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Park JS, Kim HK, Lee M. Experience of violence, social support, nursing practice environment, and burnout on mental health among mental health nurses in South Korea: A structural equation modeling analysis. Appl Nurs Res 2024; 78:151819. [PMID: 39053992 DOI: 10.1016/j.apnr.2024.151819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 08/16/2023] [Accepted: 06/25/2024] [Indexed: 07/27/2024]
Abstract
AIMS This study examined the relationship between the experience of violence, social support, nursing practice environment, and mental health among South Korean mental health nurses. METHODS Structured questionnaires were distributed to participants who worked in twelve mental health hospitals, each with at least 200 beds, in South Korea. We analyzed 243 questionnaires and used AMOS 25.0 to explore the relationships between the constructs. RESULTS The total and indirect effects of the experience of violence and of social support on mental health were significant. The effects of burnout and of the nursing practice environment on mental health were positively significant. Burnout revealed a mediating association with the relationship between the experience of violence, social support, and mental health. CONCLUSION The study confirmed that the experience of violence negatively affects burnout among mental health nurses, while social support relieves burnout and strengthens mental health. IMPLEMENTATION Our research model shows that the experience of violence could affect burnout and mental health among mental health nurses. Therefore, nursing administrators should develop violence prevention policies and manuals for coping with the violence that can frequently occur in psychiatric wards.
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Affiliation(s)
- Jung Suk Park
- Keyo Mental Health Hospital, 15, Ojeon-ro, Uiwang-si, Gyeonggi-do 16062, South Korea
| | - Hee Kyung Kim
- Department of Nursing, Sangji University, 83 Sangjidae-gil, Wonju-si, Gangwon-do 26339, South Korea.
| | - Mihyoung Lee
- Inha University, 100, Inha-ro, Michuhol-gu, Incheon 22212, South Korea
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Dost A, Sezgin D, Esin MN. The association between the work environment and the fear of COVID-19 experienced by nurses. Work 2024:WOR230121. [PMID: 38427519 DOI: 10.3233/wor-230121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/03/2024] Open
Abstract
BACKGROUND The conditions in the workplace have a critical influence on the mental health of nurses and their attitudes toward their job, which may impact patient care. OBJECTIVE This cross-sectional study aimed to investigate the association between perceptions of the work environment and fear of COVID-19 experienced by nurses. METHODS The data were collected using a demographic data form, the Work Environment Scale (WES), and the Fear of COVID-19 Scale. The study was completed with 183 nurses who provide care to COVID-19 patients. RESULTS The mean scores for the WES and Fear of COVID-19 Scale were 63.59±12.35 and 21.98±8.36, respectively. There was a positive correlation between the points acquired from the "employee fears" section of the WES and the Fear of COVID-19 Scale mean ranks (r = 0.22). There was a weak negative correlation between the Fear of COVID-19 score and the WES "job satisfaction" score (r = -0.214). There was a weak negative correlation between the scores of the Fear of COVID-19 Scale and perceived support at work (r = -0.33) and between the WES scores and weekly working hours (r = -0.27). However, there was a weak to moderate positive correlation between the WES scores and number of days off per week (r = 0.45). CONCLUSIONS Nurses experience a high fear of COVID-19, and a decrease in their attitudes of the work environment was associated with an increased fear of COVID-19. The fear of COVID-19 may be reduced by various interventions to provide support at work and increase nurses' job satisfaction.
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Affiliation(s)
- Ayse Dost
- Department of Nursing, Health Sciences Faculty, Bezmialem Vakif University, Istanbul, Turkey
| | - Duygu Sezgin
- School of Nursing and Midwifery, National University of Ireland - Galway, Galway, Ireland
| | - Melek Nihal Esin
- Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey
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Månsson Sandberg H, Landstad BJ, Tjulin Å, Brulin E. COVID-19- related work, managerial factors and exhaustion among general practitioners in Sweden: a cross-sectional study. BMC PRIMARY CARE 2023; 24:269. [PMID: 38087223 PMCID: PMC10717449 DOI: 10.1186/s12875-023-02228-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 11/29/2023] [Indexed: 12/18/2023]
Abstract
INTRODUCTION A significant number of international studies show that general practitioners (GPs) suffered from burnout when working during the COVID-19 pandemic. A Swedish study found that more than 16% of GPs had exhaustion in spring 2021. Exhaustion can be regarded as an initial stage of burnout. A knowledge gap remains on GPs´ working conditions, the impact of management during the pandemic and how it was associated with exhaustion. This study aims to explore the association between severe symptoms of exhaustion and COVID-19 pandemic-related work and managerial factors among Swedish GPs and whether managerial factors have an impact on the association between exhaustion and COVID-19-related work factors. METHODS Cross-sectional data was drawn from the Longitudinal Occupational Health survey in Health Care Sweden (LOHHCS), which included a representative sample of practicing doctors in Sweden. The sample consisted of 6699 doctors with a response rate of 41.2%. This study constitutes a sample of doctors who reported working in primary care facilities at the time of data collection, i.e. 1013 GPs. The Burnout Assessment Tool (BAT) was used to assess severe symptoms of exhaustion. Questions were also asked about pandemic-related work and managerial factors. The data was analysed using descriptive statistics and multivariate logistic regression to identify the association between exhaustion, work and managerial factors. RESULTS The multivariate analysis showed that GPs who managed COVID-19 patients were about twice as likely to report severe symptoms of exhaustion. Further, GPs who reported that management was unsupportive, provided unsatisfactory working conditions and unsatisfactory policies for patient prioritisation were between two and four times more likely to report severe symptoms of exhaustion. CONCLUSIONS COVID-19-related work and managerial factors had a significant impact on the mental health of GPs. Furthermore, the potentially protective effect that satisfactory management actions had on mental health was limited. In the aftermath of the COVID-19 pandemic and in preparation for future major crises that have a high impact on healthcare, there is a need to investigate the measures that can be taken to enable GPs to carry out their work, while maintaining their wellbeing.
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Affiliation(s)
- Helena Månsson Sandberg
- Department of Health Sciences, Mid Sweden University, Östersund, Sweden.
- Unit of Occupational Medicine, Karolinska Institutet, Stockholm, Sweden.
| | - Bodil J Landstad
- Faculty of Human Sciences, Mid Sweden University, Östersund, Sweden
- Unit of Research, Education and Development, Östersund Hospital, Östersund, Sweden
| | - Åsa Tjulin
- Department of Health Sciences, Mid Sweden University, Östersund, Sweden
| | - Emma Brulin
- Unit of Occupational Medicine, Karolinska Institutet, Stockholm, Sweden
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Wang K, Yang B, Wu C, Zheng L. The moderation of satisfaction with working conditions in the association between workload and mental health among healthcare workers collecting test samples in the post-COVID-19 era. Front Public Health 2023; 11:1106299. [PMID: 37361146 PMCID: PMC10286863 DOI: 10.3389/fpubh.2023.1106299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Accepted: 05/11/2023] [Indexed: 06/28/2023] Open
Abstract
Background This study aimed to examine the associations between workload and satisfaction with working conditions and mental health (i.e., anxiety disorder, depression, and somatization) of healthcare workers collecting test samples during the local outbreaks of COVID-19, and explore satisfaction with working conditions as a moderator of these relationships. Methods A total of 1,349 participants were obtained via an online survey in Zhengzhou, Henan Province, China. Multivariate regression was used to assess the associations between workload and satisfaction with working conditions and anxiety disorder, depression, and somatization. The simple slope analysis and Johnson-Neyman technique were used to assess the effect value and change trend of the moderator. Results The prevalence of anxiety disorder, depression, and somatization were 8.6, 6.9, and 19.2% of healthcare workers collecting test samples, respectively. High levels of workload were associated with an increased risk of an anxiety disorder (OR = 1.81, 95%CI = 1.17-2.78), depression (OR = 1.92, 95%CI = 1.19-3.10), and somatization (OR = 1.90, 95%CI = 1.40-2.57), while high satisfaction of working conditions was associated with a reduction in the risk of these outcomes, and ORs (95%CI) were 0.35 (0.20-0.64), 0.27 (0.13-0.56), and 0.32 (0.21-0.48), respectively. The findings also indicated that a weaker association between workload and anxiety disorder, as well as depression and somatization, has been reported in those with a high level of satisfaction with working conditions. Conclusion Workload significantly increased the risk of healthcare workers suffering from psychological problems, while satisfaction with working conditions alleviated these negative effects, and effective resource support was crucial for healthcare workers.
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Affiliation(s)
- Kehui Wang
- Faculty of Education, Henan University, Kaifeng, Henan, China
- The General Office, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China
| | - Bin Yang
- Department of Occupational and Environmental Health, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Cuiping Wu
- Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Lianxue Zheng
- The General Office, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China
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Peccoralo LA, Pietrzak RH, Tong M, Kaplan S, Feingold JH, Feder A, Chan C, Verity J, Charney D, Ripp J. A Longitudinal Cohort Study of Factors Impacting Healthcare Worker Burnout in New York City During the COVID-19 Pandemic. J Occup Environ Med 2023; 65:362-369. [PMID: 36727906 PMCID: PMC10171104 DOI: 10.1097/jom.0000000000002790] [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] [Indexed: 02/03/2023]
Abstract
OBJECTIVE This study aimed to longitudinally examine the prevalence and correlates of burnout in frontline healthcare workers (FHCWs) during COVID-19 in New York City. METHODS A prospective cohort study of 786 FHCWs at Mount Sinai Hospital was conducted during the initial COVID surge in April to May 2020 (T1) and November 2020 to January 2021 (T2) to assess factors impacting burnout. RESULTS Burnout increased from 38.9% to 44.8% ( P = 0.002); 222 FHCWs (28.3%) had persistent burnout, 82 (10.5%) had early burnout, and 129 (16.5%) had delayed burnout. Relative to FHCWs with no burnout ( n = 350; 44.7%), those with persistent burnout reported more prepandemic burnout (relative risk [RR], 6.67), less value by supervisors (RR, 1.79), and lower optimism (RR, 0.82), whereas FHCWs with delayed burnout reported more prepandemic burnout (RR, 1.75) and caring for patients who died (RR, 3.12). CONCLUSION FHCW burnout may be mitigated through increasing their sense of value, support, and optimism; treating mental health symptoms; and counseling regarding workplace distress.
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Yıldız E. Psychopathological Factors Associated With Burnout in Intensive Care Nurses: A Cross-Sectional Study. J Am Psychiatr Nurses Assoc 2023; 29:122-135. [PMID: 33719680 DOI: 10.1177/1078390321999725] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Although previous studies have separately revealed that parameters such as anxiety, depression, and secondary traumatic stress (STS) are associated with burnout, there is still a limited understanding of the relationship between anxiety, depression, and STS and burnout in intensive care unit (ICU) nurses. AIMS To investigate the relationship between levels of burnout, anxiety, depression, and STS in ICU nurses. METHODS A cross-sectional study was conducted with ICU nurses (N = 164) from a university hospital in eastern Turkey. The participants completed the anxiety, depression, STS, and burnout scales along with the descriptive characteristics form. The data were analyzed using descriptive statistics, correlation, and logistic regression analysis. RESULTS The mean scores for STS, anxiety, depression, and burnout were 40.60 ± 13.77, 17.14 ± 12.90, 13.28 ± 9.75 and 41.39 ± 14.87, respectively. The results showed that, in the ICU nurses, anxiety, depression, and STS components explained 61% of emotional exhaustion, 38% of depersonalization, and 13% of personal accomplishment. CONCLUSIONS While the present findings supported the paradigm that burnout in ICU nurses is associated with STS, anxiety, and depression, they also revealed some details about the psychopathological factors associated with burnout. These details were as follows: (1) individuals who resorted to avoidance as a component of STS on a high level were more likely to experience emotional exhaustion and depersonalization, (2) individuals with severe depressive symptoms were more likely to experience a decrease in their personal accomplishment, and (3) individuals with anxiety symptoms were more likely to experience both emotional exhaustion and personal accomplishment.
