Stress and Psychological Well-Being of Government Officers in Malaysia Jasmani binti Mohd Yunus, Universiti Utara Malaysia, College of Business, Malaysia Abdul Jumaat bin Mahajar, Universiti Pendidikan Sultan Idris, Faculty of Management and Economics, Malaysia ABSTRACT The purpose of this paper is to present the findings on the occupational stress among administrative and diplomatic (PTD) officers. Quantitative data were collected via a questionnaire distributed amongst the PTD officers in Putrajaya and Kuala Lumpur. A total of 329 officers completed the questionnaires. The result shows that occupational stress has a significant positive correlation with psychological wellbeing. It is interesting to note that hierarchical multiple regression analysis indicated the four dimensions of occupational stress, namely role overload, role insufficiency, role ambiguity and role boundary have significant relationships and influence on psychological well-being. INTRODUCTION There has been many research on occupational stress. The occupational stress terminology is used interchangeably with work stress and/or job stress but its meaning refers to the same thing (Larson, 2004). Job stress has long been an important concept in the study of employees’ responses to their work environments. The many challenges in the work environment, characterized by heightened competition, increased work targets, threats of job loss, organizational change, lack of time, lack of space, continuous technological development, conflicting demand from organizational stakeholders McHugh, 1997), increased use of participationary management and computerization (Myers (2000), greater uncertainty and others have resulted in higher work stress. Work stress is a major issue in the occupational safety and health aspect as well as organizational well-being (Williams & Cooper, 1995) since it risks the employees’ health and organizational success (Noblet, Rodwell & McWilliams, 2001). Occupational stress can cause unusual and dysfunctional behavior at work and contribute to poor physical and mental health (WHO, 2004). Job stress has long been an important concept in the study of employees’ responses to their work environments. The many challenges in the work environment, characterized by heightened competition, increased work targets, threats of job loss, organizational change, lack of time, lack of space, continuous technological development, conflicting demand from organizational stakeholders (McHugh, 1997), increased use of participatory management and computerization (Murray and Gibbon, 2007). Stressful employees are more likely to be unhealthy, poorly motivated, less motivated and less safe at work (WHO, 2004). Work related stress also has been related to organizational problems such as absenteeism, high turnover, poor job performance, accidents and errors, and alcohol and drug abuse (Manshor, Fontaine, and Chong, 2003) and burnout (Mimura and Griffiths, 2003). Beyond absenteeism, ‘presenteeism’ or being present physically at work, but working less productively can also be the impact of work stress (Caverley, 2005). In Malaysia, the same phenomenon may hold true because the weakening of global economy during the last several years has resulted in substantial downsizing and retrenchments within the 40 The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 electronics sector which accounted accounted for 60% of the country’s total export (Bank Negara Malaysia, 2001). The main objective of this study is to examine the relationship of sources of occupational stress, coping strategies and well being among PTD officers in Malaysia. LITERATURE REVIEW Occupational stress, according to Malaysian Psychiatric Association (2009), is defined as the awareness of not being able to cope with the demands of one’s work environment with an associated negative emotional response. World Health Organization (2004) defines Occupational related stress as the response people may have when presented with work demands and pressures that are not matched to their knowledge and abilities and which challenge their ability to cope. Beehr and Newman (1978) define occupational stress as a condition arising from interaction of people and their jobs and is characterized by changes within people that force them to deviate from their normal functioning. Occupational stress is also considered as the harmful physical and emotional response that occurs when the requirements of the job do not match the capabilities, resources, or needs of the worker (Marzabadi and Tarkhorani, 2007). Karasek defines jobs and their associated stress levels by their particular demand-control combination (Schnall, Landsbergis, Dietz, Warren, Pickering, and