Research Article
Year 2022,
Volume: 9 Issue: 2, 149 - 155, 31.08.2022
Abstract
Aim: This study was carried out to determine the problems experienced by newly recruited nurses and the job stress levels.
Material and Methods: This descriptive and cross-sectional study was conducted with 161 nurses who had a maximum of one-year professional experience and worked in a private hospital and a state hospital between January 2019 and December 2020 in Istanbul. The “Work Stress Scale”, developed by Rizzo, House, and Lirtzman in 1981 and adapted into Turkish by Güngör in 1997, was used to determine job stress levels. Frequencies for categorical variables and descriptive statistics for numerical variables were presented to assess the data. The differences between the two independent groups were analyzed using the independent sample t-test. The differences between more than two independent groups were analyzed by One Way Analysis of Variance (ANOVA).
Results: It was observed that job stress levels were at a moderate level in all sub-dimensions in terms of “Job Role Uncertainty” (14.27±4.3), “Job Role Incompatibility” (23.95±5.7), and “Job Role Load” (7.71±1.7), and the job stress levels of new nurses were affected by working conditions.
Conclusion: The job stress levels of newly recruited nurses are affected by the problems they experience in the working environment. Therefore, manager nurses have essential responsibilities in reducing the job stress levels of newly recruited nurses.
Keywords
References
- Berkow S, Virkstis K, Stewart J, Conway L. Assessing new graduate nurse performance. JONA. 2008;38(11):468-74.
- YÖK bilgi yönetim sistemi. [Internet]. 2020 [Erişim Tarihi15 Temmuz 2021]. Erişim adresi: https://istatistik.yok.gov.tr/
- Ebrahimi H, Hassankhani H, Negarandeh R, Azizi A, Gillespie M. Barriers to support for new graduated nurses in clinical settings: A qualitative study. Nurse Educ Today. 2016;(37):184-8.
- Brunero S. Stress management for nurses. New South Wales. Australia: Publisher: New South Wales Nurses Association; 2006.
- Gelsema TI, Van Der Doef M, Maes S, Janssen M, Akerboom S, Verhoeven C. A longitudinal study of job stress in the nursing profession: causes and consequences. J Nurs Manag. 2006;14(4):289-99.
- Happell B, Dwyer T, Reid Searl K, Burke K, Caperchione C, Gaskin C. Nurses and stress: Recognizing causes and seeking solutions. J Nurs Manag. 2013;21(4):638-47.
- Moreland J, Apker J. Conflict and stress in hospital nursing: improving communicative responses to enduring iteratüre l challenges. Health Commun. 2016;31(7):815–823.
- Öztürk H, Kurt Ş, Serin GM, Bayrak B, Balık T, Demirbağ BC. Hastanelerde işe yeni başlayan hemşirelerin sorunları. Acibadem Univ Saglik Bilim Derg. 2016;(4):189-201.
- Parker V, Giles M, Lantry G, McMillan M. New graduate nurses’ experiences in their first year of practice. Nurse Educ Today. 2014;34(1):150-6.
- Al Awaisi H, Cooke H, Pryjmachuk S. The experiences of newly graduated nurses during their first year of practice in the Sultanate of Oman–A case study. Int J Nurs Stud. 2015;52(11), 1723-34.
- Güler Ö, Çınar S. Hemşirelik Öğrencilerinin Algıladıkları Stresörler ve Kullandıkları Baş etme Yöntemlerinin Belirlenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, Sempozyum Özel Sayısı. 2010; 253-61.
- Hayes LJ, O’Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F et al. Nurse turnover: a iteratüre review–an update Int J Nurs Stud. 2012;49(7):887-905.
- North N, Leung W, Ashton T, Rasmussen E, Hughes F, Finlayson M. Nurse turnover in New Zealand: costs and relationships with staffing practises and patient outcomes. J Nurs Manag. 2013;21(3):419-28.
- Roche MA, Duffield CM, Homer C, Buchan J, Dimitrelis S. The rate and cost of nurse turnover in Australia. Collegian. 2015;22(4):353-8.
