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1.
Medicine (Baltimore) ; 99(6): e19172, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32028441

RESUMEN

Quality of Working Life (QWL) was developed in 1970s as a new theory on a basis of social-technical system theory. In 2004, Brooks considered that quality of nursing work life is a degree to which the registered nurses are able to satisfy important personal needs through their experiences in their work organization's goal. Quality of Nursing Work Life plays an important role in nursing management.The purpose of the project was to identify factors associated with nursing work life quality.A convenience sample of 3498 nurses from five tertiary general hospitals in Shanxi, Shandong, and Liaoning provinces in China was surveyed regarding quality of work life, working conditions, stress at work, general being, and job and career satisfaction (JCS).The mean overall quality of work life score was found to be 3.40 ±â€Š0.61 (on a scale of 1-5, with 5 being the highest), while the working conditions and stress at work received lower scores. The general well-being of females (3.49 ±â€Š0.74) was higher than that of males (3.35 ±â€Š0.87). We also found a statistically significant difference of JCS of different department groups (P = .004).The quality of working life of nurses was found to be in the middle range, with room for improvement. Nurse managers have an opportunity to implement measures to improve the quality of working life for nurses in China.


Asunto(s)
Enfermeras y Enfermeros/psicología , Calidad de Vida , Adulto , China , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Persona de Mediana Edad , Enfermeras y Enfermeros/estadística & datos numéricos , Estrés Laboral/epidemiología , Estrés Laboral/psicología , Encuestas y Cuestionarios , Adulto Joven
2.
BJOG ; 127(5): 600-608, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-31986555

RESUMEN

OBJECTIVES: To explore obstetricians' and gynaecologists' experiences of work-related traumatic events, to measure the prevalence and predictors of post-traumatic stress disorder (PTSD), any impacts on personal and professional lives, and any support needs. DESIGN: Mixed methods: cross-sectional survey and in-depth interviews. SAMPLE AND SETTING: Fellows, members and trainees of the Royal College of Obstetricians and Gynaecologists (RCOG). METHODS: A survey was sent to 6300 fellows, members and trainees of RCOG. 1095 people responded. Then 43 in-depth interviews with trauma-exposed participants were completed and analysed by template analysis. MAIN OUTCOME MEASURES: Exposure to traumatic work-related events and PTSD, personal and professional impacts, and whether there was any need for support. Interviews explored the impact of trauma, what helped or hindered psychological recovery, and any assistance wanted. RESULTS: Two-thirds reported exposure to traumatic work-related events. Of these, 18% of both consultants and trainees reported clinically significant PTSD symptoms. Staff of black or minority ethnicity were at increased risk of PTSD. Clinically significant PTSD symptoms were associated with lower job satisfaction, emotional exhaustion and depersonalisation. Organisational impacts included sick leave, and 'seriously considering leaving the profession'. 91% wanted a system of care. The culture in obstetrics and gynaecology was identified as a barrier to trauma support. A strategy to manage the impact of work-place trauma is proposed. CONCLUSIONS: Exposure to work-related trauma is a feature of the experience of obstetricians and gynaecologists. Some will suffer PTSD with high personal, professional and organisational impacts. A system of care is needed. TWEETABLE ABSTRACT: 18% of obstetrics and gynaecology doctors experience post-traumatic stress disorder after traumatic events at work.


Asunto(s)
Ginecología , Obstetricia , Estrés Laboral/epidemiología , Médicos/psicología , Trastornos por Estrés Postraumático/epidemiología , Adulto , Agotamiento Profesional/epidemiología , Desgaste por Empatía/epidemiología , Estudios Transversales , Despersonalización , Femenino , Humanos , Entrevistas como Asunto , Masculino , Persona de Mediana Edad , Grupos Minoritarios/psicología , Ausencia por Enfermedad , Encuestas y Cuestionarios , Reino Unido/epidemiología
3.
Medicine (Baltimore) ; 99(4): e18822, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31977875

