Perceived Stress Among Nursing and Administration Staff Related to Accreditation

Gary Elkins, Teresa Cook, Jacqueline Dove, Denka Markova, Joel D. Marcus, Tricia Meyer, M. Hassan Rajab, Michelle Perfect

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Background: Nurses in hospital administration and management positions may experience workplace stress, which can have important consequences on the health and well-being. Purpose: The aim of this study was to examine the effects of perceived stress on nursing hospital management and administrative employees of a large health care organization before and after a review by The Joint Commission on the Accreditation of Healthcare Organizations. Methods: A total of 100 hospital employees were randomly selected to complete questionnaires assessing their perception of stress and its effect on their well-being before and after the site review. They were also asked to rate their subjective experience of sleep, anxiety, depression, and job satisfaction. Results: Perceived stress was significantly related to employees' increased health concerns, symptoms of depression and anxiety, interpersonal relationships, and job satisfaction (p = .003). Conclusions: Hospital accreditation reviews may increase perceived stress and appears to be related to emotional and physical well-being. Application: The implications include evidence there is a need for organizations to initiate corrective action to help nurses in administrative roles to cope with increased levels of job strain, minimize potential psychological and physiological consequences, and preserve job satisfaction.

Original languageEnglish (US)
Pages (from-to)376-386
Number of pages11
JournalClinical nursing research
Issue number4
StatePublished - 2010


  • Joint Commission
  • accreditation
  • anxiety
  • stress

ASJC Scopus subject areas

  • Nursing(all)


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