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http://dx.doi.org/10.1016/j.shaw.2019.04.002

Effect of Workload on Job Stress of Ghanaian OPD Nurses: The Role of Coworker Support  

Kokoroko, Emmanuel (Department of Organisation and Human Resource Management, University of Ghana Business School)
Sanda, Mohammed A. (Department of Organisation and Human Resource Management, University of Ghana Business School)
Publication Information
Safety and Health at Work / v.10, no.3, 2019 , pp. 341-346 More about this Journal
Abstract
Background: Although the concept of workload is important to nursing practice, only a few nursing researchers have focused on the issue of workload within the nursing context. Knowledge of how the dynamics of workload affects the job stress of nurses working in a specific unit or department in a hospital setting, and the influence of coworker support on this relationship, still remains limited. This study, therefore examined the effect of workload on job stress of Ghanaian outpatient department nurses and the moderating effect of coworker support on this relationship. Methods: A cross-sectional survey design was used, and questionnaire was used to collect data from a sample of 216 outpatient department nurses from four major hospitals in Ghana. The data collected measured workload, job stress, and coworker support using National Aeronautics and Space Administration (NASA) Task Load Index, job stress scale, and coworker support scale, respectively. Data were analysed using descriptive statistics, correlation, and hierarchical regression. Results: High levels of workload were associated with high levels of job stress of the nurses. Also, higher levels of workload were related to higher levels of job stress for nurses who received high levels of coworker support, but this was not the case for those who received low levels of coworker support (reserve buffering effect). Conclusion: The finding reiterates the adverse effect of workloads on employees' health, and the reverse buffering effect implies that supporting a colleague at work should be conveyed in a positive manner devoid of negative appraisal.
Keywords
Coworker support; Job stress; Workload;
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1 Wazqar DY, Kerr M, Regan S, Orchard C. An integrative review of the influence of job strain and coping on nurses' work performance: understanding the gaps in oncology nursing research. Int J Nurs Sci 2017;4(4):418-29.   DOI
2 Kwansah J, Dzodzomenyo M, Mutumba M, Asabir K, Koomson E, Gyakobo M, Snow RC. Policy talk: incentives for rural service among nurses in Ghana. Health Policy Plan 2012:czs016.
3 Donkor J. Effects of stress on the performance of nurses: evidence from Ghana. Int J Account Bank Manag 2013;1:64-74.
4 Almendra C. Relationships among Job demand, job control, social support and job stress in registered nurses working in skilled nursing facilities. Doctoral dissertation,. Rutgers University-Graduate School-Newark; 2010.
5 Pow J, King DB, Stephenson E, DeLongis A. Does social support buffer the effects of occupational stress on sleep quality among paramedics? A daily diary study. J Occup Health Psychol 2017;22:71-85.   DOI
6 Blanco-Donoso LM, Garrosa E, Demerouti E, Moreno-Jimenez B. Job resources and recovery experiences to face difficulties in emotion regulation at work: a diary study among nurses. Int J Stress Manag 2017;24(2):107-34.   DOI
7 Karasek RA, Theorell T. Healthy work: stress, productivity and the reconstruction of working life. New York: Basic Books; 1990.
8 Spooner-Lane R. The influence of work stress and work support on burnout in public hospital nurses. Doctoral dissertation. Queensland University of Technology; 2004.
9 Ellis BH, Miller KI. Supportive communication among nurses: effects on commitment, burnout, and retention. Health Commun 1994;6(2):77-96.   DOI
10 AbuAlRub RF. Job stress, job performance, and social support among hospital nurses. J Nurs Scholarsh 2004;36:73-8.   DOI
11 Jenkins R, Elliott P. Stressors, burnout and social support: nurses in acute mental health settings. J Adv Nurs 2004;48:622-31.   DOI
12 Winning AM, Merandi JM, Lewe D, Stepney LM, Liao NN, Fortney CA, Gerhardt CA. The emotional impact of errors or adverse events on healthcare providers in the NICU: the protective role of coworker support. J Adv Nurs 2018;74(1):172-80.   DOI
13 House JS. Work stress and social support. Reading, MA: Addison-Wesley Pub; 1981.
14 Hart LM, Staveland KE. Job demands, job decision latitude, and mental strain implications for job redesign. Adm Sci Q 1988;24(2):285-308.
