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When nurses feel as though they鈥檙e not receiving enough support at work, they are more likely to experience anger and, consequently, injury.

This is according to a聽聽published in the journal , in which researchers聽found that an imbalance in support among nurses at work led to tempers flaring聽and the risk of injuries increasing.

鈥淏eyond the physical demands of the job, social factors can pose additional risks for nurses to experience muscle and joint pain in the shoulders, arms, hands and lower back,鈥� said co-study leader Chu-Hsiang (Daisy) Chang, associate professor of psychology at 聽 (MSU). 鈥淭hese types of musculoskeletal disorders often are worsened by feelings of anger.鈥�

Social factors can include perceptions around how much support someone is giving their co-workers and whether they perceive that same support is available to them. Types of support can come in many forms, including showing empathy and concern, offering advice, guidance and suggestions, or providing a helping hand.

鈥淭he imbalance occurs when nurses believe that the support they鈥檝e received is less than what they鈥檝e given to their co-workers,鈥� said co-lead researcher Liu-Qin Yang, associate professor of industrial-organisational psychology at聽. 鈥淭his imbalance results in nurses being angry at their peers and overall work situation.鈥�

Nursing often ranks among the worst occupations in terms of work-related injuries because of the physical demands during long, 12-hour shifts.

The study surveyed more than 400 nurses in two hospitals from 29 different units to further explore the effect psychological factors in a work environment had on physical health. It found that when nurses believed they should receive the same amount of support uniformly, tempers rose if an imbalance occurred.

鈥淚f the norm is that everyone gets the same amount of support, then an individual nurse who experiences an imbalance might wonder why she鈥檚 being singled out,鈥� Yang said. 鈥淪he鈥檒l feel worse and angrier.鈥�

In instances where differences in support is the expectation, then lower levels of anger were reported.

Yang said that in this scenario, individual nurses are less sensitive to an imbalance of support at the personal level.

鈥満诹铣怨先和鴖 need to implement strategies and interventions that are designed to improve the social environment for nurses,鈥� Chang said. 鈥淒oing so may not only improve psychological wellbeing and reduce their stress, but also promote their physical health.鈥�

According to Chang, hospitals use a variety of solutions to address injuries, but they focus more on physical job tasks to eliminate risk, such as using lift devices to help transfer patients from a bed to a wheelchair.

鈥淓nsuring fair treatment or distribution of workload in a social context could be a good strategy that can reduce feelings of anger and, ultimately, have an indirect effect on reducing injury complaints, too,鈥� Chang said.

Image credit: 漏stock.adobe.com/au/Tyler Olsen