Bakgrund: Arbetsrelaterad stress är ett världsomfattande problem inom hälso- och sjukvården och kan missgynna sjuksköterskornas prestationsförmåga och omvårdnadsarbete. Det finns en obalans mellan sjuksköterskornas resurser och förväntningar från verksamheten vilket är oroväckande för vårdkvaliteten och patientsäkerheten. Syfte: Syftet är att beskriva hur patientsäkerheten påverkas i samband med arbetsrelaterad stress hos sjuksköterskor inom slutenvården. Metod: Studiens design var en litteraturöversikt med 16 inkluderade artiklar från olika delar av världen från databaserna PubMed och CINAHL. Resultat: Bristande kommunikation, försenad eller utebliven omvårdnad och vårdskador, läkemedelskomplikationer samt sjuksköterskans kognitiva försämring framkom som påverkande faktorer för patientsäkerheten relaterat till sjuksköterskans stressiga arbetssituation. Slutsats: Den arbetsrelaterade stressen har en allmänt negativ påverkan på hälso- och sjukvårdens kvalitet och produktivitet. Studiens resultat visar att sjuksköterskornas stressiga arbetssituation påverkar patientsäkerheten och bidrar till en oförmåga att vårda patienterna på ett respektfullt vis utifrån ett helhetsperspektiv. / Background: Work-related stress is a worldwide healthcare problem and may adversely affect the nurses’ performance and nursing work. There is an imbalance between the nurses' resources and the expectations from the healthcare organization, which causes concern among the nurses about the negative effects for quality of care and patient safety. Aim: The aim of this study is to describe how patient safety is affected by the nurses’ work-related stress in inpatient care. Method: The design of this study was a literature review with 16 included articles from different parts of the world from the databases PubMed and CINAHL. Result: Lack of communication, delayed or non-occurred nursing and care-related injuries, drug complications and nurses’ cognitive failure emerged as influencing factors for patient safety related to the nurses’ stressful work situation. Conclusion: The work-related stress has a generally negative impact on the quality and productivity of healthcare. The study's findings show that the stressful work situation of nurses affects patient safety and contributes to the inability to adequately care for patients from a holistic perspective.

Magister Public Health - MPH / Job satisfaction is important for the delivery of quality health care and health worker retention. This study aimed to identify the extent of job satisfaction among University Teaching Hospital of Kigali (UTHK) health workers and to describe the variables related to job satisfaction. These included working conditions, remuneration, patient care, development opportunities, supervision, time pressure and staff relations. A cross- sectional survey of UTHK health workers was conducted using a standardized instrument to identify health worker job satisfaction with related key work factors. A self-administered questionnaire was used to collect data from 274 health workers selected using a proportional stratified random sampling method and which included 21 medical doctors, 159 nurses, 19 midwives, 37 paramedic and 37 administrative staff. Respondents provided written consent to participate in the study. Analysis consisted of both descriptive statistics of overall satisfaction and various satisfactionrelated factors. For determining whether there is a significant relationship between job satisfaction and its independent variables, data were categorized and Chi-square or Fisher Exact test performed. Results showed a moderate overall job satisfaction level with 79.1% of respondents rating their satisfaction between 6 and 8 (mean: 6.7) on a scale of 1-10. A majority of respondents (82.6%) reported being dissatisfied with work income and 85.6% believed that their pay was not comparable to the work done. Over four fifths of the respondents (83.3%) reported feeling overwhelmed by responsibilities at work while a big percentage (96.5%) reported their job to be demanding physically, emotionally as well as mentally. However, respondents reported strong satisfaction (between 80% and 95%) with respect to work meaning, professionalization, training and orientation variables. Factors significantly associated with job satisfaction were adequate training to fulfill responsibilities (p value<0.001), feeling unvalued by the hospital (p=0.037) and dissatisfaction with supervisor care for patients and employees (p=0.034). In conclusion, improvement of remuneration, working conditions and hospital management in Kigali University Teaching Hospital would be expected to increase the level of job satisfaction of hospital health workforce.

