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Fang L, Hsiao LP, Fang SH. The effect of workplace bullying and self-efficacy on emotional distress among hospital nurses. Int J Nurs Pract 2024; 30:e13206. [PMID: 37752686 DOI: 10.1111/ijn.13206] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 08/23/2023] [Accepted: 09/11/2023] [Indexed: 09/28/2023]
Abstract
AIMS This study intended to explore the workplace bullying, self-efficacy and emotional distress of the nursing staff and determine the predictors of nursing staff's emotional distress. METHODS Cross-sectional and correlation designs were used, collecting data including socio-demographic data, workplace bullying, self-efficacy and emotional distress scales. RESULTS Results showed that the frequency of poor sleep quality in the recent 2 weeks, working in the intensive care centre or emergency room, high workplace bullying and low self-efficacy were the main predictors of emotional distress in nursing staff. CONCLUSION Nursing supervisors are advised to design suitable shift schemes to allow adequate time for nurses to maintain proper rest and develop a safety notification system to give bullied victims the assurance of safety. The design and implementation of the programs are encouraged to improve self-efficacy among nurses by strengthening the training of social skills, improving employees' communication skills and their relationships with other employees.
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Affiliation(s)
- Li Fang
- Department of Nursing, Fooyin University, Kaohsiung City, Taiwan (R.O.C)
| | - Li-Ping Hsiao
- Department of Nursing, Pingtung Christian Hospital, Pingtung City, Taiwan (R.O.C)
| | - Shu-Hui Fang
- Department of Foreign Languages, Fooyin University, Kaohsiung City, Taiwan (R.O.C)
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2
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García-Iglesias JJ, Yildirim M, Gómez-Salgado J, Goh YSS. Editorial: Mental health in healthcare workers and its associations with psychosocial work conditions. Front Public Health 2024; 12:1399134. [PMID: 38633239 PMCID: PMC11021756 DOI: 10.3389/fpubh.2024.1399134] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2024] [Accepted: 03/21/2024] [Indexed: 04/19/2024] Open
Affiliation(s)
- Juan Jesús García-Iglesias
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
| | - Murat Yildirim
- Department of Psychology, Faculty of Science and Letters, Agri Ibrahim Cecen University, Agri, Türkiye
- Department of Social and Educational Sciences, Lebanese American University, Beirut, Lebanon
| | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain
- Escuela de Posgrado, Universidad de Especialidades Espíritu Santo, Guayaquil, Ecuador
| | - Yong-Shian Shawn Goh
- Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore, Singapore
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Otu MS, Sefotho MM. Use of cognitive-behavioral career coaching to reduce work anxiety and depression in public employees. World J Clin Cases 2024; 12:322-334. [PMID: 38313658 PMCID: PMC10835679 DOI: 10.12998/wjcc.v12.i2.322] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2023] [Revised: 12/04/2023] [Accepted: 12/25/2023] [Indexed: 01/11/2024] Open
Abstract
BACKGROUND Public employees worldwide are increasingly concerned about work anxiety and depression. Cognitive-behavioral career coaching has emerged as a promising strategy for addressing these mental health disorders, which can negatively impact on a person's overall well-being and performance. AIM To examine whether cognitive-behavioral career coaching reduces work anxiety and depression among Nigerian public employees. METHODS A total of 120 public employees (n = 60) suffering from severe anxiety and depression were randomly assigned to the treatment or control groups in this study. Cognitive behavioral coaching was provided twice a week to those in the treatment group, whereas no treatment was given to those in the control group. As part of the study, the Hamilton Anxiety Rating Scales and Beck Depression Inventory were used to collect data. RESULTS Analysis of covariance of the data from participants indicates a significant effect of cognitive-behavioral career coaching on work anxiety and depression. CONCLUSION Insights into the underlying mechanisms by which cognitive behavior career coaching exerts its effects have been gained from this study. Also, the study has gathered valuable data that can inform future practice and guide the development of strategies for supporting mental health at work.
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Affiliation(s)
- Mkpoikanke Sunday Otu
- Department of Educational Psychology, University of Johannesburg, Johannesburg 2006, Gauteng, South Africa
| | - Maximus Monaheng Sefotho
- Department of Educational Psychology, University of Johannesburg, Johannesburg 2006, Gauteng, South Africa
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SoleimanvandiAzar N, Amirkafi A, Shalbafan M, Ahmadi SAY, Asadzandi S, Shakeri S, Saeidi M, Panahi R, Nojomi M. Prevalence of obsessive-compulsive disorders (OCD) symptoms among health care workers in COVID-19 pandemic: a systematic review and meta-analysis. BMC Psychiatry 2023; 23:862. [PMID: 37990311 PMCID: PMC10664495 DOI: 10.1186/s12888-023-05353-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 11/06/2023] [Indexed: 11/23/2023] Open
Abstract
BACKGROUND Obsessive Compulsive Disorder (OCD) symptoms, are among the serious mental health challenges that Health Care Workers (HCWs) faced during the COVID-19 pandemic. As these symptoms reduce the mental well-being and effectiveness of HCWs which are followed by poor health outcomes for patients, the aim of this systematic review and meta-analysis was to determine the prevalence of OCD symptoms among HCWs worldwide. METHODS PubMed, Google Scholar, Cochrane, Scopus, Web of Science, ProQuest, Emerald, and ERIC databases were searched using related keywords till the end of October 2021. Observational studies about the prevalence of OCD symptoms among healthcare workers during the COVID-19 pandemic were screened and evaluated. In order to assess the quality of studies, the Newcastle-Ottawa scale (NOS) checklist was used. The effect measure was the prevalence rate with a 95% confidence interval (CI). RESULTS A total of 7864 individuals from 11 studies were included. The range of OCD symptoms prevalence across these studies was from 0.07 to 0.47. Due to the high heterogeneity between the studies (I2 = 98.6%, P < 0.01), the random effects model was used. The pooled prevalence was 0.29 (95% CI: 0.22-0.38) based on logit transformed CI. CONCLUSIONS The pooled prevalence of OCD symptoms was 29% among the HCWs during the COVID-19 pandemic. This prevalence was higher than the general population according to the pre-pandemic literature, but lower than the recent reports amid the pandemic. Psychosocial interventions are suggested to be designed and implemented in such conditions.