RESUMEN

Chronic sleep deprivation may worsen many medical and mental health conditions, causing difficulty in the ability to function at work. Job stress may be a factor that directly correlates with the poorer sleep quality of nurses from different departments in a general hospital. However, epidemiological evaluations of sleep problems among community nurses in China are scarce, and an association between sleep problems and occupational stress has not been investigated. This study investigated the association between nurses' job stress and sleep quality in a community hospital in China. This cross-sectional study was conducted from September to November 2017 and involved 180 nurses who had worked for more than 1 year in 12 community hospitals. The Job Stress Questionnaire was administered to evaluate occupational stress. The Pittsburgh Sleep Quality Index was used to evaluate sleep disorder status. Logistic regression was performed to investigate the association between job stress and sleep disorder among these community nurses in China. For the 155 nurses who completed the study, the job stress score was 58 ±â€Š18, and 72 nurses (46%) had a Pittsburgh Sleep Quality Index (PSQI > 7). The type of nurse contract and total job stress scores were related to sleep disturbances within the previous month. The job stress scores were negatively associated with sleep quality; in other words, the higher the job stress scores were, the worse the quality of sleep. The logistic regression analysis showed that the type of nurse contract and self-reported job stress were significant factors affecting sleep quality. Sleep disturbances in nurses were highly associated with job difficulty factor, doctor-patient relationships, psychosomatic state, environment or events, promotion or competition and total pressure scores. Sleep problems were prevalent among clinical nurses in community hospitals in China. Occupational stress negatively affects sleep quality in Chinese community nurses; the higher the stress is, the worse the sleep quality.


Asunto(s)
Personal de Enfermería en Hospital/psicología , Estrés Laboral/psicología , Trastornos del Sueño-Vigilia/epidemiología , Adulto , Estudios de Casos y Controles , China , Estudios Transversales , Hospitales Comunitarios , Humanos , Persona de Mediana Edad , Personal de Enfermería en Hospital/estadística & datos numéricos , Estrés Laboral/epidemiología , Prevalencia , Investigación Cualitativa , Trastornos del Sueño-Vigilia/psicología , Encuestas y Cuestionarios
4.
Medicine (Baltimore) ; 99(2): e18630, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31914045

RESUMEN

Work stress and burnout have become important issues. Changes in work patterns frequently, long working hours, and too much pressure among workers in high-tech companies may result in the chronic fatigue symptoms and increase the risk of cardiovascular diseases, even leading to sudden death. Changes of heart rate variability (HRV) can be treated as a warning from the autonomic nervous systems and as a long-term monitoring method for chronic disease, for example, cardiovascular diseases and sudden death. The purpose of this study was to explore the association between occupational burnout and HRV.Proportional stratified convenient sampling was performed and in total, 120 individuals participated in this study. Questionnaires and the "occupational burnout inventory" were used to collect biographical and burnout information. A novel wrist physiological monitor was used to measure autonomic nervous system-related data, including HRV, low-frequency (LF) %, high-frequency (HF) %, and LF/HF ratio. Descriptive statistics and logistic regressions were computed using SPSS 17.0 (Chinese version, IBM Corp., New York, NY).The results show that participants who were 20 to 25 years old, work overtime because of onerous personal tasks, had a medical history, and recently felt unwell have higher "personal burnout." "Participants with a graduate degree, with onerous tasks, who were indirect staff, and with a regular-hour job tended to overcommit to their work." Significant associations were found among medical history, recently feeling unwell, and "work-related burnout." There was a positive association between HRV and job seniority. LF%, HF%, and LF/HF ratio were significantly correlated with job category. "Work overcommitment" was related to LF/HF ratio among men. Some items in "personal burnout" and "work overcommitment" were also associated with HRV among women.The findings suggest that the measurement of HRV can be applied in occupational settings to assess burnout. It not only allows administrators to quickly select the colleagues who need health care, but also provides timely and appropriate care, thereby promoting the health of the worker.


Asunto(s)
Sistema Nervioso Autónomo/fisiopatología , Agotamiento Profesional/epidemiología , Agotamiento Profesional/fisiopatología , Frecuencia Cardíaca/fisiología , Adulto , Factores de Edad , Índice de Masa Corporal , Comorbilidad , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estrés Laboral/epidemiología , Estrés Laboral/fisiopatología , Ocupaciones , Proyectos Piloto , Factores Socioeconómicos , Taiwán/epidemiología , Factores de Tiempo , Carga de Trabajo , Adulto Joven
5.
Postgrad Med ; 132(1): 7-16, 2020 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-31570072

RESUMEN

Primary care physicians (general practitioners (GPs)) are burdened for various reasons and are particularly affected by stress-related complaints and an increasing prevalence of burnout. Thus, the prevention of physician burnout has become a major interest for health care services. Although many studies have addressed this issue in recent years, little seems to be known about the work strain and burnout rates in GP trainees. Therefore the objective of this article is to review the psychosocial burden and relevant prevention strategies for GPs with a special emphasis on GP trainees. Regardless of the specialty, burnout is more prevalent among medical trainees and so-called 'early career' physicians than among the age-matched population. Accordingly, burnout seems to be frequent among GP trainees, although there is some evidence that there are fewer doctors working in general medicine who were already heavily burdened at the time of choosing their career. The sudden assumption of responsibility in patient care as well as the fear of showing imperfection in front of their supervisors, or lack of recognition from senior doctors, the medical team, or patients might be stressors typical to this career stage. GP trainees might also feel burdened by the new level of personal involvement and thus have to develop or increase their individual level of professionality to deal with the patients' medical and personal problems. In conclusion, interventions to promote physical and mental health of GP trainees are a necessity to ensure passionate GPs in the future and should therefore be integrated into any postgraduate training curriculum in general practice.


