ISrJ 2.1.2_Layout 1 - Royal Institution of Surveyors Malaysia
ISrJ 2.1.2_Layout 1 - Royal Institution of Surveyors Malaysia
ISrJ 2.1.2_Layout 1 - Royal Institution of Surveyors Malaysia
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International Surveying Research Journal (<strong>ISrJ</strong>)<br />
VOLUME 2 NUMBER 1, 2012, 27-43<br />
ARTICLE<br />
Managing Stress at the Workplace<br />
Using the Wan Hussin 3D Stress<br />
Management Model<br />
W. M. A. Wan Hussin<br />
Universiti Sains <strong>Malaysia</strong><br />
cewan@eng.usm.my<br />
ABSTRACT<br />
This paper focuses on the specific relevance <strong>of</strong> workplace risk assessments to help educate and inform all<br />
personnel, especially managers and surveyors <strong>of</strong> all walks <strong>of</strong> life. The paper includes a 3D stress management<br />
model that highlights the relationship between potential work-related stress hazards, individual and<br />
organizational symptoms <strong>of</strong> stress, and their negative outcomes. As modern day surveyors, we must always<br />
need to consider stress as an inescapable part <strong>of</strong> modern life. Day after day, we are faced with a continuous<br />
barrage <strong>of</strong> stressors. We get some relief at night when we sleep, but even in our sleep we might dream about<br />
our stressors, again triggering the physiological mechanism ‘fight-or-flight’ response. Stress is anything that<br />
requires an adaptive response, so all changes (even positive ones) are stressful. The more changes in life, the<br />
more vulnerable we become to illness, bodily system breakdown or emotional difficulties. Stress negatively<br />
affects the body in three dimensions namely the physical, psychological, and occupational functioning in a<br />
variety <strong>of</strong> ways. But as technology and way <strong>of</strong> life change, most <strong>of</strong> the stressors that we face in modern world<br />
are not physical; thus neither fighting nor fleeing is an adaptive response. To understand stress and manage it<br />
better, a 3-D model <strong>of</strong> stress management is developed. The key components <strong>of</strong> this model relate centers on<br />
employers taking work-related stress seriously and actively working to improve and maintain employee<br />
health and wellbeing. The model outlines a stress management strategy that can be explained in 3 stages.<br />
Stage I is the Unexpected Stage whereby the surveying is done to determine the exact situation (also called<br />
the Surveying the Unexpected Stage). Stage 2 is the Stress Projection Stage whereby various stress tests are<br />
carried out to determine the exact level <strong>of</strong> stress. Stage 3 is the Expected Stage whereby the mapping <strong>of</strong> the<br />
stress findings is formulated based on a thorough understanding <strong>of</strong> the physical, physiological and<br />
occupational consequences, stress management strategy and mastery techniques.<br />
Keywords: 3D stress management model, stress surveying, stress projection, stress mapping.<br />
1.0 INTRODUCTION<br />
Stress at work is on the increase, and that applies to almost all pr<strong>of</strong>essions including<br />
surveying. What is stress? When this question was posed to students, employees, employers<br />
and workshop participants, many typically respond to that as tension, nervousness,<br />
headaches, workloads, deadlines to meet, family problems, and so on. The list could go on<br />
and on that could eventually form the pressure jigsaw (Figure 1) but these are actually a list<br />
<strong>of</strong> effects <strong>of</strong> stress or causes <strong>of</strong> stress, or stressors (Wan Hussin, 2003, 2008a). Stress is in<br />
fact a state <strong>of</strong> physiological imbalance in the body which has unpleasant emotional and<br />
cognitive components. It is the state the body is supposed to be in when you’re faced with<br />
a real threat, like the approach <strong>of</strong> a hungry lion. The body enters this state to prepare us to<br />
defend ourselves (fight) or run away (flight). Every time the mind interprets something as<br />
unusual, exciting or alarming, the body is instantly primed for action. This so called ‘fightor-flight’<br />
response is in fact a life-saving function. Staying in this state long-term can do<br />
ISSN 2232-1309 © 2012 <strong>Royal</strong> <strong>Institution</strong> <strong>of</strong> <strong>Surveyors</strong> <strong>Malaysia</strong>
28 W.M.A. WAN HUSSIN<br />
serious harm to the mood, health and performance because the collage <strong>of</strong> physiological<br />
changes that underlie stress is extremely destructive.<br />
When a person is stressed, the brain releases powerful hormones called glucocorticoids<br />
which raises the blood pressure, tense the muscles and in other ways prepare him to face<br />
the hungry lion. The body responds to almost any threat, real or perceived, using this<br />
ancient defence system which is meant to operate for short periods only or just long enough<br />
to get us to safety or defeat our adversary. Left in this heightened state for prolonged<br />
periods, a number <strong>of</strong> the body systems deteriorate. Eventually, prolonged stress can lead to<br />
death.<br />
Stress facing land surveyors at the workplace is a real thing and is in fact alarming (Wan<br />
Hussin, 2001, 2002, 2008a, 2011a). It is an escapable part <strong>of</strong> modern life. Land surveyors,<br />
being an important workforce responsible for the development <strong>of</strong> the country, cannot<br />
function effectively unless stress is dealt with wisely and systematically. Understanding the<br />
realities <strong>of</strong> stress, exploring how it affects the body and minds, the various levels <strong>of</strong> stress,<br />
some practical approaches and adaptive response strategies to stress and its management is<br />
therefore a vital part <strong>of</strong> a successful land surveyor’s life. The degree <strong>of</strong> stress a surveyor<br />
might face in life is in fact the sums <strong>of</strong> the potentially stressful events he or she is facing,<br />
the manner he or she responds to these events and how significant is the events (happy, sad<br />
or indifferent).<br />
To the organization, one <strong>of</strong> the employees <strong>of</strong>f sick with stress creates ripples <strong>of</strong><br />
consequences like a pebble thrown in a pond. Life is therefore hard for stressed land<br />
surveyors and the impact inevitably spreads to family, friends, colleagues and the<br />
organization as a whole. They can realize their full potential when they are exhausted and<br />
unwell. When an organization recognizes that workers are their most valuable assets, their<br />
only rational response can be to support their workers in managing stress positively.<br />
In the bustling working world today, competition is relentless, demanding constant<br />