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Affiliation(s)
- Neda SoleimanvandiAzar
- Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Ali Amirkafi
- Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Seyyed Amir Yasin Ahmadi
- Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Shadi Asadzandi
- Department of Medical Library and Information Science, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Shiva Shakeri
- Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Mahdieh Saeidi
- Research Center for Addiction and Risky Behaviors, Iran University of Medical Sciences, Tehran, Iran
| | - Reza Panahi
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Marzieh Nojomi
- Preventive Medicine and Public Health Research Center, Psychosocial Health Research Institute, Department of Community and Family Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
- Department of Sociology and Anthropology, Nipissing University, North Bay, ON, Canada.
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5
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Cheng Y, Li YJ, Cheng W. Gender- and age-specific associations between psychosocial work conditions and perceived work sustainability in the general working population in Taiwan. PLoS One 2023; 18:e0293282. [PMID: 37878636 PMCID: PMC10599519 DOI: 10.1371/journal.pone.0293282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 10/10/2023] [Indexed: 10/27/2023] Open
Abstract
OBJECTIVES One aspect of work sustainability pertains to workers' intention to remain in their current job until reaching retirement age. Various adverse working conditions are expected to diminish work sustainability among different social groups. This study aims to examine these associations across gender and age groups. METHODS The study participants were 19,152 economically-active adults in a national survey conducted in Taiwan. Information concerning psychosocial working conditions were obtained through interviews, using the Job Content Questionnaire. Work sustainability was evaluated by one question that asked whether the participants felt they would be able to do their current job until the age of 60. The association between psychosocial work conditions and work sustainability was examined by logistic regression analysis. We further performed stratified analysis to explore age and gender-specific associations. RESULTS We observed that 14.2% and 17.1% of male and female workers reported low work sustainability. Workers in the electronics industries and female workers in the healthcare and education sectors reported low work sustainability. Gender-specific analyses showed that low job control among men and shift work among women were significantly associated with low work sustainability. Age-specific analyses indicated that having poor health, shift work, and long working hours in younger workers, and having low job control in older workers were associated with low work sustainability. CONCLUSION To retain older workers in the labor market, policies should aim at the improvement of psychosocial work conditions, and gender- and age-specific issues should be taken into consideration.
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Affiliation(s)
- Yawen Cheng
- Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan
| | - Yi-Jing Li
- Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei, Taiwan
| | - Wan‐Ju Cheng
- National Center for Geriatrics and Welfare Research, National Health Research Institutes, Miaoli, Taiwan
- Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan
- Department of Public Health, China Medical University, Taichung, Taiwan
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Zhou P, Du N, Xiao Y, Li Y, Li C, Geng T. Mental health status of healthcare workers assisted in Hubei during the initial outbreak of COVID-19 and their influencing factors: a prospective cohort study. BMJ Open 2022; 12:e062664. [PMID: 36038167 PMCID: PMC9438106 DOI: 10.1136/bmjopen-2022-062664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVES The COVID-19 outbreak beginning in late 2019 has resulted in negative emotions among the public. However, many healthcare workers risked their lives by voluntarily travelling to the worst-hit area, Hubei Province, to support antipandemic work. This study explored the mental health changes in these healthcare workers and tried to discover the influencing factors. DESIGN A longitudinal online survey was begun on 8 February 2020, using the snowball sampling method, and this first phase ended on 22 February 2020 (T1). The follow-up survey was conducted from 8 February to 22 February 2021 (T2). SETTING Healthcare workers from outside of the Hubei area who went to the province to provide medical assistance. PARTICIPANTS 963 healthcare workers who completed both surveys. MEASURES Self-Rating Scale of Sleep (SRSS), Generalised Anxiety Scale (GAD-7) and 9-item Patient Health Questionnaire (PHQ-9). RESULTS There were no significant differences in the SRSS scores or in the GAD-7 scores between T1 and T2 (t=0.994, 0.288; p>0.05). However, the PHQ-9 score at T2 was significantly higher than the score at T1 (t=-10.812, p<0.001). Through multiple linear regression analysis, we found that the following traits could predict higher GAD-7 and PHQ-9 scores at T2: male sex, single marital status, occupation of nurse, lower professional technical titles, healthcare workers having a history of psychosis, treating seriously ill patients, having relatively poor self-perceived health, caring for patients who died and having family members who had been infected with COVID-19. CONCLUSIONS The results indicate that the depression levels of these special healthcare workers increased in the long term, and the initial demographics and experiences related to the pandemic played an important role in predicting their long-term poor mental health. In the future, more appropriate psychological decompression training should be provided for these special healthcare workers.
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Affiliation(s)
- Peng Zhou
- Emergency Department, West China Hospital of Sichuan University, Chengdu, China
| | - Na Du
- Psychosomatic Medical Center, The Fourth People's Hospital of Chengdu, Chengdu, Sichuan, China
| | - Yu Xiao
- Psychosomatic Medical Center, The Fourth People's Hospital of Chengdu, Chengdu, Sichuan, China
| | - Yunge Li
- Psychosomatic Medical Center, The Fourth People's Hospital of Chengdu, Chengdu, Sichuan, China
| | - Chunya Li
- Psychosomatic Medical Center, The Fourth People's Hospital of Chengdu, Chengdu, Sichuan, China
| | - Ting Geng
- Psychosomatic Medical Center, The Fourth People's Hospital of Chengdu, Chengdu, Sichuan, China
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Shiga K, Izumi K, Minato K, Yoshimura M, Kitazawa M, Hanashiro S, Cortright K, Kurokawa S, Momota Y, Sado M, Maeno T, Takebayashi T, Mimura M, Kishimoto T. Association of work environment with stress and depression among Japanese workers. Work 2022; 72:1321-1335. [DOI: 10.3233/wor-210356] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: There is a lack of studies that investigated the effect of a wide range of work environmental factors on stress and depression in Japan. OBJECTIVES: To examine the association of work environment factors with stress and depression among workers in Japan. METHODS: We conducted questionnaire surveys of workers that mainly engage in desk work in Japan. Stress was assessed through the Perceived Stress Scale (PSS), depression through the Patient Health Questionnaire-9 (PHQ-9), and work environment through physical and psychological workplace environment questionnaires. Workers were divided into low and high stress groups based on PSS score (median split), and divided into non-depressed and depressed groups based on their PHQ-9 score (< 5, and ≥5); these groups were then compared with their working environment. In addition, a multiple regression analysis was performed. RESULTS: Responses were obtained from 210 subjects. Multiple regression analysis showed that “Ability to work at one’s own pace” and “Ability to apply personal viewpoint to work,” etc., had effect on stress, while “Workplace harassment” and “Support from colleagues,” etc., had effect on depression. CONCLUSIONS: The results suggest that stress and depression in Japanese workers are related to factors such as job demands, control of work, workplace harassment, and psychological safety.
