Hemşirelerin Gece Vardiyası Stresini Anlamak: Bir Nokta Prevalans Çalışması
Year 2025,
Volume: 32 Issue: 2, 129 - 138, 19.06.2025
Hamide Coşkun Erçelik
,
Tuğçe Çamlıca
,
Ali Özkan
Abstract
Amaç Bu çalışmanın amacı, gece vardiyasında çalışan hemşirelerin stres düzeylerini ve stres kaynaklarını incelemektir.
Gereç ve Yöntem: Bu nokta prevalans çalışması tanımlayıcı ve kesitsel bir çalışma olarak tasarlanmış ve bir üniversite hastanesinde 73 hemşire ile yürütülmüştür. Araştırma verileri araştırmacılar tarafından hazırlanan kişisel bilgi formu ve hemşire stres belirleme formu ile toplanmıştır.
Bulgular: Hemşirelerin stres düzeylerinin 106 puan (27 en düşük ve 164 en yüksek) ile ortalamanın üzerinde olduğu sonucuna varılmıştır. Sıklıkla gece vardiyasında çalışan hemşirelerin stres düzeyleri, daha az gece vardiyasında çalışanlara göre daha yüksek bulunmuştur. Bunun yanı sıra, işlerinden memnun olanların stres düzeylerinin daha düşük olduğu görülmüştür. Hemşirelerin en önemli stres kaynaklarının personel yetersizliği, ağır iş yükü ve sınırlı kariyer fırsatları olduğu belirlenmiştir.
Sonuç Sonuç olarak, bu çalışmanın hemşirelerin stres düzeyleri ve stres kaynakları ile iş stresini önlemeye yönelik potansiyel önlemler hakkında kanıta dayalı veriler sunduğu bildirilmiştir. Çözüm odaklı yaklaşımların geliştirilebilmesi için stres düzeylerinin ve stres kaynaklarının belirlenmesine yönelik nokta prevalans çalışmalarının düzenli olarak yapılması önerilmiştir.
References
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1. McNeely E. The consequences of job stress for nurses' health: Time for a check-up. Nurs Outlook 2005;53(6):291-9.
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2. World Health Organization (WHO). WHO and partners call for urgent investment in nurses [Internet]. 2020. [cited 13 November 2024]. Available from: https://www.who.int/news/item/07-04-2020-who-and-partners-call-for-urgent-investment-in-nurses.
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3. Nayomi WVPN. Workplace stress in nursing: A literature review. Journal of Social Statistics 2016;3(1):47-53.
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4. Okuhara M, Sato K, Kodama Y. The nurses' occupational stress components and outcomes: Findings from an integrative review. Nursing Open 2021;8(5):2153-74.
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5. Valizadeh L, Farnam A, Zamanzadeh V, et al. Sources of stress for nurses in neonatal intensive care units of East Azerbaijan province, İran. Journal of Caring Sciences 2012;1(4):245-54.
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6. Kane PP. Stres causes psychosomatic illness among nurses. Indian Journal of Occupational and Environmental Medicine 2009;13(1):28-32.
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7. Applebaum D, Fowler S, Fiedler N, et al. The impact of environmental factors on nursing stress, job satisfaction, and turnover intention. J Nurs Adm 2010;40(7-8):323-8.
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8. Virtanen M, Kurvinen T, Terho K, et al. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients. Med Care 2009;47(3):310-8.
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9. Sharma P, Davey A, Davey S, et al. Occupational stress among staff nurses: Controlling the risk to health. Indian Journal of Occupational and Environmental Medicine 2014;18(2):52-6.
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10. Nasrabadi AN, Seif H, Latifi M, et al. Night shift work experiences among Iranian nurses: A qualitative study. Int Nurs Rev 2009;56(4):498-503.
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11. Becker DM. Implementing a night-shift clinical nurse specialist. Clin Nurse Spec 2013;27(1):26-30.
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12. Brand MC, Shippey H, Hagan J, et al. Comparison of psychological and physiological stress in NICU nurses: Effects of unit design and shift. Adv Neonatal Care 2021;21(4): E93-E100.
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13. Bumin G, Tatlı İY, Cemali M, et al. Vardiyalı ve gündüz çalışan sağlık çalışanlarında uyku kalitesi, reaksiyon zamanı, stres ve iyilik halinin karşılaştırılması. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2019;6(3):170-6.
-
14. Ozvurmaz S, Öncü AZ. Vardiyalı ve nöbet sistemi şeklinde çalışma düzeninin hemşireler üzerine etkisi. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2018;2(1):39-46.
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15. Alimoglu MK, Donmez L. Daylight exposure and the other predictors of burnout among nurses in a University Hospital. Int J Nurs Stud 2005;42(5):549-55.
