Distress and dissatisfaction and have significant costs for physicians and their families nad also for patients and health care organizations as well. A study found that 92% nurses experienced moderate stress level and 8% nurses experienced high level stress due to workload, inadequate supervisor support, decreases job autonomy, less opportunities for learning, and inappropriate feedback (7).
Nurses who are stressed have higher rates of absenteeism, lower work satisfaction and are more likely to leave the organization (2, 8). Increase overload, role ambiguity and role conflict, leads to an enhancement in disengagement, exhaustion (9). Pereda-Torales et al., (2009) found that role ambiguity, lack of power, and role conflict are linked to stress among nurses (10). Many studies suggest that patient outcomes and nurse burnout are both strongly associated with low staffing levels and poor practice environments (11,12,