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Affiliation(s)
- Erman Yıldız
- Erman Yıldız, PhD, RN, Inonu University, Malatya, Turkey
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Cansel N, Varol Fİ. Burnout, mental health symptoms, and empathy in healthcare workers who care for children treated in a liver transplant center. Pediatr Transplant 2023; 27:e14430. [PMID: 36380566 DOI: 10.1111/petr.14430] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2021] [Revised: 10/06/2022] [Accepted: 10/17/2022] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The healthcare workers in pediatric liver transplantation units are exposed to various stresses; however, their burnout has not been clarified yet. This study aimed to determine burnout, psychological symptoms and empathy levels in healthcare workers, to examine the relationship between these variables and to investigate the predictors of burnout. METHOD This cross-sectional study was conducted on healthcare workers in Turgut Özal Medical Center Pediatric Liver Transplant Institute. The participants filled out a questionnaire that investigating demographic and occupational characteristics, and including questions from Toronto Empathy Questionnaire, Maslach Burnout Inventory, and Brief Symptom Inventory. RESULTS Fifty healthcare workers participated in the study. Based on moderate and higher severity scores, 48% of the participants were emotionally exhausted, 22% of them were depersonalized. All of them had a high perception of personal accomplishment. There was a correlation between psychological symptoms level and emotional exhaustion and personal accomplishment as well as empathy and personal accomplishment. Not choosing the profession and the department willingly, age, education level, marital status, duration of profession, unit, not receiving in-service training, empathy, depressive symptoms and hostility scores predicted different aspects of burnout. CONCLUSION Considering that burnout and psychological stress lead to reduced professional abilities and the development of serious complications, the results obtained can guide managers on the measures to be taken.
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Affiliation(s)
- Neslihan Cansel
- Department of Psychiatry, Inonu University Faculty of Medicine, Malatya, Turkey
| | - Fatma İlknur Varol
- Department of Pediatric Gastroenterology, Hepatology and Nutrition, Inonu University Faculty of Medicine, Malatya, Turkey
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Akdağ B, Ege D, Göksülük D, İpekten F, Erdoğan A, Önder A. The parental COVID-19 anxiety and emotional exhaustion in healthcare workers: exploring the roles of resilience, prosocialness, and optimism. CURRENT PSYCHOLOGY 2023; 42:1-10. [PMID: 36852082 PMCID: PMC9947882 DOI: 10.1007/s12144-023-04414-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2023] [Indexed: 02/25/2023]
Abstract
Healthcare workers (HCWs) also became the main protagonist of the tragic pandemic story. They have had a markedly higher risk of becoming infected with COVID-19. Outside work, healthcare workers with children have experienced mental health challenges, including the worry that they may carry COVID-19 home and infect their children. Based on these, the current study aimed to examine the effect of parental COVID-19 anxiety on emotional exhaustion and identify the roles of resilience, prosocialness, and optimism in this relationship. The findings demonstrated that prosocialness moderated the relationship between personal COVID-19 anxiety and emotional exhaustion by alleviating the depleting effects of personal COVID-19 anxiety. At the same time, prosocialness reinforced the negative effect of resilience on emotional exhaustion. On the other side, optimism moderated the relationship between parental COVID-19 anxiety and resilience by alleviating the adverse effect of parental COVID-19 anxiety. Moreover, it buffered the exacerbating effect of parental anxiety on personal anxiety. In conclusion, promoting personal resources (i.e., resilience, prosocialness, and optimism) seems an excellent way to mitigate the adverse consequences of the pandemic on mental health. Furthermore, the increment in parental mental health problems during COVID-19 pandemic may have long-term effects on children. Considering this perspective, we need to develop a proactive approach for parents' now and children's futures.
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Affiliation(s)
- Berhan Akdağ
- Department of Child and Adolescent Psychiatry, Silifke State Hospital, Mersin, Turkey
| | - Duygu Ege
- Department of Emergency Medicine, Silifke State Hospital, Mersin, Turkey
| | - Dinçer Göksülük
- Department of Biostatistics, Erciyes University, Kayseri, Turkey
| | - Funda İpekten
- Department of Biostatistics, Erciyes University, Kayseri, Turkey
| | - Ali Erdoğan
- Department of Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
| | - Arif Önder
- Department of Child and Adolescent Psychiatry, Akdeniz University School of Medicine, Antalya, Turkey
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Liu Y, Cherian J, Ahmad N, Han H, de Vicente-Lama M, Ariza-Montes A. Internal Corporate Social Responsibility and Employee Burnout: An Employee Management Perspective from the Healthcare Sector. Psychol Res Behav Manag 2023; 16:283-302. [PMID: 36761414 PMCID: PMC9904231 DOI: 10.2147/prbm.s388207] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Accepted: 01/23/2023] [Indexed: 02/05/2023] Open
Abstract
Purpose The issue of burnout has been identified as one of the most pressing challenges in organizational management, impacting the ability of an organization to succeed as well as employee productivity. In the healthcare industry, burnout is particularly prevalent. Burnout has received increasing attention from scholars, and different models have also been proposed to address this issue. However, burnout is on the rise in healthcare, especially in developing countries, indicating the need for more research on how to mitigate burnout. Research indicates that internal corporate social responsibility (ICSR) has a significant impact on employee behavior. However, little attention has been paid to exploring how ICSR might effectively reduce healthcare burnout. This study aims to investigate how ICSR and employee burnout are related in the healthcare sector of a developing country. In addition, we tested how subjective well-being and resilience mediate and moderate the effect of ICSR on employee burnout. Methods Data were collected from 402 healthcare employees working in different hospitals in Pakistan. In our study, we used a self-administered questionnaire as a data collection instrument. We have adapted the items in this survey from reliable and already published sources. Data collection was carried out in three waves. Results Hypotheses were evaluated using structural equation modeling (SEM). Software such as IBM-SPSS and AMOS were used for this purpose. ICSR significantly reduces healthcare employees' burnout, according to the results of the structural analysis. The relationship between ICSR and burnout was also found to be mediated by subjective well-being, and resilience moderated the relationship between ICSR and subjective well-being. Findings In light of our findings, hospitals can take some important steps to resolve the problem of burnout. The study specifically stresses the importance of ICSR as a contextual organizational resource for preventing burnout among healthcare employees.
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Affiliation(s)
- Yun Liu
- Henan University of Economics and Law, Zhengzhou, People’s Republic of China
| | - Jacob Cherian
- College of Business, Abu Dhabi University, Abu Dhabi, 59911, United Arab Emirates
| | - Naveed Ahmad
- Department of Management Sciences, Faculty of Management, Virtual University of Pakistan, Lahore, 54000, Pakistan,Faculty of Management Sciences, University of Central Punjab, Lahore, 54000, Pakistan
| | - Heesup Han
- College of Hospitality and Tourism Management, Sejong University, Seoul, 143-747, Korea,Correspondence: Heesup Han, Email
| | - Marta de Vicente-Lama
- Department of Financial Economics and Accounting, Universidad Loyola Andalucía, Córdoba, 14004, Spain
| | - Antonio Ariza-Montes
- Social Matters Research Group, Universidad Loyola Andalucía, Córdoba, 14004, Spain
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Petersen J, Wendsche J, Melzer M. Nurses' emotional exhaustion: Prevalence, psychosocial risk factors and association to sick leave depending on care setting-A quantitative secondary analysis. J Adv Nurs 2023; 79:182-193. [PMID: 36281066 DOI: 10.1111/jan.15471] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 09/06/2022] [Accepted: 10/03/2022] [Indexed: 12/15/2022]
Abstract
AIMS To explore differences in the prevalence, psychosocial risk factors and the connection to annual sick leave of nurses' emotional exhaustion depending on the care setting. DESIGN Quantitative study. METHODS We conducted a secondary data analysis of a cross-sectional, representative survey with German nurses (BIBB/BAuA-Employment Survey 2018). We analysed data from three groups of nurses (hospital care HC: n = 333, nursing homes NH: n = 143, home health care HHC: n = 109). We calculated prevalence estimates for all psychosocial risk factors and emotional exhaustion and utilized Χ2 -tests to explore differences relating to the care setting. We calculated risk estimates using logistic regression analyses. RESULTS Forty-four per cent of all nurses reported symptoms of emotional exhaustion. Care settings did not affect prevalence estimates (HC: 45.3%, NH: 37.8%, HHC: 50.5%). Weekend work was a risk factor for exhaustion. Being at the limit of efficiency was the only work-related psychosocial risk factor being independent of the care setting. Emotional demands were a significant risk factor for nurses working in HC and NH, and low team cooperation was a risk factor for nurses working in NH. Nurses' emotional exhaustion is associated with more sick leave days. CONCLUSIONS The high prevalence of nurses' emotional exhaustion is independent of the care setting. This threatens nurses' health and negatively affects the organization and society due to the relation to sick leave. Weekend work and quantitative demands relate to exhaustion independently of the care context. Emotional demands and low team cooperation show context-specific correlations. IMPACT Organizational interventions that limit quantitative demands are needed to prevent exhaustion among nurses. In HC and NH, measures are needed to improve coping with emotional demands and to strengthen team cooperation. Policymakers and nursing managers should take action to address nurses' emotional exhaustion. NO PATIENT OR PUBLIC CONTRIBUTION Due to the study design.
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Affiliation(s)
- Julia Petersen
- Federal Institute for Occupational Safety and Health, Unit 3.3 Designing Service Work, Dresden, Germany
| | - Johannes Wendsche
- Federal Institute for Occupational Safety and Health, Unit 3.3 Designing Service Work, Dresden, Germany
| | - Marlen Melzer
- Federal Institute for Occupational Safety and Health, Unit 3.3 Designing Service Work, Dresden, Germany
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Poor Health Conditions among Brazilian Healthcare Workers: The Study Design and Baseline Characteristics of the HEROES Cohort. Healthcare (Basel) 2022; 10:healthcare10102096. [PMID: 36292544 PMCID: PMC9602115 DOI: 10.3390/healthcare10102096] [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: 09/27/2022] [Revised: 10/17/2022] [Accepted: 10/18/2022] [Indexed: 11/17/2022] Open
Abstract
This study was conducted to describe the health conditions (the psychosocial aspects, sleep quality, and musculoskeletal symptoms) among Brazilian healthcare workers in the context of the pandemic. Workers answered an online questionnaire, including the short version of the Copenhagen Psychosocial Questionnaire (COPSOQ II), the Pittsburgh Sleep Quality Index (PSQI), the Nordic Musculoskeletal Questionnaire (NMQ), and the Beck Depression Inventory (BDI). The most unfavourable psychosocial factors were work pace (61%; 95% CI: 52–69%), emotional work demands (75%; 95% CI: 67–82%), predictability (47%; 95% CI: 39–56%), work-family conflict (55%; 95% CI: 46–64%), burnout (86%; 95% CI: 78–91%), and stress (81%; 95% CI: 73–87%). Most workers (74%; 95% CI: 66–81%) were classified as poor sleepers. Musculoskeletal symptoms were frequent in the neck (64%; 95% CI: 55–72%), shoulders (62%; 95% CI: 54–70%), upper back (58%; 95% CI: 50–67%), and lower back (61%; 95% CI: 52–69%). Depressive symptoms were also highly prevalent (mild: 22%; 95% CI: 15–30%, moderate: 16%; 95% CI: 11–23%, severe: 8%; 95% CI: 4–14%). Most healthcare workers experience unfavourable psychosocial factors, poor sleep quality, as well as musculoskeletal and depressive symptoms. These findings underscore the urgent need to acknowledge and address psychological and physical distress to improve the personal and professional well-being of this population.
