Volume 8, Issue 2 (12-2022)
SJNMP 2022, 8(2): 15-30 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mohammadi Ali Abadi F, Shamsaei F, Tapak L, sadeghian E. Relationship between mental workload and mental health of nurses caring for patients with Covid-19. SJNMP 2022; 8 (2) :15-30
URL: http://sjnmp.muk.ac.ir/article-1-497-en.html
URL: http://sjnmp.muk.ac.ir/article-1-497-en.html
1- School of Nursing and Midwifery,Student Research Center,Hamadan. University of Medical Sciences, Hamadan, Iran
2- School of Nursing and Midwifery,Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran
3- School of health,Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4- School of Nursing and Midwifery, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran , sadeghianefat@gmail.com
2- School of Nursing and Midwifery,Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran
3- School of health,Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
4- School of Nursing and Midwifery, Chronic Diseases (Home Care) Research Center, Hamadan University of Medical Sciences, Hamadan, Iran , sadeghianefat@gmail.com
Abstract: (1039 Views)
Background & Aim: During the corona pandemic, due to the shortage of nurses, increasing number of patients with Corona, and the volume of nursing care, the workload of nurses has increased. Nurses 'mental health can be a determining factor in nurses' work efficiency and quality of performance. Therefore, this study aimed to determine the relationship between mental workload and the mental health of nurses caring for patients with Covid-19.
Materials & Methods: In this cross-sectional correlational study, 110 nurses working in educational and medical centers affiliated with Hamadan University of Medical Sciences in 2021 participated and were selected by simple random sampling. Data were collected by demographic questionnaire, mental workload questionnaire (NASA-TLX), and a self-report general health questionnaire (GHQ28) and analyzed by SPSS20 software using descriptive and inferential statistical tests. P<0.05 is considered significant.
Results: The average overall score of nurses' workload was 65.3 ± 12.1, and the highest score related to physical pressure and the lowest score related to efficiency was 74.9 ± 20.3 and 27.6 ± 23.9, respectively. The average mental health score of the nurses was 29.8 ± 10.3, the highest average score was related to physical symptoms (12.8 ± 3.1) and the lowest was related to depression (4.9 ± 3.6). Pearson's correlation coefficient showed a positive correlation between workload and mental health (r=0.217, P=0.001), workload and physical symptoms had a positive correlation (r=0.327 and P=0.013), and physical pressure and physical symptoms had a positive correlation (r = 0.203 and P = 0.001) and there is significance.
Conclusion: Based on the findings of the research, during the corona, the amount of mental workload increased and there was an inverse relationship between workload and mental health, that is, mental health decreases with increasing workload. Therefore, it is suggested that managers help control the workload and improve the mental health of nurses by thinking of measures.
Materials & Methods: In this cross-sectional correlational study, 110 nurses working in educational and medical centers affiliated with Hamadan University of Medical Sciences in 2021 participated and were selected by simple random sampling. Data were collected by demographic questionnaire, mental workload questionnaire (NASA-TLX), and a self-report general health questionnaire (GHQ28) and analyzed by SPSS20 software using descriptive and inferential statistical tests. P<0.05 is considered significant.
Results: The average overall score of nurses' workload was 65.3 ± 12.1, and the highest score related to physical pressure and the lowest score related to efficiency was 74.9 ± 20.3 and 27.6 ± 23.9, respectively. The average mental health score of the nurses was 29.8 ± 10.3, the highest average score was related to physical symptoms (12.8 ± 3.1) and the lowest was related to depression (4.9 ± 3.6). Pearson's correlation coefficient showed a positive correlation between workload and mental health (r=0.217, P=0.001), workload and physical symptoms had a positive correlation (r=0.327 and P=0.013), and physical pressure and physical symptoms had a positive correlation (r = 0.203 and P = 0.001) and there is significance.
Conclusion: Based on the findings of the research, during the corona, the amount of mental workload increased and there was an inverse relationship between workload and mental health, that is, mental health decreases with increasing workload. Therefore, it is suggested that managers help control the workload and improve the mental health of nurses by thinking of measures.
Type of Study: Research |
Subject:
Special
Received: 2022/07/22 | Revised: 2022/12/7 | Accepted: 2022/12/2 | Published: 2022/12/7 | ePublished: 2022/12/7
Received: 2022/07/22 | Revised: 2022/12/7 | Accepted: 2022/12/2 | Published: 2022/12/7 | ePublished: 2022/12/7
References
1. Najafi F, Kermansaravi F, Gangoozehi E. The relationship between general health and quality of work life of nurses working in Zahedan teaching hospitals. Iranian Journal of Rehabilitation Research in Nursing. 2018;4(2):53-9.[Persain]
2. Mobasher F, Kafi S M. Relationship between personality characteristics and psychological hardiness of operating room staff in Al-Zahra hospital of Isfahan in 2014. Razi Journal of Medical Sciences. 2016; 23(143):47-56 .[Persain]
3. Liu Z, Han B, Jiang R, Huang Y, Ma C, Wen J, et al. Mental health status of doctors and nurses during COVID-19 epidemic in China. Available at SSRN 3551329. 2020. [DOI:10.2139/ssrn.3551329]
4. McHugh MD, Kutney-Lee A, Cimiotti JP, Sloane DM, Aiken LH. Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Affairs. 2011;30(2):202-10. [DOI:10.1377/hlthaff.2010.0100]