innovation and increases in productivity. The success <strong>of</strong> a so-called brilliant land surveyor<br />
is driven by the need to stay ahead <strong>of</strong> rivals and peers (Wan Hussin, 2011a). They are taught<br />
to be resilient and laced with the picture <strong>of</strong> success, not only at universities during student<br />
days but also at the present competitive workplace. The norm that grim-faced senior<br />
surveyors, themselves stressed and permanently tired, use phrases such as ‘if you can’t<br />
stand the heat, get out <strong>of</strong> the kitchen – that’s the way it is’, no longer hold unless stress<br />
management is seen in three dimensions. The question then is how to present a strategic 3-<br />
D stress management package that is easily understandable to all land surveyors?<br />
2.0 3D STRESS MANAGEMENT MODEL<br />
Models that explain stress come in many forms. It is important that surveyors and all<br />
personnel have a clear understanding <strong>of</strong> the main issues involved with workplace stress<br />
prevention and management. When a model is introduced, the concept includes stress<br />
prevention programs into the workplace, stressing on the cohesive manner the hazards need<br />
to be assessed, the impact upon the individual and organization and the potential<br />
(underestimated) costs used to explain the relationship between the main stress-related<br />
hazards, the organizational and individual symptoms, and the anticipated outcomes.<br />
As land surveyors always see things in three dimension namely x, y and z, understanding<br />
stress is made simpler. Spatial information is only valuable to us if it attempts to describe<br />
a detail, be it a survey marker, road edge, building corner, etc. in three dimensions. In<br />
modern day GIS, the fourth dimension, the time t, is also important in describing the<br />
validity <strong>of</strong> a detail. Any missing dimension can therefore jeopardize the validity <strong>of</strong> a point;<br />
International Surveying Research Journal (<strong>ISrJ</strong>)
RELATION-<br />
RELATION<br />
SHIPS<br />
REWARDS<br />
WORKPLACE<br />
ENVIRONMENT<br />
POLITICS<br />
Managing Stress at the Workplace Using the Wan Hussin 3D Stress Management Model 29<br />
THE JOB TRAVELING CHANGES INDIVIDUAL<br />
ROLES<br />
WORLD<br />
EVENTS<br />
STRESS<br />
FIT<br />
OUR<br />
MANAGER<br />
BALANCING<br />
HOME &<br />
WORK<br />
COMMITMENT<br />
TO GOALS OF<br />
ORGANIZATION<br />
OUR<br />
INTEREST<br />
IN WORK<br />
WORKPLACE<br />
CONDITIONS<br />
ORGANIZA-<br />
ORGANIZA<br />
TIONAL<br />
CULTURE<br />
Figure 1: The Pressure Jigsaw (Wan Hussin, 2003)<br />
CAREER<br />
PROGRESSION<br />
FAMILY<br />
WIVE(S)<br />
thus the up-to-datedness <strong>of</strong> spatial information is becoming even more crucial making t as<br />
one <strong>of</strong> the major attributes.<br />
In stressology, the understanding <strong>of</strong> the effects <strong>of</strong> stress and how it overloads the coping<br />
resources as well as dealing with the demands placed on us by circumstances can be easily<br />
understood by visualising the negative effects <strong>of</strong> stress in 3 different consequences:<br />
a) the physical consequences;<br />
b) the physiological consequences; and<br />
c) the occupational consequences.<br />
2.1 The Physical Consequences<br />
The relationship between stress and health is neither simple nor straightforward. As stress<br />
does not automatically cause one to be ill physically, its impact on health could be mediated<br />
by a combination <strong>of</strong> personality variables, genetic makeup, upbringing and environment.<br />
Studies have shown that about 80% <strong>of</strong> visits to the doctors are for stress-related disorders<br />
(Scala, 2000). But the clear physical consequences once under prolonged stress will make<br />
the immune system weakened thereby vulnerable to illnesses. Glucocorticoids, the stress<br />
hormones cause the white blood cells to migrate to the bone marrow, making them less<br />
available for combating diseases. As the immune system weakens, increased susceptibility<br />
to cancer tends to become more prominent as well as weakening <strong>of</strong> the muscles and glands.<br />
Cardiovascular diseases (heart diseases and stroke) are some <strong>of</strong> the common outcomes.<br />
Others physical consequences are ulcer, diabetes, hypertension, cholesterol levels rises,<br />
ulcers, spastic colons and other gastrointestinal disorders such as acidity levels brought on<br />
by the elevation <strong>of</strong> stress hormone cortisol, and nocturnal bruxism (teeth grinding at night).<br />
<strong>ISrJ</strong> Vol.2 No.1, 2012
30 W.M.A. WAN HUSSIN<br />
2.2 The Psychological Consequences<br />
Stress is always directly associated with emotional difficulties and behavioural problems<br />
(Wan Hussin, 2011a, 2011b). As too much demand is placed on you, the ability to relax and<br />
enjoy life is affected. This in turn creates a host <strong>of</strong> other effects such as anxiety, phobias,<br />
panic attacks, depression, obsessions, compulsions and other psychiatric disorders. Other<br />
common effects are insomnia, aggression, alcoholism, other habitual addictions and<br />
divorce.<br />
2.3 The Occupational Consequences<br />
Stress and the inability to function as a result <strong>of</strong> thoughts, fears, phobias and concentration<br />
failure are always directly related. The inability to cope with life stressors leads to lower<br />
productivity, absenteeism, and increased mistakes on the job as well as accidents.<br />
Occupational consequences are always directly related to both psychological (emotional)<br />
and physical consequences and in turn create major financial losses to the individual and<br />
the organization (Wan Hussin, 2009a, 2009b). Even insurance companies are plagued by a<br />
surge in claims for disability due to stress-related disorders.<br />
3.0 WAN HUSSIN 3-D STRESS MANAGEMENT MODEL<br />
A Wan Hussin 3D Stress Management Model (Figure 2) was developed to ease the<br />
understanding <strong>of</strong> stress and its coping strategies (Wan Hussin, 2007a). The initial stage<br />
(Stage 1), called the Unexpected Stage, is the survey part, which is the collection <strong>of</strong><br />
information and identifying all the unexpected stress contributors, so significant in shaping<br />
the stress situation one is facing, using various field methods.<br />
Stressful<br />
World<br />
3-D STRESS<br />
EFFECTS<br />
• Physical<br />
Consequences<br />
Psychological<br />
Consequences<br />
(Emotional)<br />
Occupational<br />
Consequences<br />
(Behavioral)<br />
FL <strong>of</strong> GAS<br />
Immediate<br />
responses<br />
FR <strong>of</strong> GAS<br />
Delayed<br />
responses<br />
International Surveying Research Journal (<strong>ISrJ</strong>)<br />
SURVEYING THE<br />
STRESS<br />
STRESS DIARY<br />
(Field Book)<br />
THE PHYSIOLOGY<br />
OF STRESS<br />
The General<br />
Adaptation<br />
