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Nurse Stress in Specialized Hospitals in Northwest Ethiopia: A Study on the Prevalence of Influencing Factors

Introduction:

Anxiety is considered one of the common mental health disorders that significantly contributes to the global burden of disease. In the Ethiopian context, where healthcare workers, particularly nurses, experience immense psychological pressures, exploring the causes and factors of this anxiety becomes critically important. Studies indicate that anxiety notably affects the job performance and personal happiness of nurses. Therefore, this research attempts to evaluate the prevalence of anxiety among nurses in specialized hospitals in northwest Ethiopia and identify the influencing factors. We will discuss the study methodology, its results, and recommended measures to improve the psychological health of nurses and ensure effective healthcare delivery.

Overview of Anxiety in the Nursing Sector

Anxiety is a psychological and physiological state characterized by unpleasant feelings, worry, and tension. It is one of the most common mental disorders, significantly contributing to the global burden of illness. According to reports from the World Health Organization, around 3.6% of the global population suffers from anxiety, reflecting an urgent need to understand the risks and causes of this condition among nurses. Anxiety is regarded as a factor affecting job performance and job dissatisfaction in medical work environments, necessitating field studies to reveal its prevalence and the influencing factors.

Research Methods and Study

A study was conducted based on data derived from five specialized hospitals in northwest Ethiopia, where 746 registered nurses were selected for the study using random sampling techniques. Data were collected through carefully prepared personal questionnaires that included both socio-demographic factors and factors related to work and psychology. Reliable measurement tools such as the GAD-7 anxiety scale, PHQ-9 depression scale, and WRSS work stress scale were used. Advanced statistical methods were employed to analyze the data and identify relationships between variables and anxiety.

Study Results and Analysis

The study showed that the prevalence of anxiety among nurses was high, with approximately 33.9% affected. A range of factors associated with increased anxiety was identified, including gender (such as being female), work locations (like working in the emergency department), and reactions to stress resulting from night shifts or task overload. The results also revealed a link between anxiety and a lack of social support, indicating the impact of social and professional environments on the psychological health of practitioners.

Nursing Challenges and the Impact of Anxiety on Healthcare

Practitioners in the nursing field face multiple challenges related to working in high-pressure environments. Elevated levels of stress and tension contribute to an increased risk of anxiety, adversely affecting the overall quality of patient care provided. Additionally, anxiety among practitioners not only impacts their psychological health but can also lead to a decline in the quality of healthcare services and the practitioner’s ability to make critical decisions in urgent situations. Therefore, it is vital for the healthcare system to seek out the root causes of anxiety among practitioners and integrate effective strategies to mitigate it.

Intervention Strategies and Psychological Support

In light of the findings of this study, a range of strategies for intervention and treatment of anxiety among nursing staff can be suggested. First, awareness and training programs should be developed to enhance coping and professional life skills, which will help improve adaptability to work-related stress. Second, psychological support mechanisms should be established to provide social and psychological support for nursing staff. Additionally, regular counseling sessions should be integrated as part of a comprehensive health improvement program for practitioners. Strong mental health can play a significant role in improving the quality of healthcare.

Future Aspirations and the Importance of Continued Research

These findings indicate an urgent need to pursue ongoing research to understand the widespread effects of anxiety on nursing practitioners. More studies are required to explore different risks and identify more customized strategies to reduce anxiety and promote psychological well-being. Furthermore, future developments call for enhanced coordination between health and academic institutions to improve training and professional development programs for healthcare workers, positively reflecting on the quality of healthcare services and the well-being of practitioners.

Introduction

About Nurses’ Anxiety and Its Motivations

The level of anxiety among nurses reflects a health reality that requires deep contemplation, as anxiety is considered one of the main indicators of mental health that affects practitioners’ ability to provide appropriate healthcare. About 33.90% of the nurses who participated in the study showed a high level of anxiety, which reflects significant challenges in the work environment. Previous studies have shown that the factors affecting nurses’ anxiety are multiple, including the psychological pressures arising from the nature of the work, the type of colleagues, and the surrounding environment. There are previous studies from other countries confirming that those working in the medical field, especially during crises such as the COVID-19 pandemic, were more susceptible to psychological issues. Therefore, understanding the consequences of this anxiety helps in establishing appropriate strategies to improve mental health in this group.