Schwartz, 1998). Karasek's High Demand-Low Control Model defines high stress, unhealthy jobs as those with low control and high demand conditions. Murugayah (2008) found that generally, management and professional officers of the civil service experienced moderate level of work stress. Murugayah (2008) also found that majority of professional officers experienced moderate level of work stress. Similarly, Hafidah (2006) found that majority of National Anti-Drugs Agency experienced moderate level and Datu Raiman (1994) who studied occupational stress among headmasters in Kota Marudu, Sabah found that majority of the respondents were having moderate level of work stress. Osipow (1988) points out six sources which may cause occupational stress, i.e. role overload; role insufficiency; role ambiguity; role boundary; role responsibility; and physical environment. Role overload happens when an individual experience the lacking of resources, including time and energy, needed to meet the demands of all roles (Hecht, 2007). Ahmady et al. (2007) defines role overload as having too much to do and too many responsibilities to do everything well. Role insufficiency measures the degree to which a person’s training, education, skills, and experience are appropriate to his/her work (Osipow, 1988). Role ambiguity - Role ambiguity means the lack of clear and specific information regarding work role requirements (Quah and Campbell, 1994). Ahmady, Changiz, Masiello and Brommels (2007) defines role ambiguity as having unclear feedback from others about one's responsibilities and performance. According to Manshor et al. (2003), role ambiguity arises when a person does not have a clear picture about his work objectives and the scope and responsibilities of his own job as well as his co-workers’ expectation of him. According to Bulger, Matthews and Hoffman (2007), role boundaries relate to how individuals who have multiple roles organize themselves in each role. A boundary can vary in strength depending on its permeability and flexibility. Permeability is the extent to which one role intrudes or penetrates into another. A work boundary can be considered permeable if the employee receives calls from family while at work. A personal life boundary can be considered permeable if the employee takes work home to complete. Flexibility is the extent to which one role can be relaxed to meet the needs of another role. There are two aspects of flexibility in relation to role boundary strength: ability and willingness. Role responsibility is the level of responsibility an individual feels for his/her own performance and welfare and the well-being of his/her colleagues as well (Osipow, 1988). Additionally, a physical environment is the extreme The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 41 physical condition/surrounding which may be stressful to a person, such as heat and noise (Osipow, 1988). Boey, Chan, Ko, Goh and Lin (2010) found that majority (35.4%) of nurses in Singapore considered the occupational stress as moderate, 32.4% considered it as high, and another 32.2% considered it as low. Role conflict has been found to have a positive relationship with psychological well being (Chandraaiah, Agrawal, Marimuthu and Manoharan, 2003; Fairbrother and Cai and Zhang, 2008. When individuals are required to play two or more roles that work against each other, they are likely to experience occupational stress. This is because role conflicts create expectations that may be difficult to reconcile. Work overload, both quantitatively and qualitatively, has been empirically related and is the main source to a variety of psychological behavioural strain symptoms (Murray-Gibbons and Gibbons, 2007; Emilia and Hassim, 2007; Cai, Li and Zhang, 2008; Ho, 1996; Mansor, Fontaine and Chong, 2003; Duffy and Ching 2001; Salmond and Ropis, 2005; Chandraaiah, Agrawal, Marimuthu and Manoharan, 2003), heavy workload lowers one’s psychological wellbeing. Chandraaiah, Agrawal, Marimuthu and Manoharan (2003) found that the Indian managers who are young adults (25-35 years) and in the early middle age (36-45 years) were experiencing more stress due to role overload, role ambiguity and strenuous working conditions. Baehler and Bryson (2008) conducted an exploratory study on 24 policy advisors/managers in New Zealand and concluded policy advisors experienced stress under the well accepted labels of role overload, changing expectations/priorities, control, culture, external scrutiny and interpersonal relationship. However, these factors differ from the generic concepts associated with them. Fujino, Mizoue, Izumi, Kumashiro, Hasegawa and Yoshimura (2001) found