Syndrome (GAS)<br />
The Fight-or-Flight<br />
Response<br />
THE UNEXPECTED<br />
STAGE<br />
RESPONSES<br />
Chronic<br />
responses<br />
VARIOUS STRESS<br />
PROJECTION TYPES<br />
PROJECTIONS<br />
Holmes-Rahe Life<br />
Adjustment Scale<br />
Brief Stress Inventory<br />
(Anatomy <strong>of</strong> illness)<br />
Stress Hardiness<br />
Inventory<br />
Workplace Stress Test<br />
Hostility Scale (Type A<br />
or Type B)<br />
MAPPING THE<br />
FINDINGS<br />
Stress Mngt<br />
Strategy<br />
Stress Mastery<br />
1. Breathing<br />
2. Exercise<br />
3. Anger Mngt.<br />
4. SUN WISE<br />
THE EXPECTED<br />
STAGE<br />
Understanding the physical,<br />
physiological stress management<br />
strategy & Mastery Techniques<br />
Figure 2: Wan Hussin 3D Stress Management Model (Wan Hussin, 2007a)
Managing Stress at the Workplace Using the Wan Hussin 3D Stress Management Model 31<br />
The second stage (Stage 2) which is the transformation stage is termed as the Projection<br />
Stage. It is the crucial stage whereby findings from Stage 1 (Unexpected Stage) is<br />
transformed using various available mechanisms, i.e. the various Stress Projection Types<br />
which uses the various stress tests and inventories to determine the extent <strong>of</strong> the problem.<br />
Results from the second stage are then mapped (i.e. Mapping the Findings) in Stage 3<br />
(Expected Stage) which leads to the formulation <strong>of</strong> the suitable stress coping strategies.<br />
The Stage 3, called the Expected Stage, is the mapping stage using the transformation<br />
results from the Stage 2 which is the process <strong>of</strong> mapping out the expected findings from the<br />
initial stage using a practical transformation process.<br />
In surveying terms, the accurate projection to be used to map spatial information to the best<br />
accuracy may either be linked to various criteria such as area, direction, size, shape,<br />
distance or length, etc. In stressology, choosing the right projection, also termed as<br />
reframing, is due to the fact that there are various ways at looking at the extremes <strong>of</strong> stress<br />
as the vast majority <strong>of</strong> that which are deemed to be stressful to us is truly a mater <strong>of</strong><br />
perception. In other words, if one perceives a situation to be threatening in some way, then<br />
he or she will react with the fight-or-flight response and experience stress. If one perceives<br />
it as non-threatening, then he or she is not going to be stressed by it. This is what separates<br />
stress-hardy surveyors from those who seem to be highly susceptible to stress. In fact, the<br />
way one thinks about things determines how he or she will experience the world in so much<br />
as the various projections are to be used to suit the important mapping criteria.<br />
3.1 STAGE 1 - The Unexpected Stage<br />
The Unexpected Stage (Stage 1) is the stage where stresses are surveyed. The use <strong>of</strong> field<br />
books (either conventional or electronic) in surveying is synonymous to stress diary in<br />
stressology. Also called stress journaling, it is an act <strong>of</strong> writing about feelings <strong>of</strong> stress, as<br />
well as exploring potential solutions to these problems. Studies have shown that the use <strong>of</strong><br />
stress diary or stress journaling can soothe and help you process difficult feelings and also<br />
take proactive steps against future stress (Wan Hussin, 2008b).<br />
Managing stress is only effective if it is put on the table, and more importantly its means <strong>of</strong><br />
elimination are identified. Jotting down events that lead to stress, either at home or in the<br />
<strong>of</strong>fice, and the suspected sources <strong>of</strong> its occurrence are vital in strategic stress management.<br />
For example, if you are stressed at home, is it when your child behaves defiantly, or when<br />
your spouse acts indifferently towards you? In this stage, therefore, the objective is to<br />
realistically identify those things that make your life difficult on a regular basis. Admitting<br />
that you are stressed is already a battle half won; identifying its probable sources will<br />
eventually complete the stress battle. An example <strong>of</strong> a stress diary incorporating the action<br />
plan(s) is as follows (Table 1):<br />
3.2 STAGE 2 - Stress Projection Types<br />
3.2.1 Office Stress MOT - a survey <strong>of</strong> the workplace to find out what is creating stress<br />
for the workers, and a test <strong>of</strong> how well the organization addresses the workers’<br />
problems it produces. It is very similar to the MOT for vehicles in the UK that<br />
comes in two parts: a vehicle survey and a test for road-worthy. Office Stress MOT<br />
may come in 2 parts: The Organization Survey and the People Survey. The<br />
Organization Survey is only appropriate if there is a problem with stress in your<br />
workplace, so you need to do the People Survey first which will tell you if you have<br />
a problem - if there’s no evidence <strong>of</strong> such a problem, then the Organization Survey<br />
isn’t really worth doing.<br />
<strong>ISrJ</strong> Vol.2 No.1, 2012
32 W.M.A. WAN HUSSIN<br />
Stressor Manifestation Problem(s) Duration Solution(s)<br />
Bored to<br />
death on the<br />
commuter<br />
from home to<br />
<strong>of</strong>fice and<br />
back<br />
Hate traffic<br />
jam<br />
“Mother-inlaw”<br />
factor<br />
Upset with<br />
your wife’s<br />
character this<br />
morning<br />
Sleepy when<br />
attempted to read<br />
newspaper<br />
Nod <strong>of</strong>f during<br />
meetings<br />
Hate queue<br />
jumpers<br />
Hate<br />
inconsiderate<br />
drivers<br />
Hate road<br />
hoggers<br />
Hate road bullies<br />
Spouse giving<br />
less attention to<br />
you<br />
Feeling uneasy<br />
Sure will spoil my<br />
day<br />
Easily irritated<br />
3.2.2 Typical questions for the Organization Survey are as follows:<br />
• Does your employer collect details <strong>of</strong> stress-related sickness absence?<br />
• Is the overall sickness absence rate in the organization below the national average <strong>of</strong> 12<br />
days per year per employee?<br />
• If someone took sick leave for stress-related reasons, would your employer attempt to<br />
identify whether the stress was work-related or not?<br />
• Does your employer have a policy for dealing with workplace stress?<br />
• Does your employer’s policy on workplace stress cover health and safety, equality and<br />
human resources issues?<br />
• Were safety personnel or the union consulted in the development <strong>of</strong> your organization’s<br />
stress policy?<br />
• Are audits or risk assessments carried out for workplace stress?<br />
• Are safety personnel involved in stress risk assessments?<br />
• Does your employer have/provide copies <strong>of</strong> guidance on preventing work-related<br />
stress?<br />
International Surveying Research Journal (<strong>ISrJ</strong>)<br />
