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1.
JAMA Netw Open ; 3(1): e1920092, 2020 Jan 03.
Artigo em Inglês | MEDLINE | ID: mdl-31995218

RESUMO

Importance: In Canada, approximately 81% of residents of nursing homes live with mild to severe cognitive impairment. Care needs of this population are increasingly complex, but resources, such as staffing, for nursing homes continue to be limited. Staff risk missing or rushing care tasks and interfering with quality of care and life. Objective: To assess the association of work environment with missing and rushing essential care tasks in nursing homes. Design, Setting, and Participants: This cross-sectional study used survey data collected from a random sample of 93 urban nursing homes in Western Canada, stratified by health region, owner-operator model, and facility size, between May and December 2017. All 5411 eligible care aides were invited to participate, and 4016 care aides agreed and completed structured, computer-assisted interviews in person. Analyses were conducted from July 4, 2018, to February 27, 2019. Main Outcomes and Measures: Self-reported number of essential care tasks missed (range, 0-8) or rushed (range, 0-7) in the most recent shift. Two-level random intercept hurdle regressions controlled for care aide, care unit, and nursing home characteristics. Results: Of 4016 care aides, 2757 (68.7%) were 40 years or older, 3574 (89.1%) were women, and 1353 (66.3%) spoke English as an additional language. For their most recent shift, 2306 care aides (57.4%) reported missing at least 1 essential care task and 2628 care aides (65.4%) reported rushing at least 1 essential care task. Care aides on units with more favorable work environments (eg, more effective leadership, better work culture, higher levels of buffering resources) were less likely to miss any care tasks (odds ratio, 1.59; 95% CI, 1.34-1.90; P < .001) and less likely to rush any care task (odds ratio, 1.66; 95% CI, 1.38-1.99; P < .001). Conclusions and Relevance: This study found that rates of missed and rushed essential care in Canadian nursing homes were high and were higher in units with less favorable work environments. This finding suggests that work environment should be added to the list of modifiable factors associated with improving nursing home care, as it may be an important pathway for improving quality of care. Further research is needed to understand associations of missed and rushed care and of improving work environments with outcomes among residents of nursing homes.


Assuntos
Assistentes de Enfermagem/psicologia , Casas de Saúde/organização & administração , Carga de Trabalho/psicologia , Adulto , Canadá , Estudos Transversais , Humanos , Qualidade da Assistência à Saúde/normas , Local de Trabalho/psicologia
2.
BMJ ; 367: l6446, 2019 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-31852676

RESUMO

OBJECTIVE: To determine the validity of the superstition that utterance of the word "quiet" in a clinical setting increases workload. DESIGN: Prospective randomised controlled non-inferiority study. SETTING: Microbiology department of a large teaching hospital in Lancashire, UK. PARTICIPANTS: Two members of the medical microbiology team carried out the duty work on any given week day and an on-call team member on any weekend day. 29 days were assigned in which staff were to say "Today will be a quiet day" and 32 days were assigned in which staff were to refrain from saying the word "quiet" in any context. INTERVENTIONS: Each day was randomly allocated to either saying "Today will be a quiet day" (intervention group) or refraining from saying the word "quiet" (control group) in any context. MAIN OUTCOME MEASURES: The primary outcome was mean overall workload: a composite of number of clinically related telephone calls, clinically significant results, or validated results processed by the duty medical microbiology team during a 24 hour period referred to collectively as "clinical episodes." A difference of 30 clinical episodes was considered as the margin of non-inferiority. Secondary outcomes included the individual components of the primary outcome. RESULTS: Workload was measured each day over a 61 day period (1 May to 30 June 2019). A mean 139.0 clinical episodes occurred on control days compared with 144.9 on days when the experimental intervention was uttered, a difference of 5.9 (95% confidence interval-12.9 to 24.7). The upper bound was less than the specified margin of 30, providing evidence for non-inferiority. No evidence of a difference in workload was found between interventions with any of the four components, whether considering unadjusted or adjusted analyses, or looking at the subgroups of week days or weekends. CONCLUSIONS: The study findings refute the long held superstition that utterance of the word "quiet" impacts on clinical workload, and therefore it should not be avoided. In the era of considerable staff shortages and increased work related stress, doctors should look to other methods to increase resilience and protect their wellbeing and mental health. TRIAL REGISTRATION: Lancashire Teaching Hospitals NHS Foundation Trust's research department SE-259.


