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Qi H, Hongyan S, Song H, Zhihang Z, Ruiyin H, Youjia M, Xia L. The relationship between effort-reward imbalance and quality of working life among medical caregivers: mediating effects of job burnout. Front Psychol 2024; 15:1375022. [PMID: 39118848 PMCID: PMC11307778 DOI: 10.3389/fpsyg.2024.1375022] [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: 01/30/2024] [Accepted: 07/10/2024] [Indexed: 08/10/2024] Open
Abstract
Background To determine the relationship between effort-reward imbalance (ERI) and quality of working life (QWL) among medical caregivers and the mediating role of job burnout. Methods This was a cross-sectional survey. A total of 787 medical caregivers at seven hospitals from Sichuan and Chongqing, China, between May to September 2023 were included in this observational study. The General Information Questionnaire, Effort-Reward Imbalance Questionnaire (ERI), Maslach Burnout Inventory-General Survey (MBI-GS), and Quality of Working Life Scale (QWL7-32) were used for data collection. SPSS 26.0 and PROCESSv3.3 were used for all data analyses, including descriptive statistics. Results A total of 820 questionnaires were distributed, of which only 787 were valid (return rate; 95.98%). The QWL score of medical caregivers was 126.94 ± 16.69. However, QWL scores were significantly different depending on age, number of children, family support status, department, years of experience, night shift status, number of night shifts per month, number of hours worked per day, monthly income, and occurrence of errors or adverse events (p < 0.05). Furthermore, job burnout and ERI were negatively correlated with QWL (p < 0.01). Job burnout mediated (95% CI = -0.365, -0.260) the relationship between ERI and QWL, accounting for 58.65% of the total effect. Conclusion Medical caregivers have a medium level of QWL. Job burnout partially mediates the relationship between ERI and QWL. Medical caregiver managers can improve QWL by directly intervening in occupational stress and indirectly intervening in job burnout.
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Affiliation(s)
- Huang Qi
- Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Sun Hongyan
- School of Nursing, Southwest Medical University, Scichuan, China
| | - He Song
- Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Zhou Zhihang
- Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Huang Ruiyin
- Department of Emergency, Songshan General Hospital of Chongqing, Chongqing, China
| | - Ma Youjia
- Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Li Xia
- Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China
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Poormoosa Y, Amerzadeh M, Alizadeh A, Kalhor R. The effect of circadian on the productivity of nurses with the mediating role of quality of work life. BMC Nurs 2024; 23:89. [PMID: 38308251 PMCID: PMC10835810 DOI: 10.1186/s12912-024-01746-x] [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: 08/28/2023] [Accepted: 01/19/2024] [Indexed: 02/04/2024] Open
Abstract
BACKGROUND Circadian rhythms, as an integral part of daily life, govern the scheduling, management, and coordination of living organisms. Given the irregular nature of shift patterns in nurses' work schedules, investigating their implications is paramount to increasing Quality of Work Life (QWL) and productivity. The study aimed to investigate the impact of circadian rhythm on the efficiency of nurses working in hospitals in Qazvin, Iran, with QWL serving as a mediating variable. METHODS This study employed a descriptive-analytical research design, utilizing cross-sectional data collected in 2022-2023 based on the implementation of Structural Equation Modeling (SEM). The number of participants was 378 nurses. The data were obtained by administering a questionnaire and various tools, organized into four sections: demographic information, the Circadian Questionnaire, the Quality of Work Life Questionnaire, and the Nurses' Efficiency Questionnaire. The collected data were subsequently analyzed using SEM techniques within the R software. RESULTS The findings demonstrated statistically significant variations in mean scores about gender and efficiency (p = 0.008), marital status and efficiency (p = 0.000), and employment type and efficiency (p = 0.002) among the study participants. There was a significant association between shift patterns and QWL (p = 0.004). Expressly, the confirmed results indicated a direct impact of circadian on QWL (with a path coefficient of 0.013), as well as an indirect impact on efficiency mediated by the variable QWL (with a path coefficient of 0.037) (p < 0.05). CONCLUSION Due to the critical role of nurses in the healthcare system, implementing strategies that promote their efficiency is paramount. Therefore, managers can create an environment that enhances nurses' productivity by improving methods that positively impact their QWL.
