The impact of personal attributes on the association between cumulative exposure to work stressors and cardiovascular disease

Person-centered exploration of work-related stress patterns, predictors, and their association with subhealth in midwives: A cross-sectional study

BACKGROUND

Midwives experience elevated levels of work-related stress. However, there is limited understanding of the patterns of this stress, its sociodemographic and work-related determinants, and its association with sub-health.

METHOD

This multi-center cross-sectional study, conducted in 21 hospitals in Zhuhai City, Guangdong Province, China, involved 300 midwives. Work-related stress levels in midwives were evaluated using the Chinese version of the Nursing Stress Scale, while social, physical and mental sub-health status was measured with the Sub-Health Measurement Scale. Utilizing latent profile analysis, the study aimed to categorize midwives into homogeneous profiles based on patterns of work-related stress.

RESULTS

Among the 300 midwives examined, three distinct profiles were identified: profile 1 (n=57, 19 %), characterized by low work-related stress; profile 2 (n=149, 50 %), representing the moderate work-related stress class; and profile 3 (n=94, 31 %), indicative of high work-related stress. Midwives in the high work-related stress profile tended to be younger, with lower monthly income, lower professional titles, and a higher likelihood of night shift work (all P<0.01). Significant and noteworthy trends were observed in sociodemographic characteristics (age, monthly income, and professional title) and work-related characteristics (night shift status). After controlling for confounders, the work-related stress profile demonstrated a negative association with social, physical and mental sub-health status.

CONCLUSION

This study highlights integrating stress domains and adopting a person-centered approach to examine midwives' work-related stress. Identifying predictors of profile membership and their relationship with sub-health can inform tailored interventions to reduce stress and improve midwives' well-being.

The role of time in the relation between perceived job insecurity and perceived job performance

BACKGROUND

Insufficient evidence exists that can explain two conflicting views (i.e. positive and negative relationship) regarding the effect of job insecurity on job performance.

OBJECTIVE

To investigate the importance of time in explaining these ambiguous views. A positive association was expected cross-sectionally and a negative relationship longitudinally. I hypothesized that available coping resources may delay the negative effect on job performance until being exhausted.

METHODS

Longitudinal self-reported data of 928 participants were used. Job performance was operationalized as core task performance and productivity loss. Cross-sectional and longitudinal associations were analyzed using linear and logistic regressions. Duration analyses were performed using the two-year duration of job insecurity.

RESULTS

Short-term and long-term, job insecurity was only related with increased productivity loss. No evidence was found for core task performance. The duration of job insecurity, and chronic job insecurity in particular, did not predict core task performance or productivity loss two years later.

CONCLUSIONS

The factor time, operationalized as the time of follow-up and the duration of exposure to job insecurity, did not clarify the conflicting views. Managers should be more aware of the adverse effects of using job insecurity as a motivational strategy to increase job performance.

The impact of work-related and personal resources on older workers' fatigue, work enjoyment and retirement intentions over time

This study aims to examine the impact of work-related and personal resources on older workers' retirement intentions by studying the pathways (fatigue and work enjoyment) from resources to retirement intentions, the buffering role of resources for psychological job demands, in a cross-sectional and longitudinal timeframe. Longitudinal results on a subsample of full-time, older workers (n = 1642) from the Maastricht Cohort Study suggest that over four years of follow-up personal resources like personal mastery and perceived health related to less (prolonged) fatigue and more work enjoyment. Personal mastery also related to later retirement intentions. A work-related resource like decision authority related to less prolonged fatigue. (Prolonged) fatigue related to earlier retirement intentions, suggesting that fatigue may be a pathway to early retirement. Finally, little evidence was found for effect modification by resources. This prospective study indicates that work-related and personal resources may be useful for prolonging working careers. Practitioner Summary: To date, the impact of work-related and personal resources on older workers' retirement intentions is rarely studied. As this prospective study shows that resources may impact older workers' (prolonged) fatigue, work enjoyment and retirement intentions, the monitoring and fostering of resources is of importance for prolonging their working careers.