Asunto(s)
Agotamiento Profesional/etiología , Estrés Laboral/etiología , Médicos de Atención Primaria/psicología , Agotamiento Profesional/epidemiología , Humanos , Estrés Laboral/complicaciones , Estrés Laboral/epidemiología , Médicos de Atención Primaria/educación , Médicos de Atención Primaria/estadística & datos numéricos , Prevalencia , Factores de Riesgo
6.
Medicine (Baltimore) ; 98(49): e18059, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31804312

RESUMEN

Chronic urticaria has a high economic burden and reduces patient's quality of life. Nurses experience insomnia because of their shifting work, especially if they work night shifts and 3-shift rotational schedules. This study aimed to examine whether insomnia is a risk factor of chronic urticaria in nurses.Data were obtained from the Registry for Medical Personnel, which contains all registered medical staff between 2007 and 2008. All study subjects were divided into those with insomnia and without insomnia. The primary exposure of interest was chronic urticaria. In addition, potential comorbidities including diabetes mellitus, hypertension, hyperlipidemia, anxiety, and depression were estimated.A total of 103,242 registered nurses between 2007 and 2008 were enrolled. Around 97,899 (94.8%) nurses did not have insomnia, and 5343 (5.2%) had insomnia. The proportion of chronic urticaria in nurses with insomnia was significantly higher than those without (0.92% vs 0.50%, P < .0001). The odds ratio of chronic urticaria in nurses with insomnia was 1.67 (95% confidence interval: 1.22-2.29, P = 0.0014) compared to those without insomnia after adjusting for age, sex, hospital level, and comorbidities.The risk of chronic urticaria was higher in nurses with insomnia than in those without insomnia. The relationship between insomnia and chronic urticaria might not be a direct causal association. Other contributing factors of insomnia include different perceptions of stress from night shift work, stress coping and adaptation, positive self-image, and emotional equilibrium related to person's capacity to adapt to change. The same situation may have different effects on different individuals.


Asunto(s)
/epidemiología , Enfermeras y Enfermeros/estadística & datos numéricos , Trastornos del Inicio y del Mantenimiento del Sueño/epidemiología , Adaptación Psicológica , Factores de Edad , Comorbilidad , Emociones , Femenino , Humanos , Masculino , Estrés Laboral/epidemiología , Calidad de Vida , Factores de Riesgo , Autoimagen , Factores Sexuales , Horario de Trabajo por Turnos , Tolerancia al Trabajo Programado
7.
PLoS One ; 14(12): e0227336, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31887201

RESUMEN

OBJECTIVE: The Job Demands and Control model classifies job types as active, passive, low-strain or high-strain, based on a combination of job demands and control. While studies have shown high-strain jobs to have adverse consequences for health and work participation, prognostic factors for the four job types have been less explored. The aim of this study was to assess the associations between sociodemographic factors and job descriptors and being in high-strain, low-strain, active and passive jobs. METHODS: The WIRUS Screening study targeted Norwegian employees in private and public enterprises. In this study, associations with job types among 4,487 employees were investigated with binary logistic regression analyses, adjusting for sociodemographic and job-related variables. RESULTS: In fully adjusted models, high-strain job was associated with female gender; lower education; shift work; and doing work outside the workplace. Low-strain job was associated with opposite scores on the same variables, and with lower job position. Active job was associated with lower age; female gender; higher levels of education; higher job position level; shift work; and not doing work outside the workplace. Passive job was associated with opposite scores on the same variables. CONCLUSIONS: The study corroborates the role gender and education have for experiencing the job, and expands on existing knowledge on the role of job position and irregular working hours and spaces. By identifying factors associated with job types, the prevention of health problems and work disability may become be more targeted.


