Research Article | | Peer-Reviewed

Determinants of Workload and Stress among New Nurse Educators in Ghana: A Qualitative Study

Received: 1 December 2023     Accepted: 23 December 2023     Published: 8 January 2024
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Abstract

Excessive workload and stress is a complex phenomenon experienced by many nurse educators and may aggravate their desire to leave the profession. This also has a grave implication for the nursing profession with direct dire consequences on student learning outcomes. Albeit excessive workload and stress is a source of career dissatisfaction among new nurse educators, its determinants have not been thoroughly investigated in the Ghanaian context. This study explored the determinants of workload and stress among new nurse educators in Ghana. This descriptive qualitative study was conducted from June to August 2020. Twelve new nurse educators were purposively sampled from three nursing and midwifery training colleges in the Upper East Region. Audio recorded individual in-depth interviews were transcribed verbatim and analysed manually using Braun and Clarke’s approach. Four main theme emerged from the analysis of the data and constituted the determinants of the workload and stress of nurse educators. These were (a) teaching multiple classes and courses, (b) teaching large class sizes, (c) working for lengthy hours, and (d) working outside the classroom. It is imperative that policymakers consider these determinants when designing interventions and policies to mitigate the workload and stress among new nurse educators. It is important for NMTCs to ensure new nurse educators are assigned fewer courses and classes, ensure ideal class sizes, acceptable working hours, and moderate work outside the classroom.

Published in American Journal of Nursing and Health Sciences (Volume 5, Issue 1)
DOI 10.11648/j.ajnhs.20240501.12
Page(s) 9-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Ghana, New Nurse Educators, Stress, Workload

