Applying Betty Neuman's systems theory in understanding workplace stressors among nurses
DOI:
https://doi.org/10.14528/snr.2024.58.4.3281Keywords:
clinical environment, occupational health and safety, quality, nursingAbstract
Introduction: Based on Betty Neuman's theory, the aim of this study is to analyse the extent of different types of stressors (intrapersonal, interpersonal, extrapersonal and those related to healthcare) and their impact on the perception of the work environment and well-being of employees in healthcare institutions.
Methods: A descriptive, non-experimental, quantitative methodology was employed using an online survey. The survey contained 20 statements based on Betty Neuman's framework for the assessment of workplace stressors. A total of 140 healthcare professionals participated in the study.
Results: Results indicate that healthcare professionals experience a moderately low level of stressors at work, with a mean score of 54.17 on a scale of 20 to 100. A higher incidence of stressors was found among those with a master's or doctoral degree (x = 92.83, s = 0.668). The reported presence of stressors was higher at the tertiary level of healthcare (x = 80.00, s = 1.039) than at the primary and secondary levels of healthcare and social welfare institutions (x = 60.90, s = 1.039). Respondents agreed that preventing workplace injuries and illnesses is a shared responsibility (x = 4.43, s = 0.689). They also reported a high level of perceived stress due to workload ( = 3.74, s = 0.976). A higher presence of stressors was reported by shift workers (x = 89.64, s = 1.737) and emergency medical service workers (x = 73.30, s = 3.449).
Discussion and conclusion: The results emphasise the need for tailored interventions to manage stressors, especially at the tertiary level of health care, in shift work and in high-stress work environments.
Downloads
Metrics
References
Alligood, M. R., & Marriner-Tomey, A. (Ed.). (2010). Nursing theorists and their work (7th ed.). Mosby/Elsevier.
Ahmadi, Z., & Sadeghi, T. (2017). Application of the Betty Neuman systems model in the nursing care of patients/clients with multiple sclerosis. Multiple Sclerosis Journal, 3(3). https://doi.org/10.1177/2055217317726798 PMid:28839950; PMCid:PMC5565031
Cheng, H., Liu, G., Yang, J., Wang, Q., & Yang, H. (2023). Shift work disorder, mental health and burnout among nurses: A cross-sectional study. Nursing Open, 10(4), 2611–2620. https://doi.org/10.1002/nop2.1521 PMid:36539975; PMCid:PMC10006599
Collins, L. M. (2007). Cronbach Alpha Coefficient: An overview. In Encyclopedia of Gerontology (2nd ed., pp. 433–442). https://www.sciencedirect.com/topics/nursing-and-healthprofessions/cronbach-alpha-coefficient
Emami, P., Boozari Pour, M., Zahednezhad, H., Khanali Mojen, L., & Naseri, V. (2022). Investigating the relationship between workplace stressors and caring behaviours of nursing staff in inpatient wards: A cross-sectional study. Journal of Advanced Nursing, 78(4), 1066–1074. https://doi.org/10.1111/jan.15080 PMid:34642973
Fawcett, J. (2001). The nurse theorists: 21st-century updates: Betty Neuman. Nursing Science Quarterly, 14(3), 211–214. https://doi.org/10.1177/08943180122108454 PMid:11873341
Field, A., 2017. Discovering statistics using SPSS. 3rd ed. SAGE. Fortsch, L. (2023). Betty Neuman's systems model: A holistic approach to understanding individuals in their environmental context. Research & Reviews: Journal of Nursing and Health Sciences, 9(4), 1–3. https://doi.org/10.4172/JNHS.2023.9.4.87
Glazer, S., & Gyurak, A. (2008). Sources of occupational stress among nurses in five countries. International Journal of Intercultural Relations, 32(1), 49–66. https://doi.org/10.1016/j.ijintrel.2007.10.003
Gonzalo, A. (2023). Betty Neuman: Neuman Sysytems Model. Nurseslabs. https://nurseslabs.com/betty-neuman-systemsmodel- nursing-theory/
Green, A. A., & Kinchen, E. V. (2021). The effects of mindfulness meditation on stress and burnout in nurses. Journal of Holistic Nursing, 39(4), 356–368. https://doi.org/10.1177/08980101211015818 PMid:33998935
Greenawalt, J., & Wachter, J. K. (2011). Applying the Neuman Stressor Model for workplace safety. Journal of Healthcare Risk Management, 30(3), 16–22. https://doi.org/10.1002/jhrm.20056 PMid:21351192
Hannoodee, S., & Dhamoon, A. S. (2023). Nursing Neuman Systems Model. National Library of Medicine. https://www.ncbi.nlm.nih.gov/books/NBK560658/
Idowu, O. A., Oyekunle, A. A., Fajemilehin, B. R., & Idowu- Olutola, O. M. (2022). Applying the Betty Neuman Model to explain the relationship between workload as stressors and shift work disorder among nurses: A conceptual model. South Asian Research Journal of Nursing and Healthcare, 4(3), 41–44. https://doi.org/10.36346/sarjnhc.2022.v04i03.003
Kodeks etike v zdravstveni negi in oskrbi Slovenije (2024). Ljubljana: Zbornica zdravstvene in babiške nege Slovenije – Zveza strokovnih društev medicinskih sester, babic in zdravstvenih tehnikov Slovenije.
