EFFECTS OF SHIFT WORK AND MARITAL STATUS ON OCCUPATIONAL STRESS AMONG NURSES IN A TERTIARY HEALTH INSTITUTION IN EDO STATE
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Abstract
This study investigated the effects of shift work and marital status on occupational stress among nurses at the University of Benin Teaching Hospital, Benin City. The objectives were to assess the level of occupational stress among nurses, examine how various shift work patterns influence stress, determine the role of marital status in stress levels, and identify mediating factors that affect the relationship between shift work, marital status, and occupational stress. A cross-sectional survey design was employed, involving 250 nurses across different departments. Data were collected using a self structured questionnaire and analyzed using descriptive statistics, correlation analyses, ANOVA, and multiple regression. The findings revealed that nurses experienced a moderate level of occupational stress overall (Mean = 1.86, SD = 0.65), with the highest stress reported among those on night shifts (Mean = 2.39, SD = 0.73) and rotating shifts (Mean = 2.14, SD = 0.68). Marital status was significantly associated with occupational stress (F = 10.82, p < 0.001), with divorced/separated nurses experiencing the highest stress (Mean = 2.11, SD = 0.70), followed by married nurses (Mean = 1.93, SD = 0.65), while single nurses reported the lowest levels (Mean = 1.67, SD = 0.59). The interaction between shift work and marital status was statistically significant (F = 1.728, p = 0.048), indicating that the combination of these variables intensifies stress levels. Additional factors such as sleep disruption (r = 0.711, p < 0.001), work-family conflict (r = 0.672, p < 0.001), number of children (β = 0.156, p < 0.001), and lack of supervisor support (r = -0.631, p < 0.001) were found to exacerbate stress, while adequate rest (r = -0.677, p < 0.001), emotional support, and coping strategies served as buffers. The study concludes that shift work and marital status, both independently and interactively, significantly affect occupational stress among nurses. It recommends flexible shift scheduling, increased institutional support, stress management training, and further research to address occupational stress in healthcare settings.
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