References
[1] Kalikotay B. Assessment of Stress among Nursing Teachers of Different Colleges in Morang. International Journal of Health Sciences and Research. 2019; 9(8): 274–81.
[2] Ahmed FR, El-haliem GEA, Mostafa HM. Stress, burnout, and job satisfaction of critical care nurse educators. Journal of Nursing and Health Science [Internet]. 2018; 7(6): 30–7. Available from: https://doi.org/10.9790/1959-0706043037
[3] Ulmen BF, Lloyd CA. Nurse Educator Compassion Fatigue and Intent to Stay. International Journal of Nursing and Health Care Research [Internet]. 2021; 4(6): 1–8. Available from: https://doi.org/10.29011/2688-9501.101247
[4] Laari TT. Experiences of Novice Educators with the Role Transition from Clinical Practice to Academia: A Phenomenological Study in Ghana. Journal of Research Development in Nursing & Midwifery. 2022; 19(2): 18–21.
[5] World Health Organization. Nurse Educator Core Competencies [Internet]. Geneva: World Health Organisation; 2016. Available from: www.who.int/hrh/nursing_midwifery/en/
[6] Owens JM. Secondary Stress in Nurse Educators. Teaching and Learning in Nursing [Internet]. 2017; 12(3): 214–5. Available from: http://dx.doi.org/10.1016/j.teln.2017.02.004
[7] Singh C, Jackson D, Munro I, Cross W. Work experiences of Nurse Academics: A qualitative study. Nurse Education Today [Internet]. 2021; 106(April 2019): 105038. Available from: https://doi.org/10.1016/j.nedt.2021.105038
[8] Wu P, Tseng S, Tseng Y, Chen L, Pai H, Yen W-J. Job stress and occupational burnout among clinical nursing teachers : A cross-sectional study. Journal of Professional Nursing [Internet]. 2021; 37(5): 907–15. Available from: https://doi.org/10.1016/j.profnurs.2021.07.014
[9] Thomas CM, Bantz DL, Mcintosh CE. Nurse Faculty Burnout and Strategies to Avoid it. Teaching and Learning in Nursing [Internet]. 2019; 14(2): 111–6. Available from: https://doi.org/10.1016/j.teln.2018.12.005
[10] Cotter KD, Clukey L. “Sink or Swim”: An Ethnographic Study of Nurse Educators in Academic Culture. Nursing Education Perspectives [Internet]. 2019; 40(3): 139–43. Available from: http://dx.doi.org/10.1097/01.NEP.0000000000000434
[11] Neill D. Faculty Perceptions of Workload A Human Factor’s Approach to Instrument Development. Journal of Nursing measurement [Internet]. 2017; 25(1): 56–76. Available from: http://dx.doi.org/10.1891/1061-3749.25.1.56
[12] Bittner NP, Bechtel CF. Identifying and describing nurse faculty workload issues: A looming faculty shortage. Nursing Education Perspectives [Internet]. 2017; 38(4): 171–6. Available from: http://dx.doi.org/10.1097/01.NEP.0000000000000178
[13] Coetzee CM. A workload model for nurse educators in private higher education: options for improved productivity and job satisfaction [Internet]. Stellenbosch University, Stellenbosch, South Africa; 2019. Available from: https://scholar.sun.ac.za/bitstream/handle/10019.1/105939/coetzee_workload_2019.pdf
[14] World Health Organization. Working together for health: World Health Report. Geneva: World Health Organisation; 2006.
[15] Ministry of Health. Human resource policies and strategies for the health sector, 2007–2011. Accra, Ghana; 2007.
[16] Ghana Health Workforce Observatory. Human Resources for Health, Country Profile. Accra, Ghana; 2011.
[17] Nursing and Midwifery Council of Ghana. List of Approved Institutions and Programmes [Internet]. Accra, Ghana; 2018 [cited 2019 Sep 29]. p. 1–12. Available from: http://www.nmcgh.org/t3f/en/documents-forms?limit=20&start=20
[18] Singh C, Cross W, Munro I, Jackson D. Occupational stress facing Nurse Academics – a mixed-methods systematic review. Journal of Clinical Nursing [Internet]. 2020; 29(1): 720–35. Available from: https://doi.org/10.1111/jocn.15150
[19] El-Aziz TGA, Ahmed GM. Stressors and Coping Strategies among Nurse Educators at Military Secondary Technical Nursing School in Alexandria: Comparative Study. Bulletin of High Institute of Public Health. 2009; 39(1): 125–48.
[20] Eagan MK, Garvey JC. Stressing Out: Connecting Race, Gender, and Stress with Faculty Productivity. The Journal of Higher Education. 2015; 86(6): 923–54.
[21] Demir S. The Relationship between Psychological Capital and Stress, Anxiety, Burnout, Job Satisfaction, and Job Involvement. Eurasian Journal of Educational Research [Internet]. 2018; 75: 137–53. Available from: http://dx.doi.org/10.14689/ejer.2018.75.8
[22] Polit DF, Beck CT. Nursing Research: Generating and Assessing Evidence for Nursing Practice. 10th ed. Philadelphia: Wolters Kluwer Health; 2017.
[23] O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA. Standards for Reporting Qualitative Research: A Synthesis of Recommendations. Academic Medicine [Internet]. 2014; 89(9): 1245–51. Available from: http://dx.doi.org/10.1097/ACM.0000000000000388
[24] Moen K, Middelthon A. Qualitative Research Methods. Research in the Medical and Biological Sciences. Elsevier Ltd; 2015. 321–378 p.
[25] Malterud K, Siersma VD, Guassora AD. Sample Size in Qualitative Interview Studies: Guided by Information Power. Qualitative Health Research [Internet]. 2016; 26(13): 1753–60. Available from: http://dx.doi.org/10.1177/1049732315617444
[26] Majid MAA, Othman M, Mohamad SF, Lim SAH, Yusof A. Piloting for Interviews in Qualitative Research: Operationalization and Lessons Learnt. International Journal of Academic Research in Business and Social Sciences [Internet]. 2017; 7(4): 1073–80. Available from: http://dx.doi.org/10.6007/IJARBSS/v7-i4/2916
[27] Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology [Internet]. 2006; 3(2): 77–101. Available from: https://doi.org/10.1191/1478088706qp063oa
[28] Lincoln YS, Guba EG. Naturalistic Inquiry. Beverly Hills, CA: Sage Publications, Inc.; 1985.
[29] Bell SA, Rominski S, Bam V, Donkor E, Lori J. Analysis of nursing education in Ghana: Priorities for scaling-up the nursing workforce. Nursing and Health Sciences [Internet]. 2013; 15(April 2012): 244–9. Available from: http://dx.doi.org/10.1111/nhs.12026
[30] Alhassan RK, Beyere CB, Nketiah-Amponsah E, Mwini-Nyaledzigbor PP. Perceived needs of health tutors in rural and urban health training institutions in Ghana: Implications for health sector staff internal migration control. PLoS ONE [Internet]. 2017; 12(10): 1–17. Available from: http://dx.doi.org/10.1371/journal.pone.0185748
[31] Asamani JA, Amertil NP, Ismaila H, Akugri FA, Nabyonga-Orem J. The imperative of evidence-based health workforce planning and implementation: Lessons from nurses and midwives unemployment crisis in Ghana. Human Resources for Health [Internet]. 2020; 18(1): 1–6. Available from: http://dx.doi.org/10.1186/s12960-020-0462-5
[32] World Health Organization. Global standards for the initial education of professional nurses and midwives. Geneva: World Health Organisation; 2009.
[33] Sodidi KA, Jardien-Baboo S. Experiences and mentoring needs of novice nurse educators at a public nursing college in the Eastern Cape. Health SA Gesondheid [Internet]. 2020; 25(0): 1–8. Available from: http://dx.doi.org/10.4102/hsag.v25i0.1295
[34] National Labour Commission. Ghana Labour Law, Act 651 [Internet]. Accra, Ghana, Ghana; 2003. Available from: https://www.ilo.org/legacy/english/inwork/cb-policy-guide/ghanalabouract2003section109.pdf
Cite This Article
  • APA Style

