EXTERNAL AND INTERNAL FACTORS INFLUENCING JOB STRESS IN NURSING AT EMERGENCY DEPARTMENT

Introduction: Emergency Department (ED) is a specialized nursing unit manage patients with critical condition therefore requires a high knowledge and skills to manage of these conditions. ED nurse is a professional who has the risk of work stress have higher levels. Aims to identify factors of job stress in emergency department, Method: A literature search from April 2006 to April 2016 was conducted using the key words nursing, job stress, and factors influencing the job stress. Results: Some of the factors that affect the incidence of job stress in the ED include internal and external factors. The external factors such as the high of workload, lack of control, the participation or activity of nurses, the lack of reward is given, the interaction social environments, organizational characteristics, the conflict, the patient care and the death of patient. The internal factors such as age, gender, marital status, education, length of work and coping mechanism. Discussions: Identification of external and internal factors are very important for nurses so that can be done for prevention in order to reduce the occurrence of job stress. Stress intervention should be implemented to reduce the job stress. Key words: internal, external factors, emergency department nurses, job stres