that permanent night workers in Japan who have high workload, high job control and single were likely to have mental health problems as compared to those who have fewer workload, lower job control and are married. Partially, this finding differs from most of the Western research which found that people with higher job control and single are less stressful. Kaufman (2005) listed the causes of stress and burnout, among others, extended hours of working and the 24/7 environment and global organizations. Fairbrother and Warn (2003) conducted a research among naval officer trainees and found that stress was associated with the lack of clarity in the work role, disruption of everyday routine and disruption of personal life. On the other hand, stress is not associated with discomfort due to the physical environment, or with the psychosocial factors of leadership, teamwork and social climate. Apart from stressors which relate to workplace, Manshor (2000) found in his study that there are numerous other unmeasured variables that can contribute to stress at the workplace, including individual and family factors, socio-economic and financial status, and mental and health factors. Mathew (2005) found that special educators in India experience works stress due to home/work interface, which include the demands of work has affected the relationship with spouse/children, with social/private life, the spouse’s attitude towards the work and absence of emotional support from others outside work. Hence, the hypothesis conjectured in this study are: Ho1: Role overload has no relationship with psychological well-being. Ho2: Role insufficiency has no relationship with psychological well-being. Ho3: Role ambiguity has no relationship with psychological well-being. Ho4: Role boundary has no relationship with psychological well-being. Ho5: Role responsibility has no relationship with psychological well-being. Ho6: Physical environment has no relationship with psychological well-being. Ho7: Occupational stress has no relationship with psychological well-being. Ho8: Dimensions of occupational stressors (role overload, role insufficiency, role conflict, role ambiguity, role boundary, role responsibility and physical environment) have no relationship with psychological well-being. 42 The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 METHODOLOGY Respondents in this study consisted of PTD officers attached to 25 randomly selected ministries (Prime Minister’s Department, Ministry of Finance, Ministry of Plantation Industries and Commodities, Ministry of International Trade and Industry and Minstry of Health. A Total of 550 questionnaires were distributed to the Ministeries/Departments. It took one month for the researcher to distribute and collect the responses. MEASUREMENTS The predictor variables in this study consist of occupational stressors which consisted of role overload, role insufficiency, role ambiguity, role Boundary, role responsibility and physical environment. The occupational stressors were measured using The Occupational Stress Inventory-Revised (Osipow, 1998), namely the Occupational Roles Questionnaire (ORQ) which originally has 60 items. The questionnaire was used by Murugayah (2008) who conducted a study on government officers of administrative and professional level in Malaysia. Originally, The OSI-R has three components, i.e. Occupational Roles Questionnaire (ORQ), Personal Strain Questionnaire (PSQ) and Personal Resources Questionnaire (PRQ). Salmond and Ropis (2005) who made a mixed-method and comparison study between medical-surgical and home care nurses in the United States found that the former experienced higher stress than the latter. In examining relationship of job stressors and general well-being of the nurses, it was found nurses who experience higher level of stress will report higher negative mood, vice versa. Ho (1996) found that there are significant and positive relationships between the teacher stress measures and the GHQ. In conducting a research on a university staff, Dua (1994) found that general stress and work related stress are associated with poor physical health, poor psychological and emotional health and high job dissatisfaction. Malek, Mearns and Flin (2010) made a comparative study between Malaysian and the United Kingdom firefighters and found that the sources of occupational stress have significant negative correlations with psychological wellbeing among firefighters in the United Kingdom and Malaysia. The dependent variable was measured using The General Health Questionnaire (GHQ-12) and meant to assess the severity of a mental problem. This instrument was developed by Goldberg et al.