Methods Used to Assess Anxiety, Depression, and Psychological Stress

Reliable measurement tools were used to assess levels of anxiety and depression, including the GAD-7 scale for measuring anxiety, the PHQ-9 scale for measuring depression, and the WRSS tool for assessing work-related psychological stress. The results from these tools indicate high reliability in measuring anxiety and depression, with Cronbach’s alpha rates ranging from 0.77 to 0.89, indicating good internal consistency. Researchers also used a social support scale to provide a comprehensive picture of the study’s condition. The results indicate that many nurses suffer from a lack of social support, which is closely associated with increased cases of anxiety and depression. This information reveals the importance of having appropriate strategies to support mental health, such as improving the work environment and enhancing social connections among practitioners.

Study Results and Statistical Analysis

The study results showed that anxiety is not limited to individual factors but is affected by a range of social and demographic variables. Among these variables, the study found that females are more likely to experience anxiety compared to males, indicating that gender plays an important role in individuals’ responses to psychological stress. Additionally, the study showed that nurses working in emergency departments are more prone to anxiety, as the stressful conditions and increased pressures in that environment may exacerbate the psychological state of these individuals. Similarly, working night shifts can significantly affect mental health, as the side effects of irregular sleep can aggravate anxiety levels.

The Role of Social Support and Its Effects on Mental Health

Highlighting the importance of social support is essential in understanding anxiety among nurses. The results showed that nurses who experience a lack of social support were clearly more susceptible to anxiety. Social support can come from colleagues or family, and it is a crucial element in alleviating psychological stress. Creating a work environment with positive communication and mutual support can make a significant difference in the mental health of practitioners. Programs could be developed to enhance relationships between staff in healthcare institutions to enable them to support each other during difficult times.

Recommendations and Final Conclusions

To address the high level of anxiety among nurses, effective steps need to be taken. These steps include providing psychological support programs, training on stress management skills, and enhancing practitioners’ understanding of the importance of mental health. Improving the work environment is one of the most prominent steps that can be taken to ensure good mental health for practitioners, as successfully responding to psychological pressures is linked to the availability of supportive environments. Healthcare institutions must be ready to respond to current and future challenges by developing strategies that support the mental health of employees, contributing to the improvement of the quality of healthcare provided to patients.

Mental Health

Mental Health and Job Satisfaction

Mental health is an important factor in achieving employee satisfaction, especially in work fields that require high levels of fatigue and stress, such as nursing. Research has shown that job satisfaction significantly decreases among employees who suffer from anxiety or depression, negatively affecting their performance and efficiency. In the nursing field, this issue is crucial, as nurses and healthcare staff face constant pressures due to the nature of their work and daily encounters with psychological and physical stressors. It has been found that about one-third of nurses experience anxiety, which is a sharp indicator of mental health within this group.

Anxiety appears as one of the factors associated with job dissatisfaction, where some factors contributing to increased anxiety levels among nurses have been identified. These factors include being female, low social support, working in emergency departments, conflicts with colleagues, and also working night shifts. All these conditions are pivotal in understanding how the work environment for nurses can be improved and their level of satisfaction increased.

For example, the absence of social support can lead to feelings of isolation and anxiety, which can deteriorate mental health. Therefore, psychological support programs and behavioral interventions aim to alleviate these pressures, such as applying effective coping strategies when facing daily challenges.

Strengths and Limitations of the Study

This study is the first of its kind in this field, providing updated information reflecting the current state of mental health among nurses. However, there are limitations to the validity of the results, such as reliance on self-reported data. It is known that self-assessment can lead to bias in information, such as social desirability bias, which may affect the accuracy of the results. Thus, efforts have been made to reduce this bias by clarifying the confidentiality of the information and ensuring anonymity of the respondents during data collection.

The complexity in interpreting the results also lies in the fact that psychological variables are likely to be variable and unstable. Therefore, it is essential to use multiple methods for data collection, such as interviews and data extraction from other sources. This will enable a more comprehensive picture of the mental health situation among nurses. Additionally, future studies may be needed to confirm the current findings and explore other potential factors that could impact mental health and job satisfaction in this context.