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16. Buja A, Zampieron A, Mastrangelo G, et al. Strain and health implications of nurses’ shift work. International Journal of Occupational Medicine and Environmental Health 2013;26(4):511-21.
-
17. Caruso CC. Negative impacts of shiftwork and long work hours. Rehabilitation Nursing 2014;39(1):16-25.
-
18. Uyar S, Aslan Eti F, Yalın H. Sadness in nurses during the COVID-19 pandemic. Health Sci Q 2022;2(1):45-51.
-
19. Çamlıca T, Aslan FE, Yalın H. Nursing and grief during the coronavirus disease 2019 pandemic. Journal of Education and Research in Nursing 2023;20(2):186-89.
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20. Çamlıca T, Uyar S, Çalışkan NÖ, Yalın H. COVID-19 pandemisinde hemşirelerin merhamet yorgunluğu ve korku düzeylerinin belirlenmesi: Çok merkezli bir çalışma. Ordu University J Nurs Stud 2024;7(3):685-96.
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21. Mealer M, Burnham EL, Goode CJ, et al. The prevalence and impact of post-traumatic stress disorder and burnout syndrome in nurses. Depression and Anxiety 2009;26(12):1118-1126.
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22. De Almeida Vicente A, Shadvar S, Lepage S, et al. Experienced pediatric nurses' perceptions of work-related stressors on general medical and surgical units: A qualitative study. Int J Nurs Stud 2016;60:216-24.
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23. Üstün B, Kanbay Y. Kars ve Artvin illerinde hemşirelerin iş ortamı ile ilgili stresörleri ve kullandıkları başetme yöntemlerinin incelenmesi. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Dergisi 2009;2(4):155-161.
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24. OECD. Health at a Glance: Europe 2024. [Internet]. 2024. [cited 21 January 2025]. Available from: https://www.oecd.org/en/publications/health-at-a-glance-europe-2024_b3704e14-en.html.
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25. Powell I. Can you see me? Experiences of nurses working night shift in Australian regional hospitals: a qualitative case study. J Adv Nurs 2013;69(10):2172-84.
-
26. Demirkan E. Hemşirelerde mesleki motivasyon eksikliğinin nedenleri ve sonuçları üzerine sosyolojik bir çözümleme. Selcuk University Institute of Social Sciences. Konya: Selcuk University. 2007.
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27. Ejebu OZ, Dall'Ora C, Griffiths P. Nurses' experiences and preferences around shift patterns: A scoping review. PloS one 2021;16(8):e0256300.
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28. Nasrabadi AN, Lipson JG, Emami A. Professional nursing in Iran: An overview of its historical and sociocultural framework. J Prof Nurs 2004;20(6):396-402.
-
29. Choubineh A, Shahcheragh B, Keshavarzi S, et al. Investigation of the problems related to shift working in operating room technicians of the hospitals affiliated to Shiraz University of Medical Sciences. Iran Occupational Health Journal 2007;4(1 and 2):48-52.
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30. Kilpatrick K, Lavoie-Tremblay M. Shiftwork: What health care managers need to know. Health Care Manag (Frederick) 2006;25(2):160-6.
-
31. International Labour Organization (ILO). Health services. Decent working time for nursing personnel: Critical for worker well-being and quality care [Internet]. 2018. [cited 13 November 2024]. https://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/publication/wcms_655277.pdf.
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32. American Nurses Association (ANA). Position statement. Addressing nurse fatigue to promote safety and health: Joint responsibilities of registered nurses and employers to reduce risks [Internet]. 2014. [cited 13 November 2024]. https://www.nursingworld.org/~49de63/globalassets/practiceandpolicy/health-and-safety/nurse-fatigue-position-statement-final.pdf.
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33. Türk Hemşireler Derneği (THD). Türkiye’de hemşirelerin çalışma koşulları [Internet]. 2011. [cited 13 November 2024] Available from: https://www.thder.org.tr/turkiye-de-hemsirelerin-calisma-kosullari.
-
34. Taşcı K, Gök F, Koştu N. Pamukkale üniversitesi hastanesinde çalışan hemşirelerin stresle baş etme stratejilerinin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2007;10(2):41-8.
-
35. Hoedl M, Bauer S, Eglseer D. Influence of nursing staff working hours on stress levels during the COVID-19 pandemic: A cross-sectional online survey. HeilberufeScience 2021:1-7.
-
36. Muecke S. Effects of rotating night shifts: Literature review. J Adv Nurs 2005;50(4):433-9.
-
37. Ida H, Miura M, Komoda M, et al. Relationship between stress and performance in a Japanese nursing organization. Int J Health Care Qual Assur 2009;22(6):642-57.
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38. Simon M, Kümmerling A, Hasselhorn HM. Work-home conflict in the European nursing profession. International Journal Of Occupational and Environmental Health 2004;10(4): 384-91.
