Demographic Profile and Work Stress of Nursing Professionals in Public Hospitals in Aracaju, Sergipe
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design and Setting
2.2. Ethical Considerations
2.3. Participants and Recruitment
2.4. Data Collection Procedure
2.5. Survey Instruments
2.6. Statistical Analysis
3. Results
3.1. Sociodemographic and Economic Characteristics
3.2. Perceived Work-Related Stress
3.2.1. Self-Declared Gender and Stress Levels
3.2.2. Age and Stress Levels
3.2.3. Self-Declared Race and Stress Levels
3.2.4. Marital Status and Stress Levels
3.2.5. Religion and Stress Levels
3.2.6. Professional Role and Stress Levels
3.2.7. Work Sector and Stress Levels
3.2.8. Experience, Salary, and Stress Levels
3.3. Summary of Perceived Work-Related Stress Levels
4. Discussion
5. Study Limitations and Contextual Contributions
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Da Silva, V.G.F.; da Silva, B.N.; Pinto, É.S.G.; de Menezes, R.M.P. The Nurse’s Work in the Context of COVID-19 Pandemic. Rev. Bras. Enferm. 2021, 74, e20200594. [Google Scholar] [CrossRef]
- IBGE—Instituto Brasileiro de Geografia e Estatística Censo Brasileiro de 2022: Brasil, 2023. Available online: https://www.gov.br/secom/pt-br/assuntos/noticias/2023/06/censo-2022-indica-que-o-brasil-totaliza-203-milhoes-de-habitantes (accessed on 23 August 2025).
- Da Silva, M.C.N.; Machado, M.H. Sistema de Saúde e Trabalho: Desafios Para a Enfermagem No Brasil. Cien. Saude Colet 2020, 25, 7–13. [Google Scholar] [CrossRef]
- Borges, L.d.O. A Psicologia Do Trabalho e Das Organizações No Brasil Floresce? Estud. Psicol. 2010, 15, 277–279. [Google Scholar] [CrossRef]
- Albornoz, S. O Que é Trabalho Primeiros Passos, 3rd ed.; Brasiliense: São Paulo, Brazil, 2017; ISBN 9788511351163. [Google Scholar]
- Bendassolli, P.F. Work and Culture: Approaching Cultural and Work Psychology. Cult. Psychol. 2017, 23, 372–390. [Google Scholar] [CrossRef]
- Bendassolli, P.F.; Soboll, L.A.P. Clínicas Do Trabalho: Filiações, Premissas e Desafios. Cad. Psicol. Soc. Trab. 2011, 14, 59. [Google Scholar] [CrossRef]
- Machado, M.H.; Filho, W.A.; Lacerda, W.F.d.; Oliveira, E.; Lemos, W.; Wermelinger, M.; Vieira, M.; Santos, M.R.d.; de Souza Junior, P.B.; Justino, E.; et al. Características Gerais Da Enfermagem: O Perfil Sociodemográfico. Enferm. Em Foco 2016, 7, 9–14. [Google Scholar] [CrossRef]
- Flinkman, M.; Isopahkala-Bouret, U.; Salanterä, S. Young Registered Nurses’ Intention to Leave the Profession and Professional Turnover in Early Career: A Qualitative Case Study. ISRN Nurs. 2013, 2013, 916061. [Google Scholar] [CrossRef]
- Barbosa, L.R.; Pereira, L.L. Nursing Education in a Curriculum Oriented of Competence: A Systematic Review. Creat. Educ. 2015, 6, 1860–1866. [Google Scholar] [CrossRef][Green Version]
- Cesário, J.M.d.S.; Flauzino, V.H.d.P.; Hernandes, L.d.O.; Gomes, D.M.; Vitorino, P.G.d.S. Prática Clínica Do Enfermeiro: Diferenças Entre Brasil E Estados Unidos Da América. Rev. Científica Multidiscip. Núcleo Conhecimento 2021, 15, 40–55. [Google Scholar] [CrossRef]
- Houtman, I.; Jettinghoff, K.; Cedillo, L. Raising Awareness of Stress at Work in Developing Countries: A Modern Hazard in a Traditional Working Environment: Advice to Employers and Worker Representatives. WHO Libr. Cat. Publ. Data Prot. Work. Health Ser. 2007, 6, 1–41. [Google Scholar]
- Fink, G. Stress, Definitions, Mechanisms, and Effects Outlined. In Stress: Concepts, Cognition, Emotion, and Behavior; Elsevier: Amsterdam, The Netherlands, 2016; pp. 3–11. [Google Scholar]
