• Fizzah Ali Lahore Medical & Dental College, Lahore-Pakistan
  • Fatima Suhaib Lahore Medical & Dental College, Lahore-Pakistan
  • Hajra Talat Fatima Memorial Hospital Medical & Dental College, Lahore-Pakistan
  • Malik Zain Ul Abideen College of Dentistry, Bakhtawar Amin, Medical & Dental College, Multan-Pakistan
  • Uzair Abu Bakar Lahore Medical & Dental College, Lahore-Pakistan
  • Maria Javaid Hameed Latif Teaching Hospital, Lahore-Pakistan



Stress; Precision; Medical emergency unit workers; Perceived stress scale (PSS-10); Lahore


Background: Stress is characterized as a condition of anxiety or tension spurred on by challenging circumstances. Stress is a normal human reaction that motivates us to deal with obstacles and dangers in our lives. The study aimed to investigate the levels of stress that employees in the medical emergency unit (MEU) industry face and any possible relationship between work satisfaction, and perceived stress. The objective of the study was to assess and compare the stress levels of MEU workers in different teaching hospitals in Lahore using the PSS-10 stress scale. Our research aims to examine and compare the perceived stress based on gender, profession, and marital status. Methods: The study employed a quantitative cross-sectional design to assess and compare stress levels among MEU workers in teaching hospitals across Lahore. The target population consisted of MEU workers in teaching hospitals across Lahore. The perceived stress levels were measured using the PSS-10 (Perceived Stress Scale) questionnaire, a widely accepted, validated, and reliable instrument for assessing stress perception in individuals. The data was subjected to both descriptive and inferential statistical analyses using the SPSS. Descriptive statistics, including means and standard deviations, were employed to summarize stress levels among medical emergency unit workers in different teaching hospitals. Independent t-tests and ANOVA were utilized to compare stress levels across teaching hospitals. Results: In this study involving 304 medical professionals, participants, on average, were 29.95 years old with a mean stress score of 20.99. The majority were female (62.8%), married (50.7%), and affiliated with Mayo Hospital (17.4%). Occupation-wise, 66.45% were doctors, and no significant difference in perceived stress was observed among professional categories. However, there was a significant difference in stress scores among hospitals, with FMH participants exhibiting lower stress compared to others (p<0.005). Conclusion: The study found significant differences in stress among medical emergency unit staff in teaching hospitals in Lahore. The results highlight the significance of targeted interventions and support initiatives to improve worker resilience and well-being in high-stress healthcare settings. It provides valuable information for improving stress management and preventive tactics.

Author Biographies

Fizzah Ali, Lahore Medical & Dental College, Lahore-Pakistan


Fatima Suhaib, Lahore Medical & Dental College, Lahore-Pakistan


Hajra Talat, Fatima Memorial Hospital Medical & Dental College, Lahore-Pakistan


Malik Zain Ul Abideen, College of Dentistry, Bakhtawar Amin, Medical & Dental College, Multan-Pakistan


Uzair Abu Bakar, Lahore Medical & Dental College, Lahore-Pakistan


Maria Javaid, Hameed Latif Teaching Hospital, Lahore-Pakistan



Stress. [Internet]. [cited 2023 Nov 21]. Available from:

García-Tudela Á, Simonelli-Muñoz AJ, Rivera-Caravaca JM, Fortea MI, Simón-Sánchez L, González-Moro MTR, et al. Stress in Emergency Healthcare Professionals: The Stress Factors and Manifestations Scale. Int J Environ Res Public Health 2022;19(7):4342.

Bhui K, Dinos S, Galant-Miecznikowska M, de Jongh B, Stansfeld S. Perceptions of work stress causes and effective interventions in employees working in public, private and non-governmental organisations: a qualitative study. BJPsych Bull 2016;40(6):318–25.

Adriaenssens J, De Gucht V, Maes S. Determinants and prevalence of burnout in emergency nurses: a systematic review of 25 years of research. Int J Nurs Stud 2015;52(2):649–61.

Chang AM, Aeschbach D, Duffy JF, Czeisler CA. Evening use of light-emitting eReaders negatively affects sleep, circadian timing, and next-morning alertness. Proc Natl Acad Sci U S A 2015;112(4):1232–7.

Kang Y, Strecher VJ, Kim E, Falk EB. Purpose in life and conflict-related neural responses during health decision-making. Health Psychol 2019;38(6):545–52.

Yubonpunt P, Kunno J, Supawattanabodee B, Sumanasrethakul C, Wiriyasirivaj B. Prevalence of perceived stress and coping strategies among healthcare workers during the COVID-19 outbreak at Bangkok metropolitan, Thailand. PLoS One 2022;17(7):e0270924.

