Anxiety symptoms and quality of interaction among oncology nurses: a correlational, cross-sectional study

Karanikola, Maria NK.; Giannakopoulou, Margarita; Kalafati, Maria; Kaite, Charis P; Patiraki, Elisabeth; Mpouzika, Meropi; Papathanassoglou, Elisabeth E.D.; Middleton, Nicos

doi:10.1590/S0080-623420160000600013

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ARTIGO ORIGINAL • Rev. esc. enferm. USP 50 (05) • Sep-Oct 2016 • https://doi.org/10.1590/S0080-623420160000600013 copy

Anxiety symptoms and quality of interaction among oncology nurses: a correlational, cross-sectional study

Sintomas de ansiedade e qualidade da interacção entre equipes de enfermagem oncológica: um estudo correlacional e transversal

Los síntomas de ansiedad y la calidad de interacción entre los equipos de enfermería oncológica: un estudio correlacional y transversal

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE

To explore the severity of Anxiety Symptoms (AS) among Greek oncology nursing personnel, the degree of satisfaction from professional relationships, and potential association between them.

METHOD

A descriptive cross-sectional correlational study was performed in 2 Greek Oncology Hospitals, in 72 members of nursing personnel. Hamilton Anxiety Scale was used for the assessment of AS severity and the Index of Work Satisfaction subscale "Satisfaction from Interaction" for the degree of satisfaction from professional relationships among nursing personnel (NN) and between nursing personnel and physicians (NP).

RESULTS

11% of the sample reported clinical AS [≥26, scale range (SR): 0-52]. Satisfaction from NN [5.10 (SD: 1.04), SR: 1-7], and NP [4.21 (SD: 0.77), SR: 1-7] professional interaction were both moderate. Statistically significantly associations were observed between clinical AS and satisfaction from NN (p=0.014) and NP (p=0.013) professional interaction.

CONCLUSIONS

Anxiety reduction interventions and improvement of professional relationships are essentials in order to reduce oncology nurses' psychological distress.

Descriptors
Anxiety; Oncology Nursing; Depression; Interprofessional Relations; Job Satisfaction; Occupational Health

Variable		Participants' Percentage (Frequency)	Differences of the percentage of participants in the clinical and non clinical AS groups (x², p value)
Gender	Male	13.9 (10)	p=0.904
Gender	Female	86.1 (62)	p=0.904
Family status	Married	41.7 (30)	p=0.907
	Divorced	2.8 (2)
	Widow	1.4 (1)
	Unmarried	54.2 (39)
Having children	Yes	38.9 (28)	p=0.589
Having children	No	55.6 (40)	p=0.589
Education level	Bachelor Degree	5.6 (4)	p=0.649
	Technological University	54.2 (39)
	Diploma	26.4 (19)
	Master's degree	11.1 (8)
	Nursing specialty	2.8 (2)
Shift	Morning	20.8 (15)	p=0.04
Shift	Rotation	79.2 (57)	p=0.04
Ranking	Nurse assistant	27.8 (20)	p=0.410
	Staff nurse	56.9 (41)
	Under head nurse	11.1 (8)
	Head nurse	4.2 (3)

	INTENSITY OF SYMPTOMS
ANXIETY SYMPTOMS	Absence (%)	Mild (%)	Moderate (%)	Severe (%)	Very severe (%)
Tension symptoms	41.7	25.0	15.3	11.1	6.9
Anxious mood symptoms	38.9	25	22.2	12.5	1.4
Phobias symptoms	75.0	16.7	5.6	1.4	1.4
Sleep disturbances symptoms	38.9	34.7	9.7	6.9	9.7
Cognitive disturbances symptoms	44.2	31.9	18.1	1.4	4.2
Depressive mood symptoms	58.3	15.3	12.5	9.7	4.2
Muscular-skeletal symptoms	59.7	18.1	8.3	5.6	8.3
Sensory symptoms	63.9	23.6	2.8	5.6	4.2
Cardiovascular symptoms	54.2	22.2	11.1	8.3	4.2
Respiratory symptoms	66.7	18.1	8.3	4.2	2.8
Gastro- intestinal symptoms	68.1	11.1	13.9	2.8	4.2
Genitor- urinary symptoms	72.1	13.9	8.3	5.6	0.0
Autonomic symptoms	62.5	25.0	4.2	5.6	2.8

	CLINICAL ANXIETY SYMPTOMS
	PRESENCE	ABSENCE
	Mean (SD)	Mean (SD)	p value
VARIABLE
Satisfaction from professional interaction among nursing personnel	4.21 (±0.74)	5.21 (±1.0)	0.014
Satisfaction from professional interaction between nursing personnel and physicians	3.55 (±0.74)	4.30 (±0.73)	0.013
Nursing personnel's total professional satisfaction from interaction both among them and physicians.	3.76 (±0.53)	4.62 (±0.86)	0.005

	GROUP OF ANXIETY SYMPTOMS
	Anxious mood symptoms	Tension symptoms	Phobias symptoms	Sleep disturbances symptoms	Cognitive disturbances symptoms	Depressive mood symptoms	Muscular-skeletal symptoms	Sensory Symptoms	Cardio-vascular symptoms	Respiratory symptoms	Gastro-intestinal symptoms	Genito-urinary symptoms	Autonomic symptoms
VARIABLES					Cognitive disturbances symptoms	Depressive mood symptoms	Muscular-skeletal symptoms	Sensory Symptoms	Cardio-vascular symptoms	Respiratory symptoms	Gastro-intestinal symptoms	Genito-urinary symptoms	Autonomic symptoms
SIS	τ=-0.16 p=0.07	τ=-0.20 p=0.02	τ=-0.16 p=0.07	τ=-0.23 p=0.01	τ=-0.17 p=0.06	τ=-0.33 p<0.0001	τ=-0.25 p=0.007	τ=-0.33 p<0.0001	τ=-0.23 p=0.01	τ=-0.23 p=0.02	τ=-0.25 p=0.008	τ=-0.35 p<0.0001	τ=-0.32 p=0.001
SNNIS	τ=-0.16 p=0.08	τ=-0.23 p=0.01	τ=-0.16 p=0.09	τ=-0.21 p=0.02	τ=-0.03 p=0.75	τ=-0.25 p=0.009	τ=-0.18 p=0.05	τ=-0.26 p=0.007	τ=-0.22 p=0.02	τ=-026 p=0.007	τ=-0.24 p=0.01	τ=-0.27 p=0.006	τ=-0.30 p=0.001
SPNIS	τ=-0.19 p=0.03	τ=-0.16 p=0.08	τ=-0.18 p=0.05	τ=-0.18 p=0.05	τ=-0.23 p=0.01	τ=-0.33 p<0.0001	τ=-0.30 p=0.0001	τ=-0.35 p<0.0001	τ=-0.22 p=0.02	τ=-0.16 p=0.09	τ=-0.2 p=0.03	τ=-0.32 p=0.001	τ=-0.22 p=0.02

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Maria Karanikola. Assistant Professor Mental Health Nursing Department of Nursing, School of Health Sciences, Cyprus University of Technology - 15, Vragadinoustr 3041, Limassol, Cyprus. maria.karanikola@cut.ac.cy