Table 1: Stress Diary<br />
I can’t avoid the<br />
commuter because<br />
<strong>of</strong> the costly tolls<br />
and other costs<br />
Really hate driving<br />
Roads are for<br />
everybody<br />
Idiotic drivers are<br />
not your problems<br />
(as long as you are<br />
not one <strong>of</strong> them)<br />
She’s old, sick<br />
and needs attention<br />
Wife is part <strong>of</strong> my<br />
life<br />
Nagging wife is<br />
everybody’s<br />
business; she’ll<br />
stop once she is<br />
tired<br />
It’s my mistake<br />
anyway<br />
At least 45<br />
minutes one<br />
way<br />
Do Sudoku<br />
Do crossword<br />
puzzle<br />
Read newspaper or<br />
magazine <strong>of</strong> your<br />
choice<br />
1 hour daily Traffic jam is<br />
everybody’s<br />
business; so are you<br />
Set <strong>of</strong>f early; use<br />
alternative routes<br />
Ignore idiotic drivers;<br />
turn a blind eye<br />
Pray not to come<br />
across road bullies<br />
Turned up last<br />
week and 3<br />
more weeks to<br />
go<br />
Mostly every<br />
morning<br />
When you<br />
come back late<br />
after night<br />
outings with<br />
friends<br />
She’s your mum-inlaw,<br />
your spouse’s<br />
mother<br />
She deserves<br />
respect like your mum<br />
She’s human too<br />
Read books on<br />
proper mother caring<br />
Worst case: start<br />
counting days and 30<br />
will go as you keep<br />
on counting<br />
Heart-to-heart talk<br />
Get out <strong>of</strong> the<br />
situation<br />
Accept it: it’s ladies’<br />
norm especially when<br />
wife gets older and<br />
kids are no more<br />
around<br />
It’s “old hubby”<br />
syndrome anyway
Managing Stress at the Workplace Using the Wan Hussin 3D Stress Management Model 33<br />
• Are managers given training on managing workplace stress?<br />
• Are staffs given information on workplace stress?<br />
• Are staffs generally confident that they can report suffering from stress, or give stress<br />
as the reason for sickness absence, without fear <strong>of</strong> being disciplined?<br />
• Do/would managers act in a sympathetic way to people suffering from workplace<br />
stress?<br />
• Is confidential counseling or similar services available for workers suffering from<br />
workplace stress?<br />
• Would your employer be prepared to alter working conditions or practices (such as<br />
working hours, workload or specific tasks) to help someone suffering from stress?<br />
3.2.3 Create a Workplace Stress Map by means <strong>of</strong> a sketch <strong>of</strong> your workplace (it doesn’t<br />
have to be to scale or a work <strong>of</strong> art!). Write in each area surveyed the percentage <strong>of</strong><br />
workers answering 'yes' to the above questions. To identify the main stressors, use a<br />
Likert Scale <strong>of</strong> 1 (for strongly disagree) to 5 (for strongly agree) for each question,<br />
count up the number <strong>of</strong> '5s' directed for each stressor. If more than a quarter <strong>of</strong> the<br />
people who responded has chosen '5' for any stressor, that issue is a major problem<br />
which needs to be addressed. For each part <strong>of</strong> the workplace where there are high<br />
levels <strong>of</strong> stress, work out what the main stressors are by listing the number <strong>of</strong> '5s'<br />
each stressor received. Decide whether to focus on the areas where the organization<br />
has not scored a ‘Pass’.<br />
3.2.4 Typical questions for the People Survey are as follows:<br />
• Section A - Work area:<br />
Q1. Do you feel you are stressed by your work? YES/NO<br />
Q2. Is the level <strong>of</strong> stress unacceptable/causing you harm? YES/NO<br />
• Section B: How are you?<br />
Q1. Do you generally suffer from these symptoms (or have you suffered from<br />
them a lot recently)?<br />
• Frequent headaches YES/NO<br />
• Depression YES/NO<br />
• Anxiety attacks YES/NO<br />
• Sleeplessness YES/NO<br />
• Indigestion YES/NO<br />
• Continual tiredness YES/NO<br />
If you know this is nothing to do with work, answer 'no' - but only if you are really sure -<br />
your work may be affecting you more than you know, and if your work is making these<br />
symptoms worse, please answer 'yes'.<br />
• Section C: What makes you stressed at work?<br />
Based on some known causes <strong>of</strong> work-related stress (stressors) and again using the<br />
Likert Scale <strong>of</strong> 1 (for strongly disagree) to 5 (for strongly agree), answer the<br />
following questions by thinking seriously how much stress each one causes you<br />
(Table 2). You may assign 3 for moderate or occasional stress. It must be understood<br />
<strong>ISrJ</strong> Vol.2 No.1, 2012
34 W.M.A. WAN HUSSIN<br />
that this survey only covers stressors at work and it is not meant to include stress<br />
caused outside the workplace, although that can add to your work-related stress.<br />
From the task in Table 2, the next question to ask is “Did your workplace ‘pass’ or ‘fail’ the<br />
MOT?<br />
• If more than a fifth <strong>of</strong> respondents exhibited one or more health symptoms (in the 'how<br />
are you?' section <strong>of</strong> the People Survey); or<br />
• if there are any stressors where more than a quarter <strong>of</strong> respondents circled the '5' (people<br />
who don’t circle the '5' can be considered to have circled '1' for this calculation); or;<br />
• if there are five or more ‘Fails’ in the Organisation survey, then the organization has<br />
‘failed’ the TUC Stress MOT and needs action urgently.<br />
What if your workplace fails the Office Stress MOT? A detailed People Survey Report from<br />
each group or section heads, managers, union and safety personnel are vital that addresses<br />
each constraint areas identified under the following headings:<br />
• what percentage <strong>of</strong> people who answered ‘Yes” to questions regarding the symptoms <strong>of</strong><br />
stress, and<br />
• under each heading <strong>of</strong> what makes you stressed at work section, set out which stressors<br />
got the highest number <strong>of</strong> '5s'. These are the main problems which managers need to<br />
address.<br />
A report <strong>of</strong> the findings <strong>of</strong> the survey must be made public and presented to all staffs so that<br />
an action plan (with a realistic timetable for implementation) could be drafted on how<br />
excessive workplace stress should be tackled. Things to concentrate are:<br />
• make sure areas that are suffering the highest levels <strong>of</strong> stress are taken as high priority<br />
for action;<br />
• make sure the group itself has a deadline for agreeing to the action plan and every<br />
employer must fulfill their duty to assess the main risks;<br />
• make sure that managers and other safety personnel are consulted on the risk assessment<br />
process and action plan, and about its implementation and monitoring; and<br />
• ask the employer to provide training for managers and employees on dealing with<br />