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Affiliation(s)
- Kiko Shiga
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
- Department of Clinical Psychology, Faculty of Human Relations, Shigakukan University, Kagoshima, Japan
| | - Keisuke Izumi
- Division of Rheumatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan
- National Tokyo Medical Center, Tokyo, Japan
- Medical AI Center, Keio University, Tokyo, Japan
| | - Kazumichi Minato
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | | | - Momoko Kitazawa
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Sayaka Hanashiro
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Kelley Cortright
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Shunya Kurokawa
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Yuki Momota
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Mitsuhiro Sado
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
- Center for Stress Research, Keio University, Tokyo, Japan
| | - Takashi Maeno
- Human System Design Laboratory, Graduate School of System Design and Management, Keio University, Kanagawa, Japan
| | - Toru Takebayashi
- Department of Preventive Medicine and Public Health, Keio University School of Medicine, Tokyo, Japan
| | - Masaru Mimura
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
| | - Taishiro Kishimoto
- Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
- Psychiatry Department, Donald and Barbara Zucker School of Medicine, New York, NY, USA
- Hills Joint Research Laboratory for Future Preventive Medicine and Wellness, Keio University School of Medicine, Tokyo, Japan
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8
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Tsou MT. Association of 5-item Brief Symptom Rating Scale scores and health status ratings with burnout among healthcare workers. Sci Rep 2022; 12:7122. [PMID: 35505224 PMCID: PMC9062289 DOI: 10.1038/s41598-022-11326-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2021] [Accepted: 04/08/2022] [Indexed: 11/17/2022] Open
Abstract
This cross-sectional study evaluated and quantified the possible association of psychological symptoms and health status ratings on the burnout of healthcare workers from a tertiary medical center. Demographic data were obtained through a questionnaire survey. We evaluated their psychological symptoms using a 5-item Brief Symptom Rating Scale (BSRS-5) and burnout was measured using the Chinese version of the Maslach Burnout Inventory–Health Services Survey. The study began in Nov. 2018 and ended in Nov. 2020. A total of 2813 participants (men = 296, 10.5%; women = 2517, 89.5%) completed the questionnaires between December 2018 and March 2019. The response rate and complete rate were 71.7% and 93.2%. The multivariate analysis showed that, as the BSRS-5 level added, the odds ratio (OR) of burnout increased (BSRS-5 scores 6–9, 10–14, and 15–20; OR = 1.83, 3.23, and 9.15, separately; p value < 0.05). Overall, men (≥ 30 years of age) and women staffs with BSRS-5 scores ≥ 6; women with longer working hours (more than 46 h/week), men and women (≥ 30 years of age) working night shifts, and poor health status ratings were highly associated with burnout. The findings highlight the importance of screening for the BSRS-5 scores and health status ratings level for healthcare professionals at high risk of burnout, especially men ≥ 30 years of age and women with stressful working conditions.
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Affiliation(s)
- Meng-Ting Tsou
- Department of Family Medicine, MacKay Memorial Hospital, Taipei, Taiwan. .,Department of Occupation Medicine, Mackay Medical College, Taipei, Taiwan. .,Department of MacKay Junior College of Medicine, Nursing, and Management, New Taipei, Taiwan.
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9
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López Steinmetz LC, Herrera CR, Fong SB, Godoy JC. A Longitudinal Study on the Changes in Mental Health of Healthcare Workers during the COVID-19 Pandemic. Psychiatry 2022; 85:56-71. [PMID: 34328825 DOI: 10.1080/00332747.2021.1940469] [Citation(s) in RCA: 33] [Impact Index Per Article: 16.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Objective: This study examines Argentinean health care workers in order to 1) test self-perceived job performance levels and the presence of psychological symptoms compatible with common mental disorders, and 2) examine within-person changes in general discomfort and psychological distress, adjusting for demographic factors, region, and health-related factors during two time points of the COVID-19 pandemic.Method: This longitudinal study comprised 305 healthcare workers who completed a survey at two time points approximately 4 months apart. We used the General Health Questionnaire and the Kessler Psychological Distress Scale to measure mental health outcomes. To address the first aim we calculated differences (Student's t test for paired samples) and correlations (Pearson's r coefficient). To address the second aim we used fixed effects model by means of a multilevel approach, a linear model that considers dependency in the data.Results: Self-perceived job performance deteriorated across time. From the first measurement to the four-month follow-up, more health care workers presented common mental disorders (40% vs 45.57%), depression, and/or anxiety (52.46% vs 62.62%). A meaningful worsening of mental health was observed in healthcare workers who expressed concern about being infected with COVID-19, whether asymptomatic (greater general discomfort and psychological distress) or symptomatic (greater general discomfort). Likewise, there were significant interactions between a history of mental disorder and concern about COVID-19 infection.Conclusions: Among healthcare workers, the uncertainty about the COVID-19 infection may have larger negative mental health impacts than actually being infected.
