Factors that Associated Factors that Associated with Stress in Nursing Faculty with Stress in Nursing Faculty

in Thailandin Thailand

1 1 The Faculty of Public Health, Khon Kaen UniversityThe Faculty of Public Health, Khon Kaen University2 2 Departmaent of Biostatistics and Demography, Faculty of Departmaent of Biostatistics and Demography, Faculty of Public Health, Khon Kaen UniversityPublic Health, Khon Kaen University

Terdsak NamjarernTerdsak Namjarern11, Bandit Thinkamrop, Bandit Thinkamrop22

BackgroundBackground

Stress is the one of basic factors that cause performance decrease. In the role of nursing faculty there are many factors that can cause stress, Which may affect the quality of personal development into the health care system.

BackgroundBackground

However, previous studies have shown the stressful situation in registered Thai nurses but there were not found any study explored in an overall nursing faculty

ObjectiveObjective

To determine factors that associate with stress in nursing faculty

MethodMethodss

This study is part of the first wave survey of the Thai Nurse Cohort Study conducted in 2010 involving 18,765 nationally representative sample of RNs. Data collection was done via self-administered, mailed questionnaires.

MethodMethodss

This paper included 554 nursing faculty who teach nursing in school of nursing either in public university or nursing colleges under ministry of public health. Nursing faculty who reported experiencing about job stress. Multiple linear regression was used for data analysis

INTRODUCTIONINTRODUCTION

Nursing faculty have been shown to have a deep sense of meaning and commitment to the discipline of nursing. Job satisfaction has an inverse relationship to job stress in the nursing literature, experienced faculty may not have the time to mentor novice faculty (Chung & Kowalski, 2012).

MATERIALS AND METHODSMATERIALS AND METHODS

Study design:This paper is part of the Thai Nurse

Cohort Study (TNCs). The TNCs was planned as a 20-year longitudinal cohort study.

MATERIALS AND METHODSMATERIALS AND METHODS

Study outcome:

Primary outcome were experiencing about job stress reported by nursing faculty. Values of the variable were 4 level of rating scale and overall in average mean.

MATERIALS AND METHODSMATERIALS AND METHODS

Statistical analysis:Demographic characteristics- For categorical data described using

frequency and percentage : gender, marital status, duration of work, employment upon started working, current and highest education attainment, specialized training under contracted scholarship, current status of employment, parenting burden, monthly income, debt, adequacy of income, other source of income.

MATERIALS AND METHODSMATERIALS AND METHODS

Statistical analysis:Demographic characteristics

- For continuous data using mean, standard deviation, median, minimum, and maximum : age

MATERIALS AND METHODSMATERIALS AND METHODS

Statistical analysis:

To investigate factors that associated with stress, adjusted mean difference and their 95% confidence intervals (95%CI) were estimated using multiple linear regression.

MATERIALS AND METHODSMATERIALS AND METHODS

Statistical analysis:

All analyses were performed by using STATA version 10.0 (Stata Corp, College Station, TX). All test statistics were two-sided and a p-value of less than 0.05 was considered statistical significant.

The inclusion flow chartThe inclusion flow chartTotal number of registered nurses

(N = 142,698)

Total number of registered nurses

(N = 142,698)

Sampled and mailed the

Questionnaires (n = 50,209)

Contactable (n= 30,209)

18,200 could not be contacted due to wrong addresses

Returned questionnaires and enrolled

(n= 18,756)

Study participants

(n=554)

18,202 RNs who working as non nursing faculty were excluded

11,453 could not returned questionnaires were excluded

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Demographic CharacteristicsDemographic Characteristics

Job stress activityJob stress activity

• In the assessment of stress level, which consists of 21 items for stress activity. Each items can be identified into four levels from no stress to get the most stress. Overall, the stress level of the nursing faculty had an average mean of 60.01 (SD=5.76, median=60, min=43, max=80) (Table2).

The crude analysisThe crude analysis

factors will be process into the final, multiple regression models were :

Employment upon started workingDuration of Workspecialized training (for 4 month or longer)Not having been under contracted scholarshipParenting burdenAdequacy of incomeOther source of income

Multivariable analysisMultivariable analysis

Multiple Linear Regression indicated that factors which have association with stress in nursing faculty were

Adequacy of incomeParenting burdenSpecialized training (4 month or longer)Having been under contracted scholarshipEmployment upon started workingDuration of work

DiscussionDiscussion

This study found factors that associate with stress in nursing faculty .

Strength of the studyStrength of the study

The strength of this study was conduct

in a large of sample sizes which could accurately represent the situation of stress in nursing faculty in Thailand.

Limitation of the studyLimitation of the study

the questionnaires which use collected the data was created for several research purposes which was not specific in this study

ConclusionsConclusions

Nursing faculty in Thailand were at considerable for stress in their roles. One of the most importance factors is didn’t enough income, parenting burden, Didn’t have specialized training, having been under contracted scholarship, employment upon started working as non nursing faculty and duration of work.

RecommendationsRecommendations

Recommendation for organization:

Thailand Nursing Council should encourage and policy makers to deliver focused interventions to reduce stress in nursing faculty by recruited RNs with work experience to be a nursing faculty, provide training courses such as clinical teaching course, provide appropriate salary to their position and workload.

RecommendationsRecommendations

Recommendation for future study :

Should conduct a comparative study of nursing faculty stress in government universities, private universities and college of nursing under the ministry of public health.

AcknowledgementsAcknowledgements

Thank to

Associate Prof. Dr. Bandit Thinkamrop Dr.Cameron Hurst

Thailand Nursing and Midwifery Council