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Meacham H, Tham TL, Holland P, Bartram T, Halvorsen B. The role of high-involvement work practices, supervisor support and employee resilience in supporting the emotional labour of front-line nurses. INTERNATIONAL JOURNAL OF HUMAN RESOURCE MANAGEMENT 2022. [DOI: 10.1080/09585192.2022.2133968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Affiliation(s)
- Hannah Meacham
- Department of Management and Marketing, Monash University, Caulfield, VIC, Australia
| | - Tse Leng Tham
- Department of Management and Marketing, RMIT University, Melbourne, VIC, Australia
| | - Peter Holland
- Department of Management and Marketing, Swinburne University, Hawthorn, VIC, Australia
| | - Timothy Bartram
- Department of Management and Marketing, RMIT University, Melbourne, VIC, Australia
| | - Beni Halvorsen
- Department of Management and Marketing, RMIT University, Melbourne, VIC, Australia
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Chen J, Ghardallou W, Comite U, Ahmad N, Ryu HB, Ariza-Montes A, Han H. Managing Hospital Employees' Burnout through Transformational Leadership: The Role of Resilience, Role Clarity, and Intrinsic Motivation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:10941. [PMID: 36078657 PMCID: PMC9518422 DOI: 10.3390/ijerph191710941] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Revised: 08/15/2022] [Accepted: 08/26/2022] [Indexed: 06/15/2023]
Abstract
Medical errors have been identified as one of the greatest evils in the field of healthcare, causing millions of patient deaths around the globe each year, especially in developing and poor countries. Globally, the social, economic, and personal impact of medical errors leads to a multi-trillion USD loss. Undoubtedly, medical errors are serious public health concerns in modern times, which could be mitigated by taking corrective measures. Different factors contribute to an increase in medical errors, including employees' risk of burnout. Indeed, it was observed that hospital employees are more exposed to burnout situations compared to other fields. In this respect, managing hospital employees through transformational leadership (TL) may reduce the risk of burnout. However, surprisingly, studies on the relationship between TL and burnout are scarce in a healthcare system, indicating the existence of a critical knowledge gap. This study aims to fill this knowledge gap by investigating the role of TL in reducing the risk of burnout among hospital employees. At the same time, this study also tests the mediating effects of resilience and role clarity with the conditional indirect effect of intrinsic motivation in the above-proposed relationship. To test different hypotheses, a hypothetical model was developed for which we collected the data from different hospital employees (n = 398). Structural equation modeling (SEM) was considered for statistical validation of hypotheses confirming that TL significantly reduces burnout. The results further indicated that resilience and role clarity mediate this relationship significantly. Lastly, the conditional indirect effect of intrinsic motivation was also confirmed. Our results provide meaningful insights to the hospital administrators to combat burnout, a critical reason for medical errors in hospitals. Further, by incorporating the TL framework, a hospital may reduce the risk of burnout (and, hence, medical errors); on the one hand, such a leadership style also provides cost benefits (reduced medical errors improve cost efficiency). Other different theoretical and practical contributions are discussed in detail.
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Affiliation(s)
- Jinyong Chen
- Business School, Hubei University, Wuhan 430062, China
| | - Wafa Ghardallou
- Department of Accounting, College of Business Administration, Princess Nourah bint Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi Arabia
| | - Ubaldo Comite
- Department of Business Sciences, University Giustino Fortunato, 82100 Benevento, Italy
| | - Naveed Ahmad
- Faculty of Management, Department of Management Sciences, Virtual University of Pakistan, Lahore 54000, Pakistan
- Faculty of Management Studies, University of Central Punjab, Lahore 54000, Pakistan
| | - Hyungseo Bobby Ryu
- Food Franchise Department, College of Health Sciences, Kyungnam University, 7 Kyungnamdaehak-ro, Masanhappo-gu, Changwon-si 51767, Korea
| | - Antonio Ariza-Montes
- Social Matters Research Group, Universidad Loyola Andalucía, C/Escritor Castilla Aguayo, 4, 14004 Córdoba, Spain
| | - Heesup Han
- College of Hospitality and Tourism Management, Sejong University, 98 Gunja-Dong, Gwanjin-gu, Seoul 143-747, Korea
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14
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Wang T, Gao D. How does psychological resilience influence subjective career success of Internet marketers in china? A moderated mediation model. Front Psychol 2022; 13:921721. [PMID: 35978780 PMCID: PMC9376364 DOI: 10.3389/fpsyg.2022.921721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Accepted: 07/11/2022] [Indexed: 11/21/2022] Open
Abstract
In this study, the research objective of psychological resilience refers to the emerging professional group of Internet marketers under the background of the COVID-19 pandemic environment. This paper studies the effect of the psychological resilience of Internet marketers on their subjective career success. The result shows that Internet marketers’ psychological resilience has a positive impact on their subjective career success. The work engagement of Internet marketers plays a mediating role in the relationship between psychological resilience and subjective career success. Meanwhile, Internet marketers’ workload positively moderates the mediating effects of work engagement. This study starts from the perspective of positive psychology to investigate the psychological resilience of Internet marketers and broadens the scope of application of positive organizational behavior and psychology.
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15
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Spännargård Å, Fagernäs S, Alfonsson S. Self‐perceived clinical competence, gender and workplace setting predict burnout among psychotherapists. COUNSELLING & PSYCHOTHERAPY RESEARCH 2022. [DOI: 10.1002/capr.12532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Åsa Spännargård
- Centre for Psychiatry Research Department of Clinical Neuroscience Karolinska Institutet Stockholm Health Care Services Region Stockholm The Centre for Psychotherapy, Education & Research Stockholm Sweden
| | - Simon Fagernäs
- Centre for Psychiatry Research Department of Clinical Neuroscience Karolinska Institutet Stockholm Health Care Services Region Stockholm The Centre for Psychotherapy, Education & Research Stockholm Sweden
| | - Sven Alfonsson
- Centre for Psychiatry Research Department of Clinical Neuroscience Karolinska Institutet Stockholm Health Care Services Region Stockholm The Centre for Psychotherapy, Education & Research Stockholm Sweden
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16
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Li S, Meng B, Wang Q. The Double-Edged Sword Effect of Relational Crafting on Job Well-Being. Front Psychol 2022; 13:713737. [PMID: 35250699 PMCID: PMC8888416 DOI: 10.3389/fpsyg.2022.713737] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2021] [Accepted: 01/03/2022] [Indexed: 12/03/2022] Open
Abstract
Is relational crafting always beneficial? Despite the increasing research on the positive outcomes of relational crafting, some evidence still indicates its dysfunctional consequences. The current study proposed a double-edged sword effect of relational crafting on job well-being, including work dynamics and emotional exhaustion, with an integrative perspective from the resource loss and resource acquisition perspectives based on the job demands-resources model and the conservation of resources theory. By conducting a two-stage questionnaire survey on 323 employees, the results demonstrate that: (1) On the one hand, relational crafting induces emotional exhaustion through increased work load; (2) On the other hand, relational crafting also displays positive effect on increasing work dynamics and decreasing emotional exhaustion by fostering supervisor-subordinate guanxi. By analyzing the double-edged sword effect of subordinates’ relational crafting on job well-being from the two processes of resource loss and resource acquisition effects, a more complete influencing mechanism between relational crafting and job well-being is constructed, which improves the understanding of relational crafting, enriches the literature on proactive behavior and provides a more integrated theoretical basis for researchers and managers.
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Affiliation(s)
- Shanshan Li
- Department of Industrial Economics, University of Chinese Academy of Social Sciences, Beijing, China
| | - Bin Meng
- Department of Economics and Management, Hengshui University, Hengshui, China
| | - Qingjin Wang
- Business School, Qingdao University, Qingdao, China
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17
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Stress Levels and Coping Strategies Among Undergraduate Nursing Students in Greece During Economic Recession. Nurse Educ Pract 2022; 60:103299. [DOI: 10.1016/j.nepr.2022.103299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Revised: 01/10/2022] [Accepted: 01/12/2022] [Indexed: 11/18/2022]
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18
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Burnout and depression in nurses: A systematic review and meta-analysis. Int J Nurs Stud 2021; 124:104099. [PMID: 34715576 DOI: 10.1016/j.ijnurstu.2021.104099] [Citation(s) in RCA: 48] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 09/20/2021] [Accepted: 09/25/2021] [Indexed: 11/20/2022]
Abstract
BACKGROUND Nurses work in stressful and demanding settings and often suffer from depression and burnout. Despite overlapping symptoms, research has been inconclusive regarding the discriminant validity of measures of burnout with regard to measures of depression. Such inconclusive discriminant validity might cause clinicians to fail to recognize and manage depression separately from burnout. OBJECTIVES This meta-analysis aimed to clarify the distinctiveness of burnout as a separate construct by examining the size of the relationship between burnout and depression among nurses as well as potential moderators. METHOD A stepwise method was used by searching 4 databases (PubMed, CINAHL, PsycINFO, and EMBASE) to retrieve published papers in English examining the relationship between burnout and depression among nurses and reporting the effect sizes of their findings. RESULTS We identified a total of 37 eligible studies. The pooled estimate showed a positive association between burnout and depression among nurses (r = 0.403, 95% CI [0.327, 0.474], p < 0.0001) and a slightly higher correlation coefficient for the Emotional Exhaustion subscale of the Maslach Burnout Inventory (MBI) measure (0.494, 95% CI [0.41, 0.57]). CONCLUSIONS AND IMPLICATIONS This review confirms a large burnout - depression correlation in nursing samples, adding to existing literature encompassing a variety of occupations. Future studies should focus on path analysis to assess the causal relationship as well as investigate potential moderators.
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Association between Self-Perceived Social Support in the Workplace and the Presence of Depressive/Anxiety Symptoms. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910330. [PMID: 34639639 PMCID: PMC8508368 DOI: 10.3390/ijerph181910330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 09/24/2021] [Accepted: 09/28/2021] [Indexed: 11/27/2022]
Abstract
This study aimed to investigate the association of support from colleagues and supervisors at the workplace on depressive and anxiety symptoms in wage earners from Korea. The data used in this study were from the fifth Korean Working Conditions Survey (KWCS) conducted in 2017 and analyzed using a multivariate logistic regression model. Furthermore, we measured the odds ratios (ORs) and 95% confidence intervals (CIs) of depressive and anxiety symptoms by stratifying covariates. The ORs of depressive and anxiety symptoms for the “non-support” group were higher than for the “support group” in terms of support from both colleagues and supervisors. The results of the stratified analysis of covariates, male, young, highly-educated, full-time, and white-collar groups were associated with the lack of support. Support from colleagues and supervisors was significantly associated with the Korean wage worker’s mental health—depressive and anxiety symptoms, respectively. Further longitudinal and clinical studies on the relationship between mental health and support at the workplace are required.
