Ullah Hanif, Arbab Safia, Khan Sher Alam, Liu Chang-Qing, Fayaz Muhammad, Tian Yali, Li Ka
Medicine and Engineering Interdisciplinary Research Laboratory of Nursing & Materials/Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu 610041, Sichuan, China.
Department of Pediatrics, Musharraf Medical Complex, Abbottabad, Pakistan.
J Nurs Manag. 2025 Jul 17;2025:2413658. doi: 10.1155/jonm/2413658. eCollection 2025.
Occupational stress refers to the psychological pressure from work-related factors. Stress overload is a key contributor to the global nursing shortage. Excessive workloads and psychological pressure further exacerbate stress among healthcare professionals. This study aims to examine the impact of psychological counseling (PC), job characteristics, and perceived respect on occupational stress among Pakistani nurses. This cross-sectional study was carried out by nurses from Pakistan, using a random sampling method. Data were collected between April 1 and May 31, 2024. We have access to the nurses' work-related stress, respect, and PC through an online questionnaire. A total of 292 nurses took part in the study. Out of 292 participants, 276 completed the survey, with 71.38% male and 28.62% female. The main causes of occupational stress were low income (95.56%), high workload (80.80%), occupational injury (65.95%), family factors (64.50%), strict leadership (60.50%), and physical problems (56.16%). Additionally, 36.23% of nurses had limited faith in the effectiveness of PC, followed by a moderate belief. According to multiple logistic regression analyses, a correlation between a PC high work-related stress significantly affects nurses' mental health, increasing the need for PC (=0.0979). Stress relief methods like reading, music, or outdoor sports reduce the stress (OR 2.298-11.031, < 0.001). At the same time, factors like nurse-patient relationships and strict leadership contribute to high-stress levels (=0.417, =0.682), with reducing work intensity showing minimal impact (=0.993). Our study indicated that low salaries, a high workload, and low respect could cause occupational stress among nurses who need high PC. These findings can guide hospital administrators and nurse managers in enhancing rewards, reducing work hours, and improving job satisfaction. Additionally, better working conditions and training programs can help mitigate occupational stress and support nurses' mental health.
职业压力是指由与工作相关的因素所产生的心理压力。压力过载是全球护理人员短缺的一个关键因素。过重的工作量和心理压力进一步加剧了医疗保健专业人员的压力。本研究旨在探讨心理咨询(PC)、工作特征和感知到的尊重对巴基斯坦护士职业压力的影响。这项横断面研究由来自巴基斯坦的护士采用随机抽样方法进行。数据收集于2024年4月1日至5月31日之间。我们通过在线问卷获取护士与工作相关的压力、尊重和心理咨询情况。共有292名护士参与了该研究。在292名参与者中,276人完成了调查,其中男性占71.38%,女性占28.62%。职业压力的主要原因是低收入(95.56%)、高工作量(80.80%)、职业伤害(65.95%)、家庭因素(64.50%)、领导严格(60.50%)和身体问题(56.16%)。此外,36.23%的护士对心理咨询的有效性信心有限,其次是中度信心。根据多元逻辑回归分析,高工作相关压力与心理咨询之间的相关性显著影响护士的心理健康,增加了对心理咨询的需求(=0.0979)。阅读、音乐或户外运动等减压方法可减轻压力(OR 2.298 - 11.031,<0.001)。同时,护患关系和领导严格等因素导致压力水平较高(=0.417,=0.682),而降低工作强度的影响最小(=0.993)。我们的研究表明,低工资、高工作量和低尊重会导致需要大量心理咨询的护士产生职业压力。这些发现可以指导医院管理人员和护士管理者提高薪酬、减少工作时间并提高工作满意度。此外,更好的工作条件和培训项目有助于减轻职业压力并支持护士的心理健康。