Perceived Stress and Social Support Among Nurses Working in University Hospital During Covid-19
Main Article Content
Abstract
Background: Nurses are considered a vulnerable group to experience stress and anxiety during the COVID-19 pandemic because of feelings of inadequate protection and high risks of infection. Being isolated from family, and dealing with the challenges including stigma and discrimination at the workplace and surroundings also increase the risk for such problems. Hence, this study aimed to find out nurses’ perceived stress and their social support for the personal and professional quality of life.
Methods: A descriptive cross-sectional study was conducted among 224 nurses directly involved with caring of COVID-19 patients in university hospitals. A simple random sampling technique was applied to select the eligible participants and a self-administered structured questionnaire was used to collect data.Descriptive statistics (Percentage, mean, median, standard deviation) and inferential statistics were calculated by using IBM SPSS software version 21.
Results: Out of 224 participants, 75.3% and 16.2% of the nurses perceived moderate and high levels of stress, respectively. Similarly, 65.6% perceived moderated and 31.3% had a high level of social support during the period of COVID-19 pandemic.
Conclusions: Almost all nurses, who are providing direct patient care during the COVID-19 pandemic, had experienced moderate to high levels of stress, and all of them perceived a moderated to high level of social support during the pandemic
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
References
Filip R, GheorghitaPuscaselu R, Anchidin-Norocel L,
Dimian M, Savage WK. Global challenges to public
health care systems during the COVID-19 pandemic:
a review of pandemic measures and problems. Journal
of personalized medicine. 2022 Aug 7;12(8):1295.
https://www.mdpi.com/2075-4426/12/8/1295
Wang J, Zhou M, Liu F. Exploring the reasons for
healthcare workers infected with novel coronavirus
disease 2019 (COVID-19) in China. J Hosp infect. 2020
Mar 5;105(1):100-. [PubMed]
Das N, Mishra P. Protecting healthcare workers
from COVID-19 and the assaulting society: Indian
perspective. Pharmaceutical and Biomedical
Research. 2020 Jun 10;6:5-8..Available from: https://
pbr.mazums.ac.ir/article-1-343-en.pdf [ Full Text]
Kang L, Li Y, Hu S et al. The mental health of medical
workers in Wuhan, China dealing with the 2019
novel coronavirus. The Lancet Psychiatry. 2020 Mar
;7(3):e14.
Khanal P, Devkota N, Dahal M, Paudel K, Joshi D.
Mental health impacts among health workers during
COVID-19 in a low resource setting: a cross-sectional
survey from Nepal. Globalization and health. 2020
Dec;16:1-2.Available at https://assets.researchsquare.
com/files/rs-40089/v2/6b135c63-5e2d-4fe4-a1f8-
b1d4b89951b5.pdf
Pasay-An E. Exploring the vulnerability of frontline
nurses to COVID-19 and its impact on perceived
stress. Journal of Taibah University Medical Sciences.
Oct 1;15(5):404-9.
World Health Organization(WHO). Coronavirus
disease (COVID-19) outbreak: rights, roles and
responsibilities of health workers, including key
considerations for occupational safety and health:
interim guidance, 19 March 2020. In Coronavirus
disease (COVID-19) outbreak: rights, roles and
responsibilities of health workers, including
key considerations for occupational safety and
health: interim guidance, 19 March 2020 2020..
https://www.who.int/docs/default-source/
coronaviruse/who-rights-roles-respon-hw-covid-19.
pdf?sfvrsn=bcabd401_0
World Health Organization (WHO). Mental Health
and Psychosocial Considerations during the COVID-19
Outbreak. Available online: https://www.who.int/
docs/default-source/coronaviruse/mentalhealthconsiderations.
pdf (accessed on 17 April 2020).
Almeida LY, Carrer MO, Souza JD, Pillon SC.
Evaluation of social support and stress in nursing
students. Revista da Escola de Enfermagem da
USP. 2018 Nov 29;52:e03405. Available from
https://www.scielo.br/j/reeusp/a/Mkqg9DjzJ
DdkyfNyLYC9qB/?format=pdf&lang=en
Ornell F, Halpern SC, Kessler FH, Narvaez JC. The
impact of the COVID-19 pandemic on the mental
health of healthcare professionals. Cadernos de
saudepublica. 2020 Apr 30;36:e00063520. https://doi.
org/10.1590/0102-311X00063520
Kaur K,Beri N. Psychometric Properties Of
Multidimensional Scale Of Perceived Social Support
(MSPSS): Indian Adaptation. International journal
of scientific & technology research.2019 Nov;8(11).
-2801
What’s needed now to protect health workers: WHO
COVID-19 briefing https://www.weforum.org/
agenda/2020/04/10-april-who-briefing-healthworkers-
covid-19-ppe-training/
Chekole YA, Yimer S, Mekuriaw B, Mekonnen S.
Prevalence and risk factors of perceived stress on
COVID-19 among health care providers in Dilla
Town Health institutions, Southern Ethiopia: A crosssectional
study.https://doi.org/10.21203/rs.3.rs-23476/v1
Cohen, S. and Williamson, G. Perceived Stress in a
Probability Sample of the United States. Spacapan,
S. and Oskamp, S. (Eds.) The Social Psychology of
Health. Newbury Park, CA: Sage, 1988.
