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*Corresponding author: Shazia Tabussum, Department of Health, University of Karachi, Physical Education and Sports Sciences, Pakistan
How to cite this article: Shazia T, Ghazala Noor N, Syed Mukhtar A, Muhammad A, Hina R, et al. Work Related Stress Among Health Care Professionals in Karachi. J Phy Fit Treatment & Sports. 2021; 8(5): 555747. DOI: 10.19080/JPFMTS.2021.07.555747
Objective: To explore the work-related stress among health care professionals in Karachi.
Design: A Cross-sectional study.
Method: A validated questionnaire was used in this study to find out the work-related stress among health care professionals. Sample size of this study was 100. Data was analyzed by SPSS version 21.
Result: Out of 100 health care professionals 55% were male and 45% were female. Mean age was 40.66 ± 12.25 while mean of working experience was 14.58 ± 11.77. Role and relationship scale scores highest Mean 4.0360 ± 0.64847 & 4.0175 ± 0.56548, respectively. Change scale and manager’s support scores least mean; 3.7933 ± 0.54181 & 3.8517 ± 0.56353, respectively.
Conclusion: Study concluded that change and manager’s support score a least mean and needs improvement while role and relationship score highest mean among all factors of work-related stress.
Keywords: Work-related stress, health care professionals, Etiology
Stress is one of the most severe occupational risks and according to world health organization “work related diseases are a wide spectrum of disease of multifactorial etiology which is partly associated with profession or working condition”.. Stress can be cause by acute or chronic physical and psychosocial stressors related with both personal and work lives . Health care professionals usually effected with workplace stress due unique work responsibilities. Workplace stress led to decline in health status, work related injuries,  worker-burnout and several physical and emotional problems . Poor physical and mental outcomes are associated with high workload, conflict with colleagues, high job demands, poor supervision and lack of support . Health care profession is the one of the most demanding profession which faces and works under stress full environment to improve quality and productivity . Stress occurs when individual feel that they cannot cope with the demands of work due to lack of experience, work ability or personality . Work related stress occurs when conflict arises from the job demands and employees unable to handle it properly, the stress can become distress .
Researchers identified six work-related stressors; demands, control, support, relationship, role, and change. These six categories of work-related stressors negatively impact on health care practitioner’s wellbeing and efficiency . The Control scale shows the way individual works. Demands scale shows
workload, work patterns and work environment, role scale shows
whether individual understands his role within organization,
“change scale” indicates how organizational change is managed
and communicated in the organization, “peer Support’’ includes
the encouragement, sponsorship and resources provided by
colleagues, managers support’ focused on the support provided
by the organization and relationships scale includes promoting
positive working to avoid conflict and dealing with unacceptable
A cross sectional study was conducted to measure the workrelated
stress among health care professionals. 100 health care
professionals participated in the study. Data was collected from
physicians, orthodontist, and physical therapist. Informed consent
was taken before collecting data. Data was collected through health
and safety executive management standard stress indicator tool.
Questionnaire consist of 35 items answered through a five-point
Likert scale, and covering seven domains; control scale (items 5,
6, 19, 23, 29, and 34), demands scale (items 7, 10, 9, 13, 20, 22,
24, and 26), role scale (items 8, 14, 15, 17, and 21), change (items
30, 32, and 36), peer support (items 11, 28, 31, and 35), managers
support (items 12, 27, 33, 37, and 39, relationships scale (items
9, 18, 25, and 38). Data was analysis through SPSS version 21 and
Microsoft excel. Mean and percentile was calculated.
In present study 100 health care professionals were
participated in which 55% were male and 45% were female. Mean
value of age of participants are 40.66 ± 12.25 while mean value of
experience of the participants was 14.58 ± 11.77. Table 1 shows
the percentile of different factors of management standards.
Values of below 20th percentile shows higher work-related stress
and need urgent action, values in between 20th-50th percentile
shows average work-related stress but need improvement, values
in between 50th-80th percentile shows good performance but
potential improvement while values above 80th percentile doing
very well and need to maintain performance Table 2.
Results of present study show moderate level of stress among
health care professionals; change and manager’s support score
a least mean among all factors of work related stress. A study
conducted on school teachers explored high level of work related
stress  while in another study job stress reported moderately
higher than other studies.  Study explored that level of work
related stress is higher among physician working in hospitals as
compared to heath care physicians. Work control and demand
domains score highest among all domains of work related stress
. In present study role and relationship domains score highest
mean among all the domains. Another study explored that the
factors increases work related stress are insufficient number of
co-workers, lack of communication with superiors and work
resources among midwives but their work ability in relation to the
work demands was good.  Al-Omar indicates that work related
stress seem higher and main factors are insufficient technical
facilities, absences of appreciation and long working hours.(4)
Relationship and peer support exceeded national standards while
demand and change need improvement  Al‑Makhaita et al, in
2014 reported high level of work related stress among nurses .
Robert Kerr identified in 2009 that control and peer support had
no significant relationship with job related stress or depression
while manager’s support had a modest relationship . In
another study researcher concluded that demand of the job,
practice administration, interference with family life and patient’s
expectation is the main stressors of work related stress.  Researcher found relationship with colleagues; responsibility and
appreciation for their work were the highest level of satisfaction.
 In 2013 study reported workload, working conditions and
sleep deprivation were the most important source of stress and
workload, nightshift and peer support had a positive association
with level of stress . In 2017, study explored that doctors are
serious sufferers of organizational role stress . Study reported
moderate level of stress among nurses especially in those who
were engaged in physical activity . In 2012 study conducted by
Tsai & Liu indicated high demands, low level of social support and
little decision making authority were the main factors associated
with work related stress . In present study score of managers
support and work demand domain are low while relationship and
role related to work are higher among all other domains.
Present study concluded that majority of the health
care professional have good understanding about their role
in organization and they have good relationship with their
colleagues, but they have moderate level of understanding about
the demands of their work, change and manger’s supports.