Sources of stress in the national health services: A comparison of seven occupational groups

This paper reports a comparative study of sources of occupational stress affecting the seven major occupational groups within the National Health Service. The groups are compared on seven dependent variables. These are the six sub-categories of stressors identified by Cooper and Marshall (1978) and measured by the Occupational Stress Indicator (OSI) (Cooper et al. 1988), and a total stress score that is derived by summing scores for each of the six sub-categories. Occupational groups differed significantly (p.05) in only two of the six sub-categories. In these cases occupational groups not normally associated with front-line care reported higher levels of stress than either doctors or nurses. The results show that high levels of occupational stress are experienced by all occupational groups within the NHS and the subsequent discussion argues for a more progressive research policy that gives adequate attention to 'lower status' groups, such as ancillary, works and maintenance, and administrative and clerical.