Zimet GD, Dahlem NW, Zimet SG, Farley GK. The
multidimensional scale of perceived social support.
Journal of personality assessment. 1988 Mar 1;52(1):
-41.
Tonsing K, Zimet GD, Tse S. Assessing social support
among South Asians: The multidimensional scale of
perceived social support. Asian journal of psychiatry.
Jun 1;5(2):164-8. https://www.sciencedirect.
com/science/article/abs/pii/S1876201812000263
Khatiwada J, Muzembo BA, Wada K, Ikeda S. The
effect of perceived social support on psychological
distress and life satisfaction among Nepalese migrants
in Japan. Plos one. 2021 Feb 26;16(2):e0246271.https://
doi.org/10.1371/journal.pone.0246271
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, Wu J, Du H,
Chen T, Li R, Tan H. Factors associated with mental
health outcomes among health care workers exposed
to coronavirus disease 2019. JAMA network open. 2020
Mar 2;3(3):e203976-.doi:10.1001/jamanet workopen.
3976
Babapour AR, Gahassab-Mozaffari N, Fathnezhad-
Kazemi A. Nurses’ job stress and its impact on quality
of life and caring behaviors: a cross-sectional study.
BMC nursing. 2022 Mar 31;21(1):75. https://doi.
org/10.1186/s12912-022-00852-y
Chapagain S. Stress and Coping Mechanism among
Nurses Working at Nobel Medical College Teaching
Hospital Nepal during Covid 19 Pandemic. Birat
Journal of Health Sciences. 2023 Aug 21;8(1):1957-61.
https://doi.org/10.3126/bjhs.v8i1.57287
Nadeem F, Sadiq A, Raziq A, Iqbal Q, Haider S,
Saleem F, Bashaar M. Depression, anxiety, and
stress among nurses during the COVID-19 wave III:
Results of a cross-sectional assessment. Journal of
multidisciplinary healthcare. 2021 Nov 6:3093-101.
https://www.tandfonline.com/doi/epdf/10.2147/
JMDH.S338104?needAccess=true
Silwal M, Koirala D, Koirala S, Lamichhane A.
Depression, anxiety and stress among nurses during
corona lockdown in a selected teaching hospital,
Kaski, Nepal. Journal of Health and Allied Sciences.
Oct 19;10(2):82-7.
Cohen S, Wills TA. Stress, social support, and the
buffering hypothesis. Psychological bulletin. 1985
Sep;98(2):310.https://psycnet.apa.org/doi/10.1037/
-2909.98.2.310
Orgambídez A, Almeida H, Borrego Y. Social support
and job satisfaction in nursing staff: understanding
the link through role ambiguity. Journal of Nursing
Management. 2022 Oct;30(7):2937-44.https://doi.
org/10.1111/jonm.13675
Watson RJ, Grossman AH, Russell ST. Sources of
social support and mental health among LGB youth.
Youth & society. 2019 Jan;51(1):30-48.https://doi.
org/10.1177/0044118X16660110
Acoba EF. Social support and mental health: the
mediating role of perceived stress. Frontiers in
Psychology. 2024 Feb 21;15:1330720.https://doi.
org/10.3389/fpsyg.2024.1330720
Samson P. Effect of perceived social support on stress,
anxiety and depression among Nepalese nursing
students. Indian Journal of Continuing Nursing
Education. 2020 Jan 1;21(1):59-63.
Liu Y, Aungsuroch Y. Work stress, perceived social
support, self-efficacy and burnout among Chinese
registered nurses. Journal of nursing management.
Oct;27(7):1445-53.https://doi.org/10.1111/
jonm. 12828
Jeong SA, Kim J. Factors influencing nurses’ intention to
care for patients with COVID-19: Focusing on positive
psychological capital and nursing professionalism.
PLoS One. 2022 Jan 19;17(1):e0262786.https://doi.
org/10.1371/journal.pone.0262786
Giri LM, Paudel K, Bhusal S, Adhikari TB, Gulis G.
Perceived stress, stigma, and social support among
Nepali health care workers during COVID-19
pandemic: A cross-sectional web-based survey. PLOS
Global Public Health. 2022 May 5;2(5):e0000458.
https://doi.org/10.1371/journal.pgph.0000458
Shrestha N, Koju R, KC D, Mahato NK, Poudyal A,
Subedi R, Gautam N, Vaidya A, Karki S. Perceived
social support and compliance on stay-at-home
order during COVID-19 emergency in Nepal: an
evidence from web-based cross-sectional study. BMC
Public Health. 2023 Mar 21;23(1):535. https://doi.
org/10.1186/s12889-023-15396-2
Yildirim M, Turan ME, Albeladi NS, Crescenzo P,
Rizzo A, Nucera G, Ferrari G, Navolokina A, Szarpak
L, Chirico F. Resilience and perceived social support
as predictors of emotional well-being. Journal of
Health and Social Sciences. 2023;8(1):59-75. Doi:
19204/2023/rsln5
Ekmen E, Kocak O, Solmaz U, Kopuz K, Younis MZ,
Orman D. How does the social support affect refugees’
life satisfaction in Turkey? Stress as a mediator,
social aids and coronavirus anxiety as moderators.
Sustainability. 2021 Nov 17;13(22):12727. https://doi.
org/10.3390/su132212727