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20
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Polat Ş, Terzi B. Relationships between perceived support types and the job satisfaction levels of nurses. Perspect Psychiatr Care 2021; 57:1202-1211. [PMID: 33145771 DOI: 10.1111/ppc.12675] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/27/2020] [Revised: 10/16/2020] [Accepted: 10/20/2020] [Indexed: 11/30/2022] Open
Abstract
PURPOSE To identify the relationships between nurses' perceived support and their job satisfaction levels. DESIGN AND METHODS The sample of this descriptive and correlational study comprised 655 nurses working at a medical faculty hospital in Istanbul. FINDINGS A statistically significant positive relationship was detected between the total score means of nurses' job satisfaction and perceived administrative support (r = 0.275; p = .001; p < .01), perceived coworker support (r = 250; p = .001; p < .01) and perceived organizational support levels (r = 0.262; p = .001; p < .01). The linear regression model was found to be statistically significant (F = 24.625; p = .001; p < .01). PRACTICE IMPLICATIONS Training and corporate regulations (e.g., performance system involving promotion, reward, wages) for increasing nurses' perceptions for organizational support should be planned. Activities that increase nurses' perception of social support could also increase their job satisfaction.
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Affiliation(s)
- Şehrinaz Polat
- Directorate of Nursing Services, Istanbul Faculty of Medicine, İstanbul Tıp Fakültesi Hastanesi, Istanbul University, Çapa, Turkey
| | - Banu Terzi
- Fundamentals of Nursing Department, Faculty of Nursing, Akdeniz Üniversitesi Dumlupınar Bulvarı, Akdeniz Üniversitesi Yerleşkesi Konyaaltı, Akdeniz University, Antalya, Turkey
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21
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Mojtahedzadeh N, Rohwer E, Neumann FA, Nienhaus A, Augustin M, Zyriax BC, Harth V, Mache S. The Health Behaviour of German Outpatient Caregivers in Relation to Their Working Conditions: A Qualitative Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:5942. [PMID: 34205961 PMCID: PMC8198833 DOI: 10.3390/ijerph18115942] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 05/27/2021] [Accepted: 05/28/2021] [Indexed: 12/31/2022]
Abstract
Ongoing demographic change is leading to an increasingly older society and a rising proportion of people in need of care in the German population. Therefore, the professional group of outpatient caregivers is highly relevant. Their work is characterised not only by interacting with patients in a mobile setting but also by working in shifts. Health behaviour under these specific working conditions is crucial for ensuring long-term work ability and performance. Little is known about the health behaviour of German outpatient caregivers and its potential impact on their work. The aims of the study were (1) to examine health behavioural patterns (nutrition, exercise, smoking, regeneration) of outpatient caregivers, (2) to illuminate their personal health-promoting behaviours, and (3) to identify potential work-related factors influencing their health behaviour. Fifteen problem-centred interviews were conducted with outpatient caregivers working in Northern Germany in the period January-April 2020. Interviews were analysed by using qualitative content analysis. Outpatient caregivers reported improvable nutrition and hydration, with simultaneous high coffee consumption, low physical activity, poor regeneration (breaks and sleep quality), and good personal health-promoting behaviour (e.g., back-friendly habits), although the majority were smokers. Barriers to the implementation of health-promoting behaviours were a high perception of stress due to increased workload and time pressure, while aids to better health-promoting behaviour were described as being social support and personal resources. The respondents perceived their working conditions as potentially influencing their health behaviour. On the basis of their descriptions, various practice-relevant strategies were derived. The data explore a potential need for outpatient care services to develop interventions on behavioural and structural levels that can help create healthier working conditions for their employees so these caregivers can adopt better health behaviours.
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Affiliation(s)
- Natascha Mojtahedzadeh
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre, Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (E.R.); (V.H.)
| | - Elisabeth Rohwer
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre, Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (E.R.); (V.H.)
| | - Felix Alexander Neumann
- Midwifery Science—Health Services Research and Prevention, Institute for Health Service Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany; (F.A.N.); (B.-C.Z.)
| | - Albert Nienhaus
- Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), Pappelallee 33/35/37, 22089 Hamburg, Germany;
- Institute for Health Service Research in Dermatology and Nursing (IVDP), Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany
| | - Matthias Augustin
- Institute for Health Service Research in Dermatology and Nursing (IVDP), Competence Centre for Health Services Research in Vascular Diseases (CVvasc), University Medical Centre Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany;
| | - Birgit-Christiane Zyriax
- Midwifery Science—Health Services Research and Prevention, Institute for Health Service Research in Dermatology and Nursing (IVDP), University Medical Centre Hamburg-Eppendorf (UKE), Martinistr. 52, 20246 Hamburg, Germany; (F.A.N.); (B.-C.Z.)
| | - Volker Harth
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre, Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (E.R.); (V.H.)
| | - Stefanie Mache
- Institute for Occupational and Maritime Medicine (ZfAM), University Medical Centre, Hamburg-Eppendorf (UKE), Seewartenstr. 10, 20459 Hamburg, Germany; (N.M.); (E.R.); (V.H.)
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22
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Weigl T, Tölle AS, Seppelfrick T. Differential aspects of chronic work-related stress predict depression in registered and geriatric nurses. Pflege 2021; 34:133-140. [PMID: 33882720 DOI: 10.1024/1012-5302/a000802] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Background: Chronic work stress is a problem which persists among nurses for several reasons and studies suggest that both levels of stress and depression remain on an ongoing high level. However, not much is known about the impact of differential aspects of chronic work-related stress on levels of depression when investigating geriatric and registered nurses. Aim: The aim of this study was to analyse the relationship between various aspects of chronic work stress and levels of depression in geriatric and registered nurses. Methods: A cross-sectional online survey among 370 nurses was carried out. Besides demographic information, several aspects of chronic work stress were assessed with the Trier Inventory of Chronic Stress and levels of depression with the Beck Depression Inventory-II. Statistical analyses included multiple linear regression. Results: Most important work-related predictors of depression scores in nurses were 'Work dissatisfaction' (ß = .237; 95 %-CI: [.194; .280]) and 'Work overload' (ß = .161; 95 %-CI: [.124; .198]) within blockwise multiple regression analysis. A previously diagnosed psychiatric disorder (ß = -.268; 95 %-CI: [-.313; -.223]) proved to be the strongest predictor of nurses' depression experience. Our model explained 37 % of variance in depression scores. However, being a geriatric or registered nurse did not predict levels of depression. Conclusions: Different aspects of chronic work stress seem to be associated with levels of depression in nurses. This should be taken into account when working on the improvement of working conditions for nurses.
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Affiliation(s)
- Tobias Weigl
- Psychology School, Hochschule Fresenius - University of Applied Sciences, Düsseldorf
| | - Ann-Sophie Tölle
- Psychology School, Hochschule Fresenius - University of Applied Sciences, Düsseldorf.,Faculty of Psychology, Ruhr-University Bochum, Bochum
| | - Thomas Seppelfrick
- Psychology School, Hochschule Fresenius - University of Applied Sciences, Düsseldorf
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FU CY, KAO CC, WANG RH. The Effects of an Educational Program on the Professional Quality of Life and Health of Nurses: A Cluster Experimental Design. J Nurs Res 2021; 29:e149. [PMID: 33756520 PMCID: PMC8126496 DOI: 10.1097/jnr.0000000000000426] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/25/2020] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND The complexity of the healthcare environment and intense workloads may negatively impact the health and professional quality of life (ProQOL) of nurses. Prior research has identified a significant association in nurses between ProQOL and health. Developing an intervention to improve the ProQOL and health of nurses may benefit the quality of nursing care. PURPOSE The aim of this study was to explore the effects of a compassion fatigue Resiliency, mindfulness Respiration, and Relatives and friends' support (i.e., 3Rs) educational program on ProQOL, physical health, and mental health in nurses. METHODS A cluster experimental design was used in this study to recruit registered nurses at two regional teaching hospitals in southern Taiwan as participants. The experimental group (n = 67) attended the 4-week (2-hours-per-week) 3R educational program. The control group (n = 57) received no intervention. The outcome variables, including compassion satisfaction, burnout, secondary traumatic stress, physical health, and mental health, were measured at baseline, at the end of the intervention (immediate effect), at 4 weeks postintervention (short-term effect), and at 12 weeks postintervention (medium-term effect). The study was conducted from May 2017 to December 2017. RESULTS Increases in compassion satisfaction and mental health and decreases in secondary traumatic stress were significantly greater in the experimental group than in the control group between baseline and all three posttest time points. Moreover, burnout decreased and physical health improved more significantly in the experimental group than in the control group between the baseline and end of intervention time points (p < .001). CONCLUSIONS/IMPLICATIONS FOR PRACTICE The 3R educational program intervention, integrating compassion fatigue resiliency, mindfulness respiration, and support from relatives and friends, had immediate and positive effects on ProQOL as well as physical and mental health. Moreover, the intervention was shown to have short-term and medium-term positive effects on compassion satisfaction, secondary traumatic stress, and mental health. Nursing managers may apply programs that integrate compassion fatigue resiliency, mindfulness respiration, and relatives and friends' support to improve ProQOL and health in nurses.
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Affiliation(s)
- Chia-Yun FU
- PhD, RN, Assistant Professor, Department of Nursing, Fooyin University, Kaohsiung, Taiwan, ROC
| | - Chia-Chan KAO
- PhD, RN, Associate Professor, Department of Nursing, I-Shou University, Kaohsiung, Taiwan, ROC
| | - Ruey-Hsia WANG
- PhD, RN, Professor, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan, ROC, and Adjunct Researcher, Department of Medical Research, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC
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24
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Rohwer E, Mojtahedzadeh N, Harth V, Mache S. Stressoren, Stresserleben und Stressfolgen von Pflegekräften im ambulanten und stationären Setting in Deutschland. ZENTRALBLATT FÜR ARBEITSMEDIZIN, ARBEITSSCHUTZ UND ERGONOMIE 2021. [DOI: 10.1007/s40664-020-00404-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
ZusammenfassungDieser Beitrag liefert einen Überblick über den aktuellen Forschungsstand zu arbeitsbedingtem Stress in der ambulanten und stationären Pflege. Dabei wird auf Stressoren (z. B. Zeitdruck) und das Stresserleben, ebenso wie auf kurz- und langfristige Folgen von Stress (z. B. emotionale Erschöpfung und Burnout) in der Pflegebranche eingegangen. Des Weiteren werden Möglichkeiten zum Umgang mit Stress und zur Gesundheitsförderung von Pflegekräften beleuchtet. Im Ausland wurden bisher mehr Studien zu arbeitsbedingtem Stress unter Pflegekräften, insbesondere zu Burnout als Folge von Stress, durchgeführt als in Deutschland. Vor dem Hintergrund aktueller struktureller Herausforderungen für die Pflegebranche zeigt sich ein dringender Forschungsbedarf bezüglich der Arbeits- und Gesundheitssituation von ambulant und stationär tätigen Pflegekräften in Deutschland.
