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Alrashedi, K., & Boshra, A. (2023). Exploring Work-related Anxiety Among Newly Graduated Nurses in the Riyadh Region. Sudan Journal of Medical Sciences (SJMS), 18(2), 203–220. https://doi.org/10.18502/sjms.v18i2.13604
https://doi.org/10.18502/sjms.v18i2.13604
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Kholoud Alrashedi
Kholoud Alrashedi
Aliman General Hospital, Riyadh, Saudi Arabia
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Amira Boshra
Amira Boshra
Department of Nursing, College of Applied Medical Sciences, Majmaah University, Al-Majmaah, Saudi Arabia
Published Date
- Jun 30, 2023
Exploring Work-related Anxiety Among Newly Graduated Nurses in the Riyadh Region
Abstract
Background: Work-related anxiety among nurses has been linked to various issues, including a heavy workload, work-related conflict, a lack of resources, and stress. This research aims to explore work-related anxiety among recently graduated nurses in Saudi Arabia’s Riyadh region.
Methods: A descriptive, cross-sectional, and relational research design examined work-related anxiety among newly graduated nurses. A sample of 400 nurses was recruited from five Saudi hospitals in the Riyadh region. This study used the job anxiety scale ( JAS) as a study tool. The tool is a self-rating scale of 70 items for assessing job anxiety but only 25 items were applied to this research. A self-administered questionnaire was used to gather demographic information.
Results: This study revealed that there was, overall, low work-related anxiety among the nurse participants. On the one hand, age, gender, educational qualification, job experience, workplace, and work scheduling (hours per week) were found to impact work-related anxiety substantially. On the other hand, work position, nationality, unit of care, and marital status were found to play no significant role in work-related anxiety.
Conclusion: The study’s findings indicate the importance of paying more attention to workplace anxiety. As anxiety may affect nurses’ ability to attend to the needs of patients in their care units, addressing it can reduce burnout and the desire to quit. Changes in work processes, care models, and leadership may be effective in creating a supportive environment that decreases stress and anxiety, promote learning, and provides patients with optimal and safe nursing care. Health policymakers and nurse managers in Saudi Arabia should develop particular intervention programs to reduce work-related anxiety among newly graduated nurses. Managers must seek techniques that help to adapt the present environment to the needs of nurses, as well as approaches that offer newly graduating nurses essential assistance, such as clinical supervision.
Keywords:
work-related anxiety, workplace anxiety, newly graduated nurses, quality healthcare services, Riyadh region
References
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[27] Kayalha, H., Yazdi, Z., Rastak, S., & Dizaniha, M. (2013). Obvious and hidden anxiety and the related factors in operating room nurses employed in general hospital, Qazvin, Iran: A cross-sectional study. Global Journal of Health Science, 5(6), 202–208.
[28] Alloubani, A., Alhroub, A., Albakri, H., & Al-Awaysheh, H. Anxiety level among newly hired nurse in a specialized oncology hospital: An observational study. F1000Res. 2022;11. https://doi.org/10.12688/f1000research.74420.1
[29] Rambur, B., McIntosh, B., Palumbo, M. V., & Reinier, K. (2005). Education as a determinant of career retention and job satisfaction among registered nurses. Journal of Nursing Scholarship, 37(2), 185–192.
[30] Al-Makhaita, H. M., Sabra, A. A., & Hafez, A. S. (2014). Predictors of work-related stress among nurses working in primary and secondary health care levels in Dammam, Eastern Saudi Arabia. Journal of Family & Community Medicine, 21(2), 79–84.
[31] Jourdain, G., & Chênevert, D. (2010). Job demands-resources, burnout and intention to leave the nursing profession: A questionnaire survey. International Journal of Nursing Studies, 47(6), 709–722.
[32] Abu, S. F., & Darawad, M. W. (2020). Correlates to work-related stress of newly graduated nurses in critical care units. International Journal of Caring Sciences, 13(1).
[33] Hoonakker, P., Carayon, P., Gurses, A., Brown, R., McGuire, K., Khunlertkit, A., & Walker, J. M. (2011). Measuring workload of ICU nurses with a questionnaire survey: The NASA Task Load Index (TLX). IIE Transactions on Healthcare Systems Engineering, 1(2), 131–143.