workplace stress and its victims.<br />
3.2.5 The Simple Stress Test – a test about personal relationship that requires a score to<br />
be assigned for each event according to the number <strong>of</strong> times it has happened in the<br />
last 12 months. Most questions are about changes in life events (and the<br />
accompanying scores) but the following are some <strong>of</strong> the typical questions:<br />
• Death <strong>of</strong> a spouse, child, or significant other (100)<br />
• Divorce or breakup <strong>of</strong> a long-standing (> 2 years) cohabitating relationship (73)<br />
• Separation or divorce (65)<br />
• Detention, jail, medical institutionalization, legal restriction e.g. visitation rights<br />
(63)<br />
• Death <strong>of</strong> a family member (63)<br />
• Major injury or illness or major corrective surgery (53)<br />
• Losing your job, firing, lay<strong>of</strong>f (50)<br />
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Managing Stress at the Workplace Using the Wan Hussin 3D Stress Management Model 35<br />
Table 2: Stressor survey<br />
STRESSOR CLASSES LIKERT SCALE<br />
A DEMANDS OF THE JOB 1 2 3 4 5<br />
A1 Long working hours 1 2 3 4 5<br />
A2 Too much work 1 2 3 4 5<br />
A3 Too little work 1 2 3 4 5<br />
A4 Repetitive or monotonous work 1 2 3 4 5<br />
A5 Insufficient time to do your job 1 2 3 4 5<br />
A6 Not enough rest breaks 1 2 3 4 5<br />
B LACK OF CONTROL<br />
B1 Lack <strong>of</strong> control over work 1 2 3 4 5<br />
B2 Work monitoring by computer or video 1 2 3 4 5<br />
B3 Pace <strong>of</strong> the work dictated by machines 1 2 3 4 5<br />
B4 Deadlines which are regularly too tight 1 2 3 4 5<br />
B5 Unremitting pressure to perform well 1 2 3 4 5<br />
B6 Over-harsh discipline 1 2 3 4 5<br />
B7 Too much supervision 1 2 3 4 5<br />
B8 Too little supervision 1 2 3 4 5<br />
B9 Too little job/task specific training 1 2 3 4 5<br />
C WORK-LIFE BALANCE<br />
C1 Inflexible working hours 1 2 3 4 5<br />
C2 Unsympathetic management 1 2 3 4 5<br />
C3 Unfair pay system 1 2 3 4 5<br />
C4 Failure to recognize achievements 1 2 3 4 5<br />
C5 Skills not being fully utilized 1 2 3 4 5<br />
D RELATIONSHIPS AT WORK<br />
D1 Bullying 1 2 3 4 5<br />
D2 Sexual, racial or other harassment 1 2 3 4 5<br />
D3 Discrimination from colleagues/managers 1 2 3 4 5<br />
D4 Risk <strong>of</strong> violence/abuse from customers 1 2 3 4 5<br />
D5 Working alone 1 2 3 4 5<br />
D6 Lack <strong>of</strong> communication between colleagues 1 2 3 4 5<br />
D7 Lack <strong>of</strong> staff-management communication 1 2 3 4 5<br />
E CHANGE<br />
E1 Uncertainty about your future 1 2 3 4 5<br />
E2 Lack <strong>of</strong> job security 1 2 3 4 5<br />
E3 Introduction <strong>of</strong> new management techniques 1 2 3 4 5<br />
E4 Restructuring 1 2 3 4 5<br />
E5 Lack <strong>of</strong> consultation over changes 1 2 3 4 5<br />
F CONFLICTING ROLES<br />
F1 Unclear job responsibilities 1 2 3 4 5<br />
F2 Conflicting responsibilities 1 2 3 4 5<br />
F3 Confused demands 1 2 3 4 5<br />
G WORKING ENVIRONMENT<br />
G1 Heat or cold in the workplace 1 2 3 4 5<br />
G2 Poor lighting or lack <strong>of</strong> natural light 1 2 3 4 5<br />
G3 Untidy or unclean working areas 1 2 3 4 5<br />
G4 Overcrowding or cramped work areas 1 2 3 4 5<br />
G5 Excessive noise, fumes or dust 1 2 3 4 5<br />
G6 Poor eating and rest facilities 1 2 3 4 5<br />
G7 Badly designed/unsuitable equipment 1 2 3 4 5<br />
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36 W.M.A. WAN HUSSIN<br />
The sum <strong>of</strong> the score <strong>of</strong> each life which is multiplied by the number <strong>of</strong> times each<br />
event is experienced per year is the final stress score. A sum <strong>of</strong> 300 and above<br />
represents a highly stressed situation, plagued with major events that could drop<br />
your guard. A score <strong>of</strong> 150 – 300 suggests a moderate situation that requires a<br />
serious program to eliminate stressors. A score <strong>of</strong> 50 – 150 suggests an average<br />
person who is enjoying life and meeting challenges. A score <strong>of</strong> 50 or below suggest<br />
a person loomed with boredom and requires major adjustments in life to be back in<br />
society. Getting hold on to a complete test is worthwhile trying.<br />
3.2.6 Holmes-Rahe Life Readjustment Scale – a set <strong>of</strong> questionnaires that measure life<br />
changes and set out to study whether there is any relationship between the number,<br />
seriousness and pervasiveness <strong>of</strong> changes, and the frequency <strong>of</strong> illness. These<br />
questionnaires were initially used to predict with remarkable accuracy <strong>of</strong> those<br />
soldiers who will get ill within the next two years and those who would remain<br />
healthy<br />
3.2.7 Stress Symptom Quiz – a tool used to examine the different ways that stress may<br />
or may not be affecting you, and provides you with ways to deal with stress<br />
symptoms that you may have. Questions asked are intended to educate you on the<br />
ways that stress can affect you, while providing specific help with the ways that<br />
stress does affect you. Some <strong>of</strong> he common questions asked are:<br />
• Are you experiencing adult acne that may be related to stress?<br />
• Do you find muscle tension, especially in your neck, back and jaw?<br />
• Do you find yourself getting less joy from your work and feeling a sense <strong>of</strong><br />
burnout?<br />
• Do you experience tension headaches, fatigued or exhausted?<br />
• Is your blood pressure on the high side?<br />
• Have you experienced weight gain or weight loss that you suspect is due to<br />
stress?<br />
• Do you find yourself relying on alcohol and cigarettes to relax when dealing with<br />
stress, or using other ‘vices’?<br />
• Are you losing your hair and suspect that stress may be a factor?<br />
• Do you experience stomach aches or gastrointestinal issues like constipation?<br />
• Do you feel less social than usual?<br />
• Do you find that your libido has decreased, or that you’re just too tired for sex?<br />
• Do you have more difficulty with decision-making, concentration and forgetting<br />
things more <strong>of</strong>ten?<br />
• Do you <strong>of</strong>ten feel anxious about things you can’t control?<br />
• Do you have trouble falling asleep or staying asleep because your body is tense<br />
or your mind is racing with stressful thoughts?<br />
• Do you find that you have a ‘short fuse’ these days - that you’re more sensitive,<br />
irritable, or easily frustrated?<br />
3.2.8 Stress Reliever Personality Test – a self assessment tool that allows you to answer<br />
a few questions about your lifestyle and personality, and then direct you to stress<br />
relievers that may fit best for your particular situation. It’s useful for those who want<br />
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to begin with techniques that are most likely to work for them. Common questions<br />