Assuntos
Pessoal de Saúde/psicologia , Superstições/psicologia , Carga de Trabalho/psicologia , Local de Trabalho/psicologia , Adaptação Psicológica , Adulto , Feminino , Humanos , Linguagem , Masculino , Estudos Prospectivos
3.
Estud. pesqui. psicol. (Impr.) ; 19(3): 583-603, dez. 2019. tab
Artigo em Português | LILACS, Index Psicologia - Periódicos técnico-científicos | ID: biblio-1045918

RESUMO

O artigo trata de uma investigação realizada em um restaurante universitário, visando identificar relações entre as condições de trabalho e a saúde dos trabalhadores, a partir do referencial teórico e metodológico da ergonomia da atividade. A pesquisa, de natureza qualitativa, apontou a presença de fatores de risco ergonômicos e psicossociais relacionados às exigências da atividade, a carga de trabalho elevada, às dificuldades nas relações socioprofissionais e a forma como as tarefas eram distribuídas. A presença de doenças físicas foi apontada pelos entrevistados como uma das principais repercussões da atividade. As condições contratuais e de gestão também foram apontadas como fatores que afetavam a atividade dos entrevistados. Esses achados corroboram os dados já apresentados pela literatura e evidenciam a importância de um diagnóstico organizacional com foco na saúde do trabalhador que considere o trabalho em todos os seus componentes: condições físicas, contratuais, os processos e características da atividade e as condições sociogerenciais.(AU)


The article addresses an investigation carried out in a university restaurant, aiming to identify relationships between working conditions and workers' health, based on the Activity Ergonomics theoretical and methodological framework. The qualitative research showed the presence of ergonomic and psychosocial risk factors related to the demands of the activity, the high workload, the difficulties in the socio-professional relations and the tasks distribution. The presence of physical illnesses was pointed out by the interviewees as one of the main repercussions of the activity. Contractual and management conditions were also identified as factors that affected the activity of the interviewees. These findings corroborate the data already presented in the literature and show the importance of an organizational diagnosis focused on workers' health that considers work in all its components: physical, contractual conditions, processes and characteristics of the activity and socio-political conditions.(AU)


El artículo trata de una investigación realizada en un restaurante universitario, buscando identificar relaciones entre las condiciones de trabajo y la salud de los trabajadores, a partir del referencial teórico y metodológico de la ergonomía de la actividad. La investigación, de naturaleza cualitativa, apuntó la presencia de factores de riesgo ergonómicos y psicosociales relacionados con las exigencias de la actividad, la carga de trabajo elevada, las dificultades en las relaciones socioprofesionales y la forma en que las tareas eran distribuidas. La presencia de enfermedades físicas fue señalada por los entrevistados como una de las principales repercusiones de la actividad. Las condiciones contractuales y de gestión también fueron apuntadas como factores que afecta la actividad de los entrevistados. Estos hallazgos corroboran los datos ya presentados por la literatura y evidencian la importancia de un diagnóstico organizacional con foco en la salud del trabajador que considere el trabajo en todos sus componentes: condiciones físicas, contractuales, los procesos y características de la actividad y las condiciones sociogenerativas.(AU)


Assuntos
Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Idoso , Condições de Trabalho , Saúde do Trabalhador , Ergonomia , Restaurantes , Carga de Trabalho/psicologia
4.
Environ Health Prev Med ; 24(1): 64, 2019 Nov 27.
Artigo em Inglês | MEDLINE | ID: mdl-31775617

RESUMO

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.