- Tarhan M, Doğan P, Yaman R, Dişci R. Yeni mezun hemşirelerin tıbbi hata ve risklere yönelik farkındalıklarının arttırılmasında bir yöntem: Ufak tefek hatalar odası. SHYD. 2019;6(3):196-206.
- Phillips C, Kenny A, Esterman A, Smith C. A secondary data analysis examining the needs of graduate nurses in their transition to a new role. Nurse Educ Pract. 2014;14(2):106-11.
- Wu T, Fox D, Stokes C, Adam C. Work-related stress and intention to quit in newly graduated nurses. Nurse Educ Today. 2012; 32(6):669-74.
- Casey K, Fink RR, Krugman AM, Propst FJ. The graduate nurse experience. JONA. 2004;34(6):303-11.
- Rizzo JR, House RJ, Lirtzman IS. Job Stressors Scale. Coof J, Hepworth S, Wall T, Work P. (Eds.). The Experience of Work: A Compendium and Review of 249 Measures and Their Use. Academic Press, London.1981.
- Güngör S. Türk örnekleminde iş stresi ve sosyal desteğin tükenmişlik üzerindeki etkileri. [Yayınlanmamış Yüksek Lisans Tezi]. İstanbul: Boğaziçi Üniversitesi Sosyal Bilimler Enstitüsü; 1997.
- Tarhan M, YILDIRIM A. Bir Ölçek Geliştirme Çalışması: Hemşirelikte Geçiş Şoku Ölçeği. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi. 2021;3(1):7-14.
- Herleth A, Virkstis K, Renfroe J, Rewers L. The Challenging Road to Clinical Competence for New Graduate RNs. JONA. 2020;50(4):185-86.
- Duchscher JE. Transition shock: The intial sitage of role adaptation for newly graduated registered nurses. J Adv Nurs. 2009;65(5):1103– 13.
- Labrague LJ, De los Santos JAA. Transition shock and newly graduated nurses' job outcomes and select patient outcomes: A cross‐sectional study. J Nurs Manag. 2020;28(5):1070-9.
- García Martín M, Roman P, Rodriguez Arrastia M, Diaz Cortes MDM, Soriano Martin PJ, Ropero Padilla C. Novice nurse's transitioning to emergency nurse during COVID‐19 pandemic: A qualitative study. J Nurs Manag. 2021;29(2):258-67.
- Arrowsmith V, Lau Walker M, Norman I, Maben J. Nurses' perceptions and experiences of work role transitions: a mixed methods systematic review of the literature. J Adv Nurs. 2016;72(8):1735–50.
- Lin YE, Tseng CN, Wang MF, Wu SFV, Jane SW, Chien LY. Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study. J Nurs Managt. 2019;28(7):1598-606.
- Labrague LJ, McEnroe‐Petitte DM. Job stress in new nurses during the transition period: an integrative review. Int Nurs Rev.. 2018;65(4):491-504.
- Karahan A, Kılıçarslan Törüner E, Abbasoğlu A, Ceylan A. Yeni mezun hemşirelerin hemşirelik becerilerinde yeterliklerine ilişkin algıları (perceptions of new graduate nurses regarding their competence in nursing skills). Sağlık Bilimleri Fakültesi Hemşirelik Dergisi. 2012;19(1):62-72
- Edwards D, Hawker C, Carrier J, Rees C. A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. Int J Nurs Stud. 2015;52(7):1254-68.
- Özaltın G, Nehir S. Ankara İlindeki Hastanelerin Yoğun Bakım Ünitelerinde Çalışan Hemşirelerin İş Ortamındaki Stres Etkenleri Ve Kullandıkları Başetme Yöntemlerinin Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2007;10(3):60-8.
- Ulupinar S, Aydogan Y. New graduate nurses' satisfaction, adaptation and intention to leave in their first year: A descriptive study. J Nurs Manag. 2021; 29(6):1830-1840.
- Yalçın N, Aştı T. Hemşire-hasta etkileşimi. Florence Nightingale J Nurs. 2011;19(1):54-9.
- Beecroft PC, Dorey F, Wenten M. Turnover intention in new graduate nurses: a multivariate analysis. J Adv Nurs. 2008;62(1):41-52.