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Fernandez R, Sikhosana N, Green H, Halcomb EJ, Middleton R, Alananzeh I, Trakis S, Moxham L. Anxiety and depression among healthcare workers during the COVID-19 pandemic: a systematic umbrella review of the global evidence. BMJ Open 2021; 11:e054528. [PMID: 34548373 PMCID: PMC8458002 DOI: 10.1136/bmjopen-2021-054528] [Citation(s) in RCA: 52] [Impact Index Per Article: 17.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVES To summarise the evidence relating to the prevalence of anxiety and depression among healthcare workers (HCWs) during the COVID-19 pandemic. DESIGN An umbrella review of systematic reviews was undertaken using the Joanna Briggs Institute (JBI) methods. DATA SOURCES The Cochrane database of systematic reviews, JBI Evidence Synthesis, MEDLINE, Web of Science, PsycINFO, Embase and CINAHL were searched in March 2021 for reviews published in English. ELIGIBILITY CRITERIA Systematic reviews reporting the prevalence of anxiety and depression among HCWs during the COVID-19 pandemic. Two researchers screened each abstract and independently reviewed full text articles. Study quality was assessed using the JBI critical appraisal tool for systematic reviews, and the degree of overlap in primary studies was calculated. RESULTS Ten systematic reviews (100 unique studies), including 169 157 HCWs from 35 countries were included. The prevalence of anxiety among all HCWs ranged from 22.2% (95% CI 21.3% to 23.1%) to 33.0% (95% CI 31.9% to 34.1%). The prevalence of anxiety among physicians (n=5820) was reported to be between 17% and 19.8% and for nurses (n=14 938) between 22.8% and 27%. The prevalence of depression among all HCWs ranged from 17.9% (95% CI 17.1% to 18.8%) to 36% (95% CI 34.9% to 37.1%). The prevalence of depression among physicians (n=643) and nurses (n=8063) was reported to be 40.4% and 28%, respectively. CONCLUSIONS There is wide variation evident in the presence of anxiety and depression among HCWs. In particular, the prevalence of depression among physicians was high. Strategies to reduce the incidence of anxiety and depression are urgently required. PROSPERO REGISTRATION NUMBER CRD42021238960.
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Affiliation(s)
- Ritin Fernandez
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
- St George Hospital, South Eastern Sydney Local Health District, Kogarah, New South Wales, Australia
- Centre for Evidence based Initiatives in Health Care: A JBI Centre of Excellence, University of Wollongong, Wollongong, New South Wales, Australia
| | - Nqobile Sikhosana
- St George Hospital, South Eastern Sydney Local Health District, Kogarah, New South Wales, Australia
- Centre for Evidence based Initiatives in Health Care: A JBI Centre of Excellence, University of Wollongong, Wollongong, New South Wales, Australia
| | - Heidi Green
- St George Hospital, South Eastern Sydney Local Health District, Kogarah, New South Wales, Australia
- Centre for Evidence based Initiatives in Health Care: A JBI Centre of Excellence, University of Wollongong, Wollongong, New South Wales, Australia
| | - Elizabeth J Halcomb
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
- St George Hospital, South Eastern Sydney Local Health District, Kogarah, New South Wales, Australia
- Illawarra Health and Medical Research Institute (IHMRI), Wollongong, New South Wales, Australia
| | - Rebekkah Middleton
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
- St George Hospital, South Eastern Sydney Local Health District, Kogarah, New South Wales, Australia
- Illawarra Health and Medical Research Institute (IHMRI), Wollongong, New South Wales, Australia
| | - Ibrahim Alananzeh
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
| | - Stamatia Trakis
- St George Hospital, South Eastern Sydney Local Health District, Kogarah, New South Wales, Australia
| | - L Moxham
- School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, New South Wales, Australia
- St George Hospital, South Eastern Sydney Local Health District, Kogarah, New South Wales, Australia
- Centre for Evidence based Initiatives in Health Care: A JBI Centre of Excellence, University of Wollongong, Wollongong, New South Wales, Australia
- Illawarra Health and Medical Research Institute (IHMRI), Wollongong, New South Wales, Australia
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11
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Work-to-Family Conflict and its Associations With Workers' Burnout, Poor Self-Rated Health, and Minor Mental Disorder: A Survey of General Employees in Taiwan. J Occup Environ Med 2021; 62:588-594. [PMID: 32404841 DOI: 10.1097/jom.0000000000001894] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVES To examine the distribution of work-to-family conflict (W-FC) across socio-demographic groups and a wide spectrum of occupations, and its associations with workers' burnout, self-rated health, and mental health status by sex. METHODS A cross-sectional household survey of representative employees was conducted in 2013. A standardized questionnaire was administered to collect information. RESULTS W-FC was high in employees aged 35 to 44 years old and in certain occupational groups. Long working hours, rotating work shift, high work demands, high job control, low workplace justice, and family care burden were risk factors for W-FC, and high W-FC score was significantly associated with burnout, poor self-rated health, and minor mental disorder. CONCLUSIONS To improve workers' health, it is essential to identify high risk groups and adopt measures to reduce conflicts between work and family life.
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12
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Deng J, Liu J, Guo Y, Gao Y, Wu Z, Yang T. How does social support affect public service motivation of healthcare workers in China: the mediating effect of job stress. BMC Public Health 2021; 21:1076. [PMID: 34090395 PMCID: PMC8180050 DOI: 10.1186/s12889-021-11028-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 05/11/2021] [Indexed: 12/23/2022] Open
Abstract
Background This study aimed to examine relations between social support, job stress, and public service motivation (PSM), also assessed how social support and job stress affect PSM in China based on the job demands-resources (JD-R) theory. Methods The survey investigated a sample of 973 healthcare workers employed in public hospitals in Beijing, Xiamen, and Guangzhou in 2017 (including doctors, nurses, medical technicians, and administrators). Correlation analysis and Structural equation modeling (SEM) were used. Results Challenge stress and hindrance stress were directly negatively associated with PSM. Supervisor support was significantly positively associated with PSM, and the path from coworker support to PSM was significant. Supervisor support was significantly negatively associated with hindrance stress, and coworker support was significantly negatively associated with challenge stress. Hindrance stress and challenge stress significantly mediated the relations between supervisor support and PSM, and between coworker support and PSM respectively. PSM might be raised by increasing supervisor support and coworker support and by limiting hindrance stress and challenge stress. Conclusion Our study suggests that administrators of public hospitals should be mindful of the intense job stress of healthcare workers and undertake interventions targeting challenge stress and hindrance stress. Also, public hospital administrators should encourage and assist supervisors in their leadership functions. Besides, administrators of public hospitals should emphasize coworker support and good employee relationships. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-021-11028-9.
