| Abstract [eng] |
Introduction. Nurses working in healthcare, especially in operating theatres, are exposed to physical, chemical, biological and psychosocial factors in their working environment, and are subjected to exceptionally high levels of occupational stress, which can have an impact not only on nurses' health and quality of life, but also on the quality of the services provided. Purpose of the work. To assess the stress and psychosocial work environment of nurses working in the operating room. The study will add to the scientific information on the level of stress and psychosocial work environment of nurses working in operating theatres and the factors influencing it, which can be managed in order to make strategic decisions on improving the psychosocial work environment of nurses working in operating theatres in Lithuania. Methodology and materials. The study was a quantitative research using anonymous survey method. The Reeder scale was used to assess stress, and the Stress at Work Questionnaire (SWQ) was used to assess the psychosocial work environment. The analysis of the data obtained was carried out using the computer programmes MS Excel 2010 and SPSS 24.0. Results. The study involved 257 operating room nurses, the vast majority of whom were women (93.8%), with an average age of 45 years. 46.7% of the subjects were diagnosed with nervous tension, 14.8% with stress. The higher the age, the greater the seniority and the lower the workload, the lower the perceived and experienced level of work-related stress among nurses (p<0.001). The higher level of stress (15.37±5.27) was found in those working on the day shift. The highest mean scores were for job role (4.43±0.46), relationships (3.68±0.74), change (3.59±0.75), and colleague support (3.58±0.61). Spearman correlation analysis was performed, which showed that the higher the nurses' educational level, the better their relationships at work (r=0.170; p=0.006), and the greater the perceived support from supervisors (r=0.156; p=0.012). The more experience nurses have, the clearer their work role is (r=0.188; p=0.003). Those with higher workloads experience less freedom at work (r=-0.298; p<0.001), more uncertainty about their job role (r=-0.178; p=0.004), less change at work (r=-0.149; p=0.017), and poorer relationships with colleagues (r=-0.301; p<0.001). Nurses with a university degree had higher scores (3.38±0.76) for managerial support (p=0.036). Univariate logistic regressions showed that job control (GS=0.319; PI=[0.188;0.543]), relationships (GS=0.608; PI=[0.414; 0.894]), change (GS=0.643; PI=[0.445; 0.929]), supervisor support (GS=0.557; PI=[0.376; 0.823]), and colleague support (GS=0.609; PI=[0.393; 0.946]). Conclusions: on average, one in two nurses is experiencing nervous tension and one in six nurses is stressed. Nurses' job role, support from colleagues and possible changes at work are rated higher than other stressors, and job demands are the most stressful. Higher scores on work environment factors are associated with lower levels of work stress and nervous tension. |
