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)