Work-Related Stress, Professional Respect, and Psychological Counseling Among Nurses: A Cross-Sectional Study.
Background: Occupational stress refers to the psychological pressure from work-related factors. Stress overload is a key contributor to the global nursing shortage. Excessive workloads and psychological pressure further exacerbate stress among healthcare professionals. Aims: This study aims to examine the impact of psychological counseling (PC), job characteristics, and perceived respect on occupational stress among Pakistani nurses. Methods: This cross-sectional study was carried out by nurses from Pakistan, using a random sampling method. Data were collected between April 1 and May 31, 2024. We have access to the nurses' work-related stress, respect, and PC through an online questionnaire. A total of 292 nurses took part in the study. Results: Out of 292 participants, 276 completed the survey, with 71.38% male and 28.62% female. The main causes of occupational stress were low income (95.56%), high workload (80.80%), occupational injury (65.95%), family factors (64.50%), strict leadership (60.50%), and physical problems (56.16%). Additionally, 36.23% of nurses had limited faith in the effectiveness of PC, followed by a moderate belief. According to multiple logistic regression analyses, a correlation between a PC high work-related stress significantly affects nurses' mental health, increasing the need for PC (p=0.0979). Stress relief methods like reading, music, or outdoor sports reduce the stress (OR 2.298-11.031, p < 0.001). At the same time, factors like nurse-patient relationships and strict leadership contribute to high-stress levels (p=0.417, p=0.682), with reducing work intensity showing minimal impact (p=0.993). Conclusion: Our study indicated that low salaries, a high workload, and low respect could cause occupational stress among nurses who need high PC. Implications for Nursing Management: These findings can guide hospital administrators and nurse managers in enhancing rewards, reducing work hours, and improving job satisfaction. Additionally, better working conditions and training programs can help mitigate occupational stress and support nurses' mental health.