- Eduardo, L.d.S.; Gurgel, P.C.; Da Silva, B.N.; Do Nascimento, P.F.D.; Lameira, A.P.d.N.; Flavio, F.F. Análise Do Estresse Ocupacional Em Técnicos de Enfermagem: Correlação Entre Medidas Psicológica e Fisiológica. Enferm. Bras. 2020, 19, 42–48. [Google Scholar] [CrossRef]
- Pires, B.S.M.; de Oliveira, L.Z.F.; Siqueira, C.L.; Feldman, L.B.; Oliveira, R.A.; Gasparino, R.C. Nurse Work Environment: Comparison between Private and Public Hospitals. Einstein 2018, 16, eAO4322. [Google Scholar] [CrossRef]
- Kumar, S.; Jain, A.K. Essence and Consequences of Stress in the Workplace. J. Organ. Hum. Behav. 2012, 1, 3. [Google Scholar]
- Fundação Oswaldo Cruz. Ministério da Saúde Anuário Estatístico de Saúde Do Trabalhador Fiocruz 2021; Fundação Oswaldo Cruz: Rio de Janeiro, Brazil, 2022. [Google Scholar]
- Merino-Godoy, M.-Á.; Aceijas, Z.M.; Martín, M.C.; Gago-Valiente, F.-J.; Abengozar, A.V.; Padilla, J.M.P.; da Costa, E.T. Navigating Perceived Stress: Experiences of Nursing Students Completing Internships during the COVID-19 Pandemic in Spain. J. Clin. Med. 2024, 13, 4943. [Google Scholar] [CrossRef] [PubMed]
- Meneguin, S.; Pollo, C.F.; Segalla, A.V.Z.; Generoso, F.J.F.; de Leo, A.; de Oliveira, C. Stress and Occupational Coping among Brazilian Nurses in Critical Care Units during the COVID-19 Pandemic. Healthcare 2024, 12, 613. [Google Scholar] [CrossRef]
- Roman, P.; Perez-Cayuela, I.; Gil-Hernández, E.; Rodriguez-Arrastia, M.; Aparicio-Mota, A.; Ropero-Padilla, C.; Rueda-Ruzafa, L. Influence of Shift Work on The Health of Nursing Professionals. J. Pers. Med. 2023, 13, 627. [Google Scholar] [CrossRef]
- Schneider-Matyka, D.; Świątoniowska-Lonc, N.; Polański, J.; Szkup, M.; Grochans, E.; Jankowska-Polańska, B. Assessment of The Effect of Stress, Sociodemographic Variables and Work-Related Factors on Rationing of Nursing Care. Int. J. Environ. Res. Public Health 2023, 20, 2414. [Google Scholar] [CrossRef]
- Sullivan, V.; Hughes, V.; Wilson, D.R. Nursing Burnout and Its Impact on Health. Nurs. Clin. N. Am. 2022, 57, 153–169. [Google Scholar] [CrossRef]
- Sullivan, D.; White, K.M.; Frazer, C. Factors Associated with Burnout in the United States Versus International Nurses. Nurs. Clin. N. Am. 2022, 57, 29–51. [Google Scholar] [CrossRef] [PubMed]
- Getie, A.; Ayenew, T.; Amlak, B.T.; Gedfew, M.; Edmealem, A.; Kebede, W.M. Global Prevalence and Contributing Factors of Nurse Burnout: An Umbrella Review of Systematic Review and Meta-Analysis. BMC Nurs. 2025, 24, 596. [Google Scholar] [CrossRef]
- Jun, J.; Ojemeni, M.M.; Kalamani, R.; Tong, J.; Crecelius, M.L. Relationship between Nurse Burnout, Patient and Organizational Outcomes: Systematic Review. Int. J. Nurs. Stud. 2021, 119, 103933. [Google Scholar] [CrossRef]
- Okuhara, M.; Sato, K.; Kodama, Y. The Nurses’ Occupational Stress Components and Outcomes, Findings from an Integrative Review. Nurs. Open. 2021, 8, 2153–2174. [Google Scholar] [CrossRef] [PubMed]
- Patrício, D.F.; Barbosa, S.d.C.; da Silva, R.P.; da Silva, R.F. Dimensões de Burnout Como Preditoras Da Tensão Emocional e Depressão Em Profissionais de Enfermagem Em Um Contexto Hospitalar. Cad. Saúde Coletiva 2022, 29. [Google Scholar] [CrossRef]
- Lorenz, V.R.; Sabino, M.O.; Corrêa Filho, H.R. Professional Exhaustion, Quality and Intentions among Family Health Nurses. Rev. Bras. Enferm. 2018, 71, 2295–2301. [Google Scholar] [CrossRef]
- COFEN—Conselho Federal de Enfermagem Quantitativo de Profissionais Por Regional 2025. Available online: https://descentralizacao.cofen.gov.br/sistema_SC/grid_resumo_quantitativo_profissional_externo/ (accessed on 23 August 2025).