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Affiliation(s)
- Jianwei Deng
- School of Management and Economics, Beijing Institute of Technology, 5 Zhongguancun South Street, Beijing, 100081, China.,Sustainable Development Research Institute for Economy and Society of Beijing, 5 Zhongguancun South Street, Beijing, 100081, China
| | - Jiahao Liu
- School of Management and Economics, Beijing Institute of Technology, 5 Zhongguancun South Street, Beijing, 100081, China.,Sustainable Development Research Institute for Economy and Society of Beijing, 5 Zhongguancun South Street, Beijing, 100081, China
| | - Yuangeng Guo
- School of Management and Economics, Beijing Institute of Technology, 5 Zhongguancun South Street, Beijing, 100081, China.,Sustainable Development Research Institute for Economy and Society of Beijing, 5 Zhongguancun South Street, Beijing, 100081, China
| | - Yongchuang Gao
- School of Management and Economics, Beijing Institute of Technology, 5 Zhongguancun South Street, Beijing, 100081, China.,Sustainable Development Research Institute for Economy and Society of Beijing, 5 Zhongguancun South Street, Beijing, 100081, China
| | - Zhennan Wu
- School of Management and Economics, Beijing Institute of Technology, 5 Zhongguancun South Street, Beijing, 100081, China.,Sustainable Development Research Institute for Economy and Society of Beijing, 5 Zhongguancun South Street, Beijing, 100081, China
| | - Tianan Yang
- School of Management and Economics, Beijing Institute of Technology, 5 Zhongguancun South Street, Beijing, 100081, China. .,Sustainable Development Research Institute for Economy and Society of Beijing, 5 Zhongguancun South Street, Beijing, 100081, China.
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13
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Chen SF, Fang YW, Wang MH, Wang TF. Effects of an Adaptive Education Program on the Learning, Mental Health and Work Intentions of New Graduate Nurses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18115891. [PMID: 34072629 PMCID: PMC8198471 DOI: 10.3390/ijerph18115891] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/28/2021] [Revised: 05/26/2021] [Accepted: 05/27/2021] [Indexed: 12/03/2022]
Abstract
Health care workers are at a higher risk of psychological distress than ordinary people. Stress affects physical and mental health, and can even produce an intention to leave. The current training for new graduate nurses (NGNs) during this transitional period mostly focuses on the cultivation of professional ability, with less attention to mental health or emotional feelings, and thus there are insufficient structured support strategies. As such, this study explores the effects of intervention through an appropriate education program on the learning, mental health and work intentions of new recruits during the transition period. A pre-test and post-test for a single group was designed for new nursing staff in a large teaching hospital in northern Taiwan. The test period was from May 2017 to December 2018, and a total of 293 cases were accepted. A three-month adaptive education program was provided and evaluated in terms of: care for learning, care for health, improving professional ability, and individualized guidance on satisfaction, mental health disturbance and work intention. The new graduate nurses who received gentle care and counseling showed a downward trend in their BSRS-5 scores and statistical differences over time (p < 0.001). The higher the BSRS-5 score, the easier it is for new graduate nurses in acute and intensive care units. There is a tendency for turnover leave (p = 0.03). After the intervention of the overall plan, the turnover rate of new graduate nurses within three months was 12.6%, and the one-year retention rate was 87.9%. The adaptive education program uses multiple support strategies to improve learning and professional abilities, to reduce psychological emotions, and thereby to increase retention. Today will face new medical challenges; the education programs will become more important across clinical care settings, and it will be important to rigorously validate their performance in helping NGNs.
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Affiliation(s)
- Shu-Fen Chen
- College of Nursing, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan; or
- Department of Nursing, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan
| | - Yu-Wen Fang
- Department of Nursing, Tzu Chi University of Science and Technology, Hualien City 970302, Taiwan;
| | - Mei-Hua Wang
- School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 112303, Taiwan;
| | - Tze-Fang Wang
- College of Nursing, National Yang Ming Chiao Tung University, Taipei 11221, Taiwan; or
- Correspondence: ; Tel.: +886-2-28267907
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14
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Ge J, He J, Liu Y, Zhang J, Pan J, Zhang X, Liu D. Effects of effort-reward imbalance, job satisfaction, and work engagement on self-rated health among healthcare workers. BMC Public Health 2021; 21:195. [PMID: 33482786 PMCID: PMC7821543 DOI: 10.1186/s12889-021-10233-w] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Accepted: 01/13/2021] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Healthcare workers, who protect and improve the health of individuals, are critical to the success of health systems and achieving national and global health goals. To respond effectively to the healthcare needs of populations, healthcare workers themselves must be in a good state of health. However, healthcare workers face various psychosocial pressures, including having to work night shifts, long working hours, demands of patient care, medical disputes, workplace violence, and emotional distress due to poor interactions with patients and colleagues, and poor promotion prospects. Constant exposure to these psychosocial hazards adversely impacts healthcare workers' health. Consequently, this study aimed to examine the influence of effort-reward imbalance, job satisfaction, and work engagement on self-rated health of healthcare workers. The results would be conducive to providing policy guidance to improve the health of healthcare workers. METHODS We analysed the data of 1327 participants from The Chinese Sixth National Health and Services Survey in Sichuan Province that was conducted from August 2018 to October 2018. Structural equation modelling was used to test the hypothesized relationships among the variables. RESULTS Only 40.1% of healthcare workers rated their health as 'relatively good' or 'good'. Effort-reward imbalance had a significant negative correlation with self-rated health (β = - 0.053, 95% CI [- 0.163, - 0.001]). The associations of effort-reward imbalance and work engagement with self-rated health were both mediated by job satisfaction (95% CI [- 0.150, - 0.050] and [0.011, 0.022]), and work engagement mediated the relationship between effort-reward imbalance and self-rated health (95% CI [- 0.064, - 0.008]). CONCLUSION In order to improve the health of healthcare workers, administrators should balance effort and reward and provide opportunities for career development and training. In addition, health managers should help healthcare workers realize the significance and value of their work and keep them actively devoted to their work through incentive mechanisms.
