OCCUPATIONAL STRESS AND ASSOCIATED FACTORS AMONG HOSPITAL NURSES

Nguyen Ngoc Bich, Huynh Tuan Kiet, Nguyen Thi Xuan

Main Article Content

Abstract

Background: Nursing is a profession with high physical and psychological demands, making nurses vulnerable to occupational stress, which may affect both their health and the quality of patient care.


Objective: To assess the level of occupational stress and identify associated factors among nurses at several hospitals in Can Tho City, Vietnam.


Methods: A cross-sectional descriptive study was conducted on 267 nurses using an electronic questionnaire (Google Forms) from July to August 2025. Statistical analyses included descriptive statistics (frequencies, means, and standard deviations) and logistic regression to identify associated factors.


Results: The 12-item stress scale demonstrated excellent internal consistency (Cronbach’s Alpha = 0.96). The mean stress score was 41.8 ± 15.0. The highest stressors were “occupational health problems” (3.85 ± 1.57), “lack of time for family” (3.72 ± 1.46), and “work-related fatigue” (3.70 ± 1.59). Stress levels were classified as mild in 37.4% of nurses, moderate in 37.1%, severe in 23.2%, and absent in only 2.3%. Significant demographic factors associated with stress included self-reported health status, having children, and being a single parent (p < 0.05). Significant work-related factors were the working department and daily working hours (p < 0.05).


Conclusion: Most nurses experienced moderate to high levels of occupational stress, particularly related to workload, insufficient family time, and occupational health issues. Interventions at both organizational and individual levels are needed to support nurses’ physical and mental health and to improve the working environment.

Article Details

References

[1] Clegg A. Occupational stress in nursing: a review of the literature. Journal of Nursing Management. 2001;9(2):101-6.
[2] D'Auria D. Occupational medicine. Occupational medicine (Oxford, England). 1995;45(4):171-2.
[3] Babapour AR, Gahassab-Mozaffari N, Fathnezhad-Kazemi A. Nurses' job stress and its impact on quality of life and caring behaviors: a cross-sectional study. BMC nursing. 2022;21(1):75.
[4] Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. The Cochrane database of systematic reviews. 2015;2015(4):Cd002892.
[5] Xuan LTT, Quan PT, Manh VT. The current psychological stress among medical staff at two hospitals in Hanoi in 2023. Journal of Medical Research. 2025;186(1):263-71.
[6] Steinhoff M. A pilot study: Stress in emergency department nurses and effect on quality of life: The School of Nursing, California State University, San Marcos; 2015.
[7] Tsegaw S, Getachew Y, Tegegne B. Determinants of Work-Related Stress Among Nurses Working in Private and Public Hospitals in Dessie City, 2021: Comparative Cross-Sectional Study. Psychology research and behavior management. 2022;15:1823-35.
[8] Nasiry Zarrin Ghabaee N, Talebpour Amir F, Hosseini Velshkolaei M. Quality of life and its relationship to job stress among nursing staff in Hospitals of Sari, in 2015. Journal of Nursing Education. 2016;5(2):40-8.
[9] Nguyen Thi Thuong, Do Thi Thu Hang, Phan Thi Hoa, Vu Dinh Phu. Occupational stress in nurses at the National Hospital for Tropical Diseases during the COVID-19 pandemic in 2021. Vietnam Journal of Infectious Diseases. 2024;1(45):106-14.
[10] Yinghao Z, Dan Z, Qi L, Yu W, Xiaoying W, Ao F, et al. A cross-sectional study of clinical emergency department nurses' occupational stress, job involvement, and team resilience. International emergency nursing. 2023;69:101299.