Asunto(s)
Enfermedades Profesionales/prevención & control , Estrés Laboral/epidemiología , Ocupaciones/estadística & datos numéricos , Adolescente , Adulto , Factores de Edad , Anciano , Estudios Transversales , Escolaridad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Noruega/epidemiología , Enfermedades Profesionales/etiología , Enfermedades Profesionales/psicología , Estrés Laboral/complicaciones , Estrés Laboral/psicología , Factores Sexuales , Encuestas y Cuestionarios/estadística & datos numéricos , Carga de Trabajo/psicología , Carga de Trabajo/estadística & datos numéricos , Lugar de Trabajo/psicología , Lugar de Trabajo/estadística & datos numéricos , Adulto Joven
8.
Pan Afr Med J ; 33: 320, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31692933

RESUMEN

Introduction: Occupational stress is a recognized health problem among nurses. Globally, its prevalence varies between 9.2% and 68.0%. It detracts from nurses' quality of life and efficiency of job performance. In Ghana, we do not know the important contributory factors to this problem. Our study sought to identify the important predictors of occupational stress among nurses. Methods: In January 2016, we conducted an institutional-based survey among nurses of Salaga Government Hospital. They completed a five-point Likert type questionnaire adopted from the British Psychological Working Conditions Survey, and the Nurse Stress Index. Across 30 predictor variables, a mean score of 4.00 to 5.00 represented high to extreme occupational stress. We performed bivariate and multivariate analyses to identify important predictors of occupational stress at 95% confidence level. Results: Of 167 nurses, 58.1% (97) were females. Respondents who experienced high to extreme stress levels had a 2.3 times odds of reporting sickness absence (CI: 1.03-5.14). Sources of occupational stress included: manual lifting of patients and pieces of equipment (OR: 16.23; CI: 6.28 - 41.92), the risks of acquiring infections (OR: 14.67; CI 5.90 - 36.46), receiving feedback only upon unsatisfactory performance (OR: 28.00; CI: 9.72 - 80.64), and inadequate opportunities for continuous professional development (OR: 63.50; CI: 19.99 - 201.75). Conclusion: The working conditions of nurses were stressful. The most significant predictors of occupational stress were poor supportive supervision by superiors, lack of adequate skills to perform routine tasks, uncertainty about their job role, and the lack of adequate opportunities for career advancements.


Asunto(s)
Competencia Clínica , Personal de Enfermería en Hospital/psicología , Estrés Laboral/epidemiología , Ausencia por Enfermedad/estadística & datos numéricos , Adulto , Movilidad Laboral , Femenino , Ghana , Humanos , Masculino , Persona de Mediana Edad , Rol de la Enfermera , Personal de Enfermería en Hospital/normas , Calidad de Vida , Encuestas y Cuestionarios , Adulto Joven
9.
Pan Afr Med J ; 34: 22, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31762891

RESUMEN

Introduction: Occupational burnout is a psychological syndrome caused by the accumulation of work-related stress and characterized by intolerance, high levels of emotional exhaustion, depersonalization, and the perception of low personal accomplishment. The present study aimed to evaluate the relationship between occupational burnout and all demographic variables among the nurses in Jahrom, Iran. Methods: The present descriptive-analytical study was carried out during 2016 among nurses employed at Motahari Hospital and Peymanieh Hospital, both affiliated to Jahrom University of Medical Sciences (Iran). Based on the inclusion criteria, a total of 250 participants were selected. The data collection instruments included a demographic questionnaire and the Maslach burnout inventory. The data were analyzed using the SPSS statistical software (version 16.0) by descriptive statistics and Spearman's test. Results: Among the participants, 223(89.2%) nurses suffered from a moderate to high level of occupational burnout. There was a significant correlation between personal accomplishment and age (r=0.21, P=0.002) and education level (r=-0.16, P=0.01). Additionally, income level had a significant correlation with emotional exhaustion (r=-0.38, P=0.001), depersonalization (r=-0.3, P=0.001), and personal accomplishment (r=0.35, P=0.001). A significant relationship was also found between sex and depersonalization (r=-0.15, P=0.02). However, there was no significant relationship between occupational burnout subscales and the number of children, type of hospital ward, type of employment, and marital status (P>0.05). Conclusion: A significant positive correlation was found between the subscales of occupational burnout and younger age, low income, high education, and male nurses.


Asunto(s)
Agotamiento Profesional/epidemiología , Personal de Enfermería en Hospital/psicología , Estrés Laboral/epidemiología , Adulto , Factores de Edad , Despersonalización/psicología , Escolaridad , Femenino , Humanos , Renta/estadística & datos numéricos , Irán , Masculino , Persona de Mediana Edad , Factores Sexuales , Encuestas y Cuestionarios
10.
Environ Health Prev Med ; 24(1): 64, 2019 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-31775617

