Evidence map›Paper›PMID 40234806›Full record

ArticleBMC nursing2025

Work-related stress of nurses in Poland and Lithuania: countries under the influence of war circumstances in Ukraine.

Anna Bartosiewicz, Nijole Galdikiene, Asta Mažionienė, Sigitas Balčiūnas, Łukasz Oleksy, Olga Adamska, Artur Stolarczyk

Abstract read
In one paragraph

Article in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anna BartosiewiczFaculty of Health Sciences and Psychology, Collegium Medicum, University of Rzeszów, Rzeszów, 35-959, Poland. abartosiewicz@ur.edu.pl.
Nijole GaldikieneFaculty of Health Sciences, Klaipėda State University of Applied Sciences, Klaipeda, LT-92255, Lithuania.
Asta MažionienėFaculty of Health Sciences, Klaipėda State University of Applied Sciences, Klaipeda, LT-92255, Lithuania.
Sigitas BalčiūnasInstitute of Regional Development, Vilnius University Šiauliai Academy, Šiauliai, Vilnius, T-76352, Lithuania.
Łukasz OleksyDepartment of Physiotherapy, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, 31-126, Poland.
Olga AdamskaDepartment of Ophthalmology, Faculty of Medicine, Collegium Medicum Cardinal Stefan Wyszyński University in Warsaw, Warsaw, 01-815, Poland.
Artur StolarczykDepartment of Orthopedics and Rehabilitation, Medical University of Warsaw, Warsaw, 02-091, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNursing is a challenging profession, often associated with high levels of work-related stress. Recent geopolitical events, such as the conflict in Ukraine, may further exacerbate stress among healthcare workers in neighbouring regions. Understanding stress levels among nurses is crucial for enhancing patient care and improving the well-being of medical staff.

objectiveThis study aims to assess work-related stress among nurses in Poland and Lithuania, taking into account the potential impact of regional geopolitical factors. METHODOLOGY: This cross-sectional study was conducted among 482 Polish and 380 Lithuanian nurses. The online survey was performed using the standardized Expanded Nursing Stress Scale (ENSS). To compare quantitative variables between groups, the Mann-Whitney and the Kruskal-Wallis test (with Dunn's post-hoc test) were used. The significance level was set at 0.05, and effect sizes were calculated using Pearson's correlation coefficient (r) and eta-squared (η²).

resultsThe overall stress level (ENSS total score), as well as scores across all analyzed subscales, were significantly higher among Lithuanian nurses (mean = 168.44, SD = 38.56), compared to Polish nurses (mean = 144.13, SD = 34.15), with a statistically significant difference (p < 0.001). In Lithuania, significant factors influencing stress levels included age (p = 0.049) and place of work (p = 0.026), while in Poland, gender (p = 0.034), seniority (p = 0.002), education (p = 0.01), shift work (p = 0.004), and workload (p = 0.001) were notable factors.

conclusionsIncreased stress among nurses in both countries impacts their well-being and patient care quality, highlighting the need for targeted psychological support and better working conditions. IMPLICATIONS FOR NURSING: Nurses play a critical role in healthcare, and mitigating stress through workplace improvements can enhance both their well-being and the quality of care they provide, especially during geopolitical crises. Implementing stress management programs and providing mental health resources are crucial steps to support nurses in high-stress environments.

Indexed as

ENSS scaleLithuaniaNursesPolandStress

Identifiers

PMID40234806
PMCPMC11998225

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.