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Introduction
The purpose of this study is to give an overview on the kind of stress that primary school
teachers normally experience. It also aims to provide suggestions on how they can
manage their stress more effectively. The study will be compared with other literature
Concern about stress is steadily rising in Malta. The researcher communicates regularly
with school nurses and feedback is that some primary school teachers are not adequately
trained on how to reduce their stress levels at work. According to Cooper (2000),
the daily learning and behavioural needs of students makes teaching a stressful job.
Teachers' stress may not only have an impact on the teachers as individuals but also on
the schools in which they work and on the pupils they teach.
management systems and parental involvement. John Bencini president of the Malta
Union of Teachers told Charlot Zahra during an interview in the Malta Today Newspaper
Sunday, 29 July 2007 that he is not optimistic about the future of the teaching profession
in Malta.
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“In a few days' time we will be facing another crisis as there will be a shortage of
teachers again. This year there has only been 14 applications to join the Bachelor of
Extensive surveys and discussions of ‘teacher stress’ (e.g. Cole &Walker, 1989;
Kyriacou, 1987; Travers & Cooper, 1996) say that teachers experience a whole range of
symptoms typically associated with chronic stress. Common ailments are fatigue,
Proctor & Alexander, 1992; Sheffield et al., 1994), (Jenkins & Calhoun, 1991; Kyriacou
All employees, at school or elsewhere, need a certain amount of stress in their work tasks
to bring out the best out of them. However, when occupational stress causes distress it
becomes difficult to cope with the demands that school life poses on teachers. Stress is a
normal part of every teacher's life but if left unmanaged, it can undermine effective
Definitions
• Health Promotion
The World Health Organization (1986) defines health promotion as “the process of
enabling people to increase control over, and to improve, their health. To reach a state of
complete physical, mental and social well-being, an individual or group must be able to
identify and to realize aspirations, to satisfy needs, and to change or cope with the
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environment. Therefore, health promotion is not just the responsibility of the health
• Stress
Stress is the non-specific response of the body to any demands made upon it (Selye,
1956)
• Teacher’s Stress
Teacher stress is the experience by teachers of unpleasant and negative emotions, such as
anger, anxiety, tension, frustration, depression, resulting from some aspect of their work
• Stress Management
coping mechanisms for dealing with psychological stress, with stress defined as a
person's physiological response to an internal or external stimulus that triggers the fight-
The first step in handling teachers stress is to identify its key sources. These may be
behavioural (e.g. inadequate sleep), situational (e.g. lack of feedback from your
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his body, mind, and spirit to be able to control his/her stress level. There will always be
stress in life, and what we really have to look at is our reaction to it rather than trying to
eliminate it completely. The World health Organization (1986) stated that to reach a state
of complete physical, mental and social well-being, an individual or group must be able
to identify and to realise aspirations, to satisfy needs, and to change or cope with the
environment.
The school nurses’ skills have been developed to ensure they are capable of competently
assessing the health of the individuals so they can work closely with school staff and
develop health promotion programmes accordingly (Dines & Cribb, 1993). As nurses, in
addition to dealing with our own challenges, we have an obligation to respond to the
stress experienced by our Community. Before trying to help teachers manage their stress
more effectively, the nurse should reflect whether he or she possesses the required
Screening Activities
Direct action techniques for coping with the stresses of teaching involve attempts to
eliminate the sources of stress. Albee (2000), stated that one of the pioneers of prevention
research, states that it is far better if the roots of teachers’ burn-out are identified and
eliminated before the syndrome develops, rather than treating it after it has already
occurred.
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Screening activities to identify school teachers that are feeling overstressed and are
particularly at risk for various health problems are one component of a comprehensive
school-site health promotion program that can be implemented in Malta. This can be
done by helping teachers identify the main key sources that are increasing their stress
levels. Once employees are identified as being at-risk, those persons can be referred to
The school nurse can give teachers a stress identification questionnaire (risk assessment,
see appendix 1). With the relevant information provided, the nurse will be able to provide
the necessary recommendation and help for every teacher. He/she can also offer open
access to personalized support and advice in areas such as stress and time management
and risk-taking behaviours. This will depend on how effectively the nurse will
communicate the data to the other members of the health care professional and to the
individual teacher.
An informal interview with two teachers who work in a local primary school showed that
stress reduction questionnaires may provide the necessary information to take the
necessary actions according to the finding. Stress reduction classes for the faculty and
staff can be an important goal. The involvement of school staff (i.e., the headmaster,
school nurse, and a staff advisory committee) can also be instrumental in the
development and maintenance of the intervention programme. This involves assessing the
individual's needs, giving advice on the treatment available and referring the teacher to
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Health Promotion for Staff
including stress management, nutrition education, weight control, and fitness, can be
initiated for primary school teachers to improve and maintain health status and increase
self esteem. An evaluation study of the Health Enhancement Program showed that the
teachers involved reported more positive perceptions of their school environment and
better morale than those teachers not participating in the program (Allegrante 1998).
