Perceived Stress During COVID-19 Pandemic: The Malaysian Nurses Experience
DOI:
https://doi.org/10.31965/infokes.Vol21.Iss3.1114Keywords:
Perceived stress, Pandemic, NursesAbstract
Research shows that nurses are one of the most vulnerable categories of professionals to develop stress and other problems due to the nature of their job. Thus the objective of this study is to describe the perceived stress experienced during the COVID-19 pandemic among Malaysian nurses. A cross-sectional study was conducted through an online form involving 319 randomly selected nurses from a teaching hospital on the east coast of Pahang, Malaysia, between January to December 2022. The perceived stress was measured using the Malay version 10-item Perceived Stress Scale, PSS-10 questionnaire. Descriptive and linear regression analysis was applied to measure the mean score of perceived stress and the association between perceived stress scores and other factors in this population. The study found that the total mean score of PSS-10 among the respondents was 19.1 ± 5.8. The three items with the highest mean scores were under the subscales “lack of self-efficiency” of the questionnaire (item-4, item-7, and item 5), while the item with the lowest mean scores belonged to subscales “perceived helplessness” (item-10). However, further analysis performed shows no significant association between perceived stress towards COVID-19 with sociodemographic and work-related factors among respondents. This study concluded that lack of self-efficiency was perceived as the main stress experienced by Malaysian nurses during the COVID-19 pandemic. Thus, it is pivotal that the nurse’s manager and higher authority of the organization focus on improving the efficiency of these nurses through targeted programs focusing on problem-solving, emotional and on-the -job management plan, along with accessibility to resources, a positive work environment and support.
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References
Al-Dubai, S. A., Barua, A., Ganasegeran, K., Jadoo, S. A., & Rampal, K. G. (2014). Concurrent validity of the Malay version of Perceived Stress Scale (PSS-10). Asian J Psychiatr, 15(1), 8-13. Retrieved from https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=0a707aec918fbeb47cb6a2885dc1bf86c1255320#page=14
Aloweni, F., Ayre, T. C., Teo, I., Tan, H. K., & Lim, S. H. (2022). A year after COVID‐19: Its impact on nurses' psychological well‐being. Journal of Nursing Management, 30(7), 2585-2596. https://doi.org/10.1111/jonm.13814
ASPE. (2022). Impact of the COVID-19 pandemic on the hospital and outpatient clinician workforce: Challenges and policy responses. Retrieved from https://aspe.hhs.gov/reports/covid-19-health-care-workforce
Babapour, A. R., Gahassab-Mozaffari, N., & Fathnezhad-Kazemi, A. (2022). Nurses' job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC nursing, 21(1), 75. https://doi.org/10.1186/s12912-022-00852-y
Babore, A., Lombardi, L., Viceconti, M. L., Pignataro, S., Marino, V., Crudele, M., ... & Trumello, C. (2020). Psychological effects of the COVID-2019 pandemic: Perceived stress and coping strategies among healthcare professionals. Psychiatry research, 293, 113366. https://doi.org/10.1016/j.psychres.2020.113366
Bhui, K., Dinos, S., Galant-Miecznikowska, M., de Jongh, B., & Stansfeld, S. (2016). Perceptions of work stress causes and effective interventions in employees working in public, private and non-governmental organisations: a qualitative study. BJPsych bulletin, 40(6), 318–325. https://doi.org/10.1192/pb.bp.115.050823
Chekole, Y. A., Yimer, M. S., Mekonnen, A.S., & Mekuriaw, B. (2020). Perceived stress and its associated factors during COVID-19 among healthcare providers in Ethiopia: A cross-sectional study. Advances in Public Health, 2020, 1–7. https://doi.org/10.1155/2020/5036861
Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24(4), 385–396. https://doi.org/10.2307/2136404
Cohen, S., & Williamson, G. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan, & S. Oskamp (Eds.), The Social Psychology of Health: Claremont Symposium on Applied Social Psychology (pp. 31-67). Newbury Park, CA: Sage Publications, Inc.