- Luft, C.D.B.; Sanches, S.d.O.; Mazo, G.Z.; Andrade, A. Versão Brasileira Da Escala de Estresse Percebido: Tradução e Validação Para Idosos. Rev. Saude Publica 2007, 41, 606–615. [Google Scholar] [CrossRef]
- Cohen, S.; Kamarck, T.; Mermelstein, R. A Global Measure of Perceived Stress. J. Health Soc. Behav. 1983, 24, 385. [Google Scholar] [CrossRef]
- Mishra, P.; Singh, U.; Pandey, C.M.; Mishra, P.; Pandey, G. Application of Student’s t-Test, Analysis of Variance, and Covariance. Ann. Card. Anaesth. 2019, 22, 407–411. [Google Scholar] [CrossRef] [PubMed]
- Rogers, C.B.; Webb, J.B.; Jafari, N. A Systematic Review of the Roles of Body Image Flexibility as Correlate, Moderator, Mediator, and in Intervention Science (2011–2018). Body Image 2018, 27, 43–60. [Google Scholar] [CrossRef]
- COFEN—Conselho Federal de Enfermagem RESOLUÇÃO COFEN No 564/2017—Código de Ética Dos Profissionais de Enfermagem. Available online: https://www.cofen.gov.br/resolucao-cofen-no-5642017/ (accessed on 23 August 2025).
- Sriharan, A.; Ratnapalan, S.; Tricco, A.C.; Lupea, D.; Ayala, A.P.; Pang, H.; Lee, D.D. Occupational Stress, Burnout, and Depression in Women in Healthcare During COVID-19 Pandemic: Rapid Scoping Review. Front. Glob. Womens Health 2020, 1, 596690. [Google Scholar] [CrossRef] [PubMed]
- World Health Organization (WHO). Delivered by Women, Led by Men: A Gender and Equity Analysis of the Global Health and Social Workforce. Hum. Resour. Health Obs. Ser. 2019, 24, 1–72. [Google Scholar]
- Shinde, V.V. Relationship of Body Mass Index to Job Stress and Eating Behaviour in Health Care Professionals-an Observational Study. Obes. Med. 2019, 14, 100070. [Google Scholar] [CrossRef]
- Olaleye, T.T.; Christianson, T.M.; Hoot, T.J. Nurse Burnout and Resiliency in Critical Care Nurses: A Scoping Review. Int. J. Afr. Nurs. Sci. 2022, 17, 100461. [Google Scholar] [CrossRef]
- Han, P.; Duan, X.; Wang, L.; Zhu, X.; Jiang, J. Stress and Coping Experience in Nurse Residency Programs for New Graduate Nurses: A Qualitative Meta-Synthesis. Front. Public Health 2022, 10, 979626. [Google Scholar] [CrossRef]
- Babkair, L.A.; Alaamri, M.; Tunsi, A.; Alhofaian, A.; Alsulami, N.M.; Hakami, M.Y.; Alshehri, N.A.; Alsulami, W.M. Stress Level and Coping Strategies among Intensive Care Nurses: A Cross-Sectional Study. J. Educ. Health Promot. 2024, 13, 446. [Google Scholar] [CrossRef]
- Observatório de Sergipe Censo 2022: 62% Da População Sergipana Se Identifica Como Parda. Available online: https://observatorio.se.gov.br/censo-2022-62-da-populacao-sergipana-se-identifica-como-parda/ (accessed on 23 August 2025).