Gamonal-Limcaoco S, Montero-Mateos E, Lozano-López MT, Maciá-Casas A, Matías-Fernández J, Roncero C. Perceived stress in different countries at the beginning of the coronavirus pandemic. Int J Psychiatry Med 2022;57(4):309–22.

Meng R, Luo X, Du S, Luo Y, Liu D, Chen J, et al. The Mediating Role of Perceived Stress in Associations Between Self-Compassion and Anxiety and Depression: Further Evidence from Chinese Medical Workers. Risk Manag Healthcare Policy 2020;13:2729–41.

Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav 1983;24(4):385–96.

Graves BS, Hall ME, Dias-Karch C, Haischer MH, Apter C. Gender differences in perceived stress and coping among college students. PLoS One 2021;16(8):e255634.

Bodenmann G, Charvoz L, Bradbury TN, Bertoni A, Iafrate R, Giuliani C, et al. The role of stress in divorce: A three-nation retrospective study. J Soc Pers Relatsh 2007;24(5):707–28.

Maben J, Bridges J. Covid- 19: Supporting nurses’ psychological and mental health. J Clin Nurs 2020;29(15-16):2742–50.

Birhanu M, Gebrekidan B, Tesefa G, Tareke M. Workload Determines Workplace Stress among Health Professionals Working in Felege-Hiwot Referral Hospital, Bahir Dar, Northwest Ethiopia. J Environ Public Health 2018;2018:6286010.

Locke R, Lees A. A literature review of interventions to reduce stress in doctors. Perspect Public Health 2020;140(1):38–53.

Rayirala A, Shankar U. Stress and coping strategies among nurses working in psychiatric tertiary care hospital - A cross sectional study. Indian J Psychiatry 2022;64(Suppl 3):591.

Maharaj S, Lees T, Lal S. Prevalence and Risk Factors of Depression, Anxiety, and Stress in a Cohort of Australian Nurses. Int J Environ Res Public Health 2018;16(1):61.

Huang W, Li L, Zhuo Y, Zhang J. Analysis of Resilience, Coping Style, Anxiety, and Depression Among Rescue Nurses on EMTs During the Disaster Preparedness Stage in Sichuan, China: A Descriptive Cross-Sectional Survey. Disaster Med Public Health Prep 2022;17:e268.

Gholamzadeh S, Sharif F, Rad FD. Sources of occupational stress and coping strategies among nurses who work in Admission and Emergency Departments of Hospitals related to Shiraz University of Medical Sciences. Iran J Nurs Midwifery Res 2011;16(1):41–6.

Kerai SM, Khan UR, Islam M, Asad N, Razzak J, Pasha O. Post-traumatic stress disorder and its predictors in emergency medical service personnel: a cross-sectional study from Karachi, Pakistan. BMC Emerg Med 2017;17(1):26.

Naz S, Hashmi AM, Asif A. Introduction Subjects and Methods Burnout and quality of life in nurses of a tertiary care hospital in Pakistan. J Pak Med Assoc 2016;66(5):532–6.

Akram Z, Sethi A, Khan AM, Zaidi FZ. Assessment of burnout and associated factors among medical educators. Pak J Med Sci 2021;37(3):827–32.

Alqahtani AM, Awadalla NJ, Alsaleem SA, Alsamghan AS, Alsaleem MA. Burnout Syndrome among Emergency Physicians and Nurses in Abha and Khamis Mushait Cities, Aseer Region, Southwestern Saudi Arabia. ScientificWorldJournal 2019;2019:4515972.

Lawn S, Roberts L, Willis E, Couzner L, Mohammadi L, Goble E. The effects of emergency medical service work on the psychological, physical, and social well-being of ambulance personnel: A systematic review of qualitative research. BMC Psychiatry 2020;20(1):348.

Portero de la Cruz S, Cebrino J, Herruzo J, Vaquero-Abellán M. A Multicenter Study into Burnout, Perceived Stress, Job Satisfaction, Coping Strategies, and General Health among Emergency Department Nursing Staff. J Clin Med 2020;9(4):1007.

Khan FA, Shamim MH, Ali L, Taqi A. Evaluation of Job Stress and Burnout Among Anesthesiologists Working in Academic Institutions in 2 Major Cities in Pakistan. Anesth Analg 2019;128(4):789–95.

Lee RT, Seo B, Hladkyj S, Lovell BL, Schwartzmann L. Correlates of physician burnout across regions and specialties: a meta-analysis. Hum Resour Health 2013;11(1):48.

Additional Files