- Gardiner I, Sheen J. Graduate nurse experiences of support: A review. Nurse Educ Today. 2016;(40):7–12.
- Blegen MA, Spector N, Lynn MR, Barnsteiner J, Ulrich BT. Newly licensed RN retention: Hospital and nurse characteristics. JONA. 2017;47(10):508-14.
- Trepanier S, Early S, Ulrich B, Cherry B. New graduate nurse residency program: a cost-benefit analysis based on turnover and contract labor usage. Nurs Econ. 2012;30(4):207-14.
- NSI Nursing Solutions, National healthcare retention and RN staffing report. [Internet]. 2019 [Erişim Tarihi: 10 Nisan 2021]. Erişim adresi: http://www.nsinursingsolutions.com/Files/assets/library/retentioninstitute/2019%20National%20Health%20Care%20Retention%20Report.pdf. .
- Sampson M, Melnyk BM, Hoying J. Intervention effects of the mındbodystrong cognitive behavioral skills building program on newly licensed registered nurses' mental health, healthy lifestyle behaviors, and job satisfaction. JONA. 2019;49(10):487-95.
- Hiçdurmaz D, Üzar-Özçetin YS. COVID-19 pandemisinde ön safta çalışan hemşirelerin ruhsal sağlığının korunması ve ruhsal travmanın önlenmesi. HUHEMFAD, 2020; (7), 1-7.
Year 2022,
Volume: 9 Issue: 2, 149 - 155, 31.08.2022
Abstract
Amaç: Çalışma, işe yeni başlayan hemşirelerin yaşadıkları sorunları ve iş stres düzeylerini belirlemek amacıyla gerçekleştirildi.
Gereç ve Yöntem: Tanımlayıcı-kesitsel nitelikteki bu çalışma İstanbul ilinde Ocak 2019-Aralık 2020 tarihleri arasında, bir özel hastane ve bir devlet hastanesinde çalışan en fazla bir yıllık mesleki deneyime sahip 161 hemşire ile yapılmıştır. Araştırmada iş stres düzeylerini belirlemek için Rizzo, House ve Lirtzman tarafından 1981 yılında geliştirilen ve Güngör tarafından 1997 yılında Türkçeye uyarlanan “İş Stres Ölçeği” kullanılmıştır. Çalışma verileri değerlendirilirken kategorik değişkenler için sıklıklar, sayısal değişkenler için ise tanımlayıcı istatistikler verilmiştir. İki bağımsız grup arasındaki farklılıklar bağımsız örneklem t testi ile incelenmiştir. İkiden fazla bağımsız grup arasındaki farklılıklar ise tek yönlü ANOVA ile analiz edilmiştir.
Bulgular: Yeni hemşirelerin iş stres düzeyleri “İş Rolü Belirsizliği” (14.27±4.3), “İş Rolü Uyumsuzluğu” (23.95±5.7) ve “İş Rolü Yükü” (7.71±1.7) tüm alt boyutlarda orta düzeyde olduğu ve yeni hemşirelerin iş stres düzeylerinin çalışma ortamında yaşadıkları sorunlardan etkilendiği görülmüştür.
Sonuç: İşe yeni başlayan hemşirelerin iş stres seviyeleri, çalışma ortamında yaşadıkları sorunlardan etkilenmektedir. Bu nedenle yeni işe başlayan hemşirelerin iş stres düzeylerinin düşürülmesin de yönetici hemşirelere önemli sorumluluklar düşmektedir.
Keywords
References
- Berkow S, Virkstis K, Stewart J, Conway L. Assessing new graduate nurse performance. JONA. 2008;38(11):468-74.
- YÖK bilgi yönetim sistemi. [Internet]. 2020 [Erişim Tarihi15 Temmuz 2021]. Erişim adresi: https://istatistik.yok.gov.tr/
- Ebrahimi H, Hassankhani H, Negarandeh R, Azizi A, Gillespie M. Barriers to support for new graduated nurses in clinical settings: A qualitative study. Nurse Educ Today. 2016;(37):184-8.
