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Proforma For Registration of Subject For Dissertation
Proforma For Registration of Subject For Dissertation
Proforma For Registration of Subject For Dissertation
Submitted by
0
2. NAME OF THE INSTITUTION Oriental college of nursing
#45/52, Industrial town, West of Chord Road
Rajajinagar
Bangalore-10
3. COURSE OF STUDY AND SUBJECT 1st Year Msc nursing,
Mental Health Nursing
4. DATE OF ADMISSION OF THE 13/05/2010
COURSE
5. TITLE OF THE STUDY “A study to assess the occupational
stress and relaxation techniques
employed by workers in selected
construction sites, Bangalore.”
6. BRIEF RESUME OF THE WORK
6.0 Introduction Enclosed
6.1 Need For The Study Enclosed
6.2 Review Of Related Literature Enclosed
6.2.1 Statement Of The Problem Enclosed
6.3 Objectives Of The Study Enclosed
6.3.1 Operational Definitions Enclosed
6.3.2 Assumptions Enclosed
6.3.3 Hypothesis Enclosed
6.3.4 Sampling Criteria
Inclusion criteria Enclosed
Exclusion criteria Enclosed
7. MATERIALS AND METHODS
1 Sources of data: Construction workers who are working in selected construction sites
Bangalore.
2. Method of data collection: Interview method.
3.Does the study require any investigations or interventions to be conducted on the
patients or other humans or animals?
No
4. Has ethical clearance been obtained from your institution?
YES. Ethical committee’s report is here with enclosed
8. List of References Enclosed
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
BANGALORE, KARNATAKA
PROFORMA FOR REGISTRATION OF SUBJECT FOR
DISSERTATION
1
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
BANGALORE, KARNATAKA
PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
Mr. THOMAS JOSEPH
1. NAME OF THE CANDIDATE st
1 year M.Sc. Nursing.
AND ADDRESS Oriental college of nursing
#45/52, Industrial town, West of Chord Road
Rajajinagar.
Bangalore-10
6.0 INTRODUCTION
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“To get to the root of stress we must change the way we look at it first”.
- Darin a Stoyanova
tension, cramps, headaches or digestion problems.1 The Health and Safety Executive
(HSE) defines stress as the 'adverse reaction people have to excess pressure or other
surveys show incidences of anxiety and depression within the construction industry.
Anxiety is defined as 'a complex combination of the feeling of fear, apprehension and
and/or shortness of breath'; and depression is defined as 'a mental state of depressed
individual and organization. Stress not only affects the physical, psychological and
financial balances of an employee but also the employers as well. Desired results
cannot be expected from employees who are burnt out, exhausted or stressed, as they
losses their energy, accuracy and innovative thinking. By this, employers may loose
company. By virtue, some jobs are highly stressful like Army, Police, Fire Service
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20 years back - Have you ever heard of a cardiac arrest, blockage in angina,
high cholesterol and high diabetic to an employee in the age group of 30 to 40?
Similarly have you heard of early retirement, mental strain, absenteeism and burnout?
Occupational stress is the interaction of the worker and the conditions of work.
taking their toll. Occupational stress has become a common and costly problem,
leaving few workers untouched. Not all stress is bad. Learning how to deal with and
manage stress is critical to maximizing job performance, staying safe on the job, and
For weeks, with plagued aching muscles, headache, loss of appetite, restless
low morale, alienation, short-temper and irritation are the symptoms of stress. During
respiration, muscles to defend the alarming situation. Every person faces this
Continuing the body in such constant state of activation damages the biological
systems. Such recurrent misbalance causes fatigue and curtails the bodily ability to
defend.3
In other words occupational stress is stress at work. Job stress can be defined
as the harmful physical and emotional responses that occur when the requirements of
the job do not match the capabilities, resources, or needs of the worker. Job stress can
lead to poor health and even injury. Occupational stress occurs when there is a
ability to carry out and complete these demands. Often a stressor can lead the body to
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well as mentally. One of the main causes of occupational stress is work overload.
employees to take on that additional work. Instead the increased amount of work is
given to the current employees to finish in the same time span that they would be
and needing multi-skills to complete complex projects. In one breath the industry can
achievement, and in the next the pressures can take their toll raising stress levels and
tipping individuals into anxiety and depression. In addition an online survey on the
professionals polled felt that stress in the construction industry was a factor for poor
retention level.5
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6.1NEED FOR STUDY
I’m stressed out. “The reality may be that the worker saying this is, in fact,
their jobs, but some experience it more severely than others, to the point that they need
time away from work. The Bureau of Labor Statistics’ Survey of Occupational Injuries
and Illnesses classifies occupational stress as “neurotic reaction to stress.” There were
3,418 such illness cases in 1997. The median absence from work for these cases was 23
days, more than four times the level of all nonfatal occupational injuries and illnesses.
