A preliminary study on health care professionals (paramedical) stress due to competition, advancement of technology & environment at Chennai

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The Health care Professionals namely the Nurses and Lab Technicians. have also to update their knowledge as like the Doctors, in servicing to the patients especially in developed cities like Chennai.

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International Journal of Management (IJM) Volume 10, Issue 6, November-December 2019, pp. 371–376, Article ID: IJM_10_06_035 Available online at http://www.iaeme.com/ijm/issues.asp?JType=IJM&VType=10&IType=6 Journal Impact Factor (2019): 9.6780 (Calculated by GISI) www.jifactor.com ISSN Print: 0976-6502 and ISSN Online: 0976-6510 © IAEME Publication A PRELIMINARY STUDY ON HEALTH CARE PROFESSIONALS (PARAMEDICAL) STRESS DUE TO COMPETITION, ADVANCEMENT OF TECHNOLOGY & ENVIRONMENT AT CHENNAI K. Asokan Research Scholar, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India G. Brindha Professor and Head, Department of Management Studies, Dr. MGR Educational and Research Institute, Chennai, Tamil Nadu, India S. Valarmathi Research Officer (Statistics), Dr. MGR Medical University, Chennai, Tamil Nadu, India ABSTRACT The Health care Professionals namely the Nurses and Lab Technicians. have also to update their knowledge as like the Doctors, in servicing to the patients especially in developed cities like Chennai. This knowledge update due to new technology innovations and more competition in their field. Through the structured questionnaire data was collected from 62 paramedical personnel and analysed their feedback. They feel stressed both Physically and Mentally due to competition and technology developments. Keywords: Health care Professionals, Stress, Competition Cite this Article: K. Asokan, G. Brindha and S. Valarmathi, A Preliminary Study on Health Care Professionals (Paramedical) Stress Due to Competition, Advancement of Technology & Environment at Chennai, International Journal of Management (IJM), 10 (6), 2019, pp. 371–376. http://www.iaeme.com/IJM/issues.asp?JType=IJM&VType=10&IType=6 1. INTRODUCTION Stress is a global problem especially in the field of stress among the nurses is an endemic problem1. It contributes to health problems in nurses and decreases their efficiency. Occupational stress is of key interest to employers because of the known adverse effects on employee performance, productivity, job satisfaction and health as a whole 2. Stress basically http://www.iaeme.com/IJM/index.asp 371 editor@iaeme.com
A Preliminary Study on Health Care Professionals (Paramedical) Stress Due to Competition, Advancement of Technology & Environment at Chennai involves the relationships between individuals and their environment that are considered as challenging or exceeding their resources and jeopardizing their well-being. Stress reactions are responses in the form of physiological and psychological factor. Most people can cope with stress for short periods but chronic stress produces prolonged changes in the physiological state3. The issues of job stress, coping, and burnout among nurses are of universal concern to all managers and administrators in the area of health care4. Occupational stress is defined as ‘the adverse reaction people have to excessive pressures or to other types of demand placed upon them at work’.5 Symptoms include feeling upset, irritableness and behaving out of character, not being bothered about things one would be normally be concerned with, and social withdrawal.6 2. REVIEW OF LITERATURE The impact of stress on performance provides the major reason for concern. Stressed providers tend to see patient complaints as trivial, make inaccurate diagnoses, and show significant deficits in relationship skills. Jeffrey S Hammer et al study reveals that the Para medical profession experiences a high degree of job-related stress relative to other medical personnel. In a component analysis of this stress the results show that job stress manifests itself as job dissatisfaction, organizational stress, and negative patient attitudes.7 Pines A et al study concludes occupational stress is an important problem in medical environments in which patients cycle through quickly and the frequency of successful treatment is high relative to chronic care treatment units.8 Jenner (2007) et al study clarifies that many paramedics do not have stressful reactions following exposure to potentially stressful incidents. This is due to individual differences such as personality, previous experiences, perceptions of stress and personal coping strategies.9 Stress is easily manageable if it is recognized at an early stage. So the interest of the study is to find out the level of stress among the paramedical professions. 3. PROBLEM STATEMENT In the recent years due the technology development in the health care field, the health care para medical professionals were under more occupational stress especially the nurses and the Lab technicians have to aware about the new innovations in their field and they must use in their day to day practice for the survival in the field and also for personality developments. Based on this, the present study implemented or getting responses from the nurses and lab technicians opinion and their stress planned. 4. OBJECTIVE To study whether the Paramedical professionals are stressed due to technology developments and Competition in the health care in Metropolitan city Chennai. 5. RESEARCH METHODOLOGY The study were carried out using purposive sampling technique and implemented a structured questionnaire In the present study includes, higher education, Technology Developments, Competition, Gender, Media, availability of Corporate Hospitals, Society are covered. In this study One hundred questionnaires used and 62 paramedical professionals have completed all the items of the questionnaire. http://www.iaeme.com/IJM/index.asp 372 editor@iaeme.com