(1998) to detect minor psychological disorders among respondents in a community setting. GHQ originally contains 12 items but for the purpose of this research, 10 items were selected. GHQ-12 is a validated screening instrument designed to detect possible psychiatric morbidity and to assess general psychological well-being of respondents. The respondents were asked to indicate whether they had experienced the condition related to mental health over the past six weeks. A higher score indicated poorer mental health status. Kapur, Borrill and Stride (1998) used the GHQ-12 to measure psychological distress among medical consultants and junior doctors in the United Kingdom. Zulkefly and Baharuddin (2010) also used this instrument to assess psychological health of Malaysian college students. The 10item comprises six ‘negative’ and four ‘positive’ items concerning the past few weeks. Negative items included ‘I lost much sleep over worry’ while positive items included ‘I felt capable of making decisions about things’. The respondents were asked to rate their psychological well-being over the past six weeks using a 5-point scale. GHQ-12 is usually regarded as testing only a single dimension of psychological health (Gao, Luo, Thumboo, Fones, Li, & Cheung, 2004) while other researchers consider it as having two (Hu, Stewart-Brown, Twigg & Weich, 2007) and three dimensions (Zulkefly & Baharudin, 2010). The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 43 METHOD OF ANALYSES Response and Profile of Respondents At the end of the stated period, of the 550 questionnaires sent out, 329 usesable response were obtained representing a response rate of 59.81 per cent. The sample profile is shown in Table 1. The frequencies for the number of individuals in the five ministries/ departments are shown in Table 1. It may be seen that the greatest number of respondents are from the Prime Minister’s Department (51.4%), 53.8% are female; majority of them are 46.5% years old and about 42.6% of the respondents are single, As for races 86.6% of the respondents are Malay, about 62.9% of the respondents are PTD officers of grade M41 – M44, and 76.3% of the respondents are degree holders, 22.8% are masters holders and 0.9% are Ph.D holders and 64.4% had served from 1 – 5 years. Demographic variable Ministry/ Department Gender Age Marital status Race Grade Academic qualification Tenure of service Length of service in present ministry/department 44 Table 1: Sample Profile Categories JPM MOF MPIC MITI MOH Male Female ≤ 25 years old 26 – 30 years old 31 – 35 years old 36 – 40 years old 41 – 45 years old ≥ 46 years old Single Married (without children) Married (with children) Divorced Others Malay Chinese Indian Others M41 – M44 M48 M52 M54 Degree Masters Ph.D < 1 year 1 – 5 years 6 – 10 years 11 – 15 years > 15 years < 1 year 1 – 5 years Frequency 169 37 26 48 49 152 177 32 153 86 38 5 15 140 54 130 3 2 285 18 15 11 207 78 39 5 251 75 3 46 171 73 21 18 73 212 Percentage % 51.4 11.2 7.9 14.6 14.9 46.2 53.8 9.7 46.5 26.1 11.6 1.5 4.6 42.6 16.4 39.5 0.9 0.6 86.6 5.5 4.6 3.3 62.9 23.7 11.9 1.5 76.3 22.8 0.9 14.0 52.0 22.2 6.4 5.5 22.2 64.4 The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 6 – 10 years 11 – 15 years > 15 years 33 6 5 10.0 1.8 1.5 i) Occupational stress All hypotheses were tested by using inferential statistics. For the first to seventh hypotheses, they were tested by using Pearson Correlation; for the eighth hypothesis, multiple regression was used, and hierarchical multiple regression was used to test the ninth hypotheses. ii) Usage of Pearson correlation Pearson correlation was used to test hypotheses 1 to 7. The analysis was meant to determine whether occupational stress and the six dimensions of occupational stress have any relationship with psychological well-being. The output is shown in Table 2. Table 2: Results of Pearson correlation analysis between Occupational Stress and Psychological Well Being Variable Psychological Well Being Role Overload .116 Role Insufficiency .341 Role Ambiguity .333 Role Boundary .326 Role responsibility .050 Physical Environment .055 Occupational Stress .434 * Correlation is significant at the 0.05 level (2-tailed) ** Correlation is significant at the 0.01 level (2-tailed) The result of the analysis shows that there is a significant relationship between role overload and psychological well-being. The correlation value of this variable of r =0.116, means that a positive and low relationship exists between the two. Thus Ho1 is rejected. The result shows that role insufficiency has significant and positive relationship with psychological well-being. The relationship between the two is moderate because the r-value = 