Job Stress among Paediatric Nurses in Clinical Area: Cross-Sectional Study

Authors

  • Kholoud Hashem Salloum Department of Paediatric Nursing, College of Nursing, University of Warith Al-Anbiyaa, Karbala, Iraq
  • Hadi Faiz Jazan Department of Psychiatric and Mental Health Nursing, College of Nursing, University of Warith Al-Anbiyaa, Karbala, Iraq
  • Marlen Hashem Salloum Radiological Techniques Department, College of Health and Medical Techniques, University of AL-Zahraa for Women, Holy Karbala, Iraq
  • Fatima Fadil Jawad Department of Maternity Nursing, College of Nursing, University of Warith Al-Anbiyaa, Karbala, Iraq
  • Zahraa A. Althabet Department of Basic Science, College of Nursing, University of Warith Al-Anbiyaa, Karbala, Iraq

DOI:

https://doi.org/10.31674/mjn.2025.v17isupp1.011

Abstract

Background: Paediatric nurses experience distinct mental and physical challenges on the job, adding to the widespread problem of healthcare worker stress. The negative effects on health, productivity, and patient care can result from nurses experiencing high levels of stress, few studies have looked at the prevalence of stress among Iraqi paediatric nurses, despite the fact that this population has higher rates of stress overall. Objective: The study aimed to find out stress levels and recognise the causes of stress among paediatric nurses. Methods: Descriptive cross-sectional study design, conducted in the Educational Karbala Hospital for Children in the Holy City of Karbala in Iraq, and the researcher used a questionnaire which consists of two parts, socio-demographic for the study sample: age, educational level etc. In addition, the expanded nursing stress scale (ENSS) to measures the sources and frequency of stress experienced by the nurses. A total of 300 nurses randomly selected were recruited. Results: Indicated that the common paediatric nursing personnel assessed their job stress as moderate (87.7%), but the nurse had more stress related to the patient’s death. In addition, there are no significant differences in job stress (p ≥ 0.05) in relation to the rest of the demographic variables. Conclusion: Researchers found that all those nurses have a moderate level of job stress. Current study recommended to find ways to decrease the prevalence of job stress among paediatric nurses, as treating the difficulties inside and outside the workplace in order, to decrease the stress for those nurses’ group, foster a positive work environment and Ensure Clear Job Role Definitions.

Keywords:

Iraq, Job, Nurses, Paediatric, Stress

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References

Abu Ruz, M. E., Al-Akash, H. Y., & Jarrah, S. (2018). Persistent (Anxiety and Depression) Affected Academic Achievement and Absenteeism in Nursing Students. The Open Nursing Journal, 12, 171–179. https://doi.org/10.2174/1874434601812010171

Alharbi, M. E., Bishi, S. I., & Alsulami, N. (2023). Work-Related Stress Among Nurses Working in Pediatric Units. Pediatric Nursing, 49(6), 297-305. Retrieved from: https://www.proquest.com/openview/025b7cfefec9de3f95649dac358efe41/1?pq-origsite=gscholar&cbl=47659. Accessed on 19th June 2024.

Alraimi, A., & Shelke, A. (2023). Job stress among nursing staff and its impact on performance in hospitals: A case study. https://doi.org/10.21203/rs.3.rs-3682449/v1

Al Sabei, S., AbuAlRub, R., Al Yahyaei, A., Al-Rawajfah, O. M., Labrague, L. J., Burney, I. A., & Al-Maqbali, M. (2023). The influence of nurse managers’ authentic leadership style and work environment characteristics on job burnout among emergency nurses. International Emergency Nursing, 70. ‏https://doi.org/10.1016/j.ienj.2023.101321

Bai, J. H., & Ravindran, V. (2019). Job stress among nurses. Indian Journal of Continuing Nursing Education, 20(2), 92–96. https://doi.org/10.4103/IJCN.IJCN_11_20

Bhagat, D., Pathak, M., Gupta, T., Rathod, K., Jadhav, A., Saxena, R., ... & Sinha, A. (2025). Surgical and psychosocial factors related to Pediatric Medical Traumatic Stress (PMTS) in children following surgery: A follow-up study. Pediatric Surgery International, 41(1), 1-7. https://doi.org/10.1007/s00383-025-05975-2

Bian, W., Cheng, J., Dong, Y., Xue, Y., Zhang, Q., Zheng, Q., ... & Yang, H. (2023). Experience of pediatric nurses in nursing dying children-a qualitative study. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01274-0

Fang, J., Wang, X., Yuan, K.-H., & Wen, Z. (2020). Childhood psychological maltreatment and moral disengagement: A moderated mediation model of callous-unemotional traits and empathy. Personality and Individual Differences, 157. https://doi.org/10.1016/j.paid.2020.109814

French, S. E., Lenton, R., Walters, V., & Eyles, J. (2000). An empirical evaluation of an expanded nursing stress scale. Journal of Nursing Measurement, 8(2), 161-178. https://doi.org/10.1891/1061-3749.8.2.161

Glawing, C., Karlsson, I., Kylin, C., & Nilsson, J. (2024). Work‐related stress, stress reactions and coping strategies in ambulance nurses: A qualitative interview study. Journal of Advanced Nursing, 80(2), 538–549. https://doi.org/10.1111/jan.15819