[34] Ang, S. Y., Ayoob, S. B. M., Hussain, N. B. S., Uthaman, T., Adenan, H., Chiang, P., Ong, L. T., Fong, M. K., & Ostbye, T. (2017). Challenges faced by older nurses in Singapore: A mixed methods study. International Nursing Review, 64(4), 502–510.
[35] Almazan, J. U., Albougami, A. S., & Alamri, M. S. (2019). Exploring nurses’ workrelated stress in an acute care hospital in KSA. Journal of Taibah University Medical Sciences, 14(4), 376–382.
[36] Fragar, L. J., & Depczynski, J. C. (2011). Beyond 50. Challenges at work for older nurses and allied health workers in rural Australia: A thematic analysis of focus group discussions. BMC Health Services Research, 11, 42.
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[38] Read, E., & Laschinger, H. K. (2013). Correlates of new graduate nurses’ experiences of workplace mistreatment. The Journal of Nursing Administration, 43(4), 221–228.
[39] Vahedian-Azimi, A., Hajiesmaeili, M., Kangasniemi, M., Fornés-Vives, J., Hunsucker, R. L., Rahimibashar, F., Pourhoseingholi, M. A., Farrokhvar, L., & Miller, A. C. (2019, April). Effects of stress on critical care nurses: A national cross-sectional study. Journal of Intensive Care Medicine, 34(4), 311–322.
[40] Blomberg, K., Isaksson, A. K., Allvin, R., Bisholt, B., Ewertsson, M., Kullén Engström, A., Ohlsson, U., Sundler Johansson, A., & Gustafsson, M. (2016). Work stress among newly graduated nurses in relation to workplace and clinical group supervision. Journal of Nursing Management, 24(1), 80–87.
[41] Webster, N., Jenkins, C., Oyebode, J., Bentham, P., & Smythe, A. (2019). Experiences of peer support for newly qualified nurses in a dedicated online group: Study protocol. Journal of Advanced Nursing, 75(7), 1585–1591.
[2] Lalonde, M., & McGillis Hall, L. (2017). The socialisation of new graduate nurses during a preceptorship programme: Strategies for recruitment and support. Journal of Clinical Nursing, 26(5-6), 774–783. Advance online publication.
[3] Hersch, R. K., Cook, R. F., Deitz, D. K., Kaplan, S., Hughes, D., Friesen, M. A., & Vezina, M. (2016). Reducing nurses’ stress: A randomized controlled trial of a webbased stress management program for nurses. Applied Nursing Research, 32, 18–25. Advance online publication.
[4] Alsayed, S. (2018). The different meanings of flexible shift work scheduling: An integrative literature review. Journal of Nursing and Health, 3(3). Advance online publication. https://doi.org/10.33140/JNH/03/03/00010
[5] Alsharari, A. F., Abuadas, F. H., Hakami, M. N., Darraj, A. A., & Hakami, M. W. (2021). Impact of night shift rotations on nursing performance and patient safety: A crosssectional study. Nursing Open, 8(3), 1479–1488.
[6] Alahmadi, B., & Alharbi, M. (2019). Work-related fatigue factors among hospital nurses: An integrative literature review. Nurse Media Journal of Nursing, 8(2), 113.
[7] Steege, L. M., & Rainbow, J. G. (2017). Fatigue in hospital nurses - ‘Supernurse’ culture is a barrier to addressing problems: A qualitative interview study. International Journal of Nursing Studies, 67, 20–28.
[8] Wolff, A. C., Regan, S., Pesut, B., & Black, J. (2010). Ready for what? An exploration of the meaning of new graduate nurses’ readiness for practice. International Journal of Nursing Education Scholarship, 7(1), e7.
[9] Tran, T. T. T., Nguyen, N. B., Luong, M. A., Bui, T. H. A., Phan, T. D., Tran, V. O., Ngo, T. H., Minas, H., & Nguyen, T. Q. (2019). Stress, anxiety and depression in clinical nurses in Vietnam: A cross-sectional survey and cluster analysis. International Journal of Mental Health Systems, 13(1), 3.