Syfte: Att beskriva sjuksköterskors upplevelse av arbetsrelaterad stress inom hälso- och sjukvården. Metod: Denna studie är en beskrivande allmän litteraturstudie baserad på fem kvalitativa artiklar samt sju kvantitativa artiklar. Sökningen inkluderade artiklar mellan åren 2005–2017. Resultat: Analysen visade tre huvudteman: Hög arbetsbelastning och underbemanning, Bristande möjligheter att påverka arbetssituationen samt Emotionellt arbete - en stressfaktor. Resultatet indikerade att faktorer som hög arbetsbelastning, underbemanning, konflikter mellan personal, otillgänglighet av läkare, otillräcklig återkoppling från chefer samt arbete med döende patienter, var de orsaker som leder till högst stressnivå. Slutsatser: Arbetsrelaterad stress drabbar inte enbart personal inom sjukvården. Stress förekommer även inom yrken där arbetet präglas av känslomässigt krävande situationer och händelser. Arbetsrelaterad stress hos sjuksköterskor är ett globalt fenomen, som kan bero på flera orsaker. De mest framträdande orsakerna till stress har visat sig vara hög arbetsbelastning, underbemanning, emotionellt arbete samt personalkonflikter. Om inte stressen åtgärdas kan sjuksköterskors möjlighet till att ge god och patientsäker vård äventyras. Det är därför betydelsefullt att det interprofessionella samarbetet och rutiner fungerar på arbetsplatsen, samt att arbetsgivaren upptäcker och förebygger stress. Förslag på fortsatt forskning: Vid insamling av data reagerade författarna på att det fanns få kvalitativa studier kring ämnet, något som därför efterfrågas. Studier hur patienten upplever den arbetsrelaterade stressen skulle vara av intresse. Fler studier efterfrågas gällande skillnader och likheter mellan män och kvinnors upplevelse av arbetsrelaterad stress. Förhoppningen med denna studie är att den ska kunna bidra till ökad kunskap och förståelse för de utlösande orsakerna till arbetsrelaterad stress. Nyckelord: Arbetsrelaterad stress, sjuksköterskor, arbetsmiljö, upplevelse, globalt perspektiv / Aim: To describe nurses' experience of work-related stress in the healthcare sector. Method: This study is a descriptive general literature study based on five qualitative articles as well as seven quantitative articles. The search included articles between the years 20052017. Result: The analysis showed three main categories: High workload and shortage of staff, Inadequate opportunities to influence the work situation and Emotional work - a stress factor. The results showed that factors such as high workload, shortage of staff, interpersonal issues, unavailability of physicians, insufficient feedback from managers, and work with dying patients, were the reasons leading to the highest level of stress. Conclusions: Work-related stress does not only affect staff in the healthcare sector. Stress also occurs in occupations where the work is characterized by emotionally demanding situations and events. Work-related stress in nurses is a global phenomenon, which may be due to several reasons. The most prominent causes of stress have been shown to be high workload, shortage of staff, emotional work and personal conflicts. Unless stress is addressed, nurse's ability to provide good and patient-safe care can be compromised. It is therefore important that interprofessional cooperation and procedures work in the workplace, and that the employer detects and prevents stress. Proposals for continued research: During the article search, the authors responded to the fact that there were too few qualitative studies on the subject, as requested. Studies how the patient experiences the work-related stress would be of interest. More studies are being asked about differences and similarities between men and women's experience of work-related stress. Hopefully this study will contribute to increased knowledge and understanding of the triggering causes of work-related stress. Keywords: Work-related stress, nurses, work environment, experience, global perspective

Vehicles being driven for work purposes represent a large proportion of road collision and deaths in the workplace. These observations mean that people driving for work can impose a large burden on organisations and on society. In addition, previous studies identified a fleet driver effect for which there was greater collision risk for those who drive for work compared to the general driving population, even after controlling for exposure. This accentuates the need for both organisational and government policy makers to take steps to reduce the impact of these collisions. No single intervention has been found to solve issues around work-related road safety therefore a range of initiatives have been directed towards the risks associated with drivers, vehicles, journeys and organisations. Many of the interventions, however, lack robust evidence to support their use. The aim of this thesis is to assess organisational interventions to improve work-related road safety by using econometric models on real-world