of job-related situations. It was hypothesized that intensive care nurses who evidenced an external locus of control would classify job-related situations as more stressful, more threatening, and less challenging than intensive care nurses who evidenced an internal locus of control. The instruments consisted of (1) a demographic questionnaire, (2) an instrument developed by this investigator to measure the degree of perceived stressful, threatening, and challenging aspects of certain job-related situations, and (3) Rotter's Internal-External Locus of Control Scale. The questionnaires were distributed to nurses working in intensive and coronary care units in one medium sized city in Indiana. An N of 75 was obtained.The hypotheses that external intensive care nurses would classify job-related situations as more stressful and more threatening were supported (F = 9.26, p<0.01, and F = 6.08, p<0.01 respectively). The hypothesis that internal nurses would classify more job-related situations as challenging was not supported by the data (F = 0.01, p = 0,91).Ball State UniversityMuncie, IN 47306

published_or_final_version / Nursing Studies / Master / Master of Nursing in Advanced Practice