0.341. Thus, Ho2 is rejected. The result of the analysis shows that there is a significant correlation between role ambiguity and psychological well-being. The correlation value of r = 0.333 indicates that the two variables are positively and moderately correlated. Thus, Ho3 is rejected. The result shows that role boundary and psychological well-being is significantly correlated. Since the correlation value, r = 0.326, role boundary and psychological well-being is positively and moderately correlated. Hence, Ho4 is also rejected. There is no significant correlation between role responsibility and psychological well-being as the p-value of 0.362 > 0.05. Thus, Ho4 fails to be rejected. The physical environment and psychological well-being is not significantly correlated as the p-value of 0.324 > 0.05. Thus, we fail to reject Ho6. There is a significant positive relationship between occupational stress and psychological well-being (r = 0.434, p < 0.05). Since the p-value is 0.434, it is indicated that the relationship between the two variables is a moderate relationship. We may infer that higher scores on occupational stress are associated with higher score on psychological well-being (higher score indicates low level of psychological well-being). As a conclusion, we have to reject Ho7 as Ha7 is substantiated. The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 45 iii) Usage of multiple regression A multiple regression analysis is used to test Ho8. Multiple regression tells how much of the variance in the dependent variable can be explained by the independent variable. From the model summary indicated in Table 3, we can see that the R2 value is 0.265 which means that independent variable only explains 26.5% of the variation in the dependent variable. The adjusted R 2 value is 0.252 which means that the dimensions of occupational stress contributed only 25.2% of psychological wellbeing. The remaining 74.8% were contributed by other factors not included in this study. Table 3: Multiple regression analysis of Occupational Stress Variables Beta t Role Overload .098 2.045 Role Insufficiency .267 5.453 Role Ambiguity .239 4.831 Role Boundary .250 5.096 Role responsibility .035 .716 Physical Environment -.001 -.030 Significant t .042 .000 .000 .000 .475 .976 a. Dependent variable Adjusted R2 = .265 F = 19.381 ** p < 0.01 Y = 1.033E-17 + 0.105X1 + 0.328X2 + 0.287X3 + 0.319X4 + 0.045X5 – 0.002X6 The regression analysis on all six dimensions of occupational stress were significant at p < 0.05, at F = 19.381. However, it was found out that only four dimensions were significant which have p-value < 0.05, namely role overload, role ambiguity, role boundary and role insufficiency. Another two dimensions, i.e. role responsibility and physical environment were not significant to psychological well-being since the p-value of each was 0.475, and 0.976. We may conclude by saying that at least 4 dimensions of occupational stress, namely role overload, role ambiguity, role boundary and role insufficiency has impact on psychological well-being. Hence, Ho8 is rejected. RECOMENDATIONS, LIMITATIONS, AND CONCLUSION The result shows that the mean score for role overload is the highest (3.848) among all dimensions of occupational stress. This indicates that PTD officers perceive that heavy workload is the main factor which contributes to their stressful condition. This finding is in agreement with the documented sources of stress in the international literature. Many researchers (Manshor, Fontaine and Chong, 2003; MurrayGibbons and Gibbons, 2007; Emilia and Hassim, 2007; Cai, Li and Zhang, 2008; Ho, 1996, Duffy and Ching, 2001; Fairbrother and Warn, 2003; Salmond and Ropis, 2005; Zakerian, 2009; Baehler and Bryson, 2008; Fujino, Mizoue, Izumi, Kumashiro, Hasegawa and Yoshimura, 2001) found that heavy workload is one of the main factors which causes stress across all types of occupations, namely managers, nurses, chefs, nurses, teachers, naval officers, policy advisors and permanent night workers. As expected from the result of correlation analysis, a multiple regression analysis shows that only four dimensions of occupational stress has a significant influence towards psychological well-being, namely role overload, role insufficiency, role ambiguity and role boundary. As indicated by the multiple regression analysis, 25.2% of psychological well-being is due to occupational stress, whereas another 74.8% were contributed by other factors not included in this study. Undeniably, organizational factors can lead to poor emotional health. Dua (1994) found that apart from physical health and job dissatisfaction, emotional health are also the direct impacts of general