[10] Amen Mohammed Ahmed, W. (2015). Anxiety and related symptoms among critical care nurses in Albaha, Kingdom of Saudi Arabia. [Internet]. AIMS Medical Science, 2(4), 303–309.
[11] Ahmed, W. A. M., & Mohammed, B. M. A. (2019, March 14). Nursing students’ stress and coping strategies during clinical training in KSA. Journal of Taibah University Medical Sciences, 14(2), 116–122.
[12] Etikan, I. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1.
[13] Linden, M., & Muschalla, B. (2007). Anxiety disorders and workplace-related anxieties. Journal of Anxiety Disorders, 21(3), 467–474.
[14] Muschalla, B., Linden, M., & Olbrich, D. (2010). The relationship between job-anxiety and trait-anxiety—A differential diagnostic investigation with the job-anxiety-scale and the state-trait-anxiety-inventory. Journal of Anxiety Disorders, 24(3), 366–371.
[15] Maharaj, S., Lees, T., & Lal, S. (2018). Prevalence and risk factors of depression, anxiety, and stress in a cohort of Australian nurses. International Journal of Environmental Research and Public Health, 16(1), 61.
[16] Jafari, N., Bakhshi, Moradi, A., Asadi, H., Naderi, M. R. (2018). Assessment of demographic and job-related stressors on depression, stress and anxiety in employees of Islam Abad Gharb Health Centers. Journal of Health, 9(4):403-413.
[17] Khodadadi, E., Hosseinzadeh, M., Azimzadeh, R., & Fooladi, M. (2016). The relation of depression, anxiety and stress with personal characteristics of nurses in hospitals of Tabriz, Iran. International Journal of Medical Research & Health Sciences, 5(May).
[18] Shen, S. H., Yen, M., Yang, S. L., & Lee, C. Y. (2016). Insomnia, anxiety, and heart rate variability among nurses working different shift systems in Taiwan. Nursing & Health Sciences, 18(2), 223–229.
[19] Gao, Y. Q., Pan, B. C., Sun, W., Wu, H., Wang, J. N., & Wang, L. (2012). Anxiety symptoms among Chinese nurses and the associated factors: A cross-sectional study. BMC Psychiatry, 12, 141.
[20] Huang, C. L. C., Wu, M. P., Ho, C. H., & Wang, J. J. (2018). Risks of treated anxiety, depression, and insomnia among nurses: A nationwide longitudinal cohort study. PLoS One, 13(9), e0204224.
[21] Karanikola, M. N. K., Giannakopoulou, M., Kalafati, M., Kaite, C. P., Patiraki, E., Mpouzika, M., Papathanassoglou, E. E. D., Middleton, N. (2016). Anxiety symptoms and quality of interaction among oncology nurses: A correlational, cross-sectional study. Revista da Escola de Enfermagem, 50(5):800–807. DOI: 10.1590/S0080- 623420160000600013
[22] Molavynejad, S., Babazadeh, M., Bereihi, F., & Cheraghian, B. (2019). Relationship between personality traits and burnout in oncology nurses. Journal of Family Medicine and Primary Care, 8(9), 2898–2902.
[23] Higgins, G., Spencer, R. L., & Kane, R. (2010). A systematic review of the experiences and perceptions of the newly qualified nurse in the United Kingdom. Nurse Education Today, 30(6), 499–508.
[24] Horsburgh, D., & Ross, J. (2013). Care and compassion: The experiences of newly qualified staff nurses. Journal of Clinical Nursing, 22(7-8), 1124–1132.
[25] Lin, Y. E., Tseng, C. N., Wang, M. F., Wu, S. V., Jane, S. W., & Chien, L. Y. (2020). Anxiety and work stress among newly employed nurses during the first year of a residency programme: A longitudinal study. Journal of Nursing Management, 28(7), 1598–1606.
[26] Karanikola, M. N. K., Papathanassoglou, E. D. E., Kalafati, M., Stathopoulou, H., Mpouzika, M., & Goutsikas, C. G. (2012). Exploration of the association between professional interactions and emotional distress of intensive care unit nursing personnel. Dimensions of Critical Care Nursing, 31(1), 37–45.