RESUMEN

BACKGROUND: Flourishing, defined as the coexistence of hedonic and eudaimonic well-being, is the most favorable end of the mental health spectrum. A growing body of evidence has demonstrated the association between flourishing mental health and favorable work-related outcomes. However, epidemiology of flourishing mental health is scarce in Japan. Moreover, the relationship between flourishing mental health and occupational stress has not been elaborated. Therefore, the aim of this study was to elucidate (1) the prevalence of flourishing mental health and (2) the association between flourishing mental health and occupational stress among Japanese workers. METHODS: The present survey was conducted in from February to March 2017 via an anonymous, self-administered, and web-based questionnaire among workers in Tsukuba Science City, Japan. Mental Health Continuum Short Form was used to assess flourishing mental health. We performed binomial logistic regression analyses to calculate the adjusted odds ratios (AOR) and 95% confidence intervals (CI) of occupational stress for flourishing mental health, controlling for sociodemographic factors. RESULTS: A total of 7012 respondents (4402 men, 2610 women) were analyzed. The overall prevalence of flourishing mental health among the respondents was 12.4%. Full-time (permanent) workers were less likely to be flourishing. Reward from work (AOR = 2.34, 95% CI = 2.04-2.68), support from colleagues and superiors (AOR = 1.67, 95% CI = 1.44-1.94), and workload (AOR = 1.19, 95% CI = 1.05-1.36) were positively associated with flourishing mental health, whereas mental workload (AOR = 0.65, 95% CI = 0.57-0.75) was inversely associated with flourishing mental health. CONCLUSIONS: The findings of the present study shed light on the association between flourishing mental health and occupational stress.


Asunto(s)
Salud Mental , Salud Laboral , Estrés Laboral/psicología , Lugar de Trabajo/psicología , Adulto , Estudios Transversales , Empleo/psicología , Femenino , Encuestas Epidemiológicas , Humanos , Japón/epidemiología , Masculino , Salud Mental/estadística & datos numéricos , Persona de Mediana Edad , Estrés Laboral/epidemiología , Oportunidad Relativa , Prevalencia , Carga de Trabajo/psicología , Adulto Joven
11.
Int J Occup Environ Med ; 10(4): 185-193, 2019 10.
Artículo en Inglés | MEDLINE | ID: mdl-31586383

RESUMEN

BACKGROUND: World Health Organization's Healthy Workplace Framework and Model has emphasized addressing psychosocial work stressors as one of the important avenues toward creating a conducive workplace. Management and interventions of these adverse stressors have been unremarkable; impairing work productivity. OBJECTIVE: To explore the effect of psychosocial work stressors on health service productivity. METHODS: Using Copenhagen Psychosocial Questionnaire II and Healthcare Productivity Survey, a cross-sectional study was conducted on 225 health and allied health professionals in the largest referral hospital in Brunei. Multiple linear regression was used to explore the relationship of each domain of work productivity to indicators of psychosocial work stressors. RESULTS: Psychosocial work stressors explained more than 50% of the variance for health care productivity. Influence at work, role clarity, rewards and job satisfaction were among the factors with the highest contributions to this relationship. CONCLUSION: Crucial factors were identified and discussed, however, due to complexity of this relationship, international collaborations and efforts are required to ameliorate adverse effects of psychosocial stressors and improve health service productivity.


Asunto(s)
Estrés Laboral , Estrés Psicológico , Rendimiento Laboral , Adulto , Técnicos Medios en Salud/psicología , Técnicos Medios en Salud/estadística & datos numéricos , Estudios Transversales , Femenino , Humanos , Satisfacción en el Trabajo , Masculino , Cuerpo Médico/psicología , Cuerpo Médico/estadística & datos numéricos , Persona de Mediana Edad , Estrés Laboral/complicaciones , Estrés Laboral/epidemiología , Estrés Laboral/psicología , Estrés Psicológico/complicaciones , Estrés Psicológico/epidemiología , Estrés Psicológico/psicología , Encuestas y Cuestionarios , Rendimiento Laboral/estadística & datos numéricos , Lugar de Trabajo/psicología , Lugar de Trabajo/estadística & datos numéricos
12.
Sante Publique ; Vol. 31(3): 443-450, 2019.
Artículo en Francés | MEDLINE | ID: mdl-31640332

RESUMEN

BACKGROUND: The identification of psychosocial constraints in the sector of mass retail is necessary to set up and guide preventive strategies. AIM OF THE STUDY: To evaluate the prevalence of psychosocial constraints among employees working in a large supermarket chains. METHODS: A descriptive cross-sectional survey conducted in employees of grocery stores. The study was based on a questionnaire exploring their socio-professional characteristics and on the Karasek questionnaire. RESULTS: 245 workers participated in the study. The average age was 32.4±6.4 years. Sex-ratio was 0.84. Occupational seniority was 6.3 years (min=1 year; max=18 years). The category of employees was the most represented (56%); the cashiers and the executives represented respectively 24.5 and 19.5%. A job strain situation was observed in 28.2 % of cases. It varied significantly with occupational seniority (p=0.03). The employees and the cashiers represented the most exposed posts. A high job demands was observed in 48,2% of the cases. The employees working in a supermarket are more exposed than those working in a minimarket (p<0,001). A low job control was found in 61.2 % of cases. It was more important among the employees having a permanent employment contract (p=0.01). A low job suport was found in 65,3% of cases. A situation of isostrain was observed in 20%. CONCLUSION: According our results, workers in grocery stores are exposed to psychosocial risk factor. The implementation of strategies to reduce stress factors at work is required.