asked are:<br />
• Are you interested in developing healthy habits and practice on a regular basis<br />
to reduce your overall stress level? Benefits: can help you reduce general stress<br />
in your life and help you stay healthier. Drawbacks: new habits take more effort<br />
to develop so these strategies, while giving a bigger pay<strong>of</strong>f, require more effort<br />
as well.<br />
• Are you more busy than you'd like to be, or is your lifestyle imbalanced?<br />
Benefits: techniques that help you maintain more balance in your life can be<br />
good for you by creating time in your schedule and help you experience more<br />
'fun' activities instead <strong>of</strong> only work. Drawback: requires at least some changes,<br />
which makes them more work than as-needed stress relievers that focus more on<br />
relieving momentary stress without making significant lifestyle changes.<br />
• Do you like to use tools and outside resources to deal with stress and make your<br />
life easier? E.g. 'prop' stress relievers; products and outside things that can help<br />
you reduce stress in your life. Benefits: they can be easy and effective to use.<br />
Drawbacks: if you don't have them with you, you can't benefit from them,<br />
making them less effective than some mental strategies that you can always have<br />
handy.<br />
• Do you like to get out and get active to blow <strong>of</strong>f steam and get your endorphins<br />
going when you are under stress? Benefits: exercise-based stress relievers can<br />
help you release tension in your body and clear your mind, and making your<br />
body healthier and attractive, provide ways to meet new people. Drawbacks:<br />
they do take work to practice, and they can be a less viable option for those with<br />
physical disabilities.<br />
• Do you like to address a stressful situation by looking at the root <strong>of</strong> the problem?<br />
Benefits: techniques that explore the causes <strong>of</strong> stress can be helpful in<br />
identifying and eliminating stressors in your life, or at least giving you more<br />
clues on how to deal with the situation. Drawbacks: these techniques do take a<br />
little more work and thought than as-needed stress relievers that just address the<br />
stress when it gets to be too much.<br />
• Do you like to be distracted from stressful events and feelings as a way <strong>of</strong><br />
coping? Benefits: distraction stress relievers can be fun, can help you relax and<br />
de-stress, and then return to a stressful situation after you feel more calm and<br />
ready to handle it with a fresh frame <strong>of</strong> mind.<br />
• Do you find yourself at times feeing suddenly overwhelmed by either a build-up<br />
<strong>of</strong> stress that quickly becomes too much, or several stressful situations occurring<br />
at once? Benefits: learn some simple stress relievers that make you feel better in<br />
minutes and clear your mind to be more effective in the face <strong>of</strong> stress.<br />
Drawbacks: they address stress in the moment, but don't prevent future stress<br />
from occurring, and aren't as beneficial to health as much as some other stress<br />
relievers.<br />
• Are you interested in techniques that help you explore and alter your inner world<br />
(your unhealthy mental patterns and thought processes)? Benefits: it changes the<br />
way you process the world around you, helps you experience events as less<br />
stressful. Drawbacks: they do take some introspection and 'inner work', and<br />
changing thought patterns is a gradual process that doesn't happen overnight.<br />
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38 W.M.A. WAN HUSSIN<br />
3.2.9 The Type A Behaviour/Personality Quiz – to test whether personality<br />
characteristics have something to do with being competitive and work-obsessed that<br />
can bring an increased risk <strong>of</strong> health problems. Among some <strong>of</strong> the common<br />
characteristics <strong>of</strong> Type A Behaviour (TAB) are:<br />
• Time Urgency and Impatience – e.g. gets frustrated too easily while waiting in<br />
line, interrupt others <strong>of</strong>ten, walk or talk at a rapid pace.<br />
• Free-Floating Hostility or Aggressiveness e.g. impatience, rudeness, easily upset<br />
over small things, or ‘having a short fuse’.<br />
• Competitiveness, strong achievement-orientation.<br />
• Possess certain physical characteristics such as facial tension (tight lips,<br />
clenched jaw, etc.), tongue clicking or teeth grinding, facial sweating (on<br />
forehead or upper lip).<br />
3.2.10 Other types <strong>of</strong> tests are Brief Inventory Test, Anatomy <strong>of</strong> Illness Test, Stress<br />
Hardiness Inventory, Workplace Stress Test, and Hostility Scale. Each test has its<br />
own criteria, similarly to those types <strong>of</strong> projections used in mapping spatial<br />
information which we are all familiar with.<br />
3.3 STAGE 3 - The Expected Stage<br />
Primarily, this is the mapping stage; the stage where the findings based on responses from<br />
the questionnaires or quizzes from Stage 2 are put into practice, generally termed as<br />
mapping the findings. In this stage, the stress situations and its degree <strong>of</strong> seriousness are<br />
identified. Thus this stage is termed as the Mapping the Expected Stage and the following<br />
are the recommendations.<br />
3.3.1 Physical Consequences<br />
• Exercise regularly - Exercise can be great for the physical and mental wellbeing.<br />
It provides stress release and keeps the body healthy. It also helps the<br />
body releases endorphins, which increases the feelings <strong>of</strong> overall wellbeing.<br />
Exercise has so many stress management and health benefits, and for many <strong>of</strong><br />
us, night time is when it best fits our schedules. Light exercise like walking at<br />
night can improve sleep as it releases tension without over-stimulating the body.<br />
• Create suitable hobbies - Having some “down time” is important as hobbies can<br />
provide a nice distraction from stress and help us stay ‘in the moment’, which is also<br />
a great way to relieve tension from stress (Wan Hussin, 2011a).<br />
3.3.2 Psychological (Emotional) Consequences<br />
Some are just born more emotionally reactive, some have a more sensitive<br />
physiology and find that stress impacts their blood pressure, induces headaches, or<br />
causes other physical responses. Likewise, the way you care for your body in terms<br />
<strong>of</strong> healthy diet, quality sleep and regular exercise - or lack there<strong>of</strong> - can impact your<br />
reactivity to stress. You cannot always control the circumstances that life throws<br />
your way, but you can control how well you take care <strong>of</strong> yourself. Taking proper<br />
care <strong>of</strong> the body, soul and mind can keep you in optimum shape for handling stress.<br />