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Affiliation(s)
- Jingjing Ge
- Department of Health Related Social and Behavioral Science, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.,Gansu Provincial Maternity and Child-care Hospital, Lanzhou, China
| | - Jing He
- Department of Health Related Social and Behavioral Science, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Yan Liu
- Department of Health Related Social and Behavioral Science, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Juying Zhang
- Department of Epidemiology and Biostatistics, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Jingping Pan
- Health Information Centre of Sichuan Province, Chengdu, China
| | - Xueli Zhang
- Health Information Centre of Sichuan Province, Chengdu, China
| | - Danping Liu
- Department of Health Related Social and Behavioral Science, West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China.
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15
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Determination of Relationship Between Moral Sensitivity, Job Motivation and Hopelessness in Intensive Care Nurses. JOURNAL OF CONTEMPORARY MEDICINE 2020. [DOI: 10.16899/jcm.706285] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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16
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Mapping the Scientific Research on Healthcare Workers' Occupational Health: A Bibliometric and Social Network Analysis. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17082625. [PMID: 32290454 PMCID: PMC7216157 DOI: 10.3390/ijerph17082625] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Revised: 04/06/2020] [Accepted: 04/08/2020] [Indexed: 12/20/2022]
Abstract
In the last few years, the occupational health (OH) of healthcare workers (HCWs) has been shown increasing concern by both health departments and researchers. This study aims to provide academics with quantitative and qualitative analysis of healthcare workers’ occupational health (HCWs+OH) field in a joint way. Based on 402 papers published from 1992 to 2019, we adopted the approaches of bibliometric and social network analysis (SNA) to map and quantify publication years, research area distribution, international collaboration, keyword co-occurrence frequency, hierarchical clustering, highly cited articles and cluster timeline visualization. In view of the results, several hotspot clusters were identified, namely: physical injuries, workplace, mental health; occupational hazards and diseases, infectious factors; community health workers and occupational exposure. As for citations, we employed document co-citation analysis to detect trends and identify seven clusters, namely tuberculosis (TB), strength training, influenza, healthcare worker (HCW), occupational exposure, epidemiology and psychological. With the visualization of cluster timeline, we detected that the earliest research cluster was occupational exposure, then followed by epidemiology and psychological; however, TB, strength training and influenza appeared to gain more attention in recent years. These findings are presumed to offer researchers, public health practitioners a comprehensive understanding of HCWs+OH research.
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17
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Brown JP, Martin D, Nagaria Z, Verceles AC, Jobe SL, Wickwire EM. Mental Health Consequences of Shift Work: An Updated Review. Curr Psychiatry Rep 2020; 22:7. [PMID: 31955278 DOI: 10.1007/s11920-020-1131-z] [Citation(s) in RCA: 64] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
PURPOSE OF REVIEW Approximately 25% of employed individuals engage in shift work, which can substantially alter opportunities for restorative sleep. Being tired on the job can lead to safety risks in professions such as healthcare, first responders, manufacturing, and numerous others. In addition to the physical stress and health consequences of shift work, recent evidence links shift work to poor mental health outcomes. The current review examines the literature from 2016 onward, emphasizing the impact of shift work on mental health. RECENT FINDINGS Shift work is associated with considerable impacts on sleep, depressed mood and anxiety, substance use, impairments in cognition, lower quality of life, and even suicidal ideation. Pronounced sleep disturbances frequently underlie the mental health consequences of shift work. Shift work can have physical, mental health, and safety consequences. Future research should aim to better understand the interplay of shift work, sleep, and mental health and seek to mitigate the adverse consequences of shift work.
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Affiliation(s)
- Jessica P Brown
- Department of Epidemiology and Public Health, University of Maryland School of Medicine, 660 West Redwood Street, Suite 200, Baltimore, MD, 21201, USA.
| | - Destiny Martin
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Zain Nagaria
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Avelino C Verceles
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Sophia L Jobe
- Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
| | - Emerson M Wickwire
- Departments of Psychiatry and Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
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18
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Oliveira EBD, Silva SRCDSD, Sora ABD, Oliveira TSD, Valério RL, Dias LBS. Minor psychic disorders in nursing workers at a psychiatric hospital. Rev Esc Enferm USP 2020; 54:e03543. [DOI: 10.1590/s1980-220x2018031903543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Accepted: 04/30/2019] [Indexed: 11/22/2022] Open
Abstract
Abstract Objective: To describe the frequency of suspicion of minor psychic disorders and their symptoms in nursing workers at a psychiatric hospital. Method: Cross-sectional study carried out in 2018 with nursing workers at a psychiatric hospital in the city of Rio de Janeiro, Brazil. Data were collected by using an instrument with sociodemographic, work, and health variables. The Self-Reporting Questionnaire-20 was used to verify minor psychic disorders. Results: Ninety workers participated in the study. The frequency of minor psychic disorders in the sample was equal to 32.2%. The questions that showed the highest frequencies of affirmative answers were: “Do you feel nervous, tense, or worried?” (51.1%), “Dou you often have headaches?” (41.1%), “Is your daily working suffering?” (37.8%), “Do you have uncomfortable feelings in your stomach?” (36.7%), “Do you find it difficult to enjoy your daily activities?” (27.8%), and “Are you unable to play a useful part in life?” (22.2%). Conclusion: The predominance of symptoms of reduced vital energy and somatization suggest stress and risk of mental disorders.