Cybulska, A. M., Rachubińska, K., Stanisławska, M., Grochans, S., Cymbaluk-Płoska, A., & Grochans, E. (2022). Analysis of factors related to mental health, suppression of emotions, and personality influencing coping with stress among nurses. International Journal of Environmental Research and Public Health, 19(16), 9777. https://doi.org/10.3390/ijerph19169777
Ersöğütçü, F., & Şener, N. (2019). Stress as a basic concept and nursing approaches. Biomedical Journal of Scientific & Technical Research, 21(5), 16225–16227. https://doi.org/10.26717/BJSTR.2019.21.003669
Folkman, S., & Lazarus, R. S. (1988). Coping as a mediator of emotion. Journal of Personality and Social Psychology, 54(3), 466–475. https://doi.org/10.1037/0022-3514.54.3.466
Han, A., Won, J., Kim, O., & Lee, S. E. (2015). Anger expression types and interpersonal problems in nurses. Asian Nursing Research, 9(2), 146–151. https://doi.org/10.1016/j.anr.2015.04.001
Ibrahim, N., Cham, C. Q., Chu, S. Y., Kalaman, C. R., & Siau, C. S. (2023). Translation and validation of the Malay perceived stress scale modified for covid-19. Malaysian Journal of Medical Sciences, 30(2), 161–171. https://doi:10.21315/mjms2023.30.2.15
Jacobs, A. C., & Lourens, M. (2016). Emotional challenges faced by nurses when taking care of children in a private hospital in South Africa. Africa Journal of Nursing and Midwifery, 18(2), 196–210. https://doi.org/10.25159/2520-5293/1076
Jäppinen, K., Roos, M., Slater, P., & Suominen, T. (2021). Connection between nurse managers’ stress from workload and overall job stress, job satisfaction and practice environment in Central Hospitals: A cross-sectional study. Nordic Journal of Nursing Research, 42(2), 109–116. https://doi.org/10.1177/20571585211018607
Khamisa, N., Peltzer, K., Ilic, D., & Oldenburg, B. (2017). Effect of personal and work stress on burnout, job satisfaction and general health of hospital nurses in South Africa. Health SA Gesondheid - Journal of Interdisciplinary Health Sciences, December 22, 252-258. https://doi.org/10.1016/j.hsag.2016.10.001
Khomami, H. M., & Rustomfram, N. (2019). Nursing efficiency in patient care: A comparative study in perception of staff nurse and hospital management in a trust hospital. Journal of Family Medicine and Primary Care, 8(5), 1550–1557. https://doi.org/10.4103/jfmpc.jfmpc_37_19
King, M., Farrington, A., Donohue, G., & McCann, E. (2021). Psychological impact of the COVID-19 pandemic on Mental Health Nurses. Issues in Mental Health Nursing, 43(4), 300–307. https://doi.org/10.1080/01612840.2021.1978598
Llop-Gironés, A., Vračar, A., Llop-Gironés, G., Benach, J., Angeli-Silva, L., Jaimez, L., … Julià, M. (2021). Employment and working conditions of nurses: Where and how health inequalities have increased during the COVID-19 pandemic? Human Resources for Health, 19(1), 1–11. https://doi.org/10.1186/s12960-021-00651-7
Pasi, H., Kamaruzaman, N. A., Basri, N. A., Manan, N. H. A., & Nasreen, H. E. (2022). Translation and Validation of Malay Version 5-Items Brief Illness Perception Questionnaire, BIP-Q5 towards COVID-19 among Malaysian Nurses. Advances in Infectious Diseases, 12(3), 383-391. https://doi.org/10.4236/aid.2022.123030.
Roberts, R. K., & Grubb, P. L. (2014). The consequences of nursing stress and need for Integrated Solutions. Rehabilitation Nursing, 39(2), 62–69. https://doi.org/10.1002/rnj.97
Sandhu, S. S., Ismail, N. H., & Rampal, K. G. (2015). The Malay version of the Perceived Stress Scale (PSS)-10 is a reliable and valid measure for stress among nurses in Malaysia. The Malaysian Journal of Medical Sciences : MJMS, 22(6), 26–31.
Selye, H. (1973). The Evolution of the Stress Concept: The originator of the concept traces its development from the discovery in 1936 of the alarm reaction to modern therapeutic applications of syntoxic and catatoxic hormones. American Scientist, 61(6), 692–699. http://www.jstor.org/stable/27844072
Siang, L. C., Baharuddin, M. R., Abd Rahman, A., Shah, S. A., & Noor, S. B. M. (2016). A malay version of Perceived Stress screening scale (PSS-10): Psychometric evaluation among manufacturing industry workers. Malaysian Journal of Public Health Medicine, 16(3), 99-105.
Soudagar, S., Rambod, M., & Beheshtipour, N. (2015). Factors associated with nurses’ self-efficacy in clinical setting in Iran, 2013. Iranian Journal of Nursing and Midwifery Research, 20(2), 226–231.
Yu, F., Raphael, D., Mackay, L., Smith, M., & King, A. (2019). Personal and work-related factors associated with Nurse Resilience: A Systematic Review. International Journal of Nursing Studies, 93, 129–140. https://doi.org/10.1016/j.ijnurstu.2019.02.014
Yun, K., & Yoo, Y.S. (2021). Effects of the anger management program for nurses. Asian Nursing Research, 15(4), 247–254. https://doi.org/10.1016/j.anr.2021.07.004
WHO. (2023). Newsroom: stress. Retrieved from https://www.who.int/news-room/questions-and-answers/item/stress.
Wanninayake, S. D., O’Donnell, M., & Williamson, S. (2022). COVID-19 and job demands and resources experienced by nurses in Sri Lanka. The Economic and Labour Relations Review, 33(1), 100–116. https://doi.org/10.1177/10353046221077509
Zhan, Y., Ma, S., Jian, X., Cao, Y., & Zhan, X. (2020). The current situation and influencing factors of job stress among frontline nurses assisting in Wuhan in fighting COVID-19. Frontiers in Public Health, 8, 579866. https://doi.org/10.3389/fpubh.2020.579866
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