Problem: Stress at the workplace has become an increasing phenomenon due to external factors such as technological advancement, changes in the economy of a country which might lead to becoming redundant and so on. Stress can be considered as an inevitable condition at least at one point in time or another; however it can also be minimized to the extent that the productivity and health of the employee is maintained which could lead to a productive organization. Stress is also bound to occur in multinational companies where operation is global and employees have different cultural background.Purpose: Our purpose for this study is to have a clear understanding of the causes of stress at a multinational company such as Volvo Trucks AB Umeå, and how Stress by the employees as well as the company’s management are managed or handled.Methodology: This thesis has been made using qualitative approach, with a descriptive and exploratory case study approach. The data used are collected through conducting semi-structured interviews with 6 different employees from Volvo Trucks AB, Umeå one of whom works as a therapist at the company.Findings: The causes of stress at the work place range from personal problems to work overload, physical working environment, work situation and conflicts among colleagues and managers. Many employees struggle with stress, in worst cases leading to uncertainties and severe impairments on health and performance. The main situations that generate stress are likely uncontrollable, unpredictable, and some are not known. But alternatively there are several resources available like personal awareness in coping skills. For example: time management, assertiveness, ways to higher up self-confidence and so on. Management can also utilize some resources for reducing the stress level of the employees by providing services and facilities such as health facilities at the company, giving easy and on time access to therapist and also having free time activities and entertainment. Stress is related between the employee and the employer as the performance of the employee is affected by his/her stress level which intern affects the company’s productivity. Therefore stress management is Vital for both. The most successful stress management mechanisms found was time management, sharing of feelings and leisure activities.

Bakgrund: Stress på arbetsplatsen är något som blir vanligare för varje år inom sjuksköterskeyrket. Det är känt att stress har en fysiologisk och psykologisk påverkan på människor. Stress kan delas upp i två delar: stressorer och stressresponser. Sjuksköterskor kan känna av stressrelaterade symtom på grund av stressorer som: störande moment, personalbrist och arbetsbelastning. Sjuksköterskors huvudsakliga arbetsuppgift är omvårdnad och den arbetsrelaterade stressen kan i sin tur ha en effekt på omvårdnadsarbetet. Att ha en kunskap över hur omvårdnaden påverkas är behövs för att utföra ett gott omvårdnadsarbete. Syfte: Att belysa hur sjuksköterskor upplever att stress på arbetsplatsen påverkar omvårdnadskvaliteten.Metod: En litteraturstudie som utfördes med kvalitativ ansats för att förstå olika upplevelser av valt fenomen. Efter att en utförlig urvalprocess skett så kvalitetsgranskades de artiklar som var hämtade från databaserna PubMed, CINAHL och PsycINFO, för att senare analyseras i fem steg. Resultat: Det visade sig att stress på arbetsplatsen hade en påverkan på omvårdnadskvaliteten och i analysen av resultatet fastställdes fem teman: Arbetsbelastning, Hjälpmedel och utrustning, Samverkan inom vården, Sjuksköterskors kompetens samt Arbetsledningen. Tillsammans med tre subteman: Tidspress, Personalbrist och Patienter och anhöriga.Konklusion: Omvårdnaden påverkades av stress på arbetsplatsen samt relaterades till de fem redovisade teman. Den mest omtalade infallsvinkeln var arbetsbelastning som i sin tur påverkades av andra inkluderade teman. Det visades även att sjuksköterskors upplevda stress påverkade omvårdnadskvaliteten, dock beskrevs det eventuella lösningar som bidrog till bättre omvårdnad. / Background: Work-related stress is becoming more common for every year within the nurse profession. It is known that stress has physiological and psychological effects on people. Stress can be divided into two parts: stressors and stress responses. Nurses can experience the stress related symptoms because of stressors as: disturbing elements, shortage in staff and workload. Nurses main task is patient care and the work-related stress can have an effect on nursing. Knowledge of how nursing is affected is needed in order to perform good nursing work. Aim: To describe how nurses experience that stress at the workplace affects the quality of nursing care.Method: A literature review was done with a qualitative design to get a deeper understanding of experiences surrounding the chosen phenomenon. A detailed sampling process was conducted. The articles found in the databases PubMed, CINAHL and PsycINFO were reviewed to address a level of quality and then analyzed in five steps. Results: It was shown that work-related stress had a certain impact on the quality of nursing care and in the analysis of the results five themes were assessed: Workload, Instruments and equipment, Interplay within care, Nurses competence and Work management. Together with three subthemes: Time pressure, Staff shortage and Patients and next of kins. Conclusion: Nursing care was impacted by stress at the workplace which related to the five presented themes. The main approach was workload, which was also linked to the other included themes. It was also shown that nurses experience of stress impacted the quality of nursing care, although it was described that there were possible solutions that contributed to better care.