stress 46 The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 and occupational stress. Brubaker (as cited by Pattie, 2006) reported that occupational stress which resulted from service-oriented jobs has a steady increase of psychological ailments. Similarly, Marzabadi and Tarkhorani (2007) found that organizational factors are among the causes of stress and burnout. According to Murphy (as cited by Wood & Budden, 2006), understanding the causes of job stress by measuring it accurately and identifying problem areas, implementing interventions and re-evaluating the situation could prove useful. Hence, the researcher has come up with eight recommendations to improve the present situation, as well as to cater the problems brought by the four dimensions of stress, namely role overload, role ambiguity, role insufficiency and role boundary. Interpersonal relationship and family factors have also been taken into account. i) Stress survey This survey should be administered to PTD officers across all states in Malaysia. Through this survey, PSD can study what the pattern of occupational stress looks like and immediate actions must be taken if the stress level shows an increment. However, if the stress level is reported to be moderate, it cannot be taken for granted because there is a tendency to increase if appropriate action is not taken. ii) Stress management program Stress management training program should be designed for all PTD officers so that they can learn more about stress, its effects and how to cope with it. In this regard, PSD should collaborate with the National Institute of Occupational Safety and Health (NIOSH) in organizing the courses. iii) Job rotation All ministries/departments should give more attention to job rotation. As of now, there are a significant numbers of PTD officers who have been placed in the same division/unit for more than 5 years. Job rotation should be made compulsory to all officers. Actually, job rotation is one of the ways to offset boredom, which can occur when performing the same job over an extended period of time. Job rotation can be made within the same division/unit or across department or even across ministries. Hopefully, job rotation can make people get the best out of their potential. iv) Mentoring A mentoring programme is an official programme aims at personal developmental relationship in which senior officers who have more experience or more knowledge help and guide less experienced or less knowledgeable officers. In other words, it provides is a way for a mentee or junior officer to release their stress and ask opinion of his/her mentor on how to overcome the stressful situation. v) Sports and Recreational Facilities Ministries/departments should provide recreational facilities such as gymnasium, sports equipment etc. for the staff. These facilities should be made available to all staff after office hours. Sporting activities and exercise are among the important ways to ease stress because they help to flush stress hormones like adrenaline out of the body. vi) Counselling service Counselling is a professional guidance in resolving personal conflicts and emotional problems (FreeDictionary.com). The counsellor focuses on enhancing the psychological well-being of the client, such that the client is then able to reach his/her full potential. A trained counsellor may be able to help in a number of ways. It can enable the client to develop a clearer understanding of his/her concerns and help The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 47 him/her acquire new skills to better manage his/her problems. The counsellor can offer a different perspective and help him/her think of creative solutions to problems. vii) Time management PTD officers should learn how to effectively manage their time. They should know how to prioritise their works when a lot of works are delegated to them at the same time. PTD officers must be able to delegate the works to their subordinates. Truly, they will have to spend time to coach and guide subordinates on how to do the works, but in the long run, it is worthwhile. viii) Communication Since occupational stress may be attributed by lack of effective communication, organization should encourage effective communication among its staff whether it is upward, downward or horizontal communication. Effective communication can also be practiced at home, between spouses or with other family members. Research Limitation This study acknowledges several limitations. First, the time duration to complete this research is very limited. As such, data collection cannot be expanded beyond Kuala Lumpur and Putrajaya. Second, this study is a cross-sectional design