And more than two-fifths of the cases resulted in 31 or more lost workdays, compared to
The survey found that the majority of respondents (68.2%) had suffered from
This was broken down further to show that 61.9% of respondents had experienced stress,
48.4% had experienced anxiety and 18.5% had experienced depression. It was notable
that only 26.6% of those who had experienced stress, anxiety or depression had sought
medical advice. Further analysis showed that those who had suffered depression were
marginally more likely to seek medical help; 28.6% of those who had suffered depression
compared to 24.8% of those who had suffered stress and 17.3% of those who had
suffered anxiety. The survey also found that only 6% of those who had experienced
occupational stress had taken time off for this reason. Of those who had taken time off,
almost three quarters of them were absent for a week or less. Significantly, 84.8% of
respondents felt that the construction industry today does not adequately address issues of
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mental health in the workplace. However, half of respondents felt that the organization
they belonged to was doing enough to adequately address mental health issues.7
Although the limitations in the methodology mean that this cannot be taken as a
definitive picture of occupational stress within the construction industry, it suggests that
this is a significant issue which requires further research. From this study, it can be seen
that certain factors were rated more highly by respondents as being causes of workplace
stress. The most common causes in this study were found to be: lack of feedback
(56.8%), poor communication (55.7%), inadequate staffing (55%), too much work
(52.2%). Site safety and inadequate equipment were among the lowest scoring factors
with over 80% stating that these were not a cause of occupational stress. Bullying was
also not commonly reported, with 86% of respondents saying that this was not a cause of
stress. The most commonly cited factor that assisted respondents in coping with
workplace stress was support from their colleagues (81%). The research also gave
respondents the opportunity to discuss their views on occupational stress factors that had
not been covered in the main body of the survey. In this section, commonly recurring
demands, long travelling times, lack of skilled operatives, poor subcontractors and the
lack of work/life balance. When asked to discuss the factors that helped respondents cope
with stress, the most common elements included their life outside work, regular exercise,
taking regular time out of the office and team building events.8
Data from Survey of Work Related Illness (SWI) estimated that 563,000
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stress, depression or anxiety. A further estimated 80,000 people reported work related
heart disease. Evidence from SWI95 suggests that the majority of these ascribe their
condition to stress. Data from the Stress and Health at Work survey (SHAW) indicated
that almost 20% of working individuals rated their work into the top two work stress
categories of very and extremely stressful when asked to consider how stressful their job
was on a 5-point scale. SHAW study authors considered that these individuals
represented those exposed to work-stress and estimate on this basis that 5 million British
workers believe they are exposed to work stress. The almost ten-fold difference in
SHAW and SWI estimates arises because they are measuring different things. SWI
estimates represent more serious cases where individuals reported unprompted that work
stress was making them ill, i.e. had some significant physical or psychological impact on
their health, whereas SHAW survey estimates represent individuals’ assessments of the
stress levels in their job. In this context SHAW survey data may best be considered as an
estimate of the numbers who believe they are exposed to significant amounts of work
stress and SWI estimates as an estimate of the number that believe they suffered some
There were an estimated 3,418 cases of occupational stress involving days away
from work in 1997. This was the lowest number of cases in the 1992-97 periods.
Compared to 1992, there were 15 percent fewer cases of occupational stress in 1997.
Bureau of labor statistics (BLS) first collected data on detailed case characteristics of
involving days away from work are classified by BLS as cases of "neurotic reaction to
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stress." Occurrences of neurotic reaction to stress are relatively infrequent—the incidence
rate for private industry was 4 cases per 100,000 full-time workers in 1997.10
The Health and Safety Executive (HSE) commissioned research has indicated that
about half a million people in the UK experience work-related stress at a level they
believe is making them ill. Up to 5 million people in the UK feel "very" or "extremely"
stressed by their work. A total of 12.8 million working days were lost to stress,
depression and anxiety in 2004/5. Occupational stress costs businesses at least £4bn.