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Affiliation(s)
- Yasaman Poormoosa
- Student Research Committee, School of Public Health, Qazvin University of Medical Sciences, Qazvin, Iran
| | - Mohammad Amerzadeh
- Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, , Qazvin University of Medical Sciences, Qazvin, Iran
| | - Ahad Alizadeh
- Medical Microbiology Research Center, , Qazvin University of Medical Sciences, Qazvin, Iran
| | - Rohollah Kalhor
- Metabolic Diseases Research Center, Research Institute for Prevention of Non-Communicable Diseases, , Qazvin University of Medical Sciences, Qazvin, Iran.
- School of Public Health , Qazvin University of Medical Sciences, Qazvin, Iran.
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Babamohamadi H, Davari H, Safari AA, Alaei S, Pordanjani SR. The association between workload and quality of work life of nurses taking care of patients with COVID-19. BMC Nurs 2023; 22:234. [PMID: 37420204 DOI: 10.1186/s12912-023-01395-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 06/22/2023] [Indexed: 07/09/2023] Open
Abstract
BACKGROUND The COVID-19 epidemic has brought significant changes and complexities to nurses' working conditions. Given the crucial role of health workers, particularly nurses, in providing healthcare services, it is essential to determine the nurses' workload, and its association with the quality of work life (QWL) during COVID-19 epidemic, and to explain the factors predicting their QWL. METHODS A total of 250 nurses, who provided care for patients with COVID-19 in Imam Hossein Hospital of Shahrud, and met the inclusion criteria, were considered the samples in the present cross-sectional study in 2021-2022. Data were collected using the demographic questionnaire, NASA Task Load Index (TLX), and Walton's QWL questionnaire, which were analyzed using SPSS26 and based on descriptive and inferential statistical tests. A p-value less than 0.05 was considered significant for all cases. RESULTS The nurses' mean scores of workload and QWL were 71.43 ± 14.15 and 88.26 ± 19.5, respectively. Pearson's correlation test indicated a significant inverse relationship between workload and QWL (r=-0.308, p < 0.001). The subscales with the highest perceived workload scores were physical demand and mental demand (14.82 ± 8.27; 14.36 ± 7.43), respectively, and the subscale with the lowest workload was overall performance (6.63 ± 6.31). The subscales with the highest scores for QWL were safety and health in working conditions and opportunity to use and develop human capabilities (15.46 ± 4.11; 14.52 ± 3.84), respectively. The subscales with the lowest scores were adequate and fair compensation, work and total living space (7.46 ± 2.38; 6.52 ± 2.47), respectively. The number of children (β = 4.61, p = 0.004), work experience (β= -0.54, p = 0.019), effort (β = 0.37, p = 0.033) and total workload (β= -0.44, p = 0.000) explained 13% of the variance of nurses' QWL. CONCLUSIONS The study's findings showed that a higher workload score is associated with nurses' lower perception of QWL. In order to improve the QWL of nurses, reducing the physical and mental demands of their workload and strengthening overall performance is necessary. Additionally, when promoting QWL, adequate and fair compensation and the work and living space should be considered. The researchers suggest that hospital managers should make more significant efforts to develop and promote the QWL of nurses. To achieve this goal, organizations can pay attention to other influential factors, primarily by increasing organizational support.
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Affiliation(s)
- Hassan Babamohamadi
- Nursing Care Research Center, Education and Research Campus, Semnan University of Medical Sciences, Po Box: 3513138111, 5 Kilometer of Damghan Road, Semnan, Iran
- Department of Nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
| | - Hossein Davari
- Nursing Care Research Center, Education and Research Campus, Semnan University of Medical Sciences, Po Box: 3513138111, 5 Kilometer of Damghan Road, Semnan, Iran
- Department of Nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran
| | - Abbas-Ali Safari
- Student Research Committee, Semnan University of Medical Sciences, Semnan, Iran
| | - Seifollah Alaei
- Nursing Care Research Center, Education and Research Campus, Semnan University of Medical Sciences, Po Box: 3513138111, 5 Kilometer of Damghan Road, Semnan, Iran.
- Department of Nursing, School of Nursing and Midwifery, Semnan University of Medical Sciences, Semnan, Iran.