[27] Kayalha, H., Yazdi, Z., Rastak, S., & Dizaniha, M. (2013). Obvious and hidden anxiety and the related factors in operating room nurses employed in general hospital, Qazvin, Iran: A cross-sectional study. Global Journal of Health Science, 5(6), 202–208.
[28] Alloubani, A., Alhroub, A., Albakri, H., & Al-Awaysheh, H. Anxiety level among newly hired nurse in a specialized oncology hospital: An observational study. F1000Res. 2022;11. https://doi.org/10.12688/f1000research.74420.1
[29] Rambur, B., McIntosh, B., Palumbo, M. V., & Reinier, K. (2005). Education as a determinant of career retention and job satisfaction among registered nurses. Journal of Nursing Scholarship, 37(2), 185–192.
[30] Al-Makhaita, H. M., Sabra, A. A., & Hafez, A. S. (2014). Predictors of work-related stress among nurses working in primary and secondary health care levels in Dammam, Eastern Saudi Arabia. Journal of Family & Community Medicine, 21(2), 79–84.
[31] Jourdain, G., & Chênevert, D. (2010). Job demands-resources, burnout and intention to leave the nursing profession: A questionnaire survey. International Journal of Nursing Studies, 47(6), 709–722.
[32] Abu, S. F., & Darawad, M. W. (2020). Correlates to work-related stress of newly graduated nurses in critical care units. International Journal of Caring Sciences, 13(1).
[33] Hoonakker, P., Carayon, P., Gurses, A., Brown, R., McGuire, K., Khunlertkit, A., & Walker, J. M. (2011). Measuring workload of ICU nurses with a questionnaire survey: The NASA Task Load Index (TLX). IIE Transactions on Healthcare Systems Engineering, 1(2), 131–143.
[34] Ang, S. Y., Ayoob, S. B. M., Hussain, N. B. S., Uthaman, T., Adenan, H., Chiang, P., Ong, L. T., Fong, M. K., & Ostbye, T. (2017). Challenges faced by older nurses in Singapore: A mixed methods study. International Nursing Review, 64(4), 502–510.
[35] Almazan, J. U., Albougami, A. S., & Alamri, M. S. (2019). Exploring nurses’ workrelated stress in an acute care hospital in KSA. Journal of Taibah University Medical Sciences, 14(4), 376–382.
[36] Fragar, L. J., & Depczynski, J. C. (2011). Beyond 50. Challenges at work for older nurses and allied health workers in rural Australia: A thematic analysis of focus group discussions. BMC Health Services Research, 11, 42.
[37] Keskin, Ö., Oktay, E., Turan, M., Kertmen, N., Tanriverdi, O., Imamoglu, G. I., Yuce, D., Ozturk, B., & Ata, O. (2018, May 20). Depression and anxiety in oncology nurses. [Internet]. Journal of Clinical Oncology, 36(15, suppl), e18552–e18552.
[38] Read, E., & Laschinger, H. K. (2013). Correlates of new graduate nurses’ experiences of workplace mistreatment. The Journal of Nursing Administration, 43(4), 221–228.
[39] Vahedian-Azimi, A., Hajiesmaeili, M., Kangasniemi, M., Fornés-Vives, J., Hunsucker, R. L., Rahimibashar, F., Pourhoseingholi, M. A., Farrokhvar, L., & Miller, A. C. (2019, April). Effects of stress on critical care nurses: A national cross-sectional study. Journal of Intensive Care Medicine, 34(4), 311–322.
[40] Blomberg, K., Isaksson, A. K., Allvin, R., Bisholt, B., Ewertsson, M., Kullén Engström, A., Ohlsson, U., Sundler Johansson, A., & Gustafsson, M. (2016). Work stress among newly graduated nurses in relation to workplace and clinical group supervision. Journal of Nursing Management, 24(1), 80–87.
[41] Webster, N., Jenkins, C., Oyebode, J., Bentham, P., & Smythe, A. (2019). Experiences of peer support for newly qualified nurses in a dedicated online group: Study protocol. Journal of Advanced Nursing, 75(7), 1585–1591.