15 Parker DF, De Cotiis TA. Organizational determinants of job stress. Organ Behav Hum Perform 1983;32:160-7.   DOI
16 Baba V, Jamal M. Job stress and burnout among Canadian managers and nurses: an empirical examination. Can J Pub Health 2000;91(6):454-60.   DOI
17 Kowalski C, Ommen O, Driller E, Ernstmann N, Wirtz MA, Kohler T, Pfaff H. Burnout in nurses-the relationship between social capital in hospitals and emotional exhaustion. J Clin Nurs 2010;19(11-12):1654-63.   DOI
18 Nabirye RC, Brown KC, Pryor ER, Maples EH. Occupational stress, job satisfaction and job performance among hospital nurses in Kampala, Uganda. J Nurs Manag 2011;19(6):760-8.   DOI
19 Caruso CC. Negative impacts of shift work and long work hours. Rehabil Nurs 2014;39(1):16-25.   DOI
20 Mosadeghrad AM. Occupational stress and turnover intention: implications for nursing management. IJHPM 2013;1(2):169.
21 Field A. Discovering statistics using SPSS. Sage publications; 2009.
22 Aiken LS, West SG. Multiple regression: testing and interpreting interactions. Thousand Oaks, CA: Sage; 1991.
23 Liang J, Krause M, Bennet JM. Social exchange and well-being: is giving better than receiving? Psychol Aging 2001;16:511-23.   DOI
24 Karasek R. Job demands, job decision latitude and mental strain: implications for job redesign. Adm Sci Q 1979;24:285-306.   DOI
25 Bowling NA, Beehr TA, Johnson A, Semmer NK, Hendricks EA, Webster HA. Explaining potential antecedents of workplace social support: reciprocity or attractiveness? Occup Health Psychol 2004;9:339-50.   DOI
26 Beehr TA. The role of social support in coping with organizational stress. Hum Stress Cogn Org: An Integr Perspect 1985:375-98.
27 Sveinsdottir H, Biering P, Ramel A. Occupational stress, job satisfaction, and working environment among Icelandic nurses: a cross-sectional questionnaire survey. Int J Nurs Stud 2006;43:875-89.   DOI
28 Montgomerya A, Panagopoulou E, Kehoe I, Valkanos E. Connecting organisational culture and quality of care in the hospital: is job burnout the missing link? J Health Organ Manag 2011;25:108-23.   DOI
29 Gulavani A, Shinde M. Occupational stress and job satisfaction among nurses. IJSR 2014;3:733-40.
30 McGowan B. Self-reported stress and its effects on nurses. Nurs Stand 2001;15:33-8.   DOI
31 Ghana Health Service. The health sector in Ghana: facts and figures; 2017.
32 Asamani JA, Amertil NP, Chebere M. The influence of workload levels on performance in a rural hospital. BJHCM 2015;21:577-86.
33 Chou LP, Li CY, Hu SC. Job stress and burnout in hospital employees: comparisons of different medical professions in a regional hospital in Taiwan. BMJ Open 2014;4:e004185.   DOI
34 Needham J. Accuracy in workload measurement: a fact or fallacy? J Nurs Manag 1997;5(2):83-7.   DOI
35 Jennings BM. Work stress and burnout among nurses: role of the work environment and working conditions. In: Hughes RG, editor. Patient safety and quality: an evidence-based handbook for nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr.
36 Montgomerya A, Spanub F, Babanb A, Panagopoulou E. Job demands, burnout, and engagement among nurses: a multi-level analysis of ORCAB data investigating the moderating effect of teamwork. Burn Res 2015;2:71-9.   DOI
37 Cudjoe EA. Effect of Ghanaian nurses' mental stress on their job satisfaction: the role of workload and time pressure. Doctoral dissertation. University of Ghana; 2015.
38 Aiken LH, Clarke SP, Sloane DM, Sochalski JA, Busse R, Clarke H, Shamian J. Nurses' reports on hospital care in five countries. Health Aff 2001;20:43-53.
39 Beh LS, Loo LH. Job stress and coping mechanisms among nursing staff in public health services. Int J Acad Res Bus Soc Sci 2012;2:131-76.
40 Gomes SFS, Santos MMM, Carolino ETDM. Psycho-social risks at work: stress and coping strategies in oncology nurses. Lat Am J Nurs 2013;21:1282-9.
41 Al Hosis KF, Mersal FA, Keshk LI. Effects of job stress on health of Saudi nurses working in Ministry of Health hospitals in Qassim region in KSA. Life Sci J 2013;10:1036-44.
42 Nedd N. Perception of empowerment and intent to stay. Nurs Econ 2006;24(1):13-8.
43 Romano M, Festini F, Bronner L. Cross-sectional study on the determinants of work stress for nurses and intention of leaving the profession. Prof Inferm 2015;68:203-10.