K. Asokan, G. Brindha and S. Valarmathi The Reliability of the questionnaire used was checked using Cronbach’salpha test and secured 0 .74 which is acceptable one. 6. RESULTS AND DISCUSSION Totally 62 paramedical professionals were participated in the study. The Mean(SD) age of the Participant was 35(8.2) years and their experience was 9.9(5.7) years. Table 1 Demographic Distribution Variable N Percentage (%) Gender Male 17 27.4 Female 45 72.6 Profession Nurse 20 32.3 LAB Technician 42 67.7 Qualification UG 27 43.5 PG 20 32.3 PHD 5 8.1 DIPLOMA/OTHERS 10 16.1 Employment GOVT 33 53.2 PRIVATE 29 46.8 Marital Status MARRIED 47 75.8 UN MARRIED 15 24.2 [VALUE]Of Stress Distribution [VALUE] Stress No Stress Figure 1 Distribution of Stress Over all distribution of stress among the paramedical professions with 95% Confidence Interval 85.6% to 98.5%. http://www.iaeme.com/IJM/index.asp 373 editor@iaeme.com
A Preliminary Study on Health Care Professionals (Paramedical) Stress Due to Competition, Advancement of Technology & Environment at Chennai 6.1. Distribution of Factors Contributing Stress Table 2 Distribution of factors contributing stress Factors Contributing Stress due to N Percentage 95% Confidence Interval (%) Lower Limit Upper Limit Gender 29 46.7 34.1 59.7 Competition 42 67.7 54.5 78.7 Qualification 39 62.9 49.6 74.5 Experience 27 43.5 31.2 56.6 Physical appearance 25 40.3 28.3 53.5 More Experts 23 37.1 25.4 50.3 Govt Policy 30 48.3 35.6 61.3 Public Ltd Corporate Hospitals 18 29.0 18.5 42.1 Technology 19 14.5 19.9 43.8 Relatives and friends 13 20.9 12.0 33.5 Distribution of factors contributing stress in the above table depicts that Competition and qualification plays an important role among the paramedical Professions. The development of technology and the family circumstances does not influence the stress as compared to the experts contribution in the field. Prevailing of Stress [VALUE] [VALUE] [VALUE] Figure 2 Prevailing of Stress Among the 95.1% of participants the proportion of mental stress (25.5%) conquering more than the physical stress (15.2%). Maximum participants had both with the 95% of CI (45.7 to 71.6). Stress up to a certain extent, will improve peoples’ performance and quality of life because it is healthy and essential that they should experience challenges within their lives. In this study the participants were with Diploma, undergraduate and Post graduates and some of them having research qualification. Majority female have given their opinion. Sharma et al study shows the paramedical professional’s Occupational stress was not significantly associated with socio-demographic factors like age, marital status and gender. The Result is similar to our study .The Occupational Stress is mostly depends on their qualification, technology, Experience. http://www.iaeme.com/IJM/index.asp 374 editor@iaeme.com
K. Asokan, G. Brindha and S. Valarmathi Regehr et al’s (2002b) et al study discussed about of paramedics had a lack of transparency in the use of recruitment techniques10.In our study reveals 68% of the participants were not able to decided about the new technology in the paramedical Profession. Participants from several of the studies reviewed indicated that the family is a consistent and important source of support enabling paramedics to cope with stress11,12.In the current study also reveals 56.6% of participants were have strong family support and its useful to reduce their stress in their Profession. 7. CONCLUSION This preliminary study enables us to understand that the para medical professionals are Physically and Mentally stressed due to competition, experts especially metropolitan areas like Chennai. Also they have to compete the challenges and make a life-work balance. At the same time they also need to serve the society without any misperceptions. In this competitive era knowledge acquainting becomes the process and to update the developments in all aspects are indispensable to the health care professionals especially the paramedical professionals who are practicing in metropolitan areas like Chennai. Further study could be carried out by comparing with the inter para medical profession and medical profession to reduce the stress by intervening through integrated approaches and policy makings. REFERENCES [1] Olayinka AO, Osamudiamen OS (2013) Occupational stress management among nurses in selected hospital in Benin city, Edo state, Nigeria. Eur J ExpBiol 3: 473-481. [2] Moustaka M, Constantinidis TC (2010) Sources and effects of Work-related stress in nursing. Health Sci J 4:210-216. [3] Chang EC, Tugade MM, Asakawa K. Stress and coping among Asian Americans: Lazarus and Folkman's model and beyond. In: Wong PT, Wong LC, editors. Handbook of multicultural perspectives on stress and coping. Dordrecht: Kluwer Academic Publishers; 2006. [4] Xianyu Y, Lambert VA. Investigation of the relationships among workplace stressors, ways of coping, and the mental health of Chinese head nurses. Nurs Health Sci. 2006;8:147–55. [5] Health and Safety Executive (2010) ‘What is stress?’ www.hse. gov.uk/stress/furtheradvice/whatisstress.htm (accessed 10 May 2012) [6] Walker J, Payne S, Smith P, and Jarrett N (2002) (2nd ed) Psychology for Nurses and the Caring Professions. Open University Press, Maidenhead [7] Hammer, J. S., Mathews, J. J., Lyons, J. S., & Johnson, N. J. (1986). Occupational stress within the paramedic profession: An initial report of stress levels compared to hospital employees. Annals of Emergency Medicine, 15(5), 536–539. doi:10.1016/s0196- 0644(86)80988-x [8] Pines A, Aronson E: Burnout: From Tedium to Personnel Growth. New York, Free Press, 1981. [9] Jenner M (2007) The psychological impact of responding to agricultural emergencies. The Australian Journal of Emergency Management 22(2): 25–31 [10] Regehr C, Goldberg G, Hughes J (2002b) Exposure to human tragedy, empathy and trauma in ambulance paramedics, Am J Orthopsychiatry 72(4): 505–13 http://www.iaeme.com/IJM/index.asp 375 editor@iaeme.com
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