- Brunero S. Stress management for nurses. New South Wales. Australia: Publisher: New South Wales Nurses Association; 2006.
- Gelsema TI, Van Der Doef M, Maes S, Janssen M, Akerboom S, Verhoeven C. A longitudinal study of job stress in the nursing profession: causes and consequences. J Nurs Manag. 2006;14(4):289-99.
- Happell B, Dwyer T, Reid Searl K, Burke K, Caperchione C, Gaskin C. Nurses and stress: Recognizing causes and seeking solutions. J Nurs Manag. 2013;21(4):638-47.
- Moreland J, Apker J. Conflict and stress in hospital nursing: improving communicative responses to enduring iteratüre l challenges. Health Commun. 2016;31(7):815–823.
- Öztürk H, Kurt Ş, Serin GM, Bayrak B, Balık T, Demirbağ BC. Hastanelerde işe yeni başlayan hemşirelerin sorunları. Acibadem Univ Saglik Bilim Derg. 2016;(4):189-201.
- Parker V, Giles M, Lantry G, McMillan M. New graduate nurses’ experiences in their first year of practice. Nurse Educ Today. 2014;34(1):150-6.
- Al Awaisi H, Cooke H, Pryjmachuk S. The experiences of newly graduated nurses during their first year of practice in the Sultanate of Oman–A case study. Int J Nurs Stud. 2015;52(11), 1723-34.
- Güler Ö, Çınar S. Hemşirelik Öğrencilerinin Algıladıkları Stresörler ve Kullandıkları Baş etme Yöntemlerinin Belirlenmesi. Maltepe Üniversitesi Hemşirelik Bilim ve Sanatı Dergisi, Sempozyum Özel Sayısı. 2010; 253-61.
- Hayes LJ, O’Brien-Pallas L, Duffield C, Shamian J, Buchan J, Hughes F et al. Nurse turnover: a iteratüre review–an update Int J Nurs Stud. 2012;49(7):887-905.
- North N, Leung W, Ashton T, Rasmussen E, Hughes F, Finlayson M. Nurse turnover in New Zealand: costs and relationships with staffing practises and patient outcomes. J Nurs Manag. 2013;21(3):419-28.
- Roche MA, Duffield CM, Homer C, Buchan J, Dimitrelis S. The rate and cost of nurse turnover in Australia. Collegian. 2015;22(4):353-8.
- Tarhan M, Doğan P, Yaman R, Dişci R. Yeni mezun hemşirelerin tıbbi hata ve risklere yönelik farkındalıklarının arttırılmasında bir yöntem: Ufak tefek hatalar odası. SHYD. 2019;6(3):196-206.
- Phillips C, Kenny A, Esterman A, Smith C. A secondary data analysis examining the needs of graduate nurses in their transition to a new role. Nurse Educ Pract. 2014;14(2):106-11.
- Wu T, Fox D, Stokes C, Adam C. Work-related stress and intention to quit in newly graduated nurses. Nurse Educ Today. 2012; 32(6):669-74.
- Casey K, Fink RR, Krugman AM, Propst FJ. The graduate nurse experience. JONA. 2004;34(6):303-11.
- Rizzo JR, House RJ, Lirtzman IS. Job Stressors Scale. Coof J, Hepworth S, Wall T, Work P. (Eds.). The Experience of Work: A Compendium and Review of 249 Measures and Their Use. Academic Press, London.1981.
- Güngör S. Türk örnekleminde iş stresi ve sosyal desteğin tükenmişlik üzerindeki etkileri. [Yayınlanmamış Yüksek Lisans Tezi]. İstanbul: Boğaziçi Üniversitesi Sosyal Bilimler Enstitüsü; 1997.
- Tarhan M, YILDIRIM A. Bir Ölçek Geliştirme Çalışması: Hemşirelikte Geçiş Şoku Ölçeği. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi. 2021;3(1):7-14.
- Herleth A, Virkstis K, Renfroe J, Rewers L. The Challenging Road to Clinical Competence for New Graduate RNs. JONA. 2020;50(4):185-86.