Assuntos
Saúde Mental , Saúde do Trabalhador , Estresse Ocupacional/psicologia , Local de Trabalho/psicologia , Adulto , Estudos Transversais , Emprego/psicologia , Feminino , Inquéritos Epidemiológicos , Humanos , Japão/epidemiologia , Masculino , Saúde Mental/estatística & dados numéricos , Pessoa de Meia-Idade , Estresse Ocupacional/epidemiologia , Razão de Chances , Prevalência , Carga de Trabalho/psicologia , Adulto Jovem
5.
Rev Lat Am Enfermagem ; 27: e3170, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596407

RESUMO

OBJECTIVE: to translate, adapt and test the psychometric properties of the Brazilian Nurse-Work Instability Scale. METHOD: this was a methodological study following the translation steps: synthesis, back-translation, specialist´s committee, semantics analysis, pretest, and psychometric tests. The committee was composed of 5 specialists. For the semantics analysis, 18 nursing workers evaluated the instrument and 30 pretested it. For the psychometric tests, the sample size was 214 nursing workers. The internal construct validity was analyzed by the Rasch model. Reliability was assessed using internal consistency, and concurrent validity with Pearson's correlation between the Nurse-Work Instability Scale, and the Work Ability Index, Job Stress Scale. RESULTS: a Nurse-Work Instability Scale in Brazilian Portuguese with 20 items showed an adequate reliability (0.831), stability (p <0.0001), and an expected correlation with Work Ability Index (r = -0.526; P<0.0001) and Job Stress Scale (r = 0.352; p <0.0001). CONCLUSION: the instrument is appropriated to detect work instability in Brazilian nursing workers with musculoskeletal disorders. Its application is fundamental to avoid long-term withdrawal from work by early identification of the work instability. Furthermore, the scale can assist the development of actions and strategies to prevent the abandonment of the profession of nursing workers affected by musculoskeletal disorders.


Assuntos
Emprego/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Saúde do Trabalhador/normas , Psicometria/métodos , Inquéritos e Questionários/normas , Carga de Trabalho/psicologia , Adulto , Brasil , Feminino , Humanos , Linguagem , Masculino , Pessoa de Meia-Idade , Recursos Humanos de Enfermagem no Hospital/organização & administração , Reprodutibilidade dos Testes , Traduções , Avaliação da Capacidade de Trabalho , Local de Trabalho/organização & administração
6.
Int J Occup Environ Med ; 10(4): 174-184, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31586382

RESUMO

BACKGROUND: Whole-body vibration (WBV) and mental workload (MWL) are common stressors among drivers who attempt to control numerous variables while driving a car, bus, or train. OBJECTIVE: To examine the individual and combined effects of the WBV and MWL on the autonomic nervous system. METHODS: ECG of 24 healthy male students was recorded using NeXus-4 while performing two difficulty levels of a computerized dual task and when they were exposing to WBV (intensity 0.5 m/s2; frequency 3-20 Hz). Each condition was examined for 5 min individually and combined. Inter-beat intervals were extracted from ECG records. The time-domain and frequency-domain heart rate variability parameters were then extracted from the inter-beat intervals data. RESULTS: A significant (p=0.008) increase was observed in the mean RR interval while the participants were exposed to WBV; there was a significant (p=0.02) reduction in the mean RR interval while the participants were performing the MWL. WBV (p=0.02) and MWL significantly (p<0.001) increased the standard deviation of normal-to-normal intervals with a moderate-to-large effect size. All active periods increased the low-frequency component and low-frequency/high-frequency ratio. However, only the WBV significantly increased the highfrequency component. A significant (p=0.01) interaction was observed between the WBV and MWL on low-frequency component and low-frequency/high-frequency ratio. CONCLUSION: Exposure to WBV and MWL can dysregulate the autonomic nervous system. WBV stimulates both sympathetic and parasympathetic nervous system; MWL largely affects sympathetic nervous system. Both variables imbalance the sympatho-vagal control as well.


Assuntos
Condução de Veículo , Sistema Nervoso Autônomo/fisiologia , Processos Mentais/fisiologia , Vibração , Carga de Trabalho , Adulto , Condução de Veículo/psicologia , Condução de Veículo/estatística & dados numéricos , Frequência Cardíaca/fisiologia , Humanos , Masculino , Ruído Ocupacional/efeitos adversos , Ruído Ocupacional/estatística & dados numéricos , Ruído dos Transportes/efeitos adversos , Ruído dos Transportes/estatística & dados numéricos , Exposição Ocupacional/estatística & dados numéricos , Projetos Piloto , Estudantes , Carga de Trabalho/psicologia , Carga de Trabalho/estatística & dados numéricos , Adulto Jovem
7.
Ned Tijdschr Geneeskd ; 1632019 10 01.
Artigo em Holandês | MEDLINE | ID: mdl-31580034