Asunto(s)
Comercio , Estrés Laboral/epidemiología , Ocupaciones/estadística & datos numéricos , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Factores de Riesgo , Túnez/epidemiología
13.
Rev Esc Enferm USP ; 53: e03510, 2019.
Artículo en Portugués, Inglés | MEDLINE | ID: mdl-31618313

RESUMEN

OBJECTIVE: To verify relations between moral distress and work satisfaction in nursing work in the hospital context. METHOD: A cross-sectional study carried out in a university hospital with nurses by applying a sociodemographic questionnaire, the "Index of Work Satisfaction" and the Brazilian Version of the "Moral Distress Scale". Descriptive statistics and Spearman's correlation were used for the analysis. RESULTS: 141 nurses participated in the study. "Autonomy" was the component of greater work satisfaction, appearing as fragile in the greater intensity issues of moral distress. Autonomy was followed by "interaction" and "remuneration" as components of satisfaction, and "lack of competence in the team" and "insufficient working conditions" as having greater intensity and frequency of moral distress, respectively. CONCLUSION: Comparing these two constructs denoted inverse relationships between them, especially while autonomy, a component of greater satisfaction, also appears as a trigger of moral distress when insufficiently exercised. Thus, it is considered necessary to strengthen nursing work environments for ethical and satisfactory performance.


Asunto(s)
Satisfacción en el Trabajo , Personal de Enfermería en Hospital/psicología , Estrés Laboral/epidemiología , Lugar de Trabajo/psicología , Adulto , Brasil , Estudios Transversales , Femenino , Hospitales Universitarios , Humanos , Masculino , Persona de Mediana Edad , Principios Morales , Autonomía Profesional , Encuestas y Cuestionarios
14.
Fa Yi Xue Za Zhi ; 35(4): 455-458, 2019 Aug.
Artículo en Inglés, Chino | MEDLINE | ID: mdl-31532157

RESUMEN

Abstract: "Karoshi" originates from Japan's economic take-off period in the 1960s and 1970s. It is generally believed that overwork lead to the accumulation of fatigue, which triggers the outbreak of potential diseases, and results in sudden death. Karoshi causes great harm to both the community and families because it occurs primarily in 30 to 60 year old young adults. Japan put Karoshi into the category of industrial injury for the first time in 2001 and started to undertake a series of studies in the sociological and pathological fields. However, there is a tremendous gap in the forensic pathological diagnosis domain. In China, research on Karoshi started from the 1990s and is closely related to the reform and opening up policy as well as economic development. According to the incomplete statistics, 600 thousand people die from overwork each year in China, the highest in the world. Karoshi has become one of the most serious social problems in China at the present stage, thus a systematic study in the sociology and forensic pathology fields is urgently required. This paper summarizes the past and present status of Karoshi, and puts forward the problems that need attention during the judicial expertise of Karoshi from forensic pathology perspective.


Asunto(s)
Muerte Súbita/etiología , Patologia Forense , Estrés Laboral/epidemiología , Adulto , China , Fatiga/epidemiología , Humanos , Persona de Mediana Edad , Factores de Riesgo
15.
Artículo en Inglés | MEDLINE | ID: mdl-31561463

RESUMEN

The infrequency of deaths from work-related heat stress may be due to self-pacing, whereby workers adjust their work rate in response to thermal discomfort. Thirteen cases attributed after coronial investigation to work-related heat stress were studied to evaluate the causal contribution of environmental and personal risk factors. Meteorological records and coronial records were examined to estimate environmental and metabolic heat loads and to identify any personal risk factors likely to have contributed to death. Seven deaths occurred in workers within one week of hiring, demonstrating not only the importance of acclimatisation but also the likelihood of compromised self-pacing in recently-hired workers. Personal risk factors identified included intercurrent illness, cardiovascular disease and obesity. Four deaths occurred following indoor work, where the probable critical risk parameter was low air velocity. Cerebral and pulmonary oedema were reported in some autopsy reports, and uncal herniation was found in one case. Modified work rates and close supervision are essential in recently-hired workers. The risk of death from raised intracranial pressure suggests the need for specific remediation of cerebral oedema in hyperthermic individuals.


