to explore the factors associated with job stress among the ambulance nurses in nine zones of Bangkok Emergency Medical Service (EMS).
Multistage random sampling was conducted between December 2015 and February 2016. Two hundred and forty-five ambulance nurses of network hospitals in nine zones of Bangkok EMS who had at least 40 hours EMS training and at least six months work experiences on ambulance were selected as study samples. A self-administered questionnaire with specific questions to explore variables such as socio-demographics, work characteristics, general well-being, employee engagement, role and social support was used. Job stress was evaluated using the Karasek’s Job Demand-Control model (JCQ). The predictive factors influencing job stress were analyzed by using Chi-square and multiple logistic regressions.
The executive and nursing administrators should be aware of job strain among ambulance nurses particularly in the younger age group with less than 5 years of working experience. Specific training programs with supervision and peer support should be provided. Stress management should be commenced in nursing education. The clarity of role and duty together with appropriate work schedule should be considered to avoid the stressful situation which in turn will reduce job stress. This study is the first investigation that quantifies the strength of association between job stress and the various factors among ambulance nurses, thereby enabling the management to implement logical and preventive strategies regarding work-related stress and improve the quality of care in the future.
job stress, ambulance nurse, quality of working life, social support, role ambiguity, role conflict, emergency nurse