Work Stress Among Nurses in a Private Hospital in Lumajang Indonesia


The issue of nurses’ turnover is rising worldwide as it causes instability of nursing workforce. In fact, a hospital needs a sustainable and highly committed nursing workforce to provide high-quality patient care. Work stress is a crucial factor influencing nurses’ performance, organizational commitment, and one of the key
turnover predictors. Thus, knowing the current level of nurses’ work stress and its influencing factors will be imperative. This study aims to determine the level of work stress of nursing personnel in a private hospital in Lumajang Indonesia and identify factors that influence the stress. This study used a cross-sectional research design. A questionnaire was used to collect data from 40 nurses in a private hospital in Lumajang Indonesia. Respondents were asked to rate their perception of work stress and aspects of working conditions using a five-point Likert scale. All items in the instrument have passed the validity and reliability test. Data were analyzed using descriptive statistics and multiple linear regression. The results of this study show that around two-fifth of the nurses experience moderate to high level of work stress. Of the research variables, pay, management, and health and safety were found to have a significant influence statistically on the work stress. Among those three variables, hospital health and safety variable are considered as the most dominant factor. The findings are in line with previous research about factors influencing work stress, but in addition, this study identifies hospital health and safety as the most dominant factor. This result could be useful for the hospital manager in prioritizing improvement on the problematic aspects of nurses’ working condition to reduce nurses’ work stress.

Keywords: work stress, nurse, working conditions

[1] Abu AlRub, R. F. and Al Zaru, I. M. (2008). Job stress, recognition, job performance and intention to stay at work among Jordanian hospital nurses. Journal of Nursing Management, vol. 16, no. 3, pp. 227–236.

[2] Chang, E. M., Hancock, K. M., Johnson, A., et al. (2005). Role stress in nurses: Review of related factors and strategies for moving forward. Nursing & Health Sciences, vol. 7, no. 1, pp. 57–65.

[3] Mosadeghrad, A. M., Ferlie, E., and Rosenberg, D. (2011). A study of relationship between job stress, quality of working life and turnover intention among hospital employees. Health Services Management Research, vol. 24, no. 4, pp. 170–181.

[4] Desler, D. (2013). Human Resource Management (thirteenth edition). New Jersy: Pearson Education.

[5] Cho, J., Laschinger, H. S., and Wong, C. (2006). Workplace empowerment, work engagement and organizational commitment of new graduate nurses. Nursing Leadership Academies, Can. Exceutive Nurses, vol. 19, no. 3, p. 43.

[6] Huntington, A., Gilmour, J., Tuckett, A., et al. (2011). Is anybody listening? A qualitative study of nurses’ reflections on practice. Journal of Clinical Nursing, vol. 20, no. 9–10, pp. 1413–1422.

[7] O’brien, P. L., Murphy, G. T., Shamian, J., et al. (2010). Impact and determinants of nurse turnover: A pan-Canadian study. Journal of Nursing Management, vol. 18, no. 8, pp. 1073–1086.

[8] Mosadeghrad, A. M. (2013). Occupational stress and turnover intention: Implications for nursing management. International Journal of Health Policy and Management, vol. 1, no. 2, p. 169.

[9] Freeney, Y. M. and Tiernan, J. (2009). Exploration of the facilitators of and barriers to work engagement in nursing. International Journal of Nursing Studies, vol. 46, no. 12, pp. 1557–1565

[10] Haryanti, F. A., and Purwaningsih, P. (2013). Hubungan antara Beban Kerja dengan Stres Kerja Perawat di Instalasi Gawat Darurat RSUD Kabupaten Semarang. J. Manaj. Keperawatan, vol. 1, no. 1.

[11] Revalicha, N. S. (2012). Perbedaan Stres Kerja Ditinjau dari Shift Kerja pada Perawat di RSUD Dr. Soetomo Surabaya. J. Psikol. Ind. dan Organ., vol. 1, no. 3.

[12] McVicar, A. (2003). Workplace stress in nursing: A literature review. Journal of Advanced Nursing, vol. 44, no. 6, pp. 633–642.

[13] Jennings, B. M. (2008). Work stress and burnout among nurses: Role of the work environment and working conditions, in R. G. Hughes (ed.) Patient Safety and Quality: An Evidence-based Handbook for Nurses. RockVille: Agency for Healthcare Research and Quality.

[14] Funnel, R. (2010). Opinions of Registered Nurses About Quality of Working Life in Victoria’s Public Hospitals. Victoria University.

[15] Sugiyono. (2006). Statistika untuk Penelitian. Bandung: C. Alfa Beta.

[16] Weyers, S., Peter, R., Boggild, H., et al. (2006). Psychosocial work stress is associated with poor self-rated health in Danish nurses: A test of the effort–reward imbalance model. Scandinavian Journal of Caring Sciences, vol. 20, no. 1, pp. 26–34.

[17] Clarke, S. and Cooper, C. L. (2004). Managing the risk of workplace stress: Health and safety hazards. Psychology Press.