    Laari, T. T., Apiribu, F., Kuunibe, J. K., Atanuriba, G. A., Mohammed, R. S. (2024). Determinants of Workload and Stress among New Nurse Educators in Ghana: A Qualitative Study. American Journal of Nursing and Health Sciences, 5(1), 9-16. https://doi.org/10.11648/j.ajnhs.20240501.12

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    ACS Style

    Laari, T. T.; Apiribu, F.; Kuunibe, J. K.; Atanuriba, G. A.; Mohammed, R. S. Determinants of Workload and Stress among New Nurse Educators in Ghana: A Qualitative Study. Am. J. Nurs. Health Sci. 2024, 5(1), 9-16. doi: 10.11648/j.ajnhs.20240501.12

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    AMA Style

    Laari TT, Apiribu F, Kuunibe JK, Atanuriba GA, Mohammed RS. Determinants of Workload and Stress among New Nurse Educators in Ghana: A Qualitative Study. Am J Nurs Health Sci. 2024;5(1):9-16. doi: 10.11648/j.ajnhs.20240501.12

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  • @article{10.11648/j.ajnhs.20240501.12,
      author = {Timothy Tienbia Laari and Felix Apiribu and Joseph Kuufaakang Kuunibe and Gideon Awenabisa Atanuriba and Rumana Saeed Mohammed},
      title = {Determinants of Workload and Stress among New Nurse Educators in Ghana: A Qualitative Study},
      journal = {American Journal of Nursing and Health Sciences},
      volume = {5},
      number = {1},
      pages = {9-16},
      doi = {10.11648/j.ajnhs.20240501.12},
      url = {https://doi.org/10.11648/j.ajnhs.20240501.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20240501.12},
      abstract = {Excessive workload and stress is a complex phenomenon experienced by many nurse educators and may aggravate their desire to leave the profession. This also has a grave implication for the nursing profession with direct dire consequences on student learning outcomes. Albeit excessive workload and stress is a source of career dissatisfaction among new nurse educators, its determinants have not been thoroughly investigated in the Ghanaian context. This study explored the determinants of workload and stress among new nurse educators in Ghana. This descriptive qualitative study was conducted from June to August 2020. Twelve new nurse educators were purposively sampled from three nursing and midwifery training colleges in the Upper East Region. Audio recorded individual in-depth interviews were transcribed verbatim and analysed manually using Braun and Clarke’s approach. Four main theme emerged from the analysis of the data and constituted the determinants of the workload and stress of nurse educators. These were (a) teaching multiple classes and courses, (b) teaching large class sizes, (c) working for lengthy hours, and (d) working outside the classroom. It is imperative that policymakers consider these determinants when designing interventions and policies to mitigate the workload and stress among new nurse educators. It is important for NMTCs to ensure new nurse educators are assigned fewer courses and classes, ensure ideal class sizes, acceptable working hours, and moderate work outside the classroom.
    },
     year = {2024}
    }
    

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Author Information
  • Presbyterian Primary Health Care (PPHC), Bolgatanga, Ghana

  • Department of Nursing, Faculty of Allied Health Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana

  • Midwifery Training College, Tumu, Ghana

  • Tamale Central Hospital, Tamale, Ghana

  • Department of Nursing, Garden City University College, Kumasi, Ghana

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