RESUMO

Burnout is a serious health problem and the cause of career disruption in 15% of women and 9% of men who quit their job. Of all work-related complaints, 37% is attributable to workload and stress. Many workers visit their general practitioner with work-related complaints. Recently, the Dutch College of General Practitioners (NederlandsHuisartsenGenootschap) published a guideline on burnout. While the guideline provides a good framework for managing patients with a burnout, additional attention could be paid to prevention and how to distinguish burnout from depression.


Assuntos
Esgotamento Profissional/diagnóstico , Depressão/diagnóstico , Medicina de Família e Comunidade/normas , Doenças Profissionais/diagnóstico , Esgotamento Profissional/psicologia , Depressão/psicologia , Medicina de Família e Comunidade/métodos , Feminino , Humanos , Masculino , Países Baixos , Doenças Profissionais/psicologia , Guias de Prática Clínica como Assunto , Carga de Trabalho/psicologia
9.
Rev Assoc Med Bras (1992) ; 65(8): 1048-1054, 2019 Sep 12.
Artigo em Inglês | MEDLINE | ID: mdl-31531600

RESUMO

INTRODUCTION: Medical Residency is a recognized form of professional qualification, but there are criticisms regarding the overload of work activities. Given the length of the daily and weekly workdays, residents develop practices that enable them to reconcile the Residency with their personal life. AIM: To describe time management strategies in the daily routine of Internal Medicine Medical Residents of a university hospital in São Paulo, Brasil. METHODS: Eight interviews were conducted with resident physicians of the second year, addressing aspects of personal and family life, theoretical study, practical activities, and work bonds. Content analysis was carried out using the MaxQDA software. RESULTS: Six thematic categories emerged from the reports: work organization at the Medical Residency; learning and/or professional activities; housing, financial planning, and household activities; time for leisure and interpersonal relationship; family planning/children; rest/sleep. DISCUSSION: Several strategies are adopted for time management: residing near the hospital, domestic activities helped by housekeepers, postponement of maternity leave, and social support centered on interacting with other residents. There are paid activities not associated with the Residency, which lead to reduced time for rest, study, and leisure, with a greater loss during work at night shifts. CONCLUSIONS: Residents experience a period of intense learning, which requires a high workload and complex work. The evaluation of the work organization of medical residents should include not only time for rest but also time management strategies for daily activities, which can reduce the negative outcomes associated with long working hours.


Assuntos
Medicina Interna/educação , Internato e Residência/estatística & dados numéricos , Gerenciamento do Tempo , Carga de Trabalho/estatística & dados numéricos , Adulto , Brasil , Feminino , Hospitais Universitários , Humanos , Medicina Interna/estatística & dados numéricos , Entrevistas como Assunto , Masculino , Pesquisa Qualitativa , Carga de Trabalho/psicologia
10.
Pan Afr Med J ; 33: 148, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31558945

RESUMO

Introduction: This study aimed to determine the factors that predict the incidence of burnout in nurses who work at the Public Hospital of Tangerang Regency in Banten, Indonesia. Methods: A cross-sectional design was used in this study. Participants were selected from eight inpatient wards at the Public Hospital of Tangerang Regency (hereinafter termed the hospital) by using a proportionate stratified random sampling method. A total of 133 nurses working in the inpatient wards were recruited. Data were collected using a questionnaire on nursing work schedule setting policy, daily log questionnaire for workload, competency scale and the Maslach Burnout Inventory scale for nurse burnout. Stepwise multiple linear regression was used to analyze the data. Results: For most respondents (54.1%), the nursing work scheduling policy was appropriate, whereas the average score of nurse workload was 80.42 with SD ± 0.49, and the competency of most nurses was appropriate (64.7%). The average score of nurse burnout was 17.48 with an SD ± 0.50. Work schedule policy and workload were significant burnout predictors, accounting for 87.2% of the variance (Adjusted R2=0.872) in burnout among nurses who worked in the hospital's inpatient wards. Conclusion: Nursing work schedule setting policy and workload were the main factors that led to burnout in nurses working in the inpatient wards. This issue can be overcome by regulating the workload in a balanced manner and applying appropriate policy in the nurse work schedule.