- Santos, M.E.R.d.; Sousa, A.L.N.d. Narrativas Escreviventes de Enfermeiras Negras No Enfrentamento Ao Racismo e Sexismo. Saúde E Soc. 2025, 34, e240662pt. [Google Scholar] [CrossRef]
- Tembo, A.C.; Moorley, C. Reckoning With Racism in Nursing: Towards Structural Transformation and Epistemic Justice. J. Adv. Nurs. 2025; in press. [Google Scholar] [CrossRef] [PubMed]
- Hamed, S.; Bradby, H.; Ahlberg, B.M.; Thapar-Björkert, S. Racism in Healthcare: A Scoping Review. BMC Public Health 2022, 22, 988. [Google Scholar] [CrossRef] [PubMed]
- Pan American Health Organization. The COVID-19 HEalth CaRe WOrkErs Study (HEROES): Regional Report from the Americas; PAHO: Washington, DC, USA, 2022. [Google Scholar]
- Rodrigues, C.C.F.M.; Santos, V.E.P.; Tourinho, F. Estresse—Normal Ou Patológico? Saúde Transform. Soc. Health Soc. Change 2016, 7, 1–8. [Google Scholar]
- Nascimento, J.C.P.; Costa, T.M.d.S.; Sarmento, S.D.G.; Santos, K.V.G.d.; Dantas, J.K.d.S.; Queiroz, C.G.; Dantas, D.V.; Dantas, R.A.N. Análise Do Transtorno Do Estresse Pós-Traumático Em Profissionais Emergencistas. Acta Paul. Enferm. 2022, 35, eAPE03232. [Google Scholar] [CrossRef]
- Zhou, H.; Liao, H.; Huang, Y.; Lin, Q.; Wang, X.; Li, H.; Wu, F.; Yang, S. Moral Distress in Pediatric Nurses: A Scoping Review Protocol. PLoS ONE 2024, 19, e0312808. [Google Scholar] [CrossRef]
- Bruyneel, A.; Dello, S.; Dauvergne, J.E.; Kohnen, D.; Sermeus, W. Prevalence and Risk Factors for Burnout, Missed Nursing Care, and Intention-to-Leave the Job among Intensive Care Unit and General Ward Nurses: A Cross-Sectional Study across Six European Countries in the COVID-19 Era. Intensive Crit. Care Nurs. 2025, 86, 103885. [Google Scholar] [CrossRef] [PubMed]
- Silva, A.K.L.d.; Bendassolli, P.F. Coletivos de Trabalho e a Produção de Saúde Dos Ofícios. Psicol. Estud. 2019, 24, e40528. [Google Scholar]
- Yaribeygi, H.; Panahi, Y.; Sahraei, H.; Johnston, T.P.; Sahebkar, A. The Impact of Stress on Body Function: A Review. EXCLI J. 2017, 16, 1057–1072. [Google Scholar] [CrossRef] [PubMed]
Category | Education Level | Scope of Practice | Regulatory Body |
---|---|---|---|
Nursing Assistant | Secondary-level vocational training | Provides basic patient care under supervision; assists with hygiene, feeding, mobility | Brazilian Federal Nursing Council (COFEN) |
Nursing Technician | Post-secondary technical education | Performs more complex procedures; administers medications; supports clinical routines | COFEN and Regional Councils (CORENs) |
Registered Nurse (RN) | University-level degree (Bachelor’s in Nursing) | Leads care planning; supervises assistants/technicians; engages in clinical decision-making | COFEN and CORENs |
Variable | Category | N (Total = 440) | % |
---|---|---|---|
Hospital | Hospital #1 | 232 | 52.7% |
Hospital #2 | 44 | 10.0% | |
Hospital #3 | 164 | 37.3% | |
Professional Role | Nurse | 119 | 27.0% |
Technician/Assistant | 321 | 73.0% | |
Professional Training | Nurse | 185 | 42.0% |
Nursing Technician | 168 | 38.2% | |
Nursing Assistant | 39 | 8.9% | |
Specialization | 48 | 10.9% | |
Gender | Female | 409 | 93.0% |
Male/Other | 31 | 7.0% | |
Age | Adults | 426 | 96.8% |
Mean Age (SD) | — | 42 (±8.2) years | |
Race | Mixed Race | 191 | 43.4% |
Black | 64 | 14.5% | |
White | 50 | 11.4% | |