5. Warshawsky NE, Havens DS. Nurse manager job satisfaction and intent to leave. Nursing Economics.2014;32(1):32-9.
6. Kaewboonchoo O, Yingyuad B, Rawiworrakul T, Jinayon A. Job stress and intent to stay at work among registered female nurses working in Thai hospitals. Journal of Occupational Health. 2014;56(2):93-99. [DOI:10.1539/joh.12-0204-OA]
7. Buljac-Samardžić M, van Woerkom M. Improving quality and safety of care in nursing homes by team support for strengths use: A survey study. Plos One. 2018;13(7):e0200065. [DOI:10.1371/journal.pone.0200065]
8. Bakhshi E, Mazlomi A, Hoseini SM. Mental workload and its determinants among nurses in one hospital in Kermanshah city, Iran. Journal of Occupational Hygiene Engineering. 2017; 3(4):53-60. [Persain] [DOI:10.21859/johe-03047]
9. Ardestani-Rostami R, Ghasembaglu A, Bahadori M. Evaluation of workload and performance of nurses in ICUs of teaching hospitals of Tehran. Scientific Journal of Nursing, Midwifery and Paramedical Faculty. 2019;4(3):63-71. [Persain]
10. Tarnow-Mordi WO, Hau C, Warden A, Shearer A. Hospital mortality in relation to staff workload: a 4-year study in an adult intensive-care unit. The Lancet. 2000; 35 (9225):185-89. [DOI:10.1016/S0140-6736(00)02478-8]
11. Rodríguez-López AM, Rubio-Valdehita S, Díaz-Ramiro EM. Influence of the Covid-19 pandemic on mental workload and burnout of fashion retailing workers in Spain. Interational Journal of Environmental Research and Public Health. 2021;18(3):983-1001. [DOI:10.3390/ijerph18030983]
12. Malekpour F. Assessmen of relationship between quality of life and mental workload among nurses of Urmia Medical Science University hospitals. The Journal of Urmia Nursing and Midwifery Faculty .2014; 12(6):499-505. [Persain]
13. Saber M, TehraniH, Shojaeizadeh D, Maleki Z, Esfandiyarpoor R. Mental health and exposure to stressful life events of nurses working in emergency medical service (ER 115). Health System Research. 2013; 9(3):294-300. [Persain]
14. Sedigh Arfaei F, Rahimi H, Ghodusi Z. Relationship between attachment styles and mental health among nurses. Iran Journal of Nursing.2014;27(88):11-21. [Persain] [DOI:10.29252/ijn.27.88.11]
15. Pourteimour S, Yaghmaei S, Babamohamadi H. The relationship between mental workload and job performance among Iranian nurses providing care to COVID19 patients: A cross sectional study. Journal of Nursing Management. 2021; 29(6):1723-32. [DOI:10.1111/jonm.13305]
16. Ho CS, Chee CY, Ho RC. Mental health strategies to combat the psychological impact of COVID-19 beyond paranoia and panic. Annals Academy of Medicine Singapore. 2020;49 (1):1-3. [DOI:10.47102/annals-acadmedsg.202043]
17. Lu W, Wang H, Lin Y, Li L. Psychological status of medical workforce during the COVID-19 pandemic: A cross-sectional study. Psychiatry Research. 2020; 288(1):112936. [DOI:10.1016/j.psychres.2020.112936]
18. Hart SG, Staveland LE. Development of NASA-TLX (Task Load Index): Results of empirical and theoretical research. Advances in Psychology. 1988;52(1): 139-83. [DOI:10.1016/S0166-4115(08)62386-9]
19. Mohammadi M, Mazloumi A, Zeraati H. Developing and assessing the validity and reliabili ty of a questionnaire to assess the mental workload among ICUs Nurses in one of the TehranUniversity of Medical Sciences hospitals, Tehran, Iran. Scientific Journal of School of Public Health and Institute of Public Health Research. 2013;11(2):87-96. [Persain]
20. Rubio S, Díaz E, Martín J, Puente JM. Evaluation of subjective mental workload: A comparison of SWAT, NASA TLX, and workload profile methods. Applied Psychology. 2004;53(1):61-86. [DOI:10.1111/j.1464-0597.2004.00161.x]
21. Taghavi S. Validity and reliability of the general health questionnaire (ghq-28) in college students of shiraz university. Journal of Psychology. 2002;5(4):381-98. [Persain]
