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      Stressors Among Healthcare Workers: A Summative Content Analysis

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          Abstract

          Healthcare workers are experiencing high stress and burnout, at rates up to 70%, hindering patient care. Studies often focus on stressors in a particular setting or within the context of the pandemic which limits understanding of a more comprehensive view of stressors experienced by healthcare workers. The purpose of this study was to assess healthcare workers’ self-reported major stressors. Between June 2018 and April 2019, U.S. healthcare workers ( N = 2,310) wrote answers to an open-ended question: “What are your biggest stressors as you look back over the last few weeks?” A summative content analysis was used to analyze the data. Healthcare workers described three types of stressors: work stressors (49% of total stressors), personal life stressors (32% of total stressors), and stressors that intersect work and personal life (19% of total stressors). Future research and clinical practice should consider the multi-faceted sources of stress.

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          Most cited references47

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          Three approaches to qualitative content analysis.

          Content analysis is a widely used qualitative research technique. Rather than being a single method, current applications of content analysis show three distinct approaches: conventional, directed, or summative. All three approaches are used to interpret meaning from the content of text data and, hence, adhere to the naturalistic paradigm. The major differences among the approaches are coding schemes, origins of codes, and threats to trustworthiness. In conventional content analysis, coding categories are derived directly from the text data. With a directed approach, analysis starts with a theory or relevant research findings as guidance for initial codes. A summative content analysis involves counting and comparisons, usually of keywords or content, followed by the interpretation of the underlying context. The authors delineate analytic procedures specific to each approach and techniques addressing trustworthiness with hypothetical examples drawn from the area of end-of-life care.
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            The qualitative content analysis process.

            This paper is a description of inductive and deductive content analysis. Content analysis is a method that may be used with either qualitative or quantitative data and in an inductive or deductive way. Qualitative content analysis is commonly used in nursing studies but little has been published on the analysis process and many research books generally only provide a short description of this method. When using content analysis, the aim was to build a model to describe the phenomenon in a conceptual form. Both inductive and deductive analysis processes are represented as three main phases: preparation, organizing and reporting. The preparation phase is similar in both approaches. The concepts are derived from the data in inductive content analysis. Deductive content analysis is used when the structure of analysis is operationalized on the basis of previous knowledge. Inductive content analysis is used in cases where there are no previous studies dealing with the phenomenon or when it is fragmented. A deductive approach is useful if the general aim was to test a previous theory in a different situation or to compare categories at different time periods.
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              Toward an experimental ecology of human development.

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                Author and article information

                Journal
                Glob Qual Nurs Res
                Glob Qual Nurs Res
                GQN
                spgqn
                Global Qualitative Nursing Research
                SAGE Publications (Sage CA: Los Angeles, CA )
                2333-3936
                30 March 2023
                Jan-Dec 2023
                : 10
                : 23333936231161127
                Affiliations
                [1 ]Duke University, Durham, NC, USA
                [2 ]Duke University Health System, Durham, NC, USA
                Author notes
                [*]Lesley Rink, Duke University, 307 Trent Drive, Durham, NC 27710, USA. Email: Lesley.rink@ 123456duke.edu
                Author information
                https://orcid.org/0000-0003-1405-6411
                https://orcid.org/0000-0001-8821-4510
                Article
                10.1177_23333936231161127
                10.1177/23333936231161127
                10068501
                37020708
                27071428-a4e9-4333-a410-21ff6ce9875c
                © The Author(s) 2023

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 7 July 2022
                : 9 February 2023
                : 15 February 2023
                Funding
                Funded by: Eunice Kennedy Shriver National Institute of Child Health and Human Development, FundRef https://doi.org/10.13039/100009633;
                Award ID: R01 HD084679-01
                Categories
                Single-Method Research Article
                Custom metadata
                January-December 2023
                ts1

                health personnel,nurses,physicians,occupational stress,psychological stress,professional burnout

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