data. The data represents driving claims made between 2005 and 2012 by employees of a large UK company, with a fleet of approximately 35,000 vehicles. The drivers were employed in a variety of roles such as working in technical positions at customer sites or making sales visits. The company has applied a range of strategies to road safety resulting in annual claim reductions of 7.7% compared to only a 4.5% reduction in collisions nationally. The company s data are used to undertake three studies which focused on driver training, manager training and claim segmentation. Statistical models were employed to investigate the effect of two different driver training courses on the frequency of claims while controlling for other factors. The results indicated that driver training courses significantly reduced both the total number of claims and the claim types targeted by the training. The impacts of the interventions were also adjusted for the effects of non-random driver selection and other safety improvements initiated by the company or other agencies. An important finding of this work was that randomly inflated pre-training events accounted for between a third and a quarter of the observed reduction in claims following training. The second study evaluated the impact of management training on claims using multilevel models which allowed for correlation between observations. The study could not confirm that this training was an effective safety intervention. This null result provides an incentive to re-evaluate the implementation of the scheme. The final study identified homogeneous claim segments using statistical models and the impact of training was evaluated on these segments. Such claims were estimated to be reduced by between 32% to 55% following existing driver training courses. This thesis has helped close important gaps and contributed to knowledge in terms of both intervention methodology and the understanding of the effectiveness of work-related road safety interventions. The results, which are already being applied in the case study organisation, demonstrated that training employees in either safe and fuel efficient driving, or low speed manoeuvring, reduced vehicle insurance claims. Further work is necessary to verify the safety value of manager training including gathering detailed information on interactions between managers and drivers.

Os Distúrbios Osteomusculares Relacionados ao Trabalho (DORT) acometem a saúde do trabalhador, desde a década de 90, gerando ocorrências num grande número de pessoas, em diferentes países e diversas atividades, sendo um dos casos mais evidenciados no contexto ocupacional. Trabalhadores sujeitos a cargas de trabalho semelhantes, que desempenham a mesma atividade, podem apresentar variações significativas no seu estado de saúde relacionado ao trabalho. Uma forma eficaz de reduzir o número de casos de DORT é a prevenção, que só se torna efetiva se for participativa e abrangente e se minimizar os fatores de risco presentes nas situações de trabalho. O objetivo deste estudo foi realizar a gestão preventiva dos problemas relacionados aos DORT, através de uma abordagem ergonômica estruturada, interpretações, prevalências, tipos de tratamentos ou reabilitações para retorno ao trabalho, bem como avaliar e gerar dispositivos de controle dos problemas relacionados aos DORT em uma indústria cimenteira, baseando-se na estratégia SOBANE, por ser uma estratégia de prevenção que avalia os fatores de risco e permite a interação com os trabalhadores. (excluída a frase sobre limitação do método) Como resultado prático para a empresa foram propostas recomendações através de plano de ação detalhado, de forma a melhorar continuamente as atividades e postos de trabalho, reduzindo os fatores de risco. / Work Related Musculoskeletal Disorders (WRMD) affect the health of workers, since the Nineties, generating occurrences in a great number of people, in different countries and several activities, which are being one of expressed cases in the occupational context. Employees subjected to similar loads, performing the same activity, can present significant variations of their state of health work related. An effective way to reduce the number of WRMD cases is the prevention, only becomes effective if it is participative and comprehensive and if it minimizes the risk factors present at the workplace. The purpose of this study was to conduct the preventive management of the problems related to WRMD, through a structural ergonomic approach, interpretation, prevalences, types of treatments or rehabilitation to return to work, as well as generating controls devices of problems related to WRMD in a cement industry, based on SOBANE strategy, to be a prevention strategy which evaluates the risk factors and allows the interaction with employees. On the basis of the findings, recommendations are proposed through a detailed action plan, in order to apply continuous improvement in the work environment, reducing the risk factors.

