The original "Nurse Job Stress Scale," developed by Gray-Toft and Anderson, consists of 34 items and seven factors. These factors include: Uncertainty Related to Treatment (8 items = 1,2,3,4,5,6,7,8), Workload (6 items = 9,10,11,12,13,14), Patient Death (5 items = 15,16,17,18,19), Conflict with Physicians (5 items = 20,21,22,23,24), Conflict with Other Nurses (5 items = 25,26,27,28,29), Inadequate Support (3 items = 30,31,32), and Suffering Patient (2 items = 33,34). It is rated using a 4-point Likert system, where (1 point) means never, (2 points) sometimes, (3 points) often, and (4 points) very often. The Cronbach α reliability coefficient of the original scale has been found to be between α = .89 and α = .65 for the subfactors. A high total score indicates that the nurse experiences more frequent periods of stress related to individual stress issues in the physical, psychological, and environmental contexts.