in which data were gathered at one point within the period of study. This may not be able to capture the developmental issues and/or causal connections between variables of interest. Future Research Future research should be conducted to identify the relationship between occupational stress and physical health among PTD officers. It is also recommended that the scope of the research be broadened to PTD officers in all states in Malaysia. Further, future research should also consider longitudinal research in order to capture the development and/or causal connections between occupational stress and psychological health and/or physical health. CONCLUSION This study has been fruitful in identifying the relationship between occupational stress and psychological well-being. It is hoped that this study would trigger an interest from all relevant parties related to PTD officers to dwell further into the research questions, particularly, those related to psychological well-being of PTD officers who have contributed significantly to the public service and the nation’s development. It is also hoped that afterwards, PTD officers can live a healthy life and are able to balance it in almost every aspect. Psychological well-being should go mainstream and become a strategic issue that is routinely considered by all organizations, both in private and public service. This is so because if the employees’ well-being is well taken care of, it's a win-win situation for the employees and organization alike. 48 The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 REFERENCES Ahmady, S., Changiz, T., Masiello, I. and Brommels, M. (20007). Organizational role stress among medical school faculty members in Iran: dealing with role conflict BMC Medical Education, 7(14). doi: 10.1186/1472-6920-7-14 Baehler, K. and Bryson, J. (2008). Stress, minister: Government policy advisors and work stress. International Journal of Public Sector Management, 21(3), 257-270. doi: 10.1108/09513550810863169 Bank Negara Malaysia Records (2001). Beer, T. A. and Newman, J. E. (1978). Job stress, employee health and organizational effectiveness: A facet analysis, model and literature review. Personal Psychology, 31, 665-697. Bulger, C. A., Matthews, R.A., and Hoffman, M.E. (2007). Work and personal life boundary management: Boundary strength, work/personal life balance, and the segmentation - integration continuum. Journal of Occupational Health and Psychology, 12(4), 305-375. Retrieved from http://www.degarmogroupm.com/index.php/2009/05/impact-and-implications-of-work-andpersonal-life-boundaries/ Boey, K-W., Chan, K-H., Goh, Y-C. & Lin ,T-W, (2010). Stress, coping strategies and psychological well-being among nurses. Cai, Z-X, Li, K. and Zhang, X-C. (2008). Workplace stressors and coping strategies among Chinese psychiatric nurses. Perspectives in Psychiatric Care, 44(4), 223-231. doi/10.1111/j.1744-6163.2008.0018 Caverley, N. (2005). Civil service resiliency and coping. International Journal of Public Sector Management, 18, 401-413. doi: 10.1108/09513550510608868 Chandaraaiah K, Agrawal S. C., Marimuthu, P. and Manoharan N. (2003, May-August). Occupational stress and job satisfaction among managers. Indian Journal of Occupational and Environmental Medicine, 7(2), 6-11. Datu Raizuan, D. K. (1994). Hubungan antara gaya kepimpinan dengan tekanan pengurusan di kalangan guru besar di Daerah Marudu, Sabah. Msc. Thesis. Universiti Putra Malaysia. Dua, J. K. (1994). Job stressors and their effects on physical health, emotional health, and job dissatisfaction. Journal of Educational Administration, 32(1), 59-78. Duffy, C. and Ching, C. (2001). Pressures and stress in a West Australian hospital. Personnel Review, 30 (2), 227-239. Emilia, Z. A. and Noor Hassim, I. (2007). Work-related stress and coping: A survey on medical and surgical nurses in a Malaysian teaching hospital. Jabatan Kesihatan Masyarakat, 13 (1), 55-66. Fairbrother, K. and Warn, J. (2003). Workplace dimensions, stress and job satisfaction. Journal of Managerial Psychology, 18(1), 821. DOI 10.1108/02683940310459565 Fujino, Y., Mizoue, T., Izumi, H., Kumashiro, M., Hasegawa, T. and Yoshimura, T. (2001). Job stress and mental health among permanent night workers. Journal of Occupational Health, 43, 301-306. Retrieved from http://joh.med.uoehu.ac.jp/pdf/E43/E43_6_01.pdf Gao, F., Luo, N. Thumboo, J., Fones, C., Li, S.-C. and Cheung, Y.