Some important basic self care strategies are (Wan Hussin, 2007c):<br />
• Sleep - is very important for the emotional and physical wellbeing. Lack <strong>of</strong> sleep<br />
can negatively impact the ability to handle stress, be productive, and function<br />
properly. Unfortunately, busy schedules and stress can make sleep more elusive.<br />
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And if you really are not able to get enough sleep at night, don’t underestimate<br />
the value <strong>of</strong> a power nap.<br />
• Maintain proper nutrition - A poor diet can actually make us more vulnerable to<br />
stress. While hectic schedules can make it harder to get proper nutrition, a poor<br />
diet is not inevitable.<br />
• Maintain social support - Social support can keep us healthier and happier,<br />
creating a buffer against stress. Friends can pick us up when we are sad, provide<br />
insights when we are confused, and help us have fun when we need to blow <strong>of</strong>f<br />
steam (Wan Hussin, 2011b). Learn how to cultivate supportive friendships and<br />
expand the social circle so that we can have someone to lean on when stressed.<br />
• Pamper yourself – taking care <strong>of</strong> the body on the outside – e.g. with a spa<br />
treatment, for example, as it proves to work wonders for the internal state. Do<br />
not overlook the importance <strong>of</strong> pampering yourself on a regular basis to feel<br />
great and feel ready to take on the world.<br />
• Keep the mind sharp - by keeping the mind sharp, you are more equipped to<br />
solve the problems and take on the “challenges” that life presents.<br />
• Have the right attitude - much <strong>of</strong> what one experiences in life can feel more<br />
stressful or less so depending <strong>of</strong> the point <strong>of</strong> view. Looking at things from an<br />
optimistic frame <strong>of</strong> mind cannot only decrease the stress level, but bring more<br />
success in life.<br />
• Process the emotions - keeping the emotions bottled up usually leads to an<br />
emotional explosion later on. It is generally healthier to listen to your feelings,<br />
process them and try to understand them. Consider them ‘messengers’ that tell<br />
you when something is not right with your world. A great way to process<br />
emotions is the act <strong>of</strong> journaling. When you write about your feelings and<br />
potential solutions to your problems, you can reduce stress in your life and even<br />
see some health benefits.<br />
• Listen to suitable and sensible music - Music can soothe the mind and body to<br />
the point that it is now being used as a therapeutic tool by some. Music can be<br />
used beneficially by playing relaxing tunes before bed, and for winding down<br />
and release tension as bedtime approaches. Choice <strong>of</strong> music is personal but for<br />
effective stress management to work, learn to differentiate between music and<br />
noise!<br />
• Prayers - a lifestyle with an enforced religion is generally a healthier lifestyle.<br />
Many people use prayer as a major stress reliever and strategy for emotional<br />
health. Spiritual practice is deeply personal, and whatever your practice, it<br />
should nurture your soul.<br />
3.3.3 Occupational (Behavioural) Consequences<br />
How we respond to stress in our lives is shaped by our early experiences and<br />
cemented over time. Our habits play a role as well. Those with healthy habits tend<br />
to handle stress more effectively. Sleep is a valuable and restorative resource that is<br />
vital to well-being and stress management, but can sometimes be hard to come by<br />
for the busy and stressed. About half <strong>of</strong> us are getting 6 hours <strong>of</strong> sleep or less, and<br />
are in dire need <strong>of</strong> more and better sleep. Some effective night time habits to get<br />
into, to help enhance the amount and quality <strong>of</strong> sleep are:<br />
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40 W.M.A. WAN HUSSIN<br />
• Clean up – Cleaning a level <strong>of</strong> clutter at the end <strong>of</strong> the day can leave you feeling<br />
less stressed because while you are doing something to tackle the problem, the<br />
anticipation <strong>of</strong> waking up to a cleaner house can make your rest more peacefully<br />
(Wan Hussin 2010b).<br />
• Bubble bath - Soaking in a tub <strong>of</strong> bubbles can rinse away tension and leave the<br />
body pampered and the mind free. It is also a great segue to sleep, as any parent<br />
<strong>of</strong> a small child can attest.<br />
• Massage – It is a great stress reliever that also feels good. Visit a reliable stress<br />
parlour that provides sensible massage services. Do a self-massage or using<br />
massaging tools to relieve tension is a wise thing to invest.<br />
• Stress journaling - similar to updating the stress dairy, journaling has many stress<br />
and health benefits. Jotting down significant things that happen throughout the<br />
day can clear the mind, process emotions, solve problems, prepare mentally for<br />
the next day, make plans, and get the thoughts out <strong>of</strong> the head.<br />
• Meditation - has been used by many people to relieve stress in the body and<br />
mind. It is a great technique to use before bedtime because it segues so naturally<br />
into sleep. It relaxes the body, clears the mind and creates inner peace.<br />
• Sex – is known as a great night time stress reliever for a reason (Wan Hussin,<br />
2011c). Not only does a healthy sex life enhance the relationship, but it relaxes<br />
the body, releases ‘happy’ chemicals, and even promotes wellness. And, <strong>of</strong><br />
course, it welcomes sleep. Unfortunately, excessive stress can also be a libido<br />
dampener.<br />
• Avoid certain activities that can be too stimulating at night and can make it<br />
harder to fall asleep, or make sleep less restful. For a restorative night’s sleep,<br />
one should avoid caffeine before bed, interpersonal conflict or stressful<br />
conversations, or anything else that is over-stimulating.<br />
3.3.4 Stress Management Strategy<br />
Managing stress can be dealt with in 3 main strategies namely:<br />
• Manage stress and make sure they are held to a minimum. It is <strong>of</strong> course easier<br />
said than done but ultimately it can’t be done unless stress is confessed and<br />
accepted as a part <strong>of</strong> modern competitive living.<br />
• Exercise mentally and physically so that the effects <strong>of</strong> stress can be faced down<br />
or dissipated. While regular exercise can train the body to deal with the physical<br />
stress and help normalize blood chemistry, our mental reactions are <strong>of</strong>ten left<br />
hanging. The brain, like any other organ, must be trained to deal with stress. If<br />
we don’t train it sensibly, our emotional health suffers and can produce overreactions<br />
to minor stressors, difficulty interacting calmly with others, inability to<br />
