Predictors of Occupational Stress among Nurses, Salaga Hospital, Ghana - 2016

  • Mental health
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Background: Occupational stress is a recognized health problem among health workers. Globally, its prevalence among nurses varies between 9 and 68 percent. It detracts from nurses’ quality of life and efficiency of job performance. The Results: are poor patient outcomes and increased cost of healthcare. In Ghana, the prevalence of occupational stress is unknown and so are the factors associated with it. We conducted a health needs assessment to determine the prevalence and associated factors of occupational stress among nurses in Salaga hospital.
Methods: We conducted a cross-sectional study among nurses in Salaga hospital in January 2016. We collected data on socio-demographic characteristics, general health and well-being, perceived impact of work onphysical and mental health, and work related sickness absence using a self-administered questionnaire, adapted from United Kingdom National Health Service and British Psychological Working Condition Survey. Workplace assessment was also done. Descriptive statistics followed by bivariable and multivariable analyses were done with significance level at 5%.
Results: Of 167 nurses, 70 (41.9%) were males. Mean age was 34.2 ± 10.7 years. Prevalence of occupational stress was 58.7% (98/167). In the year preceding the assessment, a total of 82 working days were lost to sickness absence resulting from occupational stress. Predictors of occupational stress at multivariable analysis were: male sex [prevalence odds ratio (pOR)=4.4 (CI: 2.40-8.00)], verbal and physical abuses from patient relatives [pOR=1.7 (CI: 1.08-2.67)], work overload [pOR=1.6 (CI: 1.04-2.40)], and night shift duties [pOR=1.5 (CI: 1.03-2.30)]. The hospital has no functional counseling unit for staff but has strict human resource management policy with emphasis on leave of absence.
Conclusion: Prevalence of occupational stress is high among nurses in Salaga hospital with male nurses having higher risk. Following our recommendation, health promotion programs, rationalization of workload and shift system for nurses has been adopted by the hospital management board.

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