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19
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Sasaki N, Imamura K, Thuy TTT, Watanabe K, Huong NT, Kuribayashi K, Sakuraya A, Thu BM, Quynh NT, Kien NT, Nga NT, Giang NTH, Tien TQ, Minas H, Zhang M, Tsutsumi A, Kawakami N. Validation of the Job Content Questionnaire among hospital nurses in Vietnam. J Occup Health 2020; 62:e12086. [PMID: 31541525 PMCID: PMC6970404 DOI: 10.1002/1348-9585.12086] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2019] [Revised: 06/24/2019] [Accepted: 08/28/2019] [Indexed: 12/25/2022] Open
Abstract
OBJECTIVES The aim of this study was to examine the reliability and validity of the Job Content Questionnaire (JCQ) in Vietnamese among hospital nursing staff. METHODS The 22-items version of the JCQ was used. This includes four scales: (a) psychological demands (5 items); (b) job control (9 items); (c) supervisor support (4 items); and (d) coworker support (4 items). All 1258 nurses in a general hospital in Vietnam, excluding 11 who were due to retire, were invited to complete the cross-sectional survey. The internal consistency reliability was estimated using Cronbach's α. Construct validity was examined using exploratory factor analysis (EFA). Convergent validity was evaluated by calculating correlations between the JCQ scores and DASS 21 and overtime work. RESULTS In total, 949 (75%) of the 1258 eligible nurses completed the survey. Cronbach's α values demonstrated acceptable internal consistency in two scales (supervisor support α = .87; coworker support α = .86), while Cronbach's α was below the acceptable threshold of 0.70 for job control (α = .45) and job demand (α = .50). EFA assuming a four-factor structure showed a factor structure that was almost identical to the original JCQ, with two items loading on other scales. The subscales of depression, anxiety, and stress response of DASS 21 and the subscales of JCQ were significantly correlated, as expected. CONCLUSION The results suggest that the JCQ in Vietnamese can be used with some reliability and validity for examining psychosocial work environment among nurses. Further studies should be done to confirm and expand our findings in a variety of occupational groups and in other Asian low- and middle-income countries.
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Affiliation(s)
- Natsu Sasaki
- Department of Mental HealthGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Kotaro Imamura
- Department of Mental HealthGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Tran T. T, Thuy
- Faculty of Environmental and Occupational HealthHanoi University of Public HealthHanoiVietnam
| | - Kazuhiro Watanabe
- Department of Mental HealthGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Nguyen T. Huong
- Faculty of Social Sciences, Behavior and Health EducationHanoi University of Public HealthHanoiVietnam
| | - Kazuto Kuribayashi
- Department of Psychiatric NursingGraduate School of MedicineThe University of TokyoTokyoJapan
| | - Asuka Sakuraya
- Department of Public HealthTokyo Women's Medical UniversityTokyoJapan
| | - Bui M. Thu
- Nursing OfficeBach Mai HospitalHanoiVietnam
| | - Nguyen T. Quynh
- Faculty of Environmental and Occupational HealthHanoi University of Public HealthHanoiVietnam
| | - Nguyen T. Kien
- Faculty of Social Sciences, Behavior and Health EducationHanoi University of Public HealthHanoiVietnam
| | - Nguyen T. Nga
- Faculty of Social Sciences, Behavior and Health EducationHanoi University of Public HealthHanoiVietnam
| | | | - Truong Q. Tien
- Faculty of Social Sciences, Behavior and Health EducationHanoi University of Public HealthHanoiVietnam
| | - Harry Minas
- Melbourne School of Population and Global HealthThe University of MelbourneMelbourneVictoriaAustralia
| | - Melvyn Zhang
- Family Medicine & Primary CareLee Kong Chian School of MedicineNanyang Technological University SingaporeNanyangSingapore
| | - Akizumi Tsutsumi
- Department of Public HealthKitasato University School of MedicineSagamiharaJapan
| | - Norito Kawakami
- Department of Mental HealthGraduate School of MedicineThe University of TokyoTokyoJapan
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20
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Güngör A, Uçman AG. Depression and hopelessness in Turkish healthcare workers: The moderating and mediating roles of meaning in life. Glob Public Health 2019; 15:236-246. [PMID: 31429360 DOI: 10.1080/17441692.2019.1656273] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Healthcare workers who served in southern cities of Turkey have been directly and indirectly affected by the civil war in Syria due to stress and trauma. Hopelessness in these healthcare workers can be a potential contributor to their levels of depression. On the other hand, meaning in life, as both moderating and mediating variable, can serve to counteract depression. This is a study of 286 Turkish healthcare workers who served in a southern border city of Turkey and Syria in February and March of 2018. The study examined the effects of hopelessness and meaning in life on depression level including the moderating and mediating effects of meaning in life on the relationship between hopelessness and depression. A hierarchical regression analysis and bootstrapping procedure were employed to test the research questions. This study found that hopelessness positively predicted depression and meaning in life negatively predicted depression. Meaning in life significantly moderated and partially mediated the association between hopelessness and depression. Healthcare workers who served in a conflict area experienced more depression when they had more hopelessness and less meaning in life. Moreover, meaning in life played a central role as both moderator and mediator. Results are discussed with implications and limitations.
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Affiliation(s)
- Abdi Güngör
- Department of Guidance and Psychological Counseling, Duzce University, Merkez/Düzce, Turkey
| | - Ayşe Gül Uçman
- Department of Guidance and Psychological Counseling, Duzce University, Merkez/Düzce, Turkey
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21
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Pien L, Cheng Y, Cheng W. Internal workplace violence from colleagues is more strongly associated with poor health outcomes in nurses than violence from patients and families. J Adv Nurs 2018; 75:793-800. [DOI: 10.1111/jan.13887] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2018] [Revised: 08/15/2018] [Accepted: 10/09/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Li‐Chung Pien
- Department of Nursing Cardinal Tien Junior College of Healthcare and Management New Taipei City Taiwan
| | - Yawen Cheng
- Department of Public Health Institute of Health Policy and Management National Taiwan University Taipei Taiwan
| | - Wan‐Ju Cheng
- Department of Psychiatry China Medical University Hospital Taichung Taiwan
- Department of Public Health China Medical University Taichung Taiwan
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22
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Pien LC, Cheng Y, Cheng WJ. Psychosocial safety climate, workplace violence and self-rated health: A multi-level study among hospital nurses. J Nurs Manag 2018; 27:584-591. [PMID: 30194879 DOI: 10.1111/jonm.12715] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2017] [Revised: 03/23/2018] [Accepted: 09/04/2018] [Indexed: 11/27/2022]
Abstract
AIMS To validate the Chinese version Psychosocial Safety Climate scale (PSC-12), and examine the associations between PSC, workplace violence and self-rated health (SRH). BACKGROUND Psychosocial safety climate moderates the negative effect of workplace violence on health. To address workplace violence experienced by nurses across the Asia-Pacific region, it is important to develop and apply a Chinese language version of the tool. METHODS We conducted a two-part study. In the first part, the Chinese version PSC-12 was developed and tested for its validity in 405 nurses. In the second part, a total of 1690 nurses from 73 hospitals filled a questionnaire concerning their work and health conditions. Multi-level modelling was used to examine the association between PSC, workplace violence and SRH. RESULTS A comparable validity and reliability of the Chinese version PSC-12 with the original PSC was found. PSC scores were negatively associated with workplace violence. In the hierarchical linear model, participants from hospitals with the lowest PSC score had twofold risks of having poor SRH. CONCLUSIONS The Chinese version PSC-12 is a valid tool. Hospital-level PSC was associated with poor health status in female nurses. IMPLICATIONS FOR NURSING MANAGEMENT Psychosocial safety climate should be evaluated and promoted to prevent workplace violence in nurses.