| | - Sajjad Rahimi Pordanjani
- Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran
- Department of Community Medicine, School of Medicine, Semnan University of Medical Sciences, Semnan, Iran
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Rossi A, Heyman NB, Rossi MO, Wolf S, White T. Exploring the Association Between the Healthcare Design Elements and Physician Well-Being: A Scoping Review. HERD-HEALTH ENVIRONMENTS RESEARCH & DESIGN JOURNAL 2023; 16:362-378. [PMID: 36722306 DOI: 10.1177/19375867231151687] [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] [Indexed: 02/02/2023]
Abstract
PURPOSE To evaluate the association between elements of the built environment and physician well-being using a scoping review. BACKGROUND Physicians currently report low work satisfaction, high burnout and depression. The built environment has been shown to affect well-being in the general population, but its relationship to physician well-being is not well understood. Gaining a better understanding of this relationship will allow for better evidence-based design for physician well-being. METHODS A scoping review of the literature was conducted of Scopus and PubMed databases using key words for (1) environmental variables such as "environmental design"; (2) physician terms, such as "doctor"; and (3) outcome measures of well-being, such as "burnout." Studies were included if they had at least one measure of the built environment and one measure of physician well-being. Of 1,723 abstracts screened, 146 full-text articles were reviewed, leaving 16 articles to be included for data extraction. RESULTS Included studies were from all around the world, except for, notably, the United States. Robust interpretation of the data was challenging because of the lack of standardization in the assessment of environmental factors and physician well-being. Excessive noise was the variable most linked to well-being. Suitable surroundings, including lighting, furniture, and art, were also linked with satisfaction, but it was unclear whether there was an association with well-being. CONCLUSION Understanding how environmental factors affect physician well-being is paramount but considerably understudied. Standardization of research approach should be developed in order to produce more robust research to create evidence-based designs for physician well-being.
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Affiliation(s)
- Amerigo Rossi
- New York Institute of Technology, Old Westbury, NY, USA
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Coutinho MO, Cavalcante Neto JL, Souza LHR, Mercês MCD, Fernandes DV, Leite CCF, Portella DDA, Draghi TTG, Santos KA, Costa LEL, Macêdo LLDS, Correia LDS, Barbosa CDS, Santana AIC, de Oliveira LS, do Nascimento MM, Silva RADS, Calheiros DDS, de Mendonça VAB, Mussi RFDF, dos Santos RG, de Souza MC, Junqueira MER, Rodrigues VDF, de Oliveira RA, de Souza RD, Lima UDS. Factors Associated with the Lifestyle of Pediatric Healthcare Professionals during the COVID-19 Pandemic. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2055. [PMID: 36767421 PMCID: PMC9915100 DOI: 10.3390/ijerph20032055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 01/14/2023] [Accepted: 01/20/2023] [Indexed: 06/18/2023]
Abstract
The objective of this study was to analyze the association between sociodemographic and occupational variables with the lifestyle of health professionals in pediatric units during the COVID-19 pandemic. A cross-sectional study was conducted with 407 health professionals working in four pediatric health units in the State of Bahia, northeast Brazil. The Fantastic Lifestyle Questionnaire and a questionnaire with sociodemographic and employment variables self-applied via Google Forms were used. The final binary logistic regression models revealed significant associations between those who received 3 to 5 minimum wages, without a marital relationship and with more than one employment relationship. Data suggest that these sociodemographic and occupational profiles are more exposed to risky lifestyle behaviors. The findings of this study demonstrated the need for greater attention to the health of health professionals in the pediatric field, as well as the promotion of initiatives that seek to value the work of these professionals and reduce the damage caused to their lifestyle, especially in a pandemic scenario.
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Affiliation(s)
| | - Jorge Lopes Cavalcante Neto
- Department of Life Sciences, State University of Bahia, Salvador 41180-045, Bahia, Brazil
- Department of Human Sciences, State University of Bahia, Campus IV, Jacobina 44700-000, Bahia, Brazil
| | | | | | | | | | | | | | - Klaus Araújo Santos
- Department of Human Sciences, State University of Bahia, Campus IV, Jacobina 44700-000, Bahia, Brazil
| | | | | | | | | | | | - Lucinete Sena de Oliveira
- Department of Human Sciences, State University of Bahia, Campus IV, Jacobina 44700-000, Bahia, Brazil
| | | | | | - David dos Santos Calheiros
- Health and Technology Teaching Program, State University of Health Sciences of Alagoas, Maceió 57010-300, Alagoas, Brazil
| | | | | | - Rafaela Gomes dos Santos
- Department of Education, State University of Bahia, Teixeira de Freitas 45992-255, Bahia, Brazil
| | - Márcio Costa de Souza
- Department of Life Sciences, State University of Bahia, Salvador 41180-045, Bahia, Brazil
| | | | | | | | - Raiane Dourado de Souza
- Department of Human Sciences, State University of Bahia, Campus IV, Jacobina 44700-000, Bahia, Brazil
| | - Uiliam dos Santos Lima
- Department of Human Sciences, State University of Bahia, Campus IV, Jacobina 44700-000, Bahia, Brazil
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