empathize with others, reduced ability to accept new situations and negative<br />
perceptions <strong>of</strong> change, and increased susceptibility to emotional disorders.<br />
• Eat correctly and use supplements sensibly so that unavoidable stress cannot<br />
exert lasting effects on health. The saying that what you are is what you eat can<br />
never be testified further.<br />
3.3.5 Stress Mastery<br />
The path towards stress mastery is a lifelong. As the concepts and techniques<br />
become part <strong>of</strong> the daily fabrics <strong>of</strong> our life, the capacity to thrive from stress<br />
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Managing Stress at the Workplace Using the Wan Hussin 3D Stress Management Model 41<br />
continues to refine and become more elegant. Try to undergo the following steps<br />
although the list can go on and on:<br />
• Determine honestly just how stressed are you. Try to test your stress level by<br />
attempting the different tests outlined in sections 3.0.21 till 3.02.10 above. Most<br />
<strong>of</strong> the questions are about personal relationship, change and adaptation.<br />
• Keep a stress diary. The objectives must be very clear: realistically identify those<br />
things that make your life difficult on a regular basis and make a plan <strong>of</strong> action.<br />
• Establish your priorities. List down the things you intend to accomplish in the<br />
following order: tomorrow, next week, next month, next 6 months, next year,<br />
next 5 years, next decade, etc. With modern day technology, the “to-do list” in<br />
the handset is a useful reminding tool to be used effectively. Prioritize the daily<br />
tasks according to the order <strong>of</strong> importance and urgency. Always remember that<br />
people with the most stress are those who cannot prioritize their goals or even<br />
their daily tasks.<br />
• Set clear and realistic goals. Realistic goal setting is the difference between<br />
mental success and the lack there<strong>of</strong>, because success is relative. One surveyor<br />
might consider himself rich beyond imagination if he had a million ringgit; the<br />
same amount would be small change to another surveyor.<br />
• Improve communication skills with others. Learn to compliment others, talk and<br />
think positive and listen to others as well. Make a habit to say those nice words<br />
in life such as “I’m sorry”, “Excuse me”, Thank you”, and complimentary words<br />
such “You look marvellous”, and “You look great”.<br />
• Change Type A Behaviour to Type B Behaviour. This is explained in detail in<br />
section 3.0.2.9.<br />
• Challenge your own beliefs. Feelings are not caused by events but are caused by<br />
the beliefs we carry in our minds when the events occur.<br />
• Eliminate anxiety. Anxiety comes from negative thoughts. In computer terms,<br />
clean any virus in the mind from time to time. The negative thought patterns<br />
usually hatched back to what our parents said to us when we were small e.g. stop<br />
making noise, the policeman is coming!<br />
• Make anger work for you. Anger is one <strong>of</strong> the most self-destructive <strong>of</strong> all<br />
emotions and is the cause <strong>of</strong> severe stress. Anger is harmful and causes job<br />
losses, relationship problems, personal injury, property loss and even death.<br />
Preventing and controlling anger is more than important but rather absolutely<br />
important.<br />
• Avoid high blood pressure. It is the most prevalent and the most preventable<br />
disease among adults.<br />
• Quit smoking and if you don’t smoke, don’t start. There are enough grim<br />
statistics about smoking related problems such as ulcers, heart disease, stroke,<br />
cosmetic effects, mental and physical stamina. If you can’t, replenish yourself<br />
with vitamin C (e.g. fruits and vegetables), beta-carotene (e.g. carrots, melons,<br />
broccoli, cauliflower, and sprouts), vitamin E (e.g. fruits and seafood) and<br />
selenium (e.g. nuts).<br />
• Neutralize the effects <strong>of</strong> carbon monoxide and air pollution.<br />
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42 W.M.A. WAN HUSSIN<br />
• Learn to relax. Learning to relax is not learning to be lazy; it is learning how to<br />
use energy for important things.<br />
• Exercise regularly because it dissipates the biochemical by-products <strong>of</strong><br />
emotional stress which includes blood fats, sugar and cholesterol. This is<br />
explained in detail in section 3.0.3.1.<br />
• Manage K-factor and control salt in the diet.<br />
• Take basic multiple vitamin and mineral supplement daily. To function normally,<br />
and to handle stress well, the body requires 19 vitamins and minerals daily in<br />
addition to protein, fat, carbohydrates and fibre.<br />
4.0 CONCLUSION<br />
Stress is always a complex issue but will be even more complex is left unattended. A three<br />
dimensional model was developed to explain stress, its management and its coping<br />
strategies. This paper intends to explain stress in three dimensions namely Stage 1 which is<br />
Surveying the Unexpected, Stage 2 which is the Stress Projection Stage using the various<br />
recommended tests while Stage 3 which is the Mapping the Expected Stage. Various<br />
recommendations are also presented to combat the physical, physiological (emotional) and<br />
occupational (behavioural) consequences <strong>of</strong> stress.<br />
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Young Engineers and Land <strong>Surveyors</strong>, International Symposium and Exhibition <strong>of</strong><br />
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Cause Analysis and Problem Solving Workshop, Jabatan Kerja Raya Selangor, De Palma<br />
Hotel, Ampang, Kuala Lumpur, 28-31 October 2008.<br />
W.M.A. Wan Hussin, (2009a), Fun, Creativity and Happiness to Turn Off Stress, The<br />
<strong>Malaysia</strong>n Surveyor, Vol.44, No.2, ISSN 0127-4937, pp40-42.<br />
W.M.A. Wan Hussin, (2009b), Reduce Stress by Making Changes at the Workplace, The<br />
<strong>Malaysia</strong>n Surveyor, Vol.44, No.3, ISSN 0127-4937, pp40-42.<br />
W.M.A. Wan Hussin, (2010a), Positive self-talk and stress reduction, The <strong>Malaysia</strong>n<br />
Surveyor, Vol.45, No.3, ISSN 0127-4937, pp44-46.<br />
W.M.A. Wan Hussin, (2010b), Stress alleviation and house cleaning, The <strong>Malaysia</strong>n<br />
Surveyor, Vol.45, No.1 & 2, ISSN 0127-4937, pp80-81<br />
W.M.A. Wan Hussin, (2011a), Stress resilience, The <strong>Malaysia</strong>n Surveyor, Vol.46, No.1,<br />
ISSN 0127-4937, pp44-47.<br />
W.M.A. Wan Hussin, (2011b), Turn <strong>of</strong>f stress through fun, creativity and happiness, The<br />
<strong>Malaysia</strong>n Surveyor, Vol. 46, No. 2, ISSN 0127-4937, pp49-51.<br />
W.M.A. Wan Hussin, (2011c), Surveying the sex-stress connection, The <strong>Malaysia</strong>n<br />
Surveyor, Vol. 46, No. 3, ISSN 0127-4937, pp48-50.<br />
<strong>ISrJ</strong> Vol.2 No.1, 2012