Kozina, A., Peras, I., Veldin, M., & Pivec, T. (2022). The psychological response and perception of stress during the COVID-19 pandemic in Slovenia: Three-wave repeated crosssectional study. Stress and Health, 38(5), 950–960. https://doi.org/10.1002/smi.3147 PMid:35338675; PMCid:PMC9111042
Montano, A.-R. (2021). Neuman Systems Model with nurseled interprofessional collaborative practice. Nursing Science Quarterly, 34(1), 45–53. https://doi.org/10.1177/0894318420965219 PMid:33349182
Muhamad Robat, R., Mohd Fauzi, M. F., Mat Saruan, N. A., Mohd Yusoff, H., & Aziz Harith, A. (2021). Why so stressed: A comperative study on stressors and stress between hospital and non-hospital nurses. BMC Nursing, 20(2), Article 2. https://doi.org/10.1186/s12912-020-00511-0 PMid:33390159; PMCid:PMC7780689
Phillips, K., Knowlton, M., & Riseden, J. (2022). Emergency department nursing burnout and resilience. Advanced Emergency Nursing Journal, 44(1), 54–62. https://doi.org/10.1097/TME.0000000000000391 PMid:35089283
Ramírez-Elvira, S., Romero-Béjar, J. L., Suleiman-Martos, N., Gómez-Urquiza, J. L., Monsalve-Reyes, C., Canadas-De la Fuente, G. A., & Albendín-García, L. (2021). Prevalence, risk factors and burnout levels in intensive care unit nurses: A systematic review and meta-analysis. International Journal of Environmental Research and Public Health, 18(21), Article 11432. https://doi.org./10.3390/ijerph182111432 PMid:34769948; PMCid:PMC8583312
Smith, S. A. (2012). Nurse competence: A concept analysis. International Journal of Nursing Knowledge, 23(3), 172–182. https://doi.org/10.1111/j.2047-3095.2012.01225.x PMid:23043658
Yaqoob, A., Jan, R., Rattani, S., & Kumar, S. (2023). Betty Neuman System Model: A concept analysis. Insights Depress Anxiety, 7, 11–15. https://doi.org/10.29328/journal.ida.1001036
Williams, S. G., Fruh, S., Barinas, J. L., & Graves, R. J. (2022). Self-care in nurses. Journal of Radiology Nursing, 41(1), 22–27. https://doi.org/10.1016/j.jradnu.2021.11.001 PMid:35431686; PMCid:PMC9007545
World Medical Association. (2013). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053 PMid:24141714
Wu, S., Wu, C., Wang, X., Fei, W., & Fu, Y. (2023). Mediating effect of circadian rhythm between work stress and sleep quality in Chinese shift-working nurses: A cross-sectional survey. Nursing Open, 10(2), 560–569. https://doi.org/10.1002/nop2.1322 PMid:35964326; PMCid:PMC9834518
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Slovenian Nursing Review
This work is licensed under a Creative Commons Attribution 4.0 International License.
As the author undersigned hereby, I transfer, assign, or otherwise convey the following authorship rights as comprised in the Copyright and Related Rights Act (CRRA) to the Slovenian Nursing Review, Ob železnici 30A, 1000 Ljubljana: the right of reproduction - the exclusive right to fix the work in a material medium or in another copy directly or indirectly, temporarily or permanently, by any means and in any digital form, in whole or in part (CRRA, Article 23); the right of distribution (CRRA, Article 24); the right of making a work available and accessible through the internet (CRRA, Article 32a); the right of transformation, especially the exclusive right to translate a pre-existing work (CRRA, Article 33). The transfer of author rights applies to the article in its entirety, including pictorial and/or graphic works and possible supplements. The transfer of rights is exclusive and unlimited in duration or territory.