(2005) also indicated that stress is a major cause for concern. In their study of 1,038 HR
practitioners they found that stress and mental ill health were the top two causes of ill
related absence compared to the previous year. They found that the main reported cause
of stress across all sectors was workload/volume of work experienced by individuals. The
mental health charity Together conducted a stress poll in London in June 2005 which
found that over half of the employees they surveyed thought that stress in the workplace
was a serious issue. Interestingly, over 40% also felt that their career would suffer if they
admitted to suffering from occupational stress. It suggested that employers did not fully
recognize the extent of workplace stress, nor did they have adequate procedures in place
for managing stress related problems. Little research has been conducted into
occupational stress in the construction industry specifically; however the HSE and HSC
have launched the pilot scheme 'Constructing Better Health' which aims to improve
9
The study by the Indian Council for Research on International Economic
Relations, a New Delhi-based research group, said India’s rapid economic expansion has
boosted corporate profits and employee incomes, but has also sparked a surge in
workplace stress and lifestyle diseases that few Indian companies have addressed they
often spend 12-hour days on work related duties and an equal number frequently.11
to the process of development. It equally has many features that set it apart from other
industries and which accentuate the need for professional engagement. The team for each
craftsmen, artisans, laborers and suppliers within and outside the industry. Construction
frequently applied to such major works as buildings, ships, aircrafts and public works
such as roads, rails, dams and bridges. Construction process requires a lot of physical
activities that are stressful to the participants in the industry. In view of the nature of
production processes that take place in the industry, construction work is an inherently
job-related stress have increased dramatically in recent years. This is because many
employee morale, high accident and turnover rates, decreased productivity and increased
been attempting to define and manage occupational or job stress. In 1986, an extensive
mail and telephone survey was conducted which includes the purpose of discovering
what an occupational stress means. In the process, they learned that “corporate and labor
respondents, was primarily due to maladaptive personal lifestyles of a worker and poor
person-environment fits. On the other hand, labor representatives picture stress as the
product of organizational conditions that promoted loss of control, work overloading and/
or under loading.
especially low back pain and severe low back ache in a randomly selected sample of
1,773 construction workers. Its relationship to physical and psychosocial factors was
means of eight manual materials handling indices and ten psychosocial indices, based on
results from factor analyses. The 1-year prevalence rate of low back pain was 54% and of
severe low back pain 7%. The relationship to heavy manual materials handling differed
with age in such a manner that it could be interpreted as a healthy worker effect. Between
severe low back pain and either stooping or kneeling a dose-response relationship was
found. The most prominent of the psychosocial factors associated with low back pain and
severe low back pain were the stress index and the psychosomatic and psychic indices.
The age-standardized prevalence rate ratio of low back pain was 1.6 (95% confidence
interval 1.4-1.8) and for severe low back pain 3.1 (95% confidence interval 2.3-4), when
workers reporting "high" stress were compared to workers reporting "low" stress.12
11
Another study was conducted on manageability of stress among construction
relationships, communication and personal factors, are identified and the manageability
stressors are similarly examined. The extent to which stress effects combine and
accumulate when related stressors coexist is also considered. The finding of the study
was that the most difficult stressors to manage are “bureaucracy”, “lack of opportunity to
learn new skills”, “work-family conflicts” and “different view from superiors”. The
results also revealed that the patterns of stress manageability differ between clients,
consultants and contractors. The relationships among individual stressors are similarly
examined. The extent to which stress effects combine and accumulate when related
questionnaires. A total of 36 male middle and senior construction site managers took part
in the study. The major sources of stress isolated by the managers were related to;
communication problems; work overload; conflict; and the limited time spent with
family. The results revealed that job satisfaction levels were not as high as comparable
managerial groups, and most dissatisfaction was related to employee relations issues.
Mental well-being was lower than for other population groups. Furthermore, low levels
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of social support from a spouse or partner were significantly associated with high anxiety,
managers are made and the article also proposes recommendations based on the findings
of this study.14
A review on the relations among safety climate like safety attitudes and
construction sites. (N=374, M=366, F=8, mean AGE =36.68 years). Data were collected
by in-depth interviews and a survey from February to May 2000. A path analysis using
the EQS-5 was employed to test the hypothesized model relating safety climate, safety
performance, and psychological strains. The results provide partial support for the model,
in that safety attitudes predict occupational injuries, and psychological distress predicts
relationship between safety attitudes and accident rates. The implications of these results
The Journal of Occupational Health Psychology, Vol 3(4), Oct 1998, 294-305
reveals that person environment fit and demand-control theoretical models developed to
explain stress and strain, in the workplace have guided the construction of most measures
of occupational stress. The strengths and limitations of 8 job stress measures are briefly
reviewed, and the Job Stress Survey (JSS), designed to assess the severity and frequency
Factor analyses of responses to the JSS items identified Job Pressure and Lack of
13
Organizational Support as major dimensions of occupational stress for male and female
employees in a wide variety of work settings. JSS Index, scale, subscale, and item scores
assess general and specific aspects of the work environment that are most distressing for
Job stress and more generally, employee health has been a relatively neglected
that has been done is reviewed within the context of six facets (i.e., environmental,
general and a sequential model are proposed for tying the facets together. It is concluded
that some of the major problems of the research in this area are: confusion in the use of
terminology regarding the elements of job stress, relatively weak methodology within
specific studies, the lack of systematic approaches in the research, the lack of
interdisciplinary approaches, and the lack of attention to many elements of the specific
facets.17
A study was investigated job stress among 442 employees from 19 divisions in a
Japanese company using the Brief Job Stress Questionnaire. Job stress of the employees
was estimated by the score for total health risk. Among the 19 divisions, two divisions
showed over 120 points of mean total health risk score. Intervention with a stress-
reduction program was carried out in these 2 divisions. First, to assess the job stress,
health care staff interviewed all workers in the 2 divisions. Second, the results of the
interviews were reported to the divisions' managers. Third, the managers applied the best
14
In addition, occupational health staff conducted mental health education
as well as individual interviews for the workers from the 2 divisions. At reevaluation one
year later, both divisions showed a decreased general health risk (under 120 points). No
sick leaves for depression occurred within the 2 divisions during the intervention. The
results of the present study suggest that the intervention was effective in easing
occupational stress for high-stress workers. The stress reduction program also seemed to
have helped managers to change their recognition of occupational mental health and
enabled close cooperation with occupational health staff, which may improve mental
techniques.