Asunto(s)
Adaptación Fisiológica , Enfermedades Cardiovasculares/epidemiología , Enfermedades Cardiovasculares/mortalidad , Trastornos de Estrés por Calor/epidemiología , Trastornos de Estrés por Calor/mortalidad , Estrés Laboral/epidemiología , Estrés Laboral/mortalidad , Adulto , Anciano , Australia/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Medición de Riesgo/métodos , Adulto Joven
16.
Artículo en Inglés | MEDLINE | ID: mdl-31505823

RESUMEN

The impact of psychosocial factors on health has received increased attention. This study employed a multi-stage hierarchical cluster sampling method and a cross-sectional survey was conducted from March to August 2017. By studying 2116 oilfield workers based in Karamay, Xinjiang, the relationship between occupational stress, blood hormone levels, and sleep was analyzed. Occupational stress was measured using the internationally accepted Occupational Stress Inventory Revised Edition (OSI-R) questionnaire and sleep disorders were measured using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The study found that the sleep quality of respondents was not high and the incidence of sleep disorders was 36.67%. The higher the level of occupational stress, the higher the incidence of sleep disorders. Irregular shifts can affect sleep quality and individuals with high-level professional titles experience a higher incidence of sleep disorders than those with low-level titles. The total score of the PSQI was different among the low, medium, and high stress groups. The higher the level of stress, the higher the scores of subjective sleep quality, sleep disorder, and daytime dysfunction. The scores of the PSQI, subjective sleep quality, sleep time, sleep disturbance, and daytime dysfunction in the high-stress group were higher than those in the low stress group. A case-control study found that the concentration of glucocorticoids in the sleep disorder positive group was lower than that in the sleep disorder negative group. The results of the regression analysis showed that glucocorticoid is a protective factor for sleep disorders (OR = 0.989, 95% CI: 0.983-0.995), suggesting that the higher the level of glycosaminoglycan, the less likely the subject is to have sleep disorders. For example, in the case of high occupational stress, the interaction between low and moderate occupational stress levels and glucocorticoids is a protective factor for sleep disorders.


Asunto(s)
Hormonas/sangre , Estrés Laboral/epidemiología , Trastornos del Sueño-Vigilia/epidemiología , Sueño , Adulto , Estudios de Casos y Controles , China/epidemiología , Estudios Transversales , Femenino , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Estrés Laboral/complicaciones , Yacimiento de Petróleo y Gas , Trastornos del Sueño-Vigilia/etiología , Adulto Joven
17.
J Ayub Med Coll Abbottabad ; 31(3): 233-236, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31535514

RESUMEN

BACKGROUND: Depression is more prevalent in women than in men. Among women's population sub-groups, there is paucity of research regarding occupational factors associated with depression in Pakistani nurses. METHODS: This cross-sectional study was conducted on 250 female nurses working in a Federal Government tertiary care hospital in Islamabad. Pretested modified form of Agha Khan University Anxiety and Depression Scale was used to collect primary data. The questionnaires collected data on depressive symptoms, work experience, working hours, working environment, harassment by patients or attendants, job satisfaction and job stress. SPSS version 20 was used for data analysis. Chi-square test was used to see the association between different variables and depression. RESULTS: This study indicated high level of depression in nurses who were having work experience of 5-7 years (p=0.000), who were working on rotating shifts (p=0.012), whose work hours were not flexible (p=0.032), who had experienced verbal abuse or harassment by patient or attendant (p=0.001), who thought that they had more responsibilities and less authorities at work (p=0.018), who suffered from injury at work (p=0.010), who thought that they had to work fast at job (p=0.004), who thought that they had to do extra physical work at job (p=0.003), who believed that they had insufficient time for patient care (p=0.006), who were not allowed to take decisions according to patient's requirements (p=0.005), who were neither appreciated nor received any feedback from their seniors (p=0.002), who did not enjoy their work (p=0.001), who did not enjoy relations with their colleagues (p=0.001), who were harassed by their administration (p=0.000), who were not satisfied from their job (p=0.012) and who believed that their job is stressful (p=0.000). CONCLUSIONS: This study concluded that occupational factors play a very important role in determining depression in Pakistani nurses.