Understanding the Night Shift Stress of Nurses: A Point Prevalence Study
Year 2025,
Volume: 32 Issue: 2, 129 - 138, 19.06.2025
Hamide Coşkun Erçelik
,
Tuğçe Çamlıca
,
Ali Özkan
Abstract
Objective: This study aims to investigate the stress levels and stressors experienced by nurses during the night shift.
Material and Method: This point prevalence study was designed as a descriptive and cross-sectional study, and it was conducted with 73 nurses in a university hospital. The study data were collected with a personal information form that was designed by the researchers and a nurse stress identification form.
Results: It was concluded that the stress levels of nurses were above the average, with 106 points (27 lowest and 164 highest). Nurses who were frequently working at night shifts were found to have higher stress levels compared to those working less at night shifts. Besides, it was also noted that those who were satisfied with their jobs had lower stress levels. The most significant stress sources for nurses were understaffing, heavy workload, and limited career opportunities.
Conclusion: It was consequently reported that this study presented evidence based data on nurses’ stress levels and their stress sources as well as potential precautions to prevent job stress. It was recommended to regularly conduct point prevalence studies to determine the levels of stress and stressors to develop solution based approaches.
Ethical Statement
The permission to implement the study was granted by the university (Date:15/12/2021 Issue:E-26515734-605.01-181076) and the Board of Ethics at the Faculty of Medicine (Date: 15/09/2021 Issue: 72867572-050.01.04-114341). All nurses were informed about the purposes of the study and the researchers sought an oral consent from all nurses who consented to participate in the study. To use forms, the researchers also asked for the permission of the author. The study was conducted in line with the principles of the "Helsinki Declaration".
Thanks
We acknowledge all the participants that took part in this study.
References
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1. McNeely E. The consequences of job stress for nurses' health: Time for a check-up. Nurs Outlook 2005;53(6):291-9.
-
2. World Health Organization (WHO). WHO and partners call for urgent investment in nurses [Internet]. 2020. [cited 13 November 2024]. Available from: https://www.who.int/news/item/07-04-2020-who-and-partners-call-for-urgent-investment-in-nurses.
-
3. Nayomi WVPN. Workplace stress in nursing: A literature review. Journal of Social Statistics 2016;3(1):47-53.
-
4. Okuhara M, Sato K, Kodama Y. The nurses' occupational stress components and outcomes: Findings from an integrative review. Nursing Open 2021;8(5):2153-74.
-
5. Valizadeh L, Farnam A, Zamanzadeh V, et al. Sources of stress for nurses in neonatal intensive care units of East Azerbaijan province, İran. Journal of Caring Sciences 2012;1(4):245-54.
-
6. Kane PP. Stres causes psychosomatic illness among nurses. Indian Journal of Occupational and Environmental Medicine 2009;13(1):28-32.
-
7. Applebaum D, Fowler S, Fiedler N, et al. The impact of environmental factors on nursing stress, job satisfaction, and turnover intention. J Nurs Adm 2010;40(7-8):323-8.
-
8. Virtanen M, Kurvinen T, Terho K, et al. Work hours, work stress, and collaboration among ward staff in relation to risk of hospital-associated infection among patients. Med Care 2009;47(3):310-8.
-
9. Sharma P, Davey A, Davey S, et al. Occupational stress among staff nurses: Controlling the risk to health. Indian Journal of Occupational and Environmental Medicine 2014;18(2):52-6.
-
10. Nasrabadi AN, Seif H, Latifi M, et al. Night shift work experiences among Iranian nurses: A qualitative study. Int Nurs Rev 2009;56(4):498-503.
-
11. Becker DM. Implementing a night-shift clinical nurse specialist. Clin Nurse Spec 2013;27(1):26-30.
-
12. Brand MC, Shippey H, Hagan J, et al. Comparison of psychological and physiological stress in NICU nurses: Effects of unit design and shift. Adv Neonatal Care 2021;21(4): E93-E100.
-
13. Bumin G, Tatlı İY, Cemali M, et al. Vardiyalı ve gündüz çalışan sağlık çalışanlarında uyku kalitesi, reaksiyon zamanı, stres ve iyilik halinin karşılaştırılması. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi 2019;6(3):170-6.
-
14. Ozvurmaz S, Öncü AZ. Vardiyalı ve nöbet sistemi şeklinde çalışma düzeninin hemşireler üzerine etkisi. Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2018;2(1):39-46.
-
15. Alimoglu MK, Donmez L. Daylight exposure and the other predictors of burnout among nurses in a University Hospital. Int J Nurs Stud 2005;42(5):549-55.
-
16. Buja A, Zampieron A, Mastrangelo G, et al. Strain and health implications of nurses’ shift work. International Journal of Occupational Medicine and Environmental Health 2013;26(4):511-21.