Bakgrund: Utbrändhet är trots omfångsrik forskning fortfarande ett ökande folkhälsoproblem i samhället. Forskning visar att utbrändhet har starkt samband med arbetslivet och att yrkesgrupper inom vårdsektorn är särskilt utsatta. Självmedkänsla som en ganska ny form av intervention kan här spela en roll i ett preventivt folkhälsoarbete mot utbrändhet. Syfte: Litteraturöversiktens syfte är att belysa självmedkänsla som förebyggande åtgärd mot utbrändhet hos yrkesgrupper inom vårdsektorn. Metod: Ett urval av tio vetenskapliga artiklar har systematiskt lästs, kodats och analyserats för att få fram teman för ny förståelse och för att uppnå syftet med litteraturöversikten. Resultat: Kvalitativa studier visar komplexiteten i begreppet medkänsla och att emotionella aspekten av vård baserad på medkänsla behöver balanseras med egenomsorg. Flera studier visar att självmedkänsla påverkar främst interrelationella sammanhang men inte organisation och arbetsplats i någon större omfattning. Individuella egenskapers kopplingar till olika komponenter i självmedkänsla lyfts som både riskfaktorer och skyddsfaktorer för utbrändhet. Variablerna perspektivförmåga och empatisk omsorg ses som främjande faktorer mot utbrändhet. Självmedkänsla kan motverka risk för utbrändhet visar ett antal studier. Slutsats: Självmedkänsla kan vara av betydelse för bättre förutsättning att hantera emotionell belastning i arbete inom vårdsektorn. Mer praktisk interventionsbaserad forskning med kontrollgrupper behövs för att avgöra effekt av självmedkänsla. / Background: Burnout is despite extensive research still an increasing public health problem in society. Research shows that burnout has a strong connection with work life and that occupational groups in the healthcare sector are particularly vulnerable. Self-compassion as a fairly new form of intervention may play a role in preventive public health work against burnout. Purpose: The purpose of this literature review is to highlight self-compassion as a preventive action against burnout in occupational groups in the healthcare sector. Method:A selection of ten scientific articles has been systematically read, coded and analyzed to obtain themes for new understanding and to achieve the purpose of the literature review. Results: Qualitative studies show the complexity of the concept of compassion and that the emotional aspect of compassion-based care needs to be balanced with self-care. Several studies show that self-compassion primarily affects interrelational contexts but not organization or workplace to the same extent. Individual properties connected to different components of self-compassion are lifted as both risk factors and protective factors. The variables of perspective taking and empathic concern are seen as promoting factors against burnout. Self-compassion can buffer against burnout, as shown in a few studies. Conclusion: Self-compassion may be of importance for better prerequisites for dealing with emotional burden in professions within the healthcare sector. More intervention-based research with control groups is needed to determine the effect of self-compassion.