Recommendations for Improving Employee Mental Health

It is clear that there is an urgent need to implement counseling services and develop coping strategies for practitioners in the healthcare field. Providing psychological and social support is a vital element in improving the mental health and overall well-being of healthcare workers. This can be achieved through several steps, including establishing training programs for employees to help them better deal with psychological stress. These programs should include stress management skills and effective communication, as well as recognizing signs of anxiety and depression.

Furthermore, it is important to have open channels of communication between management and employees. Employees should be encouraged to express their feelings and discuss the challenges they face at work without fear of negative repercussions. Involving workers in decision-making and implementing new methods to improve the work environment can lead to enhancing daily practices and reducing anxiety.

Healthcare providers can benefit from interventions such as group psychotherapy, where connecting with colleagues who are experiencing similar situations can foster a strong sense of belonging and support, contributing to improved mental health.

Anxiety Among Nurses: Dimensions and Causes

Anxiety is considered

anxiety is a psychological and physical state characterized by the presence of intrusive thoughts, uncomfortable feelings, and constant tension. A report from the World Health Organization indicates that 3.6% of the world’s population suffers from anxiety, reflecting the prevalence of this condition among individuals. In Ethiopia, the estimated percentage of those suffering from anxiety is around 3.3%, while this percentage rises among healthcare providers to reach 26.8%, which calls for special attention to the nurses’ category. The nature of the work that nurses do, which includes patient care and improving their quality of life, requires significant emotional effort, leading to increased psychological stress.

Several factors cause anxiety among nurses, including difficult work environments, shortage of human resources, and constant changes in treatment methods and healthcare delivery. Emergency medical centers are considered among the most stressful environments due to their handling of emergency cases that require immediate response and can cause nurses to feel psychological and emotional pressure. The use of substances such as tobacco and alcohol, working night shifts, and difficult communication with colleagues are all factors that add to the levels of stress that nurses experience. For instance, nurses working in emergency departments may find themselves overwhelmed by psychological pressures due to the large number of cases requiring immediate care.

Systematic Research on Anxiety Among Nurses in Ethiopia

A study based on a multi-center methodology was conducted in Ethiopia to investigate the prevalence of anxiety among nurses. The sample size was determined based on previous data indicating that 19.8% of nurses suffered from anxiety, and a sample of 746 nurses was selected from five specialized hospitals. The researchers asked the nurses to complete a questionnaire designed to determine levels of anxiety and contributing factors. Scientific criteria were used to ensure the reliability of the collected data, such as the Generalized Anxiety Disorder Questionnaire (GAD-7). This approach can provide a deeper understanding of the psychological state of healthcare practitioners and how to improve working conditions to mitigate the effects of anxiety.

The questions also targeted social and psychological factors, including social support, the presence of work-related stress, and exercise practices. These assessments were able to identify the challenges faced by nurses and provide evidence-based recommendations for improving their mental health. For example, the results may show a negative relationship between a lack of social support and increased levels of anxiety, suggesting the importance of building supportive and encouraging work environments. Such research helps in developing effective strategies aimed at enhancing the well-being of nurses, which in turn improves the quality of care provided to patients.

Possible Interventions to Improve Nurses’ Mental Health

To reduce anxiety levels among nurses, there is an urgent need for comprehensive interventions. This includes providing psychological support programs, training in stress coping mechanisms, and promoting work-life balance. Strategies such as meditation and yoga are effective coping methods, as studies have shown that these activities contribute to improving mental health and reducing the feeling of stress. Additionally, workshops focusing on developing nurses’ skills in managing life and professional pressures can be offered.

Moreover, recommendations such as providing good psychological support, enhancing positive relationships among colleagues, and recognizing nurses’ achievements can contribute to alleviating psychological pressures. Furthermore, attention to physical health through encouraging regular physical activities and allocating time for leisure as an important factor in improving mental health. Providing healthy and motivating work environments supports nurses and drives them to provide better healthcare. These efforts require collaboration between medical departments, caregivers, and professional unions to ensure that adequate attention is given to the health of healthcare practitioners.