-
17. Caruso CC. Negative impacts of shiftwork and long work hours. Rehabilitation Nursing 2014;39(1):16-25.
-
18. Uyar S, Aslan Eti F, Yalın H. Sadness in nurses during the COVID-19 pandemic. Health Sci Q 2022;2(1):45-51.
-
19. Çamlıca T, Aslan FE, Yalın H. Nursing and grief during the coronavirus disease 2019 pandemic. Journal of Education and Research in Nursing 2023;20(2):186-89.
-
20. Çamlıca T, Uyar S, Çalışkan NÖ, Yalın H. COVID-19 pandemisinde hemşirelerin merhamet yorgunluğu ve korku düzeylerinin belirlenmesi: Çok merkezli bir çalışma. Ordu University J Nurs Stud 2024;7(3):685-96.
-
21. Mealer M, Burnham EL, Goode CJ, et al. The prevalence and impact of post-traumatic stress disorder and burnout syndrome in nurses. Depression and Anxiety 2009;26(12):1118-1126.
-
22. De Almeida Vicente A, Shadvar S, Lepage S, et al. Experienced pediatric nurses' perceptions of work-related stressors on general medical and surgical units: A qualitative study. Int J Nurs Stud 2016;60:216-24.
-
23. Üstün B, Kanbay Y. Kars ve Artvin illerinde hemşirelerin iş ortamı ile ilgili stresörleri ve kullandıkları başetme yöntemlerinin incelenmesi. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Dergisi 2009;2(4):155-161.
-
24. OECD. Health at a Glance: Europe 2024. [Internet]. 2024. [cited 21 January 2025]. Available from: https://www.oecd.org/en/publications/health-at-a-glance-europe-2024_b3704e14-en.html.
-
25. Powell I. Can you see me? Experiences of nurses working night shift in Australian regional hospitals: a qualitative case study. J Adv Nurs 2013;69(10):2172-84.
-
26. Demirkan E. Hemşirelerde mesleki motivasyon eksikliğinin nedenleri ve sonuçları üzerine sosyolojik bir çözümleme. Selcuk University Institute of Social Sciences. Konya: Selcuk University. 2007.
-
27. Ejebu OZ, Dall'Ora C, Griffiths P. Nurses' experiences and preferences around shift patterns: A scoping review. PloS one 2021;16(8):e0256300.
-
28. Nasrabadi AN, Lipson JG, Emami A. Professional nursing in Iran: An overview of its historical and sociocultural framework. J Prof Nurs 2004;20(6):396-402.
-
29. Choubineh A, Shahcheragh B, Keshavarzi S, et al. Investigation of the problems related to shift working in operating room technicians of the hospitals affiliated to Shiraz University of Medical Sciences. Iran Occupational Health Journal 2007;4(1 and 2):48-52.
-
30. Kilpatrick K, Lavoie-Tremblay M. Shiftwork: What health care managers need to know. Health Care Manag (Frederick) 2006;25(2):160-6.
-
31. International Labour Organization (ILO). Health services. Decent working time for nursing personnel: Critical for worker well-being and quality care [Internet]. 2018. [cited 13 November 2024]. https://www.ilo.org/wcmsp5/groups/public/---ed_dialogue/---sector/documents/publication/wcms_655277.pdf.
-
32. American Nurses Association (ANA). Position statement. Addressing nurse fatigue to promote safety and health: Joint responsibilities of registered nurses and employers to reduce risks [Internet]. 2014. [cited 13 November 2024]. https://www.nursingworld.org/~49de63/globalassets/practiceandpolicy/health-and-safety/nurse-fatigue-position-statement-final.pdf.
-
33. Türk Hemşireler Derneği (THD). Türkiye’de hemşirelerin çalışma koşulları [Internet]. 2011. [cited 13 November 2024] Available from: https://www.thder.org.tr/turkiye-de-hemsirelerin-calisma-kosullari.
-
34. Taşcı K, Gök F, Koştu N. Pamukkale üniversitesi hastanesinde çalışan hemşirelerin stresle baş etme stratejilerinin belirlenmesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 2007;10(2):41-8.
-
35. Hoedl M, Bauer S, Eglseer D. Influence of nursing staff working hours on stress levels during the COVID-19 pandemic: A cross-sectional online survey. HeilberufeScience 2021:1-7.
-
36. Muecke S. Effects of rotating night shifts: Literature review. J Adv Nurs 2005;50(4):433-9.
-
37. Ida H, Miura M, Komoda M, et al. Relationship between stress and performance in a Japanese nursing organization. Int J Health Care Qual Assur 2009;22(6):642-57.
-
38. Simon M, Kümmerling A, Hasselhorn HM. Work-home conflict in the European nursing profession. International Journal Of Occupational and Environmental Health 2004;10(4): 384-91.