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25
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Huang C, Xie X, Cheung SP, Zhou Y. Job Demands and Resources, Positive and Negative Affect, and Psychological Distress of Social Workers in China. Front Psychiatry 2021; 12:752382. [PMID: 35115957 PMCID: PMC8803745 DOI: 10.3389/fpsyt.2021.752382] [Citation(s) in RCA: 9] [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: 08/02/2021] [Accepted: 12/27/2021] [Indexed: 11/13/2022] Open
Abstract
Globally, human service professionals, like social workers, experience significant job demands (JD) which can lead to outcomes like psychological distress, burnout, and high turnover rates. This is especially true in China, where the social work profession has grown substantially in recent decades. Because social workers play a crucial role in supporting vulnerable communities, there is a need to understand how their work conditions affect outcomes like psychological distress. This study applies the job demands and resources (JD-R) model to study this relation, along with the mediational effects of positive affect (PA) and negative affect (NA), in social workers from Chengdu, China (n = 897). The results of structural equation modeling indicate that JD-R differentially affect psychological distress. PA and NA partially mediate these relations. Job resources (JR) reduced psychological distress by reducing NA and increasing PA. JD did not have any effect on PA but significantly increased NA, which was associated with higher psychological distress. The magnitudes of each estimate suggest that JR has a greater effect on PA and NA, relative to the effects of JD on PA and NA. Interventions that seek to promote PA and reduce NA may be able to work with existing JR to buffer against the effects of JD in social workers.
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Affiliation(s)
- Chienchung Huang
- School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, NJ, United States
| | - Xiaoxia Xie
- Research Institute of Social Development, Southwestern University of Finance and Economics, Chengdu, China
| | - Shannon P Cheung
- School of Social Work, Rutgers, The State University of New Jersey, New Brunswick, NJ, United States
| | - Yuqing Zhou
- Research Institute of Social Development, Southwestern University of Finance and Economics, Chengdu, China
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26
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Huang W, Cai S, Zhou Y, Huang J, Sun X, Su Y, Dai M, Lan Y. Personality Profiles and Personal Factors Associated with Psychological Distress in Chinese Nurses. Psychol Res Behav Manag 2021; 14:1567-1579. [PMID: 34629913 PMCID: PMC8495230 DOI: 10.2147/prbm.s329036] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2021] [Accepted: 09/19/2021] [Indexed: 02/04/2023] Open
Abstract
BACKGROUND A high prevalence of psychological distress is observed in nurses due to multiple occupational stressors. Personality traits and personal factors are important factors that lead to psychological distress. The personality profile reflects a combination of personality traits; however, the relationship between personality profiles and personal factors that affect psychological distress among nurses has not been defined. METHODS This cross-sectional study was conducted in November 2020 in China. Convenience and snowball sampling were used to recruit participants. Latent profile analysis was used to identify personality profiles of nurses based on the big-five personality traits. Single-factor analysis and multivariate logistic regression were used to determine the factors affecting psychological distress. The structural equation model was used to verify the hypothetical model linking personality profiles, self-efficacy, psychological resilience, and coping style with psychological distress. RESULTS A total of 953 Chinese nurses (934 female) with a mean (S.D.) age of 32.8 (8.6) years were recruited. Personality profiles identified were negative, normative, and positive. A personality profile may predict psychological distress directly and indirectly through self-efficacy, psychological resilience, and coping style. LIMITATIONS No complex sampling limits the representativeness of Chinese nurses. External factors affecting psychological distress were not investigated. CONCLUSION Nurses with anegative personality profile had a higher prevalence of psychological distress. This study establishes the importance of personality profile assessment to identify nurses at higher risk of psychological distress. It suggests that interventions should be based on self-efficacy, psychological resilience, and coping style as potential management strategies.
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Affiliation(s)
- Wentao Huang
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Shu Cai
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Ye Zhou
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Jingxin Huang
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Xibin Sun
- School of Public Health, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Yunhui Su
- Department of Emergency, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
| | - Meifen Dai
- Department of Nursing, The Sixth Affiliated Hospital, South China University of Technology (Nanhai District People’s Hospital of Foshan), Foshan, People’s Republic of China
- Meifen Dai Department of Nursing, The Sixth Affiliated Hospital, South China University of Technology (Nanhai District People’s Hospital of Foshan), Foshan, 528200, People’s Republic of China Email
| | - Yutao Lan
- School of Nursing, Guangdong Pharmaceutical University, Guangzhou, People’s Republic of China
- Correspondence: Yutao Lan School of Nursing, Guangdong Pharmaceutical University, Guangzhou, 510310, People’s Republic of China Email
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27
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Shahin MA, Al-Dubai SAR, Abdoh DS, Alahmadi AS, Ali AK, Hifnawy T. Burnout among nurses working in the primary health care centers in Saudi Arabia, a multicenter study. AIMS Public Health 2020; 7:844-853. [PMID: 33294486 PMCID: PMC7719557 DOI: 10.3934/publichealth.2020065] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2020] [Accepted: 11/02/2020] [Indexed: 11/18/2022] Open
Abstract
Background: Burnout is a common psychosocial phenomenon among nursing. It has been attributed to prolonged exposure to stress in the work place. This study aimed to determine the prevalence and associated factors of burnout among nurses in the primary health care centers in Saudi Arabia. Methods: This cross-sectional study was conducted among 200 nurses by using a self-administered questionnaire. Maslach Burnout Inventory-Human Services Survey (MBI-HSS) was used to measure burnout. Results: Most participants were females (73.0%) and aged ≤35 years (52.0%). About 39% had high emotional exhaustion, 38% had high depersonalization and 85.5% had low personal accomplishment. About 89% (178) scored high at least on one subscale of burnout. Burnout was associated with age, educational level and sources of stress in the workplace. Conclusion: Level of burnout among nurses was high and was associated mainly with stressors in the workplace. Improving work environment and management of stress in the workplace should be a priority to minimize burnout among nurses.
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Affiliation(s)
- Mohammed Adeeb Shahin
- Joint Program of Preventive Medicine Post Graduate Studies, Ministry of Health, Al-Madinah 41311, Saudi Arabia
| | - Sami Abdo Radman Al-Dubai
- Joint Program of Preventive Medicine Post Graduate Studies, Ministry of Health, Al-Madinah 41311, Saudi Arabia
| | - Duoaa Seddiq Abdoh
- Joint Program of Preventive Medicine Post Graduate Studies, Ministry of Health, Al-Madinah 41311, Saudi Arabia
| | - Abdullah Saud Alahmadi
- Joint Program of Preventive Medicine Post Graduate Studies, Ministry of Health, Al-Madinah 41311, Saudi Arabia
| | - Ahmed Khalid Ali
- Joint Program of Preventive Medicine Post Graduate Studies, Ministry of Health, Al-Madinah 41311, Saudi Arabia
| | - Tamer Hifnawy
- Medical Education Department, College of Dentistry, Taibah University, Al-Madinah 41311, Saudi Arabia.,Faculty of Medicine, Beni-Suef University, Egypt
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Park J, Oh YS, Kim Y. Psychological well-being of South Korean employees in different occupational classes. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2020; 76:348-360. [PMID: 33146074 DOI: 10.1080/19338244.2020.1841719] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
We compared the mental health of waged Korean workers in different occupational classes. This was a secondary analysis of data from the fifth Korean Working Conditions Survey, conducted in 2017. Men who were "Unskilled manual workers" were more likely to report poor psychological well-being; however, analysis that adjusted for multiple factors (including work stressors and stress relievers) indicated that status as an "Unskilled manual worker" was not associated with poor psychological well-being. Male and female "Service and Sales workers" were less likely to report poor psychological well-being (aOR = 0.794 and 0.797, respectively). In addition, poor psychological well-being increased as the number of work stressors increased and decreased as the number of stress relievers increased. Work stressors and stress relievers are more deterministic than occupational categories on psychological well-being.
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Affiliation(s)
- Jungsun Park
- Department of Occupational Health, Catholic University of Daegu, Gyeongsan, South Korea
| | - Yeon Suh Oh
- Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea
| | - Yangho Kim
- Department of Occupational and Environmental Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea
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Franco P, Tesio V, Bertholet J, Gasnier A, Gonzalez del Portillo E, Spalek M, Bibault JE, Borst G, Van Elmpt W, Thorwarth D, Mullaney L, Røe Redalen K, Dubois L, Chargari C, Perryck S, Heukelom J, Petit S, Lybeer M, Castelli L. The role of alexithymia and empathy on radiation therapists' professional quality of life. Tech Innov Patient Support Radiat Oncol 2020; 15:29-36. [PMID: 32904144 PMCID: PMC7451808 DOI: 10.1016/j.tipsro.2020.07.001] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2020] [Revised: 07/15/2020] [Accepted: 07/19/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND AND PURPOSE Physical and mental well-being are crucial for oncology professionals as they affect performance at work. Personality traits, as alexithymia and empathy, may influence professional quality of life. Alexithymia involves diminished skills in emotion processing and awareness. Empathy is pertinent to the ability to understand another's 'state of mind/emotion'. The PROject on Burn-Out in RadiatioN Oncology (PRO BONO) investigates professional quality of life amongst radiation oncology professionals, exploring the role of alexithymia and empathy. The present study reports on data pertinent to radiation therapists (RTTs). MATERIAL AND METHODS An online survey targeted ESTRO members. Participants were asked to fill out 3 questionnaires for alexithymia, empathy and professional quality of life: (a) Toronto Alexithymia Scale (TAS-20); (b) Interpersonal Reactivity Index (IRI); (c) Professional Quality of Life Scale (ProQoL). The present analysis focuses on RTTS to evaluate compassion satisfaction (CS), secondary traumatic stress (STS) and Burnout and their correlation with alexithymia and empathy, using generalized linear modeling. Covariates found significant at univariate linear regression analysis were included in the multivariate linear regression model. RESULTS A total of 399 RTTs completed all questionnaires. The final model for the burnout scale of ProQoL found, as significal predictors, the TAS-20 total score (β = 0.46, p < 0 0.001), and the individual's perception of being valued by supervisor (β = -0.29, p < 0.001). With respect to CS, the final model included TAS-20 total score (β = -0.33, p < 0.001), the Empatic Concern domain (β = 0.23, p < 0.001) of the IRI questionnaire and the individual's perception of being valued by colleagues (β = 0.22, p < 0.001). CONCLUSIONS Alexithymia increased the likelyhood to experience burnout and negatively affected the professional quality of life amongst RTTs working in oncology. Empathy resulted in higher professional fulfillment together with collegaues' appreciation. These results may be used to benchmark preventing strategies and implement organization-direct and/or individual-directed interventions.