Asunto(s)
Depresión/epidemiología , Enfermeras y Enfermeros/estadística & datos numéricos , Estrés Laboral/epidemiología , Estudios Transversales , Femenino , Humanos , Satisfacción en el Trabajo , Pakistán/epidemiología , Factores de Riesgo , Centros de Atención Terciaria
18.
Artículo en Inglés | MEDLINE | ID: mdl-31546684

RESUMEN

The aim of this cross-sectional study was to evaluate the association between the influence of occupational stress and coping style on periodontitis among Japanese workers. The study sample included 738 workers (age range: 19-65 years) at a manufacturing company in Kagawa Prefecture, Japan. To analyze occupational stress and coping style, all participants answered a self-report questionnaire composed of items on their work environment and oral health behavior. Oral examinations were performed by calibrated dentists. Among all workers, 492 (66.7%) workers were diagnosed with periodontitis, and 50 (6.8%) were diagnosed with a high stress-low coping condition. Significant differences (p < 0.05) were observed between the periodontitis and non-periodontitis groups in terms of age, gender, body mass index, smoking status, daily alcohol drinking, monthly overtime work, worker type, and stress-coping style. Logistic regression analysis showed that a high stress-low coping condition was associated with an increased risk of periodontitis (odds ratio: 2.79, 95% confidence interval: 1.05-7.43, p = 0.039). These findings suggest that a high stress-low coping condition is associated with periodontitis among the 19-65 years of age group of Japanese workers.


Asunto(s)
Adaptación Psicológica , Estrés Laboral/epidemiología , Periodontitis/epidemiología , Adulto , Anciano , Estudios Transversales , Femenino , Humanos , Japón/epidemiología , Masculino , Persona de Mediana Edad , Estrés Laboral/complicaciones , Estrés Laboral/psicología , Periodontitis/etiología , Prevalencia , Autoinforme , Adulto Joven
19.
Artículo en Chino | MEDLINE | ID: mdl-31495114

RESUMEN

Objective: To investigate the current status of occupational stress in medical staff in Shenzhen, China, and to provide a reference for developing health administrative policy and reducing occupational stress in medical staff. Methods: From January to June, 2018, a cross-sectional survey was performed in 992 medical workers who were selected from 2 municipal hospitals and 2 district hospitals by stratified random sampling. General information was collected, Occupational Stress Inventory-Revised Edition was used to investigate occupational stress, and univariate and multivariate analyses were performed based on a descriptive analysis of related results. Results: For the medical staff in Shenzhen, the scores of Occupational Role Questionnaire, Personal Stress Questionnaire, and Personal Resources Questionnaire were 185.67±17.55, 108.45±15.56, and 122.74±16.56, respectively. Age, degree of education, type of work, job title, professional title, and permanent or temporary job were influencing factors for occupational task (P<0.05) ; age, working years, type of work, and night shift were influencing factors for personal stress response (P<0.05) ; working years, type of work, professional title, and weekly working hours were influencing factors for personal coping resources (P<0.05) . Conclusion: There is a high degree of occupational stress among medical staff in Shenzhen, and it is recommended to improve medical resources in Shenzhen, reduce occupational stress among medical staff, and increase coping resources.


Asunto(s)
Cuerpo Médico , Estrés Laboral/epidemiología , China , Estudios Transversales , Humanos , Encuestas y Cuestionarios
20.
Artículo en Inglés | MEDLINE | ID: mdl-31487874

RESUMEN

Nurses experience psychosocial work stress that may negatively affect physical and mental health over time. In this cross-sectional study we investigated prevalence of job stress and oxidative stress in nurses, and determined if significant relationships exist between higher job stress scores and demographic factors and working conditions. Emergency department nurses (n = 42) were recruited from a University Hospital following Institutional Review Board approval. Job stress indicators, effort-reward ratio and overcommitment were evaluated from survey questionnaires using the effort-reward imbalance model, and associations with age, sex, body mass index, and working conditions were measured by logistic regression analysis. Oxidative stress biomarkers, 8-isoprostane, malondialdehyde, and antioxidant levels were measured from urine specimens. Job stress was prevalent with effort-reward ratio > 1 in 93% and overcommitment > 50 in 83% of the study participants. Age, body mass index, years of experience, weekend work, work hours per week, and shift work showed strong associations with effort-reward ratio and overcommitment scores. Malondialdehyde was higher in participants with high overcommitment. We report that psychosocial job stress is prevalent among nurses, as revealed by the high effort-reward and overcommitment scores. Job stress may be reduced through implementation of appropriate stress reduction interventions.


Asunto(s)
Servicio de Urgencia en Hospital/estadística & datos numéricos , Enfermeras y Enfermeros/psicología , Estrés Laboral/epidemiología , Adulto , Biomarcadores/orina , Estudios Transversales , Dinoprost/análogos & derivados , Dinoprost/orina , Femenino , Humanos , Masculino , Malondialdehído/orina , Salud Mental , Persona de Mediana Edad , Estrés Laboral/orina , Estrés Oxidativo , Prevalencia , Recompensa , Riesgo , Encuestas y Cuestionarios , Carga de Trabajo , Adulto Joven
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