Nurse Occupational Stress and Quality of Care: A Systematic Review In Asian Hospital Settings


Alfie Fiandra Garcia, Amal Chalik Sjaaf

 

Health Policy Administration, Faculty of Public Health, Universitas Indonesia

 

ABSTRACT

Background:  Occupational stress is both psychologically and physically challenging and may lead to high rates of absenteeism, burnout, and turnover. Nursing is con­si­de­red as one of the most stressful and demanding professions. This study aimed to review systematically the nurse occupational stress and quality of care in Asian hospital set­tings.

Subjects and Method: This was a systematic review conducted through six steps: (1) Fra­med a question (based on a theory); (2) Ran a search (on Sources of PubMed and ScienceDirect, which published articles from 2008 to 2018.); (3) Read the abstract and title of the individual pa­pers; (4) Abstract information from the selected set of final articles; (5) Determined the qu­ality of the information in these articles. This was done using a judgment of their internal va­lidity but also using the GRADE criteria; (6) De­ter­mined the extent to which these articles were heterogeneous. The keyword for this re­view were work stress, occupational stress, nurse and qu­ality of care. The inclusion cri­te­ria were nurse work stress and service quality in hospitals in Asia. After review pro­cess seven articles were included in this review.

Results: Occupational stress was associated with quality of health service. Poor work en­­­viron­ment and heavy workload were caused significantly higher stress among part­i­ci­pants. Occu­pati­onal stress affects nurses health-related quality of life negatively, while it can also be considered as an influence on patient outcomes.

Conclusion: Occupational stress affects nurses health-related quality of life ne­ga­ti­ve­ly, while it can also be considered as an influence on patient outcomes.

Keywords: occupational stress, nurse, quality of care, patient outcome, asia

Correspondence: Alfie Fiandra Garcia . Health Policy Administration, Faculty of Public Health, Universitas Indonesia. Email: garciafamily.alfie@gmail.com. Mobile: +6282121400042.

DOI: https://doi.org/10.26911/theicph.2019.04.46

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