22. Padilha KG, Sousa RMC, Kimura M, Miyadahira AMK, da Cruz DALM, de Fátima Vattimo M, et al. Nursing workload in intensive care units: a study using the Therapeutic Intervention Scoring System-28 (TISS-28). Intensive and Critical Care Nursing. 2007; 23(3):162-9. [DOI:10.1016/j.iccn.2006.07.004]
23. Wu J, Li H, Geng Z, Wang Y, Wang X, Zhang J. Subtypes of nurses' mental workload and interaction patterns with fatigue and work engagement during coronavirus disease 2019 (COVID-19) outbreak: A latent class analysis. BMC Nursing. 2021; 20(1):1-9. [DOI:10.1186/s12912-021-00726-9]
24. Ebrahimi H, Jafarjalal E, Lotfolahzadeh A, Kharghani Moghadam SM. The effect of workload on nurses' quality of life with moderating perceived social support during the COVID-19 pandemic. Work. 2021;70(2):347-54. [DOI:10.3233/WOR-210559]
25. Nemati M, Ebrahimi B, Nemati F. Assessment of Iranian Nurses' Knowledge and Anxiety Toward COVID-19 During the Current Outbreak in Iran. Archives of Clinical Infectious Diseases.15(COVID-19) :e102848. [DOI:10.5812/archcid.102848]
26. Arghami S, Kamali K, Radanfar F. Task performance induced work load in nursing. Journal of Occupational Hygiene Engineering. 2015;2(3):45-54. [Persain]
27. Shoja E, Aghamohammadi V, Bazyar H, Moghaddam HR, Nasiri K, Dashti M, et al. Covid-19 effects on the workload of Iranian healthcare workers. BMC Public Health.2020;20(1):1-7. [DOI:10.1186/s12889-020-09743-w]
28. Sarsangi V, Salehiniya H, Hannani M, Marzaleh MA, Abadi YS, Honarjoo F, et al. Assessment of workload effect on nursing occupational accidents in hospitals of Kashan, Iran. Biomedical Research and Therapy. 2017;4(8):1527-40. [DOI:10.15419/bmrat.v4i08.226]
29. Cho S-H, Ketefian S, Barkauskas VH, Smith DG. The effects of nurse staffing on adverse events, morbidity, mortality, and medical costs. Nursing Research. 2003;52 (2):71-9. [DOI:10.1097/00006199-200303000-00003]
30. Lang TA, Hodge M, Olson V, Romano PS, Kravitz RL. Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomes. JONA: The Journal of Nursing Administration. 2004; 34(7):326-37. [DOI:10.1097/00005110-200407000-00005]
31. Liu C-Y, Yang Y-z, Zhang X-M, Xu X, Dou Q-L, Zhang W-W, et al. The prevalence and influencing factors in anxiety in medical workers fighting COVID-19 in China: a cross-sectional survey. Epidemiology & Infection. 2020; 20(1):148:e98. [DOI:10.1017/S0950268820001107]
32. Huang Y, Zhao N. Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research. 2020; 288(1):e112954. [DOI:10.1016/j.psychres.2020.112954]
33. Varghese A, George G, Kondaguli SV, Naser AY, Khakha DC, Chatterji R. Decline in the mental health of nurses across the globe during COVID-19: A systematic review and meta-analysis. Journal of Global Health. 2021;10(11):05009. [DOI:10.7189/jogh.11.05009]
34. Kapetanos K, Mazeri S, Constantinou D, Vavlitou A, Karaiskakis M, Kourouzidou D, et al. Exploring the factors associated with the mental health of frontline healthcare workers during the COVID-19 pandemic in Cyprus. PloS One. 2021;16(10):e0258475. [DOI:10.1371/journal.pone.0258475]
35. Yarandi MS, Gholami A, Ghasemi M, Koozekonan A, Soltanzadeh A. Investigating the psychological consequences of the COVID-19 outbreak in the occupational society. Journal of Military Medicine. 2020;22(6):562-69. [Persain]
36. Yaylak D, Çalışgan B, Karakaş T, Mert Ö, Öncel C, Köse O, et al. Heavy workload of nurses and effects of it on sleep/rested levels.Turkish Medical Student Journal.2014;1(1):23-6.
37. Ozkan A, Ozdevecioglu M, Kaya Y, Koç FÖ. Effects of mental workloads on depression-anger symptoms and interpersonal sensitivities of accounting professionals. Revista de Contabilidad. 2015;18(2):194-99. [DOI:10.1016/j.rcsar.2014.06.005]
38. Covell CL, Neiterman E, Bourgeault IL. Scoping review about the professional integration of internationally educated health professionals. Human Resources for Health.2016;14(1):1-12. [DOI:10.1186/s12960-016-0135-6]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