Conclusions on Anxiety and Its Effects on Healthcare

anxiety is considered

the analysis indicated that younger nurses are more prone to anxiety compared to their older counterparts. This may be attributed to a lack of experience in dealing with the pressures of the nursing profession. Furthermore, it was discovered that the presence of a supportive work environment significantly mitigated feelings of anxiety among nurses, highlighting the importance of social support in coping with job-related stress.

In conclusion, the phenomenon of anxiety among nurses is a pressing issue that necessitates concerted efforts to understand and address it comprehensively. The findings of this study underscore the need for implementing effective mental health strategies to create a supportive work environment, enhance the well-being of healthcare practitioners, and ultimately improve the quality of patient care.

the impact of working night shifts significantly in exacerbating mental health issues among nurses. Working unconventional hours leads to sleep disturbances, which in turn exacerbate anxiety levels. Previous studies have identified a correlation between night shift work and increased levels of anxiety and depression. The duration of night shifts drains nurses’ energy and hampers their ability to perform their duties effectively. These factors not only affect professional performance but may also lead to problems in social relationships, thereby increasing feelings of anxiety.

working night shifts, nurses are driven to isolate themselves from family and friends, which exacerbates feelings of loneliness and anxiety. The result of this phenomenon is that nurses feel they are in a crisis and unable to cope with the pressures. It is essential for healthcare institutions to develop policies that consider the mental health of their employees by organizing work schedules to be more flexible. The ability to convert night shifts into day shifts may serve as an effective solution to help nurses regain balance between work and personal life, potentially improving attendance and productivity.

The Importance of Mental Health Care and Targeted Strategic Interventions

The need for providing mental health care to nurses is urgent, as the loss of mental health negatively impacts the quality of care provided to patients. Results indicate that one-third of nurses experience anxiety, which is a sign of psychological issues within this group. Therefore, it becomes crucial to implement counseling and psychological guidance services, as well as teaching effective coping strategies to overcome psychological stress. Enhancing mental health is an integral part of improving working conditions, significantly increasing nurses’ job satisfaction.

Research indicates that offering educational programs focused on overcoming work-related stress and anxiety can be fruitful. Hospitals can collaborate with mental health professionals to establish monthly workshops aimed at promoting positive interaction among staff and teaching them how to cope with stress. Activating mental health support groups or professional guidance through hospitals may be part of a comprehensive strategy to improve nurses’ mental health. In the long run, this will lead to improved working environments and increased employee satisfaction.

Research Findings and the Importance of Available Data

This research serves as an important guide for future studies, laying the foundation for a deep understanding of the factors affecting mental health in the medical work field. The data presented can be utilized to shape and develop strategic interventions specifically aimed at improving the work environment for nurses. The findings also reveal the importance of relying on reliable data through targeted surveys and polls, despite the limitations of relying on self-reported data, which may be subject to certain biases. Therefore, the value of data is enhanced through innovation in information collection methods and the application of advanced analytics to answer complex questions that reflect the reality of work in the healthcare sector.

Continuing research in this field can significantly assist healthcare institutions in adopting practices and policies that enhance the safety and well-being of employees. Efforts made by universities and research centers contribute to building a solid foundation for mental health-related studies, potentially leading to the development of effective programs that accurately reflect employee needs. Recognizing these issues embodies the necessity of addressing the mental health of practitioners in the healthcare field, as improving their mental well-being is an essential part of providing sustainable and effective medical care.

Generalized Anxiety Disorder and Its Impact on Healthcare Workers During COVID-19

In the period leading up to the COVID-19 pandemic, several studies indicated a notable increase in anxiety levels among healthcare workers. During this time, medical teams faced unprecedented challenges, characterized by continuous pressure and dealing with severe medical cases, which affected their mental health. Generalized Anxiety Disorder (GAD) is a psychological condition characterized by excessive worry and anxiety about everyday life events, and it has become a significant issue among healthcare workers. Anxiety levels are typically measured using specific assessment tools such as the Generalized Anxiety Disorder-7 (GAD-7), which can determine the extent to which anxiety impacts healthcare workers’ daily performance.

