Nurse Leader Initiatives to Decrease Job Stress on the Acute Care Unit

Shauna Keil; Christine Hober

doi:10.31686/ijier.vol6.iss12.1266

Authors

Shauna Keil

Fort Hays State Universtiy, USA
Christine Hober, Dr.

Fort Hays State Universtiy, USA

DOI:

https://doi.org/10.31686/ijier.vol6.iss12.1266

Keywords:

nursing, job stress, leadership, change initiatives

Abstract

Nurses are expected to provide high quality, safe healthcare in working environments where limited resources and increasing responsibilities are common. An imbalance between providing high quality care and managing or minimizing the assault of stressors can lead to increased job stress. Nurses on the Acute Care Unit (ACU) of a Midwestern, rural hospital utilized the Nursing Stress Scale (NSS) developed by Gray-Toft & Anderson (1981) to analyze aggregated mean data self-reported scores for job stressors before and after focused change initiatives. Nurses selected and led change initiatives for the top five scoring stressors that nurses concurred were modifiable using interprofessional interventions. Multidisciplinary teams collaborated to choose educational sessions, updated resources, and revised communication tools in an attempt to decrease job stress on the unit. The results of the second NSS when compared to the first survey overall demonstrated decreased stress mean scores in six of the seven subscales. The specific nurse led unit initiatives decreased self-reported job stress in four of the five areas. This project found encouraging results in decreasing job stress by implementing nurse led change initiates on the ACU.

Keywords: nursing, job stress, leadership, change initiatives

Author Biographies

Shauna Keil, Fort Hays State Universtiy, USA

Dept. of Nursing
Christine Hober, Dr., Fort Hays State Universtiy, USA

Professor

Department of Nursing

Fort Hays State University

References

American Nurses Association (2011). Health and Safety Survey Report. Maryland: ANA.
Beh, L-S., & Loo, L-H. (2012). Job stress and coping mechanisms among nursing staff in public health services. International Journal of Academic Research in Business and Social Sciences, 2(7), 131-176.
Doyle, P. (2016). Leading change in an organization. Retrieved from https://www.brightwork.com/blog/leading-change-in-an-organization#.WpZFb6inHIU
Gray-Toft, P., & Anderson, J. G. (1981). The Nursing Stress Scale: Development of an instrument. Journal of Behavioral Assessment, 3(1), 11-23.
Institute of Medicine. (2010). The future of nursing: Leading change, advancing health. Retrieved from http://books.nap.edu/openbook.php?record_id=12956&page=R1
Khamisa, N., Oldenburg, B., Peltzer, K., & Ilic, D. (2015). Work-related stress, burn-out, job satisfaction and general health of nurses. International Journal of Environmental Research and Public Health, 652-666.
Kotter, J.P. (2012). Leading Change. Boston, MA: Harvard Business Review Press.
Jose, T., & Bhat, S. (2013). A descriptive study on stress and coping of nurses working in selected hospitals of Udupi and Mangalore districts Karnataka, India. IOSR Journal of Nursing and Health Science, 3(1), 10-18. doi:10.9790/1959-03111018
Lai, S. Ding, K., Yu, L., Zhang, Y., & Chiu, H. F. K. (2014), Nurses' work-related stress in China: A comparison between psychiatric and general hospitals. Perspectives in Psychiatric Care, 50: 27–32. doi: 10.1111/ppc.12020
Letvak, S., Ruhm, C. & Lane, S. (2011). The impact of nurses’ health on productivity and quality of care. Journal of Nursing Administration, 41, 162-167.
Makinen, A., Kivimäki, M., Elovainio, M., & Virtanen, M. (2003). Organization of nursing care and stressful work characteristics. Journal of Advanced Nursing, 43, 197-205.
National Institute for Occupational Safety and Health (NIOSH). (1999). Stress at work, Cincinnati OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 99–101.
Nunnally, J. (1978). Psychometric theory (2nd ed.). NY: McGraw-Hill.
Portero de la Cruz, S., & Vaquero Abellán, M. (2015). Professional burnout, stress and job satisfaction of nursing staff at a university hospital. Revista Latino-Americana de Enfermagem, 23(3), 543–552. http://doi.org/10.1590/0104-1169.0284.2586
Qi, Y., Xiang, Y., An, F., Wang, J., Zeng, J., Ungvari, G. S. . . . Chiu, H. F. (2013). Nurses Work-Related Stress in China: A Comparison Between Psychiatric and General Hospitals. Perspectives in Psychiatric Care, 50(1), 27-32. doi:10.1111/ppc.12020
Qin, Z., Zhong, X., Ma, J., & Lin, H. (2016). Stressors affecting nurses in China. Contemporary Nurse, 52(4), 447-453.
Roberts R. & Grubb, P. (2014). The consequences of nursing stress and need for integrated solutions. Rehabilitation Nurse, 39(2), 62–69. doi:10.1002/rnj.97.
Sarafis, P., Rousaki, E., Tsounis, A., Malliarou, M., Lahana, L., Bamidis, P., et al. (2016). The impact of occupational stress on nurses’ caring behaviors and their health related quality of life. BMC Nursing, 15, 56. doi:10.1186/s12912-016-0178-y
Small, A., Gist, D., Souza, D., Dalton, J., Magny-Normilus, C., & David, D. (2016). Using Kotter’s change model for implementing bedside handoff: A quality improvement project. Journal of Nursing Care Quality. 31(4), 304-309. doi:10.1097/NCQ.0000000000000212
Selye, H. (1956). The stress of life. New York: McGraw-Hill Book Company.
Thian, J., Kannusama, P., & Klainin-Yobas, P. (2013). Stress, positive affectivity, and work engagement among nurses: An integrative literature review. Singapore Nursing Journal, 40(1), 24-33.
Tsai, Y.-C., & Liu, C.-H. (2012). Factors and symptoms associated with work stress and health-promoting lifestyles among hospital staff: a pilot study in Taiwan. BMC Health Services Research, 12, 199. http://doi.org/10.1186/1472-6963-12-199
Thian, J.H.M., Kannusamy, P., He, H.-G., & Klainin-Yobas, P. (2015). Relationships among stress, positive affectivity, and work engagement among registered nurses. Psychology, 6, 159-167. http://dx.doi.org/10.4236/psych.2015.62015
Zeller, J. & Levin, P. (2013). Mindfulness interventions to reduce stress among nursing personnel. An occupational health perspective. Workplace Health and Safety, 61(2) 85-88.