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Affiliation(s)
- Li-Chung Pien
- Department of Nursing, Cardinal Tien Junior College of Healthcare and Management, New Taipei City, Taiwan
| | - Yawen Cheng
- Department of Public Health, Institute of Health Policy and Management, National Taiwan University, Taipei, Taiwan
| | - Wan-Ju Cheng
- Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan.,Department of Public Health, China Medical University, Taichung, Taiwan
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23
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Kawada T. Minor mental disorders and work conditions. J Formos Med Assoc 2017; 116:730. [PMID: 28442263 DOI: 10.1016/j.jfma.2017.04.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2017] [Accepted: 04/11/2017] [Indexed: 06/07/2023] Open
Affiliation(s)
- Tomoyuki Kawada
- Department of Hygiene and Public Health, Nippon Medical School, Japan.
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24
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Haile YG, Alemu SM, Habtewold TD. Common mental disorder and its association with academic performance among Debre Berhan University students, Ethiopia. Int J Ment Health Syst 2017; 11:34. [PMID: 28473869 PMCID: PMC5415756 DOI: 10.1186/s13033-017-0142-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/05/2016] [Accepted: 04/21/2017] [Indexed: 11/28/2022] Open
Abstract
Background Common mental disorder (CMD) is prevalent in industrialized and non-industrialized countries. The prevalence of CMD among university students was 28.8–44.7% and attributed to several risk factors, such as schooling. The aim of this study was to assess the prevalence and risk factors of CMD. In addition, the association between CMD and academic performance was tested. Methods Institution based cross-sectional study was conducted with 422 students at Debre Berhan university from March to April 2015. CMD was the primary outcome variable whereas academic performance was the secondary outcome variable. Kessler psychological distress (K10) scale was used to assess CMD. Bivariate and multiple logistic regression analysis were performed for modeling the primary outcome variable; independent samples T test and linear regression analysis were carried out for modeling the secondary outcome variable. The strength of association was interpreted using odds ratio and regression coefficient (β) and decision on statistical significance was made at a p value of 0.05. Data were entered using EPI-data version 3.1 software and analyzed using the Statistical Package for the Social Sciences (SPSS) version 20.01 software. Results The prevalence of CMD was 63.1%. Field of study (p = 0.008, OR = 0.2, 95% CI 0.04–0.61), worshiping (p = 0.04, OR = 1.8, 95% CI 1.02–3.35), insomnia (p < 0.001, OR = 3.8, 95% CI 2.21–6.57), alcohol drinking (p = 0.006, OR = 2.7, 95% CI 1.33–5.66), and headache (p = 0.02, OR = 2.1, 95% CI 1.10–3.86) were identified risk factors for CMD. The mean cumulative grade point average of students with CMD was lower by 0.02 compared to those without CMD, but not statistically significant (p = 0.70, β = −0.02, 95% CI −0.15 to 0.10). CMD explained only 0.8% (r2 = 0.008) of the difference in academic performance between students. Conclusions At least three out of five students fulfilled CMD diagnostic criteria. The statistically significant risk factors were field of study, worshiping, insomnia, alcohol drinking, and headache. Moreover, there was no statistically significant association between CMD and academic performance. Undertaking integrated evidence-based intervention focusing on students with poor sleep quality, poor physical health, and who drink alcohol is essential if the present finding confirmed by a longitudinal study.
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Affiliation(s)
| | - Sisay Mulugeta Alemu
- Mental Health and Psychosocial Support Program, International Medical Corps, Dolo Ado, Ethiopia
| | - Tesfa Dejenie Habtewold
- Department of Epidemiology and Rob Giel Research Center, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
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25
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A Mental Health Survey of Different Ethnic and Occupational Groups in Xinjiang, China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14010046. [PMID: 28067780 PMCID: PMC5295297 DOI: 10.3390/ijerph14010046] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/02/2016] [Revised: 12/20/2016] [Accepted: 12/29/2016] [Indexed: 11/16/2022]
Abstract
Poor mental health has become a serious social and public health-care burden. This cross-sectional study used multistage stratified cluster random sampling to gather mental health information from 11,891 adults (18-60 years) employed in various occupations categorized according to the Chinese Standard Occupational Classification. Mental health was measured by the General Health Questionnaire, and participants exceeding the cut-off score were defined as having poor mental health. The overall prevalence of poor mental health was 23.8%. The prevalence of poor mental health was significantly higher in the Han ethnic group than Kazak ethnic group and in health-care workers, teachers, and civil servants compared to manual workers. Females (odds ratios (OR) = 1.139, 95% confidence intervals (CI): 1.012-3.198) and knowledge workers (1.697, 1.097-2.962) were risk factors for poor mental health, while Kazak ethnicity (0.465, 0.466-0.937), other minority status (non-Han) (0.806, 0.205-0.987), and working ≥15 years in the same occupation (0.832, 0.532-0.932) were protective (p < 0.05). We concluded that the general level of mental health in Xinjiang, China, is higher in the Kazak ethnic group than the Han ethnic group. The prevalence of poor mental health is higher among knowledge workers than in manual workers due to high incidences of poor mental health in civil servants, health-care workers, and teachers.
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