Thian, Lai Joon
(2017)
Relationship between job factors and stress level among postgraduate Emergency Medicine trainees in Hospital Universiti Sains Malaysia.
Masters thesis, Universiti Sains Malaysia.
Abstract
Background
Postgraduate residency training is a stressful process for physicians. Previous study
in Malaysia showed 36.4% of postgraduate trainees experienced stress. Academic
and performance pressure were the stressors among trainees. A stressful
psychological condition may diminish job satisfaction and results in negative attitude
towards work, interfere with intrapersonal and interpersonal relationship.
Objective
To study the relationship between job factors and stress level among Emergency
Medicine Postgraduate trainees in Hospital Universiti Sains Malaysia (HUSM),
Kelantan.
Methodology
A cross-sectional study was conducted in Emergency department, Hospital Universiti
Sains Malaysia, Kelantan between the period of September 2014 till May 2016 and
involving postgraduate Emergency Medicine trainees. Mean stress score was
assessed using Depression, Anxiety, Stress Scale – 21 (DASS – 21) and job factors
were evaluated using Job Content Questionnaire (JCQ). Simple linear regression and
multiple linear regression analysis were used to determine the association of stress
with job factors.Results
A total of 61 postgraduate trainees were recruited for the study. Their mean stress
score was 6.85 2.97. 39.3% of trainees experienced stress (22.9% mild stress,
11.5% moderate stress and 4.9% severe stress). Multiple linear regression showed
age (p = 0.026), years of service (p = 0.015), skill discretion (p = 0.011) and
psychological job demand (p = 0.044) has statistically significant association with
stress.
Conclusion
More than half of the Emergency Medicine postgraduate trainees in Hospital
Universiti Sains Malaysia experienced normal level of stress and 4.9% suffered
severe stress. Age, year of service, skill discretion and psychological job demand
were significantly associated with stress among postgraduate Emergency Medicine
trainees.
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