Assuntos
Esgotamento Profissional/epidemiologia , Competência Clínica , Recursos Humanos de Enfermagem no Hospital/psicologia , Carga de Trabalho/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Incidência , Indonésia , Modelos Lineares , Masculino , Inquéritos e Questionários , Tolerância ao Trabalho Programado/psicologia
11.
Artigo em Inglês | MEDLINE | ID: mdl-31500365

RESUMO

This study represents an important step towards understanding why supervisors behave abusively towards their subordinates. Building on the conservation of resources theory, this study investigates the impact of abusive supervision on counterproductive work behaviors (CWBs) from a stress perspective. Furthermore, job demands play a significant moderating effect, and emotional exhaustion has a mediating effect on the relationship between abusive supervision and CWBs. A time-lagged design was utilized to collect the data and a total of 350 supervisors-subordinates' dyads are collected from Chinese manufacturing firms. The findings indicate that subordinates' emotional exhaustion mediates the relationship between abusive supervision and CWBs only when subordinates are involved in a high frequency of job demands. Additionally, emotional exhaustion and abusive supervision were significantly moderated by job demands. However, the extant literature has provided that abusive supervision has detrimental effects on employees work behavior. The findings of this study provide new empirical and theoretical insights into the stress perspectives. Finally, implications for managers and related theories are discussed, along with the boundaries and future opportunities of this study.


Assuntos
Esgotamento Profissional/epidemiologia , Violência/psicologia , Carga de Trabalho/psicologia , Local de Trabalho/psicologia , Adulto , Esgotamento Profissional/psicologia , China , Emoções , Feminino , Humanos , Masculino , Saúde do Trabalhador
13.
Am J Health Syst Pharm ; 76(13): 992-997, 2019 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-31415686

RESUMO

PURPOSE: To describe the methods used in the development of an intravenous chemotherapy workload and productivity dashboard and its impact on symptoms of burnout and technician turnover. SUMMARY: In February 2017, chemotherapy sterile preparation pharmacy technicians reported symptoms of burnout as a result of perceived increase in workload. In response, an i.v. chemotherapy workload and productivity dashboard was developed at an academic medical center to validate workload in comparison to the reported job stress of pharmacy technicians. The dashboard provided pharmacy leadership objective data to validate staff concerns and leveraged lean principles to level-load the work prior to requesting additional full-time equivalents (FTEs) to senior leadership. The rate of turnover of i.v. chemotherapy technicians was assessed before (December 2016-June 2017) and after (July 2017-January 2018) dashboard implementation and approval of an additional i.v. chemotherapy technician FTE. The addition of the new FTE resulted in a decrease in productivity from an average of 106% (range 67%-151%) to 84% (range 65%-110%). The interventions allowed for the ability to leverage a staffing-to-demand model, resulting in the observed improvement in technician symptoms of burnout and a notable decrease in the overall turnover rate of i.v. chemotherapy technicians. CONCLUSION: The i.v. chemotherapy workload and productivity dashboard confirmed frontline staff perception and provided data to support the addition of labor resource and an opportunity to leverage a staffing-to-demand model to decrease symptoms of burnout and technician turnover.


Assuntos
Eficiência Organizacional , Reorganização de Recursos Humanos/estatística & dados numéricos , Serviço de Farmácia Hospitalar/organização & administração , Técnicos em Farmácia/estatística & dados numéricos , Carga de Trabalho/estatística & dados numéricos , Administração Intravenosa , Antineoplásicos/administração & dosagem , Atitude do Pessoal de Saúde , Esgotamento Profissional/epidemiologia , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Implementação de Plano de Saúde , Humanos , Neoplasias/tratamento farmacológico , Serviço de Farmácia Hospitalar/estatística & dados numéricos , Técnicos em Farmácia/psicologia , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Carga de Trabalho/psicologia
14.
J Grad Med Educ ; 11(4 Suppl): 73-78, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31428261