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Affiliation(s)
- Pierfrancesco Franco
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Oncology, Radiation Oncology, University of Turin, Turin, Italy
| | - Valentina Tesio
- Department of Psychology, “ReMind the Body” Research Group, University of Turin, Italy
| | - Jenny Bertholet
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Division of Medical Radiation Physics, Department of Radiation Oncology, Inselspital, Bern University Hospital, University of Bern, Switzerland
| | - Anne Gasnier
- Radiotherapy Department, Gustave Roussy Cancer Campus, Villejuif, France
| | | | - Mateusz Spalek
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Soft Tissue/Bone Sarcoma and Melanoma, Maria Sklodowska-Curie Institute - Oncology Center, Warsaw, Poland
| | - Jean-Emmanuel Bibault
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Jean-Emmanuel Bibault, Department of Radiation Oncology, Stanford University School of Medicine, Stanford, CA 94305-5847, USA
| | - Gerben Borst
- Department of Oncology, Radiation Oncology Department, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands
| | - Wouter Van Elmpt
- The M-Lab, Department of Precision Medicine, GROW – School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands
| | - Daniela Thorwarth
- Section for Biomedical Physics, University Hospital for Radiation Oncology Tubingen, Tuebingen, Germany
| | - Laura Mullaney
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Applied Radiation Therapy Trinity Research Group, Discipline of Radiation Therapy, School of Medicine, Trinity College Dublin, Dublin, Ireland
| | - Kathrine Røe Redalen
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Physics, Norwegian University of Science and Technology, Trondheim, Norway
| | - Ludwig Dubois
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- The M-Lab, Department of Precision Medicine, GROW – School for Oncology and Developmental Biology, Maastricht University, Maastricht, the Netherlands
| | - Cyrus Chargari
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Radiotherapy Department, Gustave Roussy Cancer Campus, Villejuif, France
| | - Sophie Perryck
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Radiation Oncology, University Hospital Zurich and University of Zurich, Zurich, Switzerland
| | - Jolien Heukelom
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Oncology, Radiation Oncology Department, The Netherlands Cancer Institute, Antoni van Leeuwenhoek Hospital, Amsterdam, the Netherlands
| | - Steven Petit
- European Society for Radiotherapy&Oncology (ESTRO) Young Committee, Brussels, Belgium
- Department of Radiation Oncology – Erasmus Cancer Institute, Rotterdam the Netherlands
| | | | - Lorys Castelli
- Department of Psychology, “ReMind the Body” Research Group, University of Turin, Italy
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Obi IO, Bollen K, Aaldering H, Robijn W, Euwema MC. Servant Leadership, Third‐Party Behavior, and Emotional Exhaustion of Followers. NEGOTIATION AND CONFLICT MANAGEMENT RESEARCH 2020. [DOI: 10.1111/ncmr.12184] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Innocentina‐Marie O. Obi
- Department of Occupational and Organizational Psychology and Professional Learning KU Leuven Leuven Belgium
| | - Katalien Bollen
- Department of Occupational and Organizational Psychology and Professional Learning KU Leuven Leuven Belgium
| | - Hillie Aaldering
- Department of Work and Organizational Psychology University of Amsterdam Amsterdam The Netherlands
| | - Wouter Robijn
- Department of Occupational and Organizational Psychology and Professional Learning KU Leuven Leuven Belgium
| | - Martin C. Euwema
- Department of Occupational and Organizational Psychology and Professional Learning KU Leuven Leuven Belgium
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Relationships Among Character Strengths, Self-efficacy, Social Support, Depression, and Psychological Well-being of Hospital Nurses. Asian Nurs Res (Korean Soc Nurs Sci) 2020; 14:150-157. [DOI: 10.1016/j.anr.2020.06.002] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 06/05/2020] [Accepted: 06/29/2020] [Indexed: 11/18/2022] Open
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Professional quality of life and burnout among medical physicists working in radiation oncology: The role of alexithymia and empathy. PHYSICS & IMAGING IN RADIATION ONCOLOGY 2020; 15:38-43. [PMID: 33458324 PMCID: PMC7807595 DOI: 10.1016/j.phro.2020.07.001] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/27/2020] [Revised: 06/30/2020] [Accepted: 07/06/2020] [Indexed: 11/21/2022]
Abstract
Burnout is critical for oncology professionals, affecting quality of life and performance at work. Alexithymia and empathy are personality traits influencing the capacity to cope with stress. Alexithymia increases burnout among medical physicists with a negative impact at work. Higher level of empathy are correlated to a better professional quality of life. This data may help identifying subjects at risk to implement preventive strategies.
Background and purpose The professional quality of life of radiation oncology professionals can be influenced by different contributing factors, including personality traits. Alexithymia involves deficits in emotion processing and awareness. Empathy is the ability to understand another’s ‘state of mind/emotion’. We investigated professional quality of life, including burnout, in radiation oncology, exploring the role of alexithymia and empathy and targeting the population of medical physicists (MPs), since this professional category is usually underrepresented in surveys exploring professional well-being in radiation oncology and MPs may experience professional distress given the increasing complexity of multimodal cancer care. Material and methods An online survey was addressed to ESTRO members. Participants filled out three questionnaires to evaluate alexithymia, empathy and professional quality of life: a) Toronto Alexithymia Scale (TAS-20); b) Interpersonal Reactivity Index (IRI); c) Professional Quality of Life Scale (ProQoL). Professional quality of life as per ProQoL was considered as dependent variable. The three domains of the ProQoL, namely compassion satisfaction (CS), secondary traumatic stress (STS) and burnout were correlated with alexithymia (as per TAS-20) and empathy (as per IRI with three subcategories: empathic concern, perspective taking and personal distress) and demographic/professional characteristics as independent variables. Generalized linear modeling was used. Significant covariates on univariate linear regression analysis were included in the multivariate linear regression model. Results A total of 308 medical physicists completed all questionnaires. Alexithymia as per TAS-20 was correlated to decreased CS (β = −0.25, p < 0 0.001), increased likelihood for STS (β = 0.26, p < 0 0.001) and burnout (β = 0.47, p < 0 0.001). With respect to empathy, the ‘Empatic Concern’ subscale of the IRI was found to be a significant predictor for increased CS (β = 0.19, p = 0 0.001) and increased STS (β = 0.19, p < 0 0.001), without significant correlation with burnout. The individual’s perception of being valued by own’s supervisor was correlated to increased CS (β = 0.23, p < 0.001), and decreased burnout (β = −0.29, p < 0.001). Conclusions Alexithymic personality trait increased the likelihood to develop burnout, with less professional satisfaction amongst MPs working in radiation oncology. Empathy results in higher professional fulfilment. These results may be used to benchmark preventing strategies, including peer support, debriefing sessions, leadership initiatives and work-load limitation strategies.
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Schuster M, Dwyer PA. Post‐traumatic stress disorder in nurses: An integrative review. J Clin Nurs 2020; 29:2769-2787. [DOI: 10.1111/jocn.15288] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2020] [Revised: 03/03/2020] [Accepted: 03/23/2020] [Indexed: 12/25/2022]
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Laverde Contreras OL, Sanchez Herrera B. Fortalecer la coordinación de enfermería para mejorar el cuidado hospitalario. REVISTA CUIDARTE 2020. [DOI: 10.15649/cuidarte.826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Introducción: La coordinación adecuada para organizar la atención de enfermería a nivel hospitalario es decisiva frente al servicio que se ofrece a los sujetos de cuidado y al mejoramiento permanente de la institución. Objetivo: Describir qué dice la literatura mundial sobre cómo fortalecer el rol de coordinación de enfermería a nivel hospitalario. Materiales y Métodos: Búsqueda integradora de literatura bajo parámetros de Ganong, con publicaciones arbitradas, observación de seis años, sin límites geográficos, en idiomas inglés, español y portugués. Resultados: De acuerdo con la literatura surgen tres categorías que incluyen: características del rol de coordinador de enfermería; impacto de esta coordinación en los resultados frente al sujeto de cuidado; y estrategias para fortalecer el rol de coordinación dentro de la institución. La evidencia que respalda el desarrollo de la coordinación de enfermería en el hospital es débil, con una mayoría de estudios de tipo descriptivo. Discusión: La coordinación de enfermería debe articular la dirección y la operación en el hospital y para ello requiere conocer y acompañar la directriz institucional a mediano y largo plazo y manejar estrategias de motivación y acompañamiento para facilitar su logro. Conclusiones: En una institución hospitalaria, la enfermera coordinadora debe mantener el norte en medio de la cotidianeidad de la asistencia; acompañar y motivar al personal a su cargo mediante competencias de liderazgo, trabajo en equipo y conocimiento clínico e institucional. Requiere para el ejercicio de su rol, proyectar el cambio y mantener un pensamiento integrador.
Como citar este artículo: Laverde Contreras Olga Lucia, Sánchez Herrera Beatriz. Fortalecer la coordinación de enfermería para mejorar el cuidado hospitalario. Revista Cuidarte. 2020; 11(2): e826. http://dx.doi.org/10.15649/cuidarte.826
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DE Jonge J. What makes a good work break? Off-job and on-job recovery as predictors of employee health. INDUSTRIAL HEALTH 2020; 58:142-152. [PMID: 31423002 PMCID: PMC7118062 DOI: 10.2486/indhealth.2019-0097] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/12/2019] [Accepted: 08/09/2019] [Indexed: 06/10/2023]
Abstract
Recovery from work today seems to be crucial for health care employees' health, so it is important to uncover ways how to facilitate and improve adequate recovery from work. Focusing on the recovery concept of detachment from work, this study investigated associations between detachment after work and during work breaks and individual health among health care employees from a general hospital in the Netherlands. An online cross-sectional survey study was conducted comprising a sample of 368 health care employees of different departments. Controlling for demographics in hierarchical regression analyses, results showed that when health care employees experienced more cognitive detachment after work, they reported less concentration problems. Second, when employees experienced more emotional detachment after work, they reported less feelings of emotional exhaustion, less depressive feelings, and less sleep problems. Finally, in case employees experienced more physical detachment after work, they reported less concentration problems, less feelings of emotional exhaustion, less sleep problems and less physical health problems. No significant associations were found for detachment during work breaks. In conclusion, findings add to current recovery research showing that detachment after work is an important predictor for health care employees' health.
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Affiliation(s)
- Jan DE Jonge
- Human Performance Management Group, Eindhoven University of Technology, The Netherlands
- Department of Social, Health and Organisational Psychology, Utrecht University, The Netherlands
- School of Psychology, Asia Pacific Centre for Work Health and Safety, University of South Australia, Australia
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Kermanshahi SMK, Zare A, Memarian R, Vanaki Z. Explaining of Nurses’ Perception of Professional Relationship in the Coronary Care Unit (CCU). ELECTRONIC JOURNAL OF GENERAL MEDICINE 2020. [DOI: 10.29333/ejgm/7819] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Suleiman-Martos N, Gomez-Urquiza JL, Aguayo-Estremera R, Cañadas-De La Fuente GA, De La Fuente-Solana EI, Albendín-García L. The effect of mindfulness training on burnout syndrome in nursing: A systematic review and meta-analysis. J Adv Nurs 2020; 76:1124-1140. [PMID: 32026484 DOI: 10.1111/jan.14318] [Citation(s) in RCA: 92] [Impact Index Per Article: 23.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2019] [Revised: 12/04/2019] [Accepted: 01/29/2020] [Indexed: 02/06/2023]
Abstract
AIM To analyse the effect of mindfulness training on levels of burnout among nurses. BACKGROUND Burnout syndrome is a common occupational hazard for nursing staff. Mindfulness training has been proposed as a valid intervention for burnout. DESIGN Systematic review and meta-analysis. DATA SOURCES The CINAHL, LILACS, Medline, ProQuest, PsycINFO, Scielo and Scopus databases were consulted, using the search equation 'Nurs * AND burnout AND mindfulness'. There was no restriction on the year of publication. REVIEW METHODS Papers were selected for analysis in accordance with the PRISMA guidelines. The meta-analysis was carried out using Review Manager 5.3 software. RESULTS The sample was of 17 articles including 632 nurses. Mindfulness training reduces levels of burnout, producing lower scores for emotional exhaustion and depersonalization and higher for personal accomplishment. The differences in the means were 1.32 (95% CI: -9.41-6.78), 1.91 (95% CI: -4.50-0.68) and 2.12 (95% CI: -9.91-14.14), respectively, between the intervention and control groups. CONCLUSION Mindfulness training reduces the emotional burden and hence levels of burnout, among nurses. However, further randomized clinical trials are required.