Goudarzian, A. H., Nikbakht Nasrabadi, A., Sharif-Nia, H., Farhadi, B., & Navab, E. (2024). Exploring the concept and management strategies of caring stress among clinical nurses: A scoping review. Frontiers in Psychiatry, 15. https://doi.org/10.3389/fpsyt.2024.1337938

Hendy, A., Hassani, R., Ali Abouelela, M., Nuwayfi Alruwaili, A., Abdel Fattah, H. A., Abd elfattah Atia, G., & Reshia, F. A. A. (2023). Self-Assessed capabilities, attitudes, and stress among pediatric nurses in relation to cardiopulmonary resuscitation. Journal of Multidisciplinary Healthcare, 16, 603–611. https://doi.org/10.2147/JMDH.S401939

Huang, P. L., Lin, C. H., Tseng, W. C., & Gau, B. S. (2025). Challenges perceived by pediatric intensive care unit nurses in caring for maltreated children and adolescents: A qualitative phenomenological study. Intensive and Critical Care Nursing, 87.‏ https://doi.org/10.1016/j.iccn.2024.103887

Ibrahim, M., Zakaria, A., & Abdel-Ghani, A. (2023). Work Related Stress and Job Performance among Staff Nurses. Mansoura Nursing Journal, 10(2), 149–160. https://doi.org/10.21608/mnj.2023.340376

Jeon, B. Y., Yun, S. J., & Kim, H. Y. (2024). Factors influencing job stress in pediatric nurses during the pandemic period: Focusing on fatigue, pediatric nurse− parent partnership. Journal for Specialists in Pediatric Nursing, 29(4). https://doi.org/10.1111/jspn.12437

Kabir, M. A., & Razia, M. S. (2020). Novice nurses’ perception of job stress working at hospital at tertiary hospital. EAS Journal of Nursing and Midwifery, 2(5), 290–295. https://doi.org/10.36349/easjnm.2020.v02i05.001

Keykha, K. A., Alinejad-Naeini, M., & Peyrovi, H. (2025). The mediating role of psychological capital in the association between work engagement and occupational stress in pediatric nurses. Scientific Reports, 15(1), 7041. https://doi.org/10.1038/s41598-025-91521-y

Okechukwu, C. (2025). Sociodemographic correlates and prevalence of work-related stress among child healthcare workers in Nigeria. International Neuropsychiatric Disease Journal, 22(1), 28-36.‏ https://doi.org/10.9734/indj/2025/v22i1466

Pangarkar, S. C., Paigude, S., Banait, S. S., Ajani, S. N., Mange, P., & Bramhe, M. V. (2023). Occupational stress and mental health: A longitudinal study in high-stress professions. South Eastern European Journal of Public Health, 21, 68–80. https://doi.org/10.70135/seejph.vi.442

Quesada-Puga, C., Izquierdo-Espin, F. J., Membrive-Jiménez, M. J., Aguayo-Estremera, R., La Fuente, G. A. C., Romero-Béjar, J. L., & Gómez-Urquiza, J. L. (2024). Job satisfaction and burnout syndrome among intensive-care unit nurses: A systematic review and meta-analysis. Intensive and Critical Care Nursing, 82. https://doi.org/10.1016/j.iccn.2024.103660

Shdaifat, E., Al-Shdayfat, N., & Al-Ansari, N. (2023). Professional quality of life, work‐related stress, and job satisfaction among nurses in Saudi Arabia: A structural equation modelling approach. Journal of Environmental and Public Health, 2023(1). https://doi.org/10.1155/2023/2063212

Wali, R., Aljohani, H., Shakir, M., Jaha, A., & Alhindi, H. (2023). Job satisfaction among nurses working in king Abdul Aziz medical city primary health care centers: A cross-sectional study. Cureus, 15(1). https://doi.org/10.7759/cureus.33672

Yıldırım, N., Karaca, A., Cangur, S., Acıkgoz, F., & Akkus, D. (2017). The relationship between educational stress, stress coping, self-esteem, social support, and health status among nursing students in Turkey: A structural equation modeling approach. Nurse Education Today, 48, 33-39. https://doi.org/10.1016/j.nedt.2016.09.014

Yu, R., Gan, Q., Bian, J., Chen, R., Sun, X., & Ling, H. (2024). The mediating role of psychological empowerment in perceptions of decent work and work immersion among Chinese nurses: A cross‐sectional study. International Nursing Review, 71(3), 595–601. https://doi.org/10.1111/inr.12883

Zhang, T., Zhou, J., & Xia, Y. (2025). Exploring compassion fatigue in pediatric nursing: A cross-sectional study. Clinical Pediatrics, 64(7). https://doi.org/10.1177/00099228241310933

Published

10-11-2025

How to Cite

Salloum, K. H. ., Jazan, H. F. ., Salloum, M. H. ., Jawad, F. F., & Althabet, Z. A. . (2025). Job Stress among Paediatric Nurses in Clinical Area: Cross-Sectional Study. The Malaysian Journal of Nursing (MJN), 17(Supplementary 1), 112-121. https://doi.org/10.31674/mjn.2025.v17isupp1.011

Issue

Section

SI:2025 Sustainable Nursing Care: Innovation and Impact (SNCII)

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