When

When looking at healthcare workers, it is evident that many of them have been exposed to high levels of anxiety due to multiple factors, including continuous exposure to illness, time pressure, and lack of resources. For example, a study in Ethiopia showed elevated anxiety levels among healthcare workers who struggled to cope with the pandemic, leading to the necessity of seeking effective strategies to support them in improving their mental health.

One of the important factors to consider is the social circle and available support for them. Reports indicate that social support can play a crucial role in alleviating feelings of anxiety. For instance, good communication between doctors and nurses is an effective means to boost morale and cope with the tensions arising from a hostile work environment during critical times.

These studies highlight the importance of providing psychological and social support to healthcare workers. Health institutions should implement effective programs to reduce work-related anxiety and improve the quality of professional life.

Work-related Stress and Associated Factors among Healthcare Workers

Work-related stress is one of the main challenges facing workers in healthcare fields. The psychological pressure associated with work is linked to high rates of mental strain, including anxiety and depression, which affects the quality of health practices provided. Hospitals and healthcare systems are required to be aware of these pressures and develop plans and strategies to mitigate them.

In many studies, a wide range of factors associated with work-related stress have been identified, including the work environment, nature of tasks, and lack of support from management. Notably, some healthcare professions, such as nursing, face higher levels of stress due to long working hours and the excessive burden of cases that require care. For example, a recent study showed that nurses working in intensive care units (ICU) experience higher stress levels due to the intensive load of patients.

Possible solutions to address work-related stress include creating supportive work environments, providing training programs, developing stress management skills, and offering specialized psychological support services to workers. Furthermore, medical floors should enhance communication among teams and create a collaborative environment to improve employee morale.

Many global studies emphasize that improving working conditions and quality of life for healthcare workers can also reduce levels of stress and anxiety, contributing to better patient care.

Depression and Anxiety Among Healthcare Workers: Factors and Risks

Depression and anxiety are two of the most common mental health disorders among healthcare workers. These psychological conditions can affect job performance and the provision of medical services, threatening the overall healthcare system. Understanding the factors associated with the development of depression and anxiety is essential to mitigate their impact.

Research indicates that psychological and social factors play a significant role in the onset of depression among healthcare workers. For example, high performance expectations, loss of work-life balance, and continuous pressure may lead to increased rates of depression. Additionally, burnout at work without adequate rewards makes workers more susceptible to depression.

Studies show that the nature of the work, such as working in areas that demand exposure to challenging and rapidly changing situations, contributes to this issue. For instance, nurses working in emergency departments often feel anxiety and depression resulting from increasing pressure and continuous emergencies. However, these negative effects can be mitigated through appropriate interventions, such as providing psychological support and attention to the mental health of workers.

Healthcare institutions should prioritize the well-being of their workers by adopting multifaceted intervention programs that include training, professional growth, and a continuous series of providing psychological and social support. A supportive and safe work environment is an undeniable factor in reducing rates of depression and anxiety among healthcare workers.

Strategies

Adapting and Coping with Anxiety Feelings

It has become clear that feelings of anxiety and depression are not restricted to healthcare workers; rather, it is a widespread issue affecting many individuals in various fields. Therefore, it is crucial to develop effective strategies to cope with these feelings. Coping strategies receive significant attention in mental health research, as they play a vital role in enhancing psychological well-being.

Coping strategies can include self-care, such as practicing meditation and relaxation techniques. Studies suggest that meditation and yoga can reduce anxiety levels and contribute to mood improvement. Additionally, workers should be encouraged to allocate time for themselves to rest and recharge.

Social communication is also important, as it can help stimulate feelings of support, leading to a reduction in feelings of loneliness. This adds to the importance of having strong support circles within the workplace where workers can share experiences and challenges. Many hospitals also offer programs to assist workers in managing stress, such as workshops on coping with anxiety or support groups.

Accessing specialized psychological counseling is also a good option for workers experiencing high levels of anxiety and depression. Providing mental health support services in workplaces can offer workers the opportunity to address psychological issues early and receive adequate support before they escalate. These services should be easily accessible and tailored to the actual needs of the workers. Numerous studies have demonstrated the effectiveness of these methods in improving employees’ mental health and, consequently, overall job performance.

Source link: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1434701/full

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