Skip to main content

Advertisement

Log in

Job stress among resident physicians in Tanta University Hospitals, Egypt

  • Research Article
  • Published:
Environmental Science and Pollution Research Aims and scope Submit manuscript

Abstract

Resident physicians are the first-line health service providers, subjected to prolonged working hours, sleep deprivation and high job demands. Work stress causes reduction in productivity, suboptimal patient care and medical errors. To determine the level of stress among residents and associated factors and stressors. A cross-sectional study at Tanta University Hospitals recruited residents (n = 278), between December 2016 and February 2017. Job stress was assessed using a predesigned questionnaire. The mean age was 26.53 ± 1.35, and 46.4% were males. The majority reported they work more than 48 h/week, do not get a break during work and have a night shift periodically (87%, 83.1% and 94.2%, respectively). Only 4 (1.4%) had low stress while 169 (60.8%) had moderate and 105 (37.8%) had high stress. The study revealed a statistically significant association between high level of stress and being a single resident (p = 0.017), belonging to surgical departments (p = 0.001) and an absence of break during working hours (p = 0.001). The prime sources of stress were underpayment for the job (87.4%), serving to large number of patients (85.2%), disruption of home life due to long hours at work (83.9%), conflict of responsibilities (81.3) and complying with increasing bureaucratic procedures (78.8%) besides no available fund for research (74.8%). Medical residents experienced moderate to high level of job stress. Thus, there is a need for stress management programs during residency training period taking in consideration main sources of stress.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Abdel Aziz MK, Sabbour SM, Habeel IS, Ghanem EA (2015) Prevalence and risk factors of work related stress among residents at Ain Shams University Hospitals. Egypt J Community Med 33(3):81–98

    Article  Google Scholar 

  • Abdulghani HM, Irshad M, Al Zunitan MA (2014) Prevalence of stress in junior doctors during their internship training: a cross sectional study of three Saudi medical colleges’ hospitals. Neuropsychiatr Dis Treat 25:1879–1886

    Article  Google Scholar 

  • Adeolu JO, Yussuf OB, Popoola OA (2016) Prevalence and correlates of job stress among junior doctors in the university college hospital, Ibadan. Ann Ibadan Postgrad Med 14(2):92–98

    CAS  Google Scholar 

  • Ahmad M (2008) Direct and indirect effect of work-family conflict on job performance. J Int Manag Stud 3(2):176–180

    Google Scholar 

  • Ahmad A (2010) Work - family conflict among junior physicians: its mediating role in the relationship between role overload and emotional exhaustion. J Soc Sci 6(2):265–275

    Google Scholar 

  • Al Omar B (2003) Sources of work stress among hospital staff at the Saudi MOH. JKAU: Econo Adm 17(1):3–16

    Google Scholar 

  • Al-Dubai SA, Ganasegeran K, Perianayagam W, Rampal KG (2013) Emotional burnout, perceived sources of job stress, professional fulfillment, and engagement among medical residents in Malaysia. Sci World J 2013:137620 9

    Google Scholar 

  • Alosaim NFD, Kazim SN, Almufleh AS, Aladwani BS, Alsubaie AS (2015) Prevalence of stress and its determinants among residents in Saudi Arabia. Saudi Med J 36(5):605–613

    Article  Google Scholar 

  • Anagnostopoulos F, Demerouti E, Sykioti P, Niakas D, Zis P (2015) Factors associated with mental health status of medical residents: a model-guided study. J Clin Psychol Med Settings 22:90–109

    Article  Google Scholar 

  • Bahnassy AA, Saeed AA, Almatham KI, Moazen MA, Abdulkarim YA et al (2018) Stress among residents in a tertiary care center, Riyadh, Saudi Arabia: prevalence and associated risk factors. Prensa Med Argent 104:6

    Google Scholar 

  • Barber LK, Santuzzi AM (2014) Workplace telepressure and employee recovery. J Occup Health Psychol 20(2):172–189

    Article  Google Scholar 

  • Bernburg M, Vitzthum K, Groneberg DA, Mache S (2016) Physicians’ occupational stress, depressive symptoms and workability in relation to their working environment: a cross-sectional study of differences among medical residents with various specialties working in German hospitals. BMJ 6:1–9

    Google Scholar 

  • Bratt MM, Broome M, Kelber S, Lostocco L (2000) Influence of stress and nursing leadership on job satisfaction of pediatric intensive care unit nurses. Am J Crit Care 9(5):307–317

    Article  CAS  Google Scholar 

  • Choi SM, Park YS, Yoo JH, Kim GY (2013) Occupational stress and physical symptoms among family medicine residents. Korean J Fam MedX 34:49–57

    Article  Google Scholar 

  • Gu A, Onyeama GM, Bakare MO, Igwe MN (2015) Prevalence of depression among resident doctors in a teaching hospital, South East Nigeria. Int J Clin Psychiatry 3:1–5

    Google Scholar 

  • Issa BA, Yussuf AD, OlOlanrewaju GT, Oyewole AO (2009) Stress in residency training as perceived by resident doctors in Nigerian University teaching hospital. Eur J Sci Res 30(2):253–259