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Affiliation(s)
| | | | - Raimundo Aguayo-Estremera
- Social Psychology, Social Work, Social Anthropology and Eastern Asia Studies Department, University of Malaga, Malaga, Spain
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Brubakk K, Svendsen MV, Hofoss D, Hansen TM, Barach P, Tjomsland O. Associations between work satisfaction, engagement and 7-day patient mortality: a cross-sectional survey. BMJ Open 2019; 9:e031704. [PMID: 31843830 PMCID: PMC6924769 DOI: 10.1136/bmjopen-2019-031704] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
OBJECTIVE This study examines the association between profession-specific work environments and the 7-day mortality of patients admitted to these units with acute myocardial infarction (AMI), stroke and hip fracture. DESIGN A cross-sectional study combining patient mortality data extracted from the South-Eastern Norway Health Region, and the work environment scores at the hospital ward levels. A case-mix adjustment model was developed for the comparison between hospital wards. SETTING Fifty-six patient wards in 20 hospitals administered by the South-Eastern Norway Regional Health Authority. PARTICIPANTS In total, 46 026 patients admitted to hospitals with AMI, stroke and hip fracture, and supported by 8800 survey responses from physicians, nurses and managers over a 3-year period (2010-2012). PRIMARY AND SECONDARY OUTCOME MEASURES The primary outcome measures were the associations between the relative mortality rate for patients admitted with AMI, stroke and hip fractures and the profession-specific (ie, nurses, physicians, middle managers) mean scores on the 19 organisational factors in a validated cross sectional, staff survey conducted annually in Norway. The secondary outcome measures were the mean scores with SD on the organisational factors in the staff survey reported by each profession. RESULTS The Nurse workload (beta 0.019 (95% CI0.009-0.028)) and middle manager engagement (beta 0.024 (95% CI0.010-0.037)) levels were associated with a case-mix adjusted 7-day patient mortality rates. There was no significant association between physician work environment scores and patient mortality rates. CONCLUSION 7-day mortality rates in hospital wards were negatively correlated with the nurse workload and manager engagement levels. A deeper understanding of the relationships between patient outcomes, organisational structure and their underlying cultural barriers is needed because they may provide a better understanding of the harm and death risks for patients due to organisational characteristics.
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Affiliation(s)
- Kirsten Brubakk
- Department of Human Resources, Helse Sør-Øst RHF, Hamar, Norway
| | - Martin Veel Svendsen
- Department of Occupational and Environmental Medicine, Sykehuset Telemark HF, Skien, Norway
| | - Dag Hofoss
- Department of Postgraduate Studies, Lovisenberg Diaconal University College, Oslo, Norway
| | - Tonya Moen Hansen
- Department of Health Services Research, Folkehelseinstituttet, Oslo, Norway
| | - Paul Barach
- Pediatrics, Wayne State University, Detroit, Michigan, USA
| | - Ole Tjomsland
- Department of Health, Helse Sør-Øst RHF, Hamar, Norway
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Üzar-Özçetin YS, Tee S, Kargın M. Achieving culturally competent cancer care: A qualitative study drawing on the perspectives of cancer survivors and oncology nurses. Eur J Oncol Nurs 2019; 44:101701. [PMID: 31841798 DOI: 10.1016/j.ejon.2019.101701] [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] [Received: 08/28/2019] [Revised: 11/18/2019] [Accepted: 11/24/2019] [Indexed: 10/25/2022]
Abstract
PURPOSE The aim of this study was to understand how cancer survivors and nurses define and experience cultural care and to make recommendations toward improvements in nursing practice. METHODS The study used a descriptive qualitative design. Data were collected from 29 cancer survivors and 23 oncology nurses by using in-depth semi-structured interviews. Data were transcribed and themes identified. RESULTS Three themes emerged from the data; 1) cross-cultural care expectations, 2) reality of cross-cultural care activities, and 3) improving culturally sensitive care. CONCLUSIONS The data reveals that relationship between the nurse and cancer survivor is critical to an awareness of cultural needs but that nurses need help in raising their own awareness and appreciation of the benefits and impact of culturally competent care. It is only through creating self-awareness amongst nurses, in the context of each survivor and their needs and beliefs, will the standards of practice improve delivering the health outcomes that those in their care deserve.
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Affiliation(s)
- Yeter Sinem Üzar-Özçetin
- Psychiatric Nursing Department, Hacettepe University Faculty of Nursing, PO Box 06100, Sıhhiye-Altındag, Ankara, Turkey.
| | - Stephen Tee
- Faculty of Health and Social Sciences, Executive Dean, The Business School, Bournemouth University, Royal London House, Christchurch Road Bournemouth, Dorset BH1 3LT, UK.
| | - Maral Kargın
- Department of Psychiatry Nursing, Faculty of Health Science, Firat University, PO Box 23119, Elazığ, Turkey.
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LeGal P, Rhéaume A, Mullen J. The long‐term effects of psychological demands on chronic fatigue. J Nurs Manag 2019; 27:1673-1681. [DOI: 10.1111/jonm.12857] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 06/30/2019] [Accepted: 08/22/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Parise LeGal
- New Brunswick Extra-Mural Program Edmundston New Brunswick Canada
| | - Ann Rhéaume
- School of Nursing Université de Moncton Moncton New Brunswick Canada
| | - Jane Mullen
- Department of Commerce Ron Joyce Center for Business Studies Mount Allison University Sackville New Brunswick Canada
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The association between quality of direct supervisor's behavior and depressive mood in Korean wage workers: the 4th Korean Working Conditions Survey. Ann Occup Environ Med 2019; 31:e16. [PMID: 31620293 PMCID: PMC6779853 DOI: 10.35371/aoem.2019.31.e16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Accepted: 07/22/2019] [Indexed: 11/20/2022] Open
Abstract
Background Workers spend most of their social lives at work and have relationships of varying nature with people in the workplace. Direct supervisors, in particular, have a direct and lasting impact on workers, which may influence workers' mental health. Depression is very prevalent worldwide, and social concern about the disease is on the rise. The aim of this study is to investigate the effect of direct supervisors' behavior on the depressive mood of Korean wage workers. Methods We used data from the 4th Korean Working Conditions Survey held in 2014; 22,212 participants were included in the analysis. The quality of a direct supervisor's behavior was categorized from 0 (= lowest) to 5 (= highest) points. The degree of depressive mood was measured on a scale from “normal mood” to “likely depression” based on the 5-item World Health Organization Well-Being Index (WHO-5) questionnaire. Multiple logistic regression was used to analyze the association between the quality of the direct supervisor's behavior and the depressive mood of wage workers. Results After multivariable adjustment, significantly increased odds ratio (OR) for likely depression was found in the 4, 3, 2, 1, and 0 points of the quality of the direct supervisor's behavior compared to 5 points. After stratification for the level of satisfaction with working conditions, the OR of the unsatisfied groups was higher than that of the satisfied groups. Conclusions Likely depression was found to be significantly associated with a low quality of direct supervisor's behavior. This association was stronger in workers who were not satisfied with their working conditions. This study suggests that proper management of the direct supervisor's behavior is needed to reduce the risk of depression among Korean wage workers.
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Jarden RJ, Narayanan A, Sandham M, Siegert RJ, Koziol-McLain J. Bibliometric mapping of intensive care nurses' wellbeing: development and application of the new iAnalysis model. BMC Nurs 2019; 18:21. [PMID: 31171915 PMCID: PMC6547532 DOI: 10.1186/s12912-019-0343-1] [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] [Received: 11/02/2018] [Accepted: 04/24/2019] [Indexed: 01/04/2023] Open
Abstract
BACKGROUND Intensive care nurse wellbeing is essential to a healthy healthcare workforce. Enhanced wellbeing has widespread benefits for workers. Bibliometrics enables quantitative analysis of bourgeoning online data. Here, a new model is developed and applied to explore empirical knowledge underpinning wellbeing and intensive care nurse wellbeing in terms of size and impact, disciplinary reach, and semantics. METHODS Mixed methods bibliometric study. Firstly, a new model coined 'iAnalysis' was developed for the analysis of published data. Secondly, iAnalysis was applied in two studies to examine wellbeing and ICU nurse wellbeing. Study one explored data from a title search with search terms [wellbeing OR well-being], identifying 17,543 records with bibliographic data. This dataset included 20,526 keywords. Of the identified records, 10,715 full-text manuscripts were retrieved. Study two explored data from a topic search with search terms [(intensive OR critical) AND (nurs*) AND (wellbeing OR well-being)], identifying 383 records with bibliographic data. This dataset included 1223 author keywords. Of the identified records, 328 full-text manuscripts were retrieved. RESULTS Once data were collected, for size and impact, WoS Clarivate Analytics™ and RStudio™ were used to explore publication dates, frequencies, and citation performance. For disciplinary reach, RStudio™ (with the Bibliometrics™ package & Vosviewer™ plugin) was used to explore the records in terms of country of publication, journal presence, and mapping of authors. For semantics, once the bibliographic data was imported to RStudio™ (with the Bibliometrics™ package & Vosviewer™ plugin) keyword co-occurrences were identified and visualised. Full-text manuscripts were imported to NVivo™ to explore word frequencies of both the keywords and full-text manuscripts using the word frequency search. For both studies, records were predominantly published in the past 5 years, in English language, and from USA. The highest keyword co-occurrence for study one was "health and well-being", and for study two, "family and model". CONCLUSIONS Terms commonly associated with 'illbeing', as opposed to 'wellbeing', were highly prevalent in both study datasets, but more so in intensive care nurse wellbeing data. Intensive care nurse wellbeing was virtually absent in this literature. The iAnalysis model provided a practice-friendly tool to explore a large source of online published literature.
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Affiliation(s)
- Rebecca J. Jarden
- Present Address: Department of Nursing, Melbourne School of Health Sciences, 161 Barry St, Carlton, Victoria 3053 Australia
- School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Ajit Narayanan
- School of Engineering, Computing and Mathematical Sciences (D-75), Auckland University of Technology, AUT Tower, 2-14 Wakefield Street, Auckland, 1010 New Zealand
| | - Margaret Sandham
- School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Richard J. Siegert
- School of Clinical Sciences and School of Public Health and Psychosocial Studies, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
| | - Jane Koziol-McLain
- School of Clinical Sciences, Auckland University of Technology (AUT), North Shore Campus, 90 Akoranga Drive, Northcote, Auckland, 0627 New Zealand
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Koutsimani P, Montgomery A, Georganta K. The Relationship Between Burnout, Depression, and Anxiety: A Systematic Review and Meta-Analysis. Front Psychol 2019; 10:284. [PMID: 30918490 PMCID: PMC6424886 DOI: 10.3389/fpsyg.2019.00284] [Citation(s) in RCA: 409] [Impact Index Per Article: 81.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2018] [Accepted: 01/29/2019] [Indexed: 12/21/2022] Open
Abstract
Background: Burnout is a psychological syndrome characterized by emotional exhaustion, feelings of cynicism and reduced personal accomplishment. In the past years there has been disagreement on whether burnout and depression are the same or different constructs, as they appear to share some common features (e.g., loss of interest and impaired concentration). However, the results so far are inconclusive and researchers disagree with regard to the degree to which we should expect such overlap. The aim of this systematic review and meta-analysis is to examine the relationship between burnout and depression. Additionally, given that burnout is the result of chronic stress and that working environments can often trigger anxious reactions, we also investigated the relationship between burnout and anxiety. Method: We searched the online databases SCOPUS, Web of Science, MEDLINE (PubMed), and Google Scholar for studies examining the relationship between burnout and depression and burnout and anxiety, which were published between January 2007 and August 2018. Inclusion criteria were used for all studies and included both cross-sectional and longitudinal designs, published and unpublished research articles, full-text articles, articles written in the English language, studies that present the effects sizes of their findings and that used reliable research tools. Results: Our results showed a significant association between burnout and depression (r = 0.520, SE = 0.012, 95% CI = 0.492, 0.547) and burnout and anxiety (r = 0.460, SE = 0.014, 95% CI = 0.421, 0.497). However, moderation analysis for both burnout-depression and burnout-anxiety relationships revealed that the studies in which either the MBI test was used or were rated as having better quality showed lower effect sizes. Conclusions: Our research aims to clarify the relationship between burnout-depression and burnout-anxiety relationships. Our findings revealed no conclusive overlap between burnout and depression and burnout and anxiety, indicating that they are different and robust constructs. Future studies should focus on utilizing more longitudinal designs in order to assess the causal relationships between these variables.