RESUMO

Background: Attributes of the clinical learning environment (CLE) are a measure of quality in postgraduate medical education, and assessing the CLE is a component of the New Accreditation System being introduced in Singapore by the Accreditation Council for Graduate Medical Education International. There is a dearth of published studies of CLE quality in Singapore. Objective: Our study had 3 aims: (1) to measure the CLE in 1 Singaporean residency program; (2) to compare trainee perceptions by sex, training level, and experience; and (3) to identify areas for improvement. Methods: Between October and December 2017, we conducted a mixed assessment of the CLE in an internal medicine program in Singapore, using the Postgraduate Hospital Educational Environment Measure (PHEEM) and qualitative exploration using a focus group. Results: Of 153 IM residents, 136 (89%) provided PHEEM responses and 8 participated in the focus group. Total PHEEM scores and scores for the 3 subscales were higher than published data on the use of the PHEEM in international settings. Exploration of selected PHEEM responses via a focus group identified attributes associated with negative perceptions of the CLE: excessive workload, inadequate faculty presence in the CLE, and unmet trainee needs. It also suggested senior residents' clinical workloads, greater responsibilities, and pending examinations may contribute to their less positive perceptions of the CLE. Conclusions: Our analysis using the PHEEM showed overall positive perceptions of the CLE, along with areas for improvement amenable to interventions. Our approach has relevance to an accreditation model with ongoing evaluation of the CLE.


Assuntos
Acreditação/normas , Medicina Interna/educação , Internato e Residência , Melhoria de Qualidade , Adulto , Educação de Pós-Graduação em Medicina , Feminino , Grupos Focais , Humanos , Masculino , Singapura , Inquéritos e Questionários , Carga de Trabalho/psicologia
15.
Tidsskr Nor Laegeforen ; 139(11)2019 Aug 20.
Artigo em Norueguês, Inglês | MEDLINE | ID: mdl-31429250

RESUMO

BACKGROUND: The Return-To-Work Self-Efficacy Scale questionnaire maps self-efficacy upon return to work following acute lower back pain. We wished to translate and validate the questionnaire, as well as to assess the concordance between the translated form and two other forms. MATERIAL AND METHOD: The questionnaire was translated into Norwegian according to recommended guidelines. Employees in the health and care service with musculoskeletal symptoms were recruited for the study. Cross-cultural validity was assessed by principal component analysis and internal consistency by Cronbach's alpha. Conceptual validity was assessed by correlation between the translated form and simultaneous measurements from two questionnaires that focus on closely related characteristics: the Tampa scale for kinesiophobia and the Demand-ControlSupport model. RESULTS: The Norwegian questionnaire is called 'Job-related self-efficacy'. Of a sample of 229 persons, 206 (89.9 %) were included in the analyses. Principal component analysis supported cross-cultural validity through findings of a three-factor structure in accordance with the original questionnaire. Internal consistency was high for all questions in the questionnaire (0.95), as well as for each of the three factors: meet job requirements (0.99), communicate needs to others (0.97) and adapt work duties (0.96), after adjusting for the number of questions. There were low correlations (< 0.40) between Job-Related Self-Efficacy and the Tampa scale for kinesiophobia, and the various factors in the Demand-Control-Support questionnaire, respectively. INTERPRETATION: The 'Job-Related Self-Efficacy' questionnaire has satisfactory cross-cultural validity after it was translated, and satisfactory internal consistency.


Assuntos
Dor Lombar/psicologia , Doenças Musculoesqueléticas/psicologia , Retorno ao Trabalho/psicologia , Autoeficácia , Inquéritos e Questionários , Adulto , Idoso , Dor Crônica/psicologia , Comparação Transcultural , Exercício , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor Musculoesquelética/psicologia , Noruega , Saúde do Trabalhador , Medição da Dor , Reprodutibilidade dos Testes , Licença Médica , Apoio Social , Traduções , Estados Unidos , Desempenho Profissional , Carga de Trabalho/psicologia , Adulto Jovem
16.
J Grad Med Educ ; 11(4): 402-409, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31440333

RESUMO

Background: Little is known about the level of burnout among program administrators (PAs) working in graduate medical education. Objective: We created a national database with baseline burnout data for PAs from residency and fellowship programs, including intention to