Sjukskrivningar med anledning av stressrelaterade åkommor har ökat stort de senaste åren och det skiljer sig i antalet mellan kvinnor och män. Tidigare forskning visade på att medarbetare med högt organisatoriskt engagemang hade en starkare vilja till att utöva större arbetsinsatser och ansträngningar på uppdrag av organisationen. Det fanns dock en risk med att den anställda gjorde en så stor ansträngning att det påverkade återhämtningen, som i sin tur kunde leda till stressrelaterade sjukdomar. Studier på arbetsrelaterad stress förekommer i stor utsträckning, dock har få studier undersökt sambanden mellan variablerna organisatoriskt engagemang och arbetsrelaterad stress. För att besvara frågeställningarna har en kvantitativ studie gjorts där datainsamlingen skedde genom både onlinebaserad enkät samt pappersenkäter med totalt 25 påståenden. Enkäten bestod av två etablerade frågeformulär; Organizational Commitment Questionnaire (OCQ) samt Perceived Stress Scale 10-items (PSS) som avsåg att mäta engagemang på arbetsplatsen samt arbetsrelaterad stress. Totalt deltog 233 personer i studien (M= 34,9 år, SD= 10,2 år, åldersintervall 18–68 år, 63% kvinnor). Variablerna visade på en normalfördelning och därför kunde en enkel linjär regression göras. Resultatet visade på ett negativt statistiskt signifikant samband mellan engagemang och stress hos kvinnor, dock inte hos män. Engagemangsnivåer kan i högre utsträckning predicera stressnivåer hos kvinnor än hos män. / Sick leave due to stress-related problems has increased in recent years and the number of sick leave days varies between women and men. Previous research has shown that employees with high organizational commitment had a stronger desire to practice greater work efforts and efforts on behalf of the organization. However, there was a risk that the employee made such an effort that it affected the recovery, which in turn could lead to stress-related illnesses. Studies on work-related stress occur to a large extent, however, few studies have done research on the correlations between organizational commitment and work-related stress. A quantitative study was conducted to answer the research questions; data collection was done through both online- and paper questionnaires with a total of 25 items. The survey was designed by two established questionnaires; Organizational Commitment Questionnaire (OCQ) and Perceived Stress Scale 10-items (PSS) that were intended to measure workplace engagement and work-related stress. A total of 233 people participated in the study (M = 24.9 years, SD = 10.2 years, range of ages 18-68 years, 63% women). The variables showed a normal distribution and therefore a simple linear regression was conducted. The results showed a negative statistically significant correlation between commitment and stress for women, but not for men. Engagement levels can to a greater extent predict stress levels in women than in men.

Tidigare forskning visar att interpersonella arbetsrelaterade konflikter kan få negativa följer på arbetsplatsen, för såväl anställda som organisationen i sig. Konflikter tar stor plats och uppmärksamhet från arbetet, vilket kan leda till både minskad effektivitet och produktivitet. Konflikter kan ha en inverkan på de anställdas psykiska välmående och är en bidragande faktor till stress. Hur vi tolkar, uppfattar och agerar i konflikter beror delvis på individuella skillnader. Denna studie undersöker därav sambandet mellan personlighet och involvering i interpersonella arbetsrelaterade konflikter. Kvantitativ metod användes för studien och datainsamlingen skedde genom en enkätundersökning online. Frågeformuläret bestod av två instrument, BFI-44 som mätte de fem personlighetsdragen utifrån femfaktormodellen samt Interpersonal Conflict At Work Scale (ICAWS) för att mäta interpersonella arbetsrelaterade konflikter. Totalt deltog 41 personer (M = 47, SD = 10) i studien som alla, vid tidpunkt för enkätundersökningen, var anställda tjänstemän på en svensk industri som producerar livsmedel. Det personlighetsdrag som visade sig ha starkast samband med hur ofta en individ är involverad i interpersonella arbetsrelaterade konflikter var neuroticism. Korrelationen visade sig vara medelstark och positiv (r = .26), och är det resultat som är mest betydande för studien. Resultatet visar att en individ med höga värden av neuroticism oftare tenderar att uppleva sig vara involverad i interpersonella arbetsrelaterade konflikter. / Previous research shows that interpersonal work-related conflicts can have negative consequences in the workplace, for both employees and the organization itself. Conflicts take great place and attention from work, which can lead to both reduced efficiency and productivity. Conflicts can have an impact on employees' psychological well-being and are a contributing factor to stress. How we interpret, perceive and act in conflicts partly depends on individual differences. This study investigates the relationship between personality and involvement in interpersonal work-related conflicts. Quantitative method was used for the study and the data collection was done through an online survey. The questionnaire consisted of two instruments, the BFI-44 as the five personality traits based on the Five-Factor Model and the Interpersonal Conflict At Work Scale (ICAWS) for interpersonal work-related conflicts. A total of 41 people (M = 47, SD = 10) participated in the study, all of whom at the time of the survey, were employed as officials in a Swedish industry that produces food. The personality traits that has been found to be the most related to how often an individual is involved in interpersonal work-related conflicts is neuroticism. The relationship turned out to be a moderately positive relationship (r = .26). This was the strongest correlation of the personality traits along with the outcome variable and the most important result of this study. The results show that the higher the values of neuroticism an individual has, the more often this person tend to feel involved in interpersonal work-related conflicts.