    Google Scholar 

  • Jiang Y, Guan Y-G, Dai D-W, Hung W, Hung Z-Y (2019) Prevalence of stress and its determinants among residents enrolled in China Standardized Training Program for Resident Doctors (C-STRD) program: a cross sectional study. PLoS One 14(1):e0207258. https://doi.org/10.1371/journalpone0207258

    Article  CAS  Google Scholar 

  • Khuwaja AK, Qureshi R, Andrades M et al (2004) Comparison of job satisfaction and stress among male and female doctors in teaching hospitals of Karachi. J Ayub Med Coll, Abbottabad: JAMC Jan-mar 16(1):23–27

    Google Scholar 

  • Kim K, Lee S, Choi YH (2015) Relationship between occupational stress and depressive mood among interns and residents in a tertiary hospital, Seoul, Korea. Clin Exp Emer Med 2(2):117–122

    Article  Google Scholar 

  • Lebensohn P, Dodds S, Benn R, Brooks AJ, Birch M, Cook P, Schneider C, Sroka S, Waxman D, Maizes V (2013) Resident wellness behaviors: relationship to stress, depression, and burnout. Fam Med 45:541–549

    Google Scholar 

  • Levey RE (2001) Sources of stress for residents and recommendations for programs to assist them. Acad Med 76:142–150

    Article  CAS  Google Scholar 

  • Malik A, Bhatti S, Shafiq A, Khan R, Butt U et al (2016) Burnout among surgical residents in a lower-middle income country –are we any different. Ann Med Surg 9:28–32

    Article  Google Scholar 

  • Ndom RJ, Makanjuola AB (2004) Perceived stress factors among resident doctors in a Nigerian teaching hospital. West Afr J Med 23(3):232–235

    CAS  Google Scholar 

  • Ohlander J, Weigl M, Petru R et al (2015) Working conditions and effort-reward imbalance of German physicians in Sweden respective Germany: a comparative study. Int Arch Occup Environ Health 88:511–519

    Article  Google Scholar 

  • Rashid I, Talib P (2015) Occupational stress and coping styles among doctors: role of demographic and environment variables. Vision 19(3):263–275

    Article  Google Scholar 

  • Ruitenburg MM, Frings-Dresen MH, Sluiter JK (2013) Physical job demands and related health complaints among surgeons. Int Arch Occup Environ Health 86:271–279

    Article  CAS  Google Scholar 

  • Sahasrabuddhe AG, Suryawanshi SR, Bhandari SR (2015) Stress among doctors doing residency: a cross sectional study at a tertiary care hospital in the city of Mumbai. Nat J Community Med 6(1):21–24

    Google Scholar 

  • Sameerur R, Kumar R, Siddiqui N, Shahid Z, Syed S et al (2012) Stress, job satisfaction and work hours in medical and surgical residency programmes in private sector teaching hospitals of Karachi, Pakistan. J Pak Med Assoc 62:1109–1112

    Google Scholar 

  • Sehlen S, Vordermark D, Schafer C et al (2009) Job stress and job satisfaction of physicians, radiographers, nurses and physicists working in radiotherapy: a multicenter analysis by the DEGRO Quality of Life Work Group. Radiationoncology 4:6

    Google Scholar 

  • Shams T, El-Masry R (2013) Job stress and burnout among academic career anesthesiologists at an Egyptian University Hospital. Sultan Qaboos Univ Med J 13(2):287–295

    Article  Google Scholar 

  • Stebbing J, Powlest (2007) Stress in work place among medical professionals. J Postgrad Med 53(2):83–84

    Article  CAS  Google Scholar 

  • Teasdale E, Drew S, Taylor C, Ramirez A. Cancer Research UK London Psychosocial Group (2008) Hospital Consultants’ Job Stress and Satisfaction Questionnaire (HCJSSQ)-user manual; pp. 10–13

  • Visser M, Smets E, Oort F, Haes H (2003) Stress, satisfaction and burnout among Dutch medical specialists. CMAJ 168(3):271–275

  • West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD (2002) Association of resident fatigue and distress with perceived medical errors. JAMA 302:1294–1300

    Article  Google Scholar 

  • Wrenn K, Lorenzen B, Jones I, Zhou C, Aronsky D (2010) Factors affecting stress in emergency medicine residents while working in the ED. Am J Emerg Med 28:897–902

    Article  Google Scholar 

  • Zare SM, Galanko J, Behrns KE, Koruda MJ, Boyle LM, Farley DR et al (2004) Psychological well-being of surgery residents before the 80-hour work week: a multi-institutional study. J Am Coll Surg 198:633–640

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nadira Mansour Hassan.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Responsible Editor: Philippe Garrigues

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hassan, N.M., Abu-Elenin, M.M., Elsallamy, R.M. et al. Job stress among resident physicians in Tanta University Hospitals, Egypt. Environ Sci Pollut Res 27, 37557–37564 (2020). https://doi.org/10.1007/s11356-020-08271-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11356-020-08271-9

Keywords

Navigation