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Affiliation(s)
| | - Anthony Montgomery
- Department of Educational & Social Policy, School of Social Sciences, Humanities and Arts, University of Macedonia, Thessaloniki, Greece
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Intensive care nurses' well-being: A systematic review. Aust Crit Care 2019; 33:106-111. [PMID: 30679048 DOI: 10.1016/j.aucc.2018.11.068] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2018] [Revised: 11/18/2018] [Accepted: 11/25/2018] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND AND PURPOSE Unique work challenges of intensive care nurses can cause both stress and distress to nurses, evident in prevailing literature regarding burnout, compassion fatigue, and moral distress. Identifying factors contributing to intensive care nurses' well-being would complement this focus on nurse ill-being, supporting the development of workplace well-being initiatives. The review seeks to balance the existing negatively skewed evidence base by investigating intensive care nurses' well-being rather than ill-being. OBJECTIVES The objective of this review was to systematically identify, appraise, and synthesise primary research reporting intensive care nurses' well-being. METHODS The electronic search strategy included (1) bibliographic databases for published work and (2) forward and backward citation searches. Key search terms included [critical OR intensive] AND [nurs*] AND [well*]. Inclusion criteria were as follows: (1) population: critical or intensive care nurses working with adult or mixed adult and paediatric patients, (2) study type: primary research studies, (3) outcome: intensive care unit nurses' well-being, and (4) publication available in the English language. Studies were excluded if the group of intensive care nurses was not independently reported. Included studies were critically appraised, and results were synthesised and presented descriptively. Semantics of the included studies were explored to identify frequently used terms. RESULTS Four primary research studies met the inclusion criteria, focussing on spiritual well-being, team commitment, emotional well-being, and the effects of a mindfulness programme. The studies were heterogeneous in terms of study focus, definitions, and measures, with small sample sizes, and of variable quality and generalisability. CONCLUSIONS The well-being of intensive care nurses is currently understudied. Conceptualising intensive care nurses' well-being, understanding correlates of well-being, and testing workplace interventions to improve well-being remain significant opportunities for future research.
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Jarden RJ, Sandham M, Siegert RJ, Koziol-McLain J. Strengthening workplace well-being: perceptions of intensive care nurses. Nurs Crit Care 2018; 24:15-23. [DOI: 10.1111/nicc.12386] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2018] [Revised: 07/11/2018] [Accepted: 08/14/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Rebecca J Jarden
- Department of Nursing, Melbourne School of Health Sciences; Carlton, Victoria Australia
- School of Clinical Sciences, Auckland University of Technology (AUT); Auckland New Zealand
| | - Margaret Sandham
- School of Clinical Sciences, Auckland University of Technology (AUT); Auckland New Zealand
| | - Richard J Siegert
- School of Clinical Sciences and School of Public Health and Psychosocial Studies, Auckland University of Technology (AUT); Northcote, Auckland New Zealand
| | - Jane Koziol-McLain
- School of Clinical Sciences, Auckland University of Technology (AUT); Northcote, Auckland New Zealand
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de Jonge J, Shimazu A, Dollard M. Short-Term and Long-Term Effects of Off-Job Activities on Recovery and Sleep: A Two-Wave Panel Study among Health Care Employees. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15092044. [PMID: 30231562 PMCID: PMC6164214 DOI: 10.3390/ijerph15092044] [Citation(s) in RCA: 50] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/24/2018] [Revised: 09/17/2018] [Accepted: 09/17/2018] [Indexed: 12/01/2022]
Abstract
This study examined whether particular recovery activities after work have a positive or negative effect on employee recovery from work (i.e., cognitive, emotional, and physical detachment) and sleep quality. We used a two-wave panel study of 230 health care employees which enabled looking at both short-term and long-term effects (i.e., two-year time interval). Gender, age, marital status, children at home, education level, management position, and working hours were used as control variables. Hierarchical multiple regression analyses showed that work-related off-job activities were negatively associated with cognitive and emotional detachment in both the short and long run, whereas low-effort off-job activities were positively related to cognitive detachment in the short run. Moreover, household/care off-job activities were positively related to sleep quality in the long run, whereas physical off-job activities were negatively associated with sleep quality in the long run. The long-term findings existed beyond the strong effects of baseline detachment and sleep quality. This study highlights the importance of off-job recovery activities for health care employees’ detachment from work and sleep quality. Practical implications and avenues for further research are discussed.
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Affiliation(s)
- Jan de Jonge
- Human Performance Management Group, Eindhoven University of Technology, P.O. Box 513, 5600 MB Eindhoven, The Netherlands.
- School of Psychology, Asia Pacific Centre for Work Health and Safety, University of South Australia, P.O. Box 2471, Adelaide 5001, Australia.
| | - Akihito Shimazu
- School of Psychology, Asia Pacific Centre for Work Health and Safety, University of South Australia, P.O. Box 2471, Adelaide 5001, Australia.
- Center for Human and Social Sciences College of Liberal Arts and Sciences, Kitasato University, 1-15-1 Kitasato, Minami-ku, Sagamihara, Kanagawa 252-0373, Japan.
| | - Maureen Dollard
- School of Psychology, Asia Pacific Centre for Work Health and Safety, University of South Australia, P.O. Box 2471, Adelaide 5001, Australia.
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Cao X, Naruse T. Effect of time pressure on the burnout of home‐visiting nurses: The moderating role of relational coordination with nursing managers. Jpn J Nurs Sci 2018; 16:221-231. [DOI: 10.1111/jjns.12233] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2017] [Revised: 04/28/2018] [Accepted: 07/13/2018] [Indexed: 01/03/2023]
Affiliation(s)
- Xiaoyi Cao
- Hemodialysis Center, Department of NephrologyWest China Hospital, Sichuan University Chengdu China
- Department of Community Health Nursing, Graduate School of MedicineThe University of Tokyo Tokyo Japan
| | - Takashi Naruse
- Department of Community Health Nursing, Graduate School of MedicineThe University of Tokyo Tokyo Japan
- Global Nursing Research Center, Graduate School of MedicineThe University of Tokyo Tokyo Japan
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Social aggravation: Understanding the complex role of social relationships on stress and health-relevant physiology. Int J Psychophysiol 2018; 131:13-23. [DOI: 10.1016/j.ijpsycho.2018.03.023] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2017] [Revised: 03/20/2018] [Accepted: 03/27/2018] [Indexed: 12/13/2022]
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Enoki M, Maeda E, Iwata T, Murata K. The Association between Work-Related Stress and Autonomic Imbalance among Call Center Employees in Japan. TOHOKU J EXP MED 2017; 243:321-328. [PMID: 29269634 DOI: 10.1620/tjem.243.321] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
There is little epidemiological evidence linking subjective stress to objective etiologic indicators. To clarify an association between work-related stress and autonomic nervous function, we examined call center employees (167 males and 371 females) undergoing electrocardiography (ECG) at the time of annual health checkups. The questionnaire was composed of the Brief Job Stress Questionnaire based on the demand-control-support model and the Social Readjustment Rating Scale including detailed contents of home stress. The Bazett's corrected QT (QTc) interval, QT index, and heart rate were obtained from the ECG data. The male employees showed significantly higher scores of job demand, job control, and supervisor support than the female ones. In the male employees, QT index indicating the extent of autonomic imbalance and heart rate were associated with high score of supervisor support and low score of coworker support (P < 0.05), but no significant relationships were seen between QTc interval and either job strain (i.e., job demand and job control) or home stress. By contrast, the female employees showed no significant links between any autonomic indicators and either work-related stress or home stress. These data suggest that work-related stress affected QT index in male employees suffering specific occupational stressors such as emotional abuse from unsatisfied customers. Specifically, supports from supervisors and coworkers were paradoxically associated with QT index, implying that supervisors may have failed to effectively support such male employees. Also, autonomic nervous function in male employees appears to be more vulnerable to work-related stress than that in female ones.
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Affiliation(s)
- Mamiko Enoki
- Department of Environmental Health Sciences, Akita University Graduate School of Medicine
| | - Eri Maeda
- Department of Environmental Health Sciences, Akita University Graduate School of Medicine
| | - Toyoto Iwata
- Department of Environmental Health Sciences, Akita University Graduate School of Medicine
| | - Katsuyuki Murata
- Department of Environmental Health Sciences, Akita University Graduate School of Medicine
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Gauche C, De Beer LT, Brink L. Managing employee well-being: A qualitative study exploring job and personal resources of at-risk employees. SOUTH AFRICAN JOURNAL OF HUMAN RESOURCE MANAGEMENT 2017. [DOI: 10.4102/sajhrm.v15i0.957] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Orientation: Job and personal resources influence the well-being of employees. Currently, limited information exists in literature surrounding the experience of these resources in employees identified as at-risk of burnout.Research purpose: To investigate the experience of job and personal resources from the perspectives of employees identified as at-risk of burnout.Motivation for the study: Empirical evidence on the integrative role and influence of job and personal resources on the well-being of employees in the South African context is currently limited. Attaining a better understanding of the manner in which at-risk employees experience resources can empower organisations to actively work towards creating an environment that allows for optimal employee well-being.Research design, approach and method: A phenomenological approach was taken to conduct the study in a South African-based financial services organisation. A combination of purposive and convenience sampling was used, and 26 employees agreed to participate. Semi-structured interviews were used to collect data, and data analysis was performed through the use of thematic analysis.Main findings: Employees identified as at-risk of burnout acknowledged both job and personal resources as factors influencing their well-being. Participants in this study elaborated on received job resources as well as lacking job resources. Information was also shared by participants on personal resources through describing used personal resources as well as lacking personal resources.Practical/managerial implications: Knowledge gained from the study will contribute to empower organisations to better understand the impact of resources on the well-being of employees, and allow organisations to adapt workplace resources to ensure adequate and appropriate resources to facilitate optimal employee well-being.Contribution: This study contributes to the limited research available in the South African context regarding the experience of job and personal resources from the perspective of at-risk employees. The study may also enable organisations to create a workplace that is more supportive and empowering with appropriate resources to deliver on expected demands.
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