Bakgrund: Sjuksköterskans arbete inriktas idag på att bidra med god och säker vård till alla patienter. Sjuksköterskan har det högsta omvårdnadsansvaret och ska skydda patienterna från onödigt lidande. Att arbeta evidensbaserat och personcentrerat i samråd med patienten bidrar till god och säker vård. Utöver detta omfattar omvårdnadsansvaret att leda arbetsgruppen och ”vara spindeln i nätet” som uppmärksammar och förmedlar viktig information vidare till andra yrkesprofessioner samt anhöriga. Syfte: Att belysa orsaker till arbetsrelaterad stress hos sjuksköterskor inom slutenvården och hur det i sin tur påverkar patientsäkerheten. Metod: En litteraturöversikt som grundas på 15 vetenskapliga artiklar. Artiklarna bygger på studier vars design varierade mellan kvantitativ, kvalitativ samt mixed-method. De databaser som användes var Pubmed och Cinahl. Alla artiklar granskades med hjälp av kvalitetsmallar. Studierna analyserades med hjälp av Fribergs (2017) tre steg. Resultat: Resultatet belyser fyra stressfaktorer som var orsaker till arbetsrelaterad stress hos sjuksköterskan. Stressfaktorerna var; bristande teamarbete mellan professionerna, bristande bemanning, övertid och skiftarbete samt tidsbrist. Dessa stressfaktorer som ledde till arbetsrelaterad stress, visade sig i sin tur ha ett betydande samband med bristande patientsäkerhet genom att det uppstår vårdrelaterade infektioner, fallolyckor, felaktig journalföring, felaktig läkemedelshantering, oplanerad avlägsnande av endotrakealrör och bristande kontroll av medicinsk utrustning. Slutsats: Resultatet visar att sjuksköterskor som arbetar inom slutenvården upplever en rad olika stressfaktorer som leder till arbetsrelaterad stress. Denna typ av stress har i sin tur visat ett starkt samband med försämrad patientsäkerhet då risken för vårdskador ökar. Genom att använda sig av resultat som framkommit i litteraturöversikten kan ett förbättringsarbete ske genom att kartlägga grundorsakerna till arbetsrelaterad stress och därmed förhindra kommande brister i patientsäkerheten. / Background: Today, the nurse's work focusing on contribute to a good and safe care for every patient. The highest responsibility for every nurse is to protect the patients from unnecessary suffering. By working person-centered and in consultation with the patient as well as evidencebased, this should contribute to a good and safe care. Beyond this, there is a responsibility for the nurse´s that includes leading the working group, be the spider in the web who draws attention to and mediates important information to the other professions and the family of the patients. Aim: To illuminate reasons to work-related stress among nurses in hospital ward and how it’s impact on the patient safety. Method: A literature review based on 15 scientific studies. The studies design varied between quantitative, qualitative and mixed method design. The databases that was used were Pubmed and Cinahl. All studies quality was reviewed by review templates. The studies were also analyzed according to Fribergs (2017) three steps. Result: The result has shown four stressors that have been identified as the reasons of work related stress in nurses. The four stressors were; lack of teamwork between professions, staff shortage, working overtime and shift and lack of time. These stressors that contributed to work-related stress, in turn, did show a significant relationship with lack in the patient safety care that were adverse events, fall accidents, incorrect documentation, incorrect drug management, unplanned removal of endotracheal tubes and lack of control of medical equipment. Conclusion: In the literature review it was found that nurses are experiencing a couple of stressors within the hospitals environment that lead to work-related stress. The work-related stress, in turn, is strongly linked to impaired patient safety as the risk of adverse events and other patient safety incidents increase. By using results that have emerged from the literature review, improvement work can be done by mapping the basic problems and thus preventing future lack in the patient safety.