School nurses are usually part of a wider school health team and, as such, can co-ordinate
colleagues, and leading a team of support staff. “Work stress can and should be prevented
A staff wellbeing program should be tailored to meet the needs and wants of the
employees in our schools in Malta. It should also take into account the resources
skills are to be practiced by taking small steps that can add up to a practical and effective
stress-management plan e.g. Eating well, relaxation exercise, getting plenty of rest,
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Group Work Shops
The school nurse and the school psychologist should provide workshops and counselling
can take place casually or be delivered as once-a- month stress management roundtables
Generally lasting about 10 to 20 minutes, the skills workshop topics can include Humour
and Stress, Breathing Exercises, Back and Neck Exercises, Relaxation and Pressure
Points. A pilot study lasting nine months or less should be initiated in three different
relevant feedback.
The training and workshops can be presented regularly during scheduled staff meetings,
before school or part of all-day "release" days. Professional trainers can deliver these
interventions. Personal resources also include a variety of tools and materials designed
for individual use in reducing stress. Resources may include videos, books, leaflets and
The school system's health plan and employee assistance programme of intervention can
be sponsored by suppliers of school material. The local government or council can also
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provide funds. Another idea is that in summer every teacher will work for one week to
teach the English language to foreign students. With the money gained from these
activities the school administration can invest in stress reduction programs for teachers
(e.g. they will have a type of insurance that cover alternative therapy sessions and
psychological sessions).
method of coping with and reducing stress is through time management. Poor time
management is often a symptom of over confidence in our daily tasks. These actions can
lead to inordinate stress and degradation of performance, and it must be stopped. Time
management can be achieved through daily records that determine the total time spent on
each activity of the day. It helps organising the day by prioritising activities. It is an
Stress Diaries are useful as they gather information regularly over a period of time. This
can help teachers separate the common routine stresses, from those that only occur
occasionally.
Treatment
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When the body is stressed it must work harder than usual to remain balanced.
Conventional relaxation methods such as drinking and smoking are over used in order for
individuals to relax. Medical research across the world is beginning to awaken to the
visualization techniques can help to reduce the stress hormones in our blood that
influence our long term health and well being. These relaxation techniques have proven
effective in helping older people to relax and dose not require any special equipment and
has been shown to have both physiological and psychological benefits (Cox et al, 1997);
Conclusion
health and retention of teachers now in Malta. Research has shown that teacher stress is
reliably associated with a number of variables, including those intrinsic to the job,
individual cognitive vulnerability and systemic factors. The need of psychological care
and ways to manage their stress more effectively is a must for teachers and psychology
different issues with pupils and their families and thus require to be psychologically
trained.
Efforts to create more productive, caring, clearly defined work situations and improve
teachers’ skills are the best prevention against teachers stress. One has to remember that
some stress is healthy and keeps us motivated to accomplish our goals. We want to
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References
Allegrante, J.P. (1998) School-Site Health Promotion for Faculty and Staff: A Key
Component of the Coordinated School Health Program. Journal of School Health May
1998. 68 (5):190-195.
Borg, M.G. and Falzon, J.M. (1990) Coping actions by Maltese primary school teachers.
Educational Research, Vol. 32, pp. 50 – 58
Cannon, W. (1939). The Wisdom of the Body, 2nd edition., NY: Norton Pubs.
Cox, C.C., Misra, R., and Aguillion, S. (1997). Superintendents' Perceptions of School-
site Health Promotion in Missouri. Journal of School Health, February 1997. 67(2):50-
55.
Dines,A. & Cribb, A. (1995). Health Promotion Concepts and Practice, page 89.
Blackwell Science Limited. Oxford.
Jenkins, S. & Calhoun, J.F. (1991). Teacher stress: Issues and interventions. Psychology
in the Schools, 1991, 28, 60–70.
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Kyriacou, C. & Sutcliffe, (1979). Journal of Teacher Stress and Satisfaction.
Educational Research, 1979, 21(2), 89–96.
Work Stress.' Advice on its Prevention and Management. Loss Prevention Council.
Miller, J.J., Fletcher, K., Kabat-Zinn, J., (1995)., “ Three years follow up and reduction
inrevention in treatment of anxiety disorders,” General Hospital Psychiatry. 17: 192-200.
Proctor, J.L., & Alexander, D.A., (1992). Stress among primary teachers: Individuals in
organizations. Stress Medicine, 8, 233–6. Reynolds, S., & Briner, R.: Stress Management.
Rubin, J.B.(1996). Psychotherapy and Buddhism towards integration. New York: Plenum
Press, 1996).
Selye, H., (1956).The stress life. New York: MCgraw-Hill Book and co.
Sheffield, D., Dobbie, D., & Carrol, D.,(1994).Stress, social support, and psychological,
physical wellbeing in secondary school teachers. Work & Stress: 8(3), 235–43.
Travers, C.J. & Cooper, C.L.(1996). Teachers under pressure: Stress in the teaching
profession. London.
World Health Organization (1985) The Ottawa Charter for Health Promotion. First
International Conference on Health Promotion, Ottawa, 21 November 1986.
Cole, M. & Walker, S. (1989). Teaching and Stress. Milton Keynes: Open University
Press, London.
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Appendix 1
Primary:
The Primary intervention is concerned with identifying the possible causes of stress plus
the level of risk to individuals and the organisation as a whole.
Secondary:
The Secondary intervention level sets out to improve the overall situation in the
workplace by implementing the recommendations identified in the risk assessment. This
would obviously include helping employees to recognise and deal with the causes of
stress, e.g. by providing appropriate Stress Management Training.
Tertiary:
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This stage deals with the treatment and rehabilitation of those individuals who have
suffered ill-health as a result of stress. Support schemes are usually employed at this
stage.
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