Not Reported | 135 | 30.7% | |
Marital Status | Not in a Relationship | 297 | 67.5% |
In a Relationship | 143 | 32.5% | |
Religion | Catholic | 258 | 58.6% |
Evangelical | 106 | 24.1% | |
Spiritualist | 31 | 7.0% | |
Not Specified | 45 | 10.2% | |
Income | Up to 1 Minimum Wage $ | 27 | 6.1% |
Up to 2 Minimum Wages | 168 | 38.2% | |
Up to 3 Minimum Wages | 124 | 28.2% | |
More than 3 Minimum Wages | 62 | 14.1% | |
Not Disclosed | 59 | 13.4% | |
Experience | >10 Years | 287 | 65.2% |
≤10 Years | 153 | 34.8% |
Function | Mean Perceived Stress | Count (N) | Mild Stress % (n) | Moderate Stress % (n) | High Stress % (n) |
---|---|---|---|---|---|
Nursing Assistant | 20.29 | 12.5% (55) | 10.9% (6) | 80% (44) | 9.1% (5) |
Nurse | 20.16 | 27.0% (119) | 7.6% (9) | 84% (100) | 8.4% (10) |
Nursing Technician | 19.73 | 60% (264) | 12.9% (34) | 78.4% (207) | 8.7% (23) |
Preferred not to inform | 20.00 | 0.45 (2) | 0.0% | 100.0% (2) | 0.0% |
Hospital Sector | Mean Perceived Stress | Count (N) | Mild Stress % (n) | Moderate Stress % (n) | High Stress % (n) |
---|---|---|---|---|---|
Adult hospitalization | 2.01 | 156 | 12.2% (19) | 80.8% (126) | 7.1% (11) |
Pediatric hospitalization | 1.88 | 14 | 14.3% (2) | 71.4% (10) | 14.3% (2) |
Obstetric hospitalization | 2.12 | 18 | 0.0% (0) | 88.9% (16) | 11.1% (2) |
Adult emergency | 1.90 | 75 | 12.0% (9) | 82.7% (62) | 5.3% (4) |
Pediatric emergency | 1.72 | 11 | 18.2% (2) | 81.8% (9) | 0.0% (0) |
Obstetric emergency | 2.11 | 26 | 7.7% (2) | 80.8% (21) | 11.5% (3) |
Surgical center | 1.92 | 44 | 15.9% (7) | 79.5% (35) | 4.5% (2) |
Administrative/Management | — | 2 | 0.0% (0) | 100.0% (2) | 0.0% (0) |
SMC— Sterilization Material Center | 1.79 | 16 | 12.5% (2) | 87.5% (14) | 0.0% (0) |
ICU—Adult | 1.99 | 35 | 5.7% (2) | 85.7% (30) | 8.6% (3) |
ICU—Pediatric | 2.18 | 21 | 4.8% (1) | 81.0% (17) | 14.3% (3) |
ICU—Neonatal | 1.94 | 22 | 4.5% (1) | 86.4% (19) | 9.1% (3) |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Pereira dos Santos, T.; dos Santos Ferreira, J.; de Souza Silva, C.M.; Rodrigues da Silva, I.C.; de Cássia Coelho Almeida Akutsu, R. Demographic Profile and Work Stress of Nursing Professionals in Public Hospitals in Aracaju, Sergipe. Healthcare 2025, 13, 2347. https://doi.org/10.3390/healthcare13182347
Pereira dos Santos T, dos Santos Ferreira J, de Souza Silva CM, Rodrigues da Silva IC, de Cássia Coelho Almeida Akutsu R. Demographic Profile and Work Stress of Nursing Professionals in Public Hospitals in Aracaju, Sergipe. Healthcare. 2025; 13(18):2347. https://doi.org/10.3390/healthcare13182347
Chicago/Turabian StylePereira dos Santos, Tânia, Jeane dos Santos Ferreira, Calliandra Maria de Souza Silva, Izabel Cristina Rodrigues da Silva, and Rita de Cássia Coelho Almeida Akutsu. 2025. "Demographic Profile and Work Stress of Nursing Professionals in Public Hospitals in Aracaju, Sergipe" Healthcare 13, no. 18: 2347. https://doi.org/10.3390/healthcare13182347
APA StylePereira dos Santos, T., dos Santos Ferreira, J., de Souza Silva, C. M., Rodrigues da Silva, I. C., & de Cássia Coelho Almeida Akutsu, R. (2025). Demographic Profile and Work Stress of Nursing Professionals in Public Hospitals in Aracaju, Sergipe. Healthcare, 13(18), 2347. https://doi.org/10.3390/healthcare13182347