Bakgrund: Arbetet på en akutmottagning beskrivs som stressfyllt och innebär hög arbetsbelastning för sjuksköterskorna. Sjukvården regleras av ett antal lagar för att säkerställa att vården håller god kvalitet och även arbetsmiljön för sjuksköterskorna regleras i lagar och föreskrifter. Det är sjuksköterskans kompetensområde och ansvar att bedriva säker vård och se till att patienter inte far illa i sjukvården. Att vara sjuksköterska på en akutmottagning är både ansvarsfullt och krävande. Därför behövs sammanställd kunskap om hur sjuksköterskorna upplever att deras arbetsmiljö påverkar patientsäkerheten. Syfte: Syftet var att beskriva arbetsrelaterad stress, hög arbetsbelastning och patientsäkerhet på en akutmottagning ur sjuksköterskans perspektiv. Syftet kompletteras av tre frågeställningar: Vilken upplevelse och uppfattning har sjuksköterskan om arbetsrelaterad stress? Vilken upplevelse och uppfattning har sjuksköterskan om hög arbetsbelastning? Vilken upplevelse och uppfattning har sjuksköterskan om hur arbetsrelaterad stress och hög arbetsbelastning påverkar patientsäkerheten? Metod: Arbetet har utformats som en litteraturöversikt. Artiklar har sökts i databaserna PubMed och Cinahl och kvalitetsgranskats med hjälp av färdiga mallar från Högskolan Dalarna. Artiklarna har analyserats efter att de lästs igenom och har sedan kategoriserats avseende likheter och skillnader. Utifrån dessa kategorier har huvudkategorier och underkategorier skapats som resultatet presenterats under. Författarna till litteraturöversikten har reflekterat över sin egna förförståelse och strävat efter ett objektivt förhållningssätt till resultatet. Resultat: Litteraturöversikten resulterade i tre huvudkategorier: (1) sjuksköterskans upplevelse och uppfattning av arbetsrelaterad stress, (2) sjuksköterskans upplevelse och uppfattning av hög arbetsbelastning och (3) sjuksköterskans upplevelse och uppfattning av påverkan på patientsäkerheten. Slutsats: Litteraturöversiktens resultat visade att sjuksköterskor upplevde arbetsrelaterad stress när arbetsbelastningen var hög. Personalbrist, stort antal patienter, tidsbrist och dålig kommunikation och bristande teamwork var bakomliggande faktorer för hög arbetsbelastning. Vid arbetsrelaterad stress och hög arbetsbelastning upplevde sjuksköterskorna att patientsäkerheten påverkades negativt. / Background: To work in an emergency department is described as stressful and means high workload for the staff, which leads to work related stress. The healthcare is controlled by laws to ensure that the quality of the care is good. It is in the nurses competence to manage a safe care and ensure that patients doesn´t get hurt. It is both demanding and the nurse has a responsibility when working in an emergency department. That’s why compiled knowledge is needed to find out nurses experience of how their work environment affects the patient safety. Aim: The aim of this literature review was to describe work related stress, high workload and patient safety in an emergency department from a nurses’ perspective. The aim divides in three issues: What experiences and perceptions do nurses have of work related stress? What experiences and perceptions do nurses have of high workload? What experiences and perceptions do nurses have of how work related stress and high workload impacts patient safety? Method: This essay has been designed as a literature review. Articles has been searched from two databases called PubMed and Cinahl and also it´s quality has been controlled by templates from Högskolan Dalarna. The articles is analysed by the writers of this essay reading through them and then categorized them by similarity and differences. From those categories main- and subcategories were formed under which the results is presented. The writers of this essay has reflected over their own understanding and therefore aimed for an objective approach of the result. Results: The literature review resulted in three main themes: (1) nurses experiences and perceptions of work related stress, (2) nurses experiences and perceptions of high workload and (3) nurses experiences and perceptions of impact on patient safety. Conclusion: The result of this literature review shows that nurses experienced work related stress in times of high workload. Shortages in staffing levels, a large number of patients, lack of time and poor communication and poor teamwork contributed to create and increase high workload. With work related stress and high workload nurses experienced that patient safety were impacted in a negative way.