-B. (2004). Does the 12-item General Health Questionnaire contain multiple factors and do we need them? Health and Quality of Life Outcomes, 2(1), 63. Goldberg, D., Gater, R., Sartorius, N., Ustun, T., Piccinelli, M., Gureje, O. et al (1997). The validity of two version of the GHQ in the WHO study of mental illness in general health care. Psychol Med 27, 191-197. Hafidah, M. M. (2006). Tekanan kerja dan tret personaliti di dalam organisasi. Msc. Thesis. Universiti Utara Malaysia. Hecht, L. M. (2007) Role Conflict and Role Overload: Different Concepts, Different Consequences. Sociological Inquiry, 71(1), 111– 121. doi: 10.1111/j.1475-682X.2001.tb00930.x Ho, J. T. S. (1996). Stress, health and leisure satisfaction: the case of teachers. International Journal of Educational Management, 10(1), 41-48. doi: 10.1108/09513549610105353 Hu, Y., Stewart-Brown, S., Twigg, L. and Weich, S. (2007). Can the 12-item General Health Questionnaire be used to measure positive mental health? Psycological Medicine, 37, 1005-1013. doi: 10.1017/S0033291707009993 The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011 49 Kapur, N., Borill, C. and Stride, C. (1998). Psychological morbidity and job satisfaction in hospital consultants and junior house officers: multicentre, cross sectional survey. BMJ, 317, 511-512. Retrieved from http://www.bmj.com/cgi/contert/full/317/7157/511 Larson, L. L. (2004). Internal auditors and job stress. Managerial Auditing Journal, 19 (9), 1119-1130. Malek, M. D. A., Mearns, K. and Flin, R. (2010). Stress and psychological well-being in UK and Malaysian fire fighters. Cross Cultural Management: An International Journal, 17, 50-61. DOI: 10.1108/13527601011016907 Manshor, A. T. (2000). Sources of stress at the work place. Academy of Strategic and Organizational Leadership Journal, 4(2), 91-97. Manshor, A. T., Fontaine, R. and Chong, S. C. (2003). Occupational stress among managers: A Malaysian survey. Journal of Managerial Psychology, 18, 622-628. DOI: 10.1108/02683940310494412 Marzabadi, E. A. and Tarkhorani, N. (2007, August). Job stress, job satisfaction and mental health. Journal of Clinical and Diagnostic Research, 4(1), 224-234. McHugh, M. (1997). The stress factor: Another item for the change management agenda? Journal of Organizational Change Management, 10(4), 345-362. Mimura, C. and Griffiths, P. (2003). The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review. Occupational and Environmental Medicine, 60, 10-15. doi:10.1136/oem.60.1.10. Murugayah, H. (2008). Hubungan antara gaya kepimpinan dan tekanan kerja. MSc. Thesis. Universiti Utara Malaysia. Murray-Gibbons, R. and Gibbons, C. (2007) Occupational stress in the chef profession. International Journal of Contemporary Hospitality Management, 19(1),32–42. doi: 10.1108/09596110710724143 Myers, M. (2000). Qualitative research and the generalizability question: Standing firm with Proteus. The Qualitative Report, 4(3/4). Retrieved from http://www.nova.edu/ssss/QR/QR4-3/myers.html Noblet, A., Rodwell, J. and McWilliams, J. (2002). The job strain model is enough for managers. Journal of Managerial Psychology, 16 (8), 635-649. Osipow, S. H. (1988). Occupational stress inventory manual (professional version). Odessa FL: Psychological Assessment Resources. Osipow, S. H. and Davis, A. S. (1998). The relationship of coping resources to occupational stress and strain. Journal of Vocational Behaviour, 32, 1-15. Quah, J., & Campbell, K. M., (1994). Role Conflict and Role Ambiguity as Factors in Work Stress among Managers in Singapore: Some Moderator Variables, Research and Practice in Human Resource Management, 2(1), 21-33. Retrieved from http://rphrm.curtin.edu.au/1994/issue1/role.html Salmond, S. and Ropis, P. E. (2005). Job stress and general well-being: A comparative study of medical-surgical and home care nurses. Retrieved from http://www.redorbit.com/news/health/279417/job_job_stress_and_generalwellbeing http://www.redorbit.com/news/health/279417/job_stress_and_general_wellbeing_a_comparative_study_of_medical/ Schnall, P. L., Landsbergis, P.A. , Dietz, D., Warren, K., Pickering, T. G. and Schwartz, J. E. (1998) Job Strain and Health Behaviors: Results of a Prospective Study. American Journal of Health Promotion, 12(4), 237-245. Williams, S. and Cooper, L. (1995). Managing workplace stress. Great Britain: John Wiley and Sons, Ltd. Wood, F. B. and Budden, C. (2006, February). Strategic stress intervention in the academic environment. Journal of College Teaching and Learning, 3(2), 13-18. Zulkefly, N. S. and Baharudin, R. (2010, April). Using the 12-item General Health Questionnaire (GHQ-12) to assess the psychological health of Malaysian college students. Global Journal of Health Science, 2(1), 73-80. Malaysian Psychiatric Association (2007) website (http://www.psychiatry-malaysia.org) World Health Organization (2004) website (http:www.who.org) 50 The Journal of Human Resource and Adult Learning Vol. 7, Num. 2, December 2011
© Copyright 2026 Paperzz