- Duchscher JE. Transition shock: The intial sitage of role adaptation for newly graduated registered nurses. J Adv Nurs. 2009;65(5):1103– 13.
- Labrague LJ, De los Santos JAA. Transition shock and newly graduated nurses' job outcomes and select patient outcomes: A cross‐sectional study. J Nurs Manag. 2020;28(5):1070-9.
- García Martín M, Roman P, Rodriguez Arrastia M, Diaz Cortes MDM, Soriano Martin PJ, Ropero Padilla C. Novice nurse's transitioning to emergency nurse during COVID‐19 pandemic: A qualitative study. J Nurs Manag. 2021;29(2):258-67.
- Arrowsmith V, Lau Walker M, Norman I, Maben J. Nurses' perceptions and experiences of work role transitions: a mixed methods systematic review of the literature. J Adv Nurs. 2016;72(8):1735–50.
- Lin YE, Tseng CN, Wang MF, Wu SFV, Jane SW, Chien LY. Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study. J Nurs Managt. 2019;28(7):1598-606.
- Labrague LJ, McEnroe‐Petitte DM. Job stress in new nurses during the transition period: an integrative review. Int Nurs Rev.. 2018;65(4):491-504.
- Karahan A, Kılıçarslan Törüner E, Abbasoğlu A, Ceylan A. Yeni mezun hemşirelerin hemşirelik becerilerinde yeterliklerine ilişkin algıları (perceptions of new graduate nurses regarding their competence in nursing skills). Sağlık Bilimleri Fakültesi Hemşirelik Dergisi. 2012;19(1):62-72
- Edwards D, Hawker C, Carrier J, Rees C. A systematic review of the effectiveness of strategies and interventions to improve the transition from student to newly qualified nurse. Int J Nurs Stud. 2015;52(7):1254-68.
- Özaltın G, Nehir S. Ankara İlindeki Hastanelerin Yoğun Bakım Ünitelerinde Çalışan Hemşirelerin İş Ortamındaki Stres Etkenleri Ve Kullandıkları Başetme Yöntemlerinin Belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2007;10(3):60-8.
- Ulupinar S, Aydogan Y. New graduate nurses' satisfaction, adaptation and intention to leave in their first year: A descriptive study. J Nurs Manag. 2021; 29(6):1830-1840.
- Yalçın N, Aştı T. Hemşire-hasta etkileşimi. Florence Nightingale J Nurs. 2011;19(1):54-9.
- Beecroft PC, Dorey F, Wenten M. Turnover intention in new graduate nurses: a multivariate analysis. J Adv Nurs. 2008;62(1):41-52.
- Gardiner I, Sheen J. Graduate nurse experiences of support: A review. Nurse Educ Today. 2016;(40):7–12.
- Blegen MA, Spector N, Lynn MR, Barnsteiner J, Ulrich BT. Newly licensed RN retention: Hospital and nurse characteristics. JONA. 2017;47(10):508-14.
- Trepanier S, Early S, Ulrich B, Cherry B. New graduate nurse residency program: a cost-benefit analysis based on turnover and contract labor usage. Nurs Econ. 2012;30(4):207-14.
- NSI Nursing Solutions, National healthcare retention and RN staffing report. [Internet]. 2019 [Erişim Tarihi: 10 Nisan 2021]. Erişim adresi: http://www.nsinursingsolutions.com/Files/assets/library/retentioninstitute/2019%20National%20Health%20Care%20Retention%20Report.pdf. .
- Sampson M, Melnyk BM, Hoying J. Intervention effects of the mındbodystrong cognitive behavioral skills building program on newly licensed registered nurses' mental health, healthy lifestyle behaviors, and job satisfaction. JONA. 2019;49(10):487-95.
- Hiçdurmaz D, Üzar-Özçetin YS. COVID-19 pandemisinde ön safta çalışan hemşirelerin ruhsal sağlığının korunması ve ruhsal travmanın önlenmesi. HUHEMFAD, 2020; (7), 1-7.
There are 40 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Publication Date | August 31, 2022 |
| Submission Date | August 6, 2021 |
| Published in Issue | Year 2022 Volume: 9 Issue: 2 |
