Assessing Stress Level and Stress Management Among Hamadan Hospital Nurses Based on PRECEDE Model

Nursing is one of the most stressful jobs and the stress involved leads to the nurse's dissatisfaction and abandoning their occupation. The purpose of this study is to determine the level of stress and stress management methods among nurses based on PRECEDE model A descriptive-analytical design was used in this study. The sample size was 237 nurses from Hamadan hospitals who completed the scales of PRECEDE, NSS, PSS and Job Satisfaction. The data were analyzed using descriptive and inferential statistics (Chi-square, Spearman coefficient of correlation and ANOVA) through SPSS software V.13. The results showed that 51.5% of nurses perceived intermediate level of occupational stress and 5.9% of them had high job stress levels. 40% of the subjects had high level of psychological stress and 75.1% of them were dissatisfied with their jobs. Reverse correlation between job satisfaction and perceived stress was seen (r=-0.231). The level of knowledge was average and enabling factors were low. The majority of subjects (90%) didnt have any reinforcing factors. Due to the nature of nursing job and the results of this study, designing and implementing job stress management programs based on PRECEDE model to decrease job stress and increase job satisfaction are suggested.