Enabling Factors
Factors that can directly or indirectly allow a motivation, behaviour, or support policy to be realized to control workplace stress should therefore be changed if needed.
Job Control: If HCWs feel that they do not have control over important aspects of their jobs and are faced with a volume of demands and limitations, the conditions for the emergence of stress are provided. It was emphasized that monitoring by supervisors and the accountability of the HCWs is high, and this causes a feeling of high organizational control and low independence among employees. A HCW said about the high monitoring:
It’s awful, it makes me feel so bad, it’s like we don’t know anything and everyone has to tell us what to do. (P6)
The participants, especially the foremen, stated that without the necessary authority for the assigned responsibility leads to stressful challenges for them. On the other hand, HCWs had experienced when they have freedom of action to speed up the completion and order of doing things, they have been able to manage their tasks and do them calmly. A HCW said about the impact of freedom of action on her daily work:
When my work goes as I want and planned, I have no work left, and it makes me not stressed. (P5)
Managing Change: How occupational and organizational changes (including the transfer of HCWs, the addition of new programs, and changes in guidelines) had created pressures and challenges for HCWs. The participants mentioned examples where the unexpected sending of a transfer letter and forcing the HCW to change the workplace had caused a disturbing shock to the HCW and the foreman.
On the other hand, the importance of education was noted for new changes. However, the participants mentioned experiences of anxiety and high workload that occurred due to poor educational support. A HCW said about the need for timely training on changes in the vaccination registration process:
If they had taught us how to register vaccines correctly from the beginning, we would not have faced this problem now. We have to correct many defects in a very limited time. (P5)
Access to Employee Health Support Services: While access to health services improves employee health and well-being, the participants claimed that not only is there no special medical service for employees in their organization, but they experience concerns such as spending time on accessing health services and staying in the appointment process. Regarding access to a mental health professional, a HCW said:
We have a psychologist in our center (for clients). She comes and talks to us when we have a problem. That’s great. (P2)