variables.
15
6.3.1 Operational definition
defined as the harmful physical and emotional responses that occur when the
requirements of the job do not match the capabilities, resources, or needs of the
calmness.
6.3.2 Assumptions
1. It is assumed that the construction workers may have occupational stress and
6.3.3 Hypothesis
techniques.
demographic variables.
demographic variables.
Exclusion criteria
7.1 SOURCES OF DATA: The data will be collected from construction workers who are
17
Bangalore.
10. Method of data analysis : The researcher will use appropriate descriptive and
inferential statistics and present it in the form of tables and graphs. Occupational stress
and relaxation techniques will be analyzed by using mean and standard deviation. The
12. Variables:
construction workers.
18
The study will help the researcher to assess the occupational stress and its
No
8. LIST OF REFERENCES
19
1.Business dictionary.com
URL: http://www.businessdictionary.com/definition/occupational-stress.html
URL: http://ehstoday.com/construction/news/ehs_imp_38179/
URL:http://www.iitk.ac.in/infocell/announce/convention/papers/Context%20and
%20Human%20Resource-05-R%20Lakshminarayanan.pdf
URL:http://en.wikipedia.org/wiki/Occupational_stress
URL: http://ehstoday.com/construction/news/ehs_imp_38179/
URL:http://www.bls.gov/opub/ils/pdf/opbils35.pdf
URL: http://ehstoday.com/construction/news/ehs_imp_38179/
20
URL: http://ehstoday.com/construction/news/ehs_imp_38179/
10.United States department of labor. Bureau of labor statistics. 1999 October 13;
URL http://www.bls.gov/opub/ted/1999/Oct/wk2/art02.htm
11.Livemint.com the wall street journal. Workplace stress, lifestyle diseases threaten
URL http://www.livemint.com/2007/09/13170802/Workplace-stress-lifestyle-
di.html
(6)
URLhttp://journals.lww.com/spinejournal/abstract/1992/06000/low_back_and_ne
ck_shoulder_pain_in_construction.5.aspx
URL http://www.emeraldinsight.com/journals.htm?articleid=1501834&show=pdf
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14.Sutherland V, Davidson M.J. Stress among construction site managers — A
URL:http://onlinelibrary.wiley.com/doi/10.1002/smi.2460050405/abstract
15.Phillips R.D. Leung.T . Safety climate and safety performance among construction
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6V5S-
48BKPK31&_user=10&_coverDate=05/31/2004&_rdoc=1&_fmt=high&_orig=s
earch&_origin=search&_sort=d&_docanchor=&v
16.Vagg, Peter R.et.al. Occupational stress: Measuring job pressure and organizational
1998;3(4): 294-305
URL
http://psycnet.apa.org/?fa=main.doiLanding&doi=10.1037/1076-
8998.3.4.294
17.BEEHR A.T . JOHN E.et.al. Job stress, employee health, and organizational
699.URL:
22
http://onlinelibrary.wiley.com/doi/10.1111/j.17446570.1978.tb02118.x/
abstract
18.Hase Y, Hori H.et.al. Approach to easing occupational stress for high-stress workers:
applying the brief job stress questionnaire to workplace mental health promotion.
2008;URL http://www.ncbi.nlm.nih.gov/pubmed/18566525
19. Campbell F.Occupational stress in construction the industry, Survey 2006 ;Page 5.
URL: http://ehstoday.com/construction/news/ehs_imp_38179/
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9. Signature Of The Candidate
11.1 Guide
11.2 Signature
11.4 Signature
12.2 Signature
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