A meta-analytic investigation of occupational stress and related organisational factors: is nursing really a uniquely stressful profession?

Elder, Sarah J. (2004) A meta-analytic investigation of occupational stress and related organisational factors: is nursing really a uniquely stressful profession? Other thesis, University of Southern Queensland.


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These studies investigated relationships between occupational stressors and strain
through the application of meta-analysis. In Study I, the meta-analytic procedure
specified by Hunter and Schmidt (1990) was applied to 53 studies that utilised 54
independent samples of nurses (N = 14, 524) and presented 143 correlations between
occupational stressors and strain. This study showed that patient care demands,
workload, conflict with co-workers, lack of co-worker and supervisor support, poor
leadership, role uncertainty, lack of role confidence and competence, responsibility,
lack of job control, job complexity, poor physical environment, shift work,
home/work conflict, lack of career prospects, and lack of professional esteem were all
significantly correlated with strain. Some of the strongest effect sizes were found for
workload, home/work conflict, leadership, co-worker conflict. Nursing specialisation
moderated the effect sizes of professional esteem and patient care demands, such that
professional esteem was more strongly related to strain in paediatric nurses than in
other nurses, and the relationship between patient care demands and strain was
stronger in mental health nurses than in general nurses. In Study II, archival data from
various administrations of the Queensland Public Agency Staff Survey (QPASS)
among nurses and public servants employed by the Queensland Government (N =
4,509) was meta-analysed. This study showed that all organisational climate
variables, positive and negative work events measured by the QPASS were
significantly related to individual distress at work. Organisational issues such as staff
relationships, leadership, role clarity, goal congruence, and workplace morale and
workplace distress were amongst those most strongly associated with distress.
Employment status did not moderate any of the relationships, but the relationship
between personality clashes and distress was moderated by occupation, whereby the
effect size was stronger in nurses than in public servants. It was suggested that generic
interventions used to improve organisational climate and decrease stress will also be
of value in the nursing profession. Several avenues for further meta-analytic research
in the organisational health domain were identified.

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Item Type: Thesis (Non-Research) (Other)
Refereed: No
Item Status: Live Archive
Additional Information (displayed to public): Doctor of Psychology (DPsych)(Health) thesis. This dissertation was submitted as part of a coursework degree and is not regarded by USQ as a 'Research Thesis'.
Depositing User: epEditor USQ
Faculty / Department / School: Historic - Faculty of Sciences - Department of Psychology
Date Deposited: 11 Oct 2007 00:15
Last Modified: 02 Jul 2013 22:30
Uncontrolled Keywords: occupational stress, nursing, meta-analysis
Fields of Research (FoR): 17 Psychology and Cognitive Sciences > 1701 Psychology > 170107 Industrial and Organisational Psychology
11 Medical and Health Sciences > 1110 Nursing > 111099 Nursing not elsewhere classified
URI: http://eprints.usq.edu.au/id/eprint/113

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