Depression, Anxiety, Stress and Workplace Stressors among Nurses in Tertiary Health Care Settings

Indian J Occup Environ Med. 2021 Jan-Mar;25(1):27-32. doi: 10.4103/ijoem.IJOEM_123_20. Epub 2021 Apr 26.

Abstract

Background: Chronic job stress adversely impacts both mental health of nurses and patient care. There is paucity of data regarding workplace stressors and negative emotions among nurses.

Aims: To assess depression, anxiety and stress among nurses and analyse their association with workplace stressors.

Settings and design: A hospital based cross-sectional study was conducted in two tertiary care hospitals.

Methods and material: Four hundred and thirty one nurses completed nurses rated depression, Anxiety and Stress instrument (DASS-21) and a questionnaire probing perceived workplace stressors on a 4 point Likert scale . The stressors across subgroups of workareas were compared.

Satistical analysis: Association between stress, anxiety or depression and workplace stressors were analysed using binary logistic regression.

Results: 50.8% of nurses had stress; 74% had anxiety; 70.8% had depression. 79.1% had at least one of them. Stressed, anxious or depressed nurses were more concerned about lack of job satisfaction and conflicts with supervisors. Work-place stressors varied with work areas: private hospital, no job satisfaction, conflicts with doctors and patients; government hospital, acquiring infectious diseases; ICUs, inadequate salary; non-ICUs, odour and sounds in workplace and conflicts with patients.

Conclusions: Prevalence of depression, anxiety and stress was high. Workplace stressors varied across different working areas. Interventions need are to be tailored accordingly.

Keywords: Depression; job satisfaction; mental health; nurse; perceived work stressors; stress; workplace stress.