The Effects of Cognitive‑Behavioral Stress Management on Nurses’ Job Stress

Jafar Shariatkhah, Zahra Farajzadeh, Kolsoom Khazaee

Abstract


Background: Job stress is a prevalent and costly problem in different working conditions. Stress can degrade care quality in nurses and elevate their willingness to leave the job. This study aimed to determine the effects of cognitive‑behavioral stress management on nurses’ job stress.

 Materials and Methods: In this quasi‑experimental study with a control group, 40 nurses from the educational hospitals in Birjand who had completed a job stress questionnaire with a score of more than 100 were selected and randomly allocated to two groups. The intervention group underwent eight 2‑hour sessions training of cognitive‑behavioral stress management (one session per week), whereas the control group had no such training. Two months after the training, the two groups completed the hospital job stress questionnaire again. The data were analyzed using Statistical Package for the Social Sciences (version 19) by Chi‑square, Fisher exact test, independent t‑test, and paired t‑tests at 0.05 significance level.

Results: Stress mean score and standard deviation before and after the intervention were 3.48 (0.22) and 2.8 (0.2) in the intervention group and 3.48 (0.21) and 3.56 (0.2) in the control group, respectively. In the intervention group, the overall mean scores of stress and its dimensions significantly decreased after the intervention (P < 0.05).

Conclusions: Given the significant decrease in the nurses’ stress using cognitive‑behavioral stress management, this approach can be suggested to be taught to nurses in hospitals in order to decrease their stress and increase their efficiency.



Keywords


Cognitive behavior therapy; Iran; job stress; nurses

Full Text:

PDF

References


Gholamnejad H, Nikpeyma N. Occupational stressors in nursing. Iran Occup Health J 2009;6:22‑7.

Taghiloo S. The Effect of the Holy Quran Reading Instruction on Stress Reduction in the Young and Adolescents. J Guilan Univ Med Sci 2009;18:72‑81.

Hamid N. The effects of stress on the immune system of medical students in Tehran and Shahid Beheshti universities of medical sciences. Jundi Shapur J Health Sci 2003.37:14‑21.

Clegg A. occupational stress in nursing: A Review of the literature. J Nurs Manag 2001;9:101‑6.

Rahmani F, Behshid M, Zamanzadeh V, Rahmani F. Relationship between general health, occupational stress and burnout in critical care nurses of Tabriz teaching hospitals. Iran J Nurs 2010;23:54‑63.

Addae HM, Wang X. Stress at work: Linear and curvilinear effects of psychological, job, and organization related factors: An exploratory study of Trinidad and Tobago. Int J Stress Manag 2006;13:476‑93.

Hsu HY, Chen SH, Yu HY, Lou JH. Job stress, achievement motivation and occupational burnout among male nurses. J Adv Nurs 2010;66:1592‑601.

Aghilinejad M, Mohammadi S, Afkari ME, Abbaszade Dizaji R. Surveying the association between occupational stress and mental health, personality and life stressful events in Tehran police officers. Pajouhesh Dar Pezeshki 2007;31:355‑60.

Azadmarzabadi E. Stressor and their relative variables in militants. J Mil Med 2010;11:213‑7.

Hosseini Z, Moeini B, Hazavehei SMM, Aghamollai T, Moghimbeigi A. Effect of educational stress management, based on Precede model, on job stress of nurses. Hormozgan Med J 2011;15:200‑8.

Kawakami N, Haratani T. Epidemiology of job stress and health in Japan: Review of current evidence and future direction. Ind Health 1999;37:174‑86.

Allipour Birgani S. The Relationship of Work Engagement and Work Stress with Satisfaction from Daily Lives of Nurses in Ahvaz Governmental Hospitals. Jentashapir 2013;4:141‑9.

Zeighami Mohammadi SH, Asgharzadeh Haghighi S. Relation between Job Stress and Burnout among Nursing Staff. Sci J Hamadan Nurs Midwifery Fac 2011;19:42‑9.

Hebrani P, Behdani F, Mobtaker M. Evaluation of stress factors in nurses of different hospital wards. J Fundam Ment Health 2008;10:231‑7.

Hosseini MM. Fundamentals of nursing management. 1st ed. Tehran: Publication Boshra; 2007.

Esandiari GR. Survey of the rate of the rate of occupational burnout between nursing staff of Sanandaj Hospitals Affiliated to Kurdistan University of Medical Sciences in 2001. Sci J Kurdistan Univ Med Sci 2001;6:31‑5.

Asad Zandi M, Sayari R, Ebadi A, Sanainasab H. Abundance of depression, anxiety and stress in militant Nurses. J Mil Med 2001;13:103‑8.

Bigdeli I, Karimzade S. The study of relationship between the tension‑making factors and mental health of Semnan nurses. Koomesh 2007;8:21‑6.

Jabalameli SH, Heydari H, Mostafavi S. Effectiveness of cognitive‑behavioral stress management interventions on general health among patients with heart disease. J Behav Sci 2011;9:475‑80.

Hawton K, Salkovskis PM, Kirk J, Clark DM. Cognitive Behaviour Therapy for Psychiatric Problems. Translator, Ghasemzadeh H. 9th ed. Tehran: Arjmand Publication; 2012.

Konnert C, Dobson K, Stelmach L. The prevention of depression in nursing home residents: A randomized clinical trial of cognitive‑behavioral therapy. Aging Ment Health 2009;13:288‑99.

Koivula M, Paunonenm J, Laippala P. Burnout among nursing staff in two Finnish hospitals. J Nurs Manag 2000;8:149‑58.

ShahAbadi SH, Kharamin SHA, Firozi MR, HoosiniMotlagh SA, Malekzadeh M. Determination of the

Effect of Cognitive Behavioral Therapy on Stress among Nurses at Yasuj Shahid Beheshti Hospital in 2009. Armaghane‑danesh 2010;14:58‑64.

Rajaei M, Haghighi H, Dadipoor S, Fallaghi S, Salimi M, Sareghi Brojeni M, et al. Relationship between occupational stress and job satisfaction among Iranian obstetricians. Hormozgan Med J 2013;17:249‑55.

Jabalameli SH, Neshat doost TH, Moulavi H. Efficacy of cognitive‑behavioral stress management intervention on quality of life and blood pressure in female patients with hypertension. Sci J Kurdistan Univ Med Sci 2010;15:88‑97.

de Vente W, Kamphuis JH, Emmelkamp PM, Blonk RW. Individual and group cognitive‑behavioral treatment for work‑related stress complaints and sickness absence: A randomized controlled trial. J Occup Health Psychol 2008;13:214‑31.

Anderson KO, Cohen MZ, Mendoza TR, Guo H, Harle MT, Cleeland CS. Brief cognitive‑behavioral audiotape interventions for cancer‑related pain: Immediate but not long‑term effectiveness. Cancer 2006;107:207‑14.

Nasri S, Najarian B, Mehrabizadeh Honarmand M, Shokrkon H. Comparing the Effectiveness of two psychological approaches in the symptom improvement of chronic fatigue syndrome among Tehran female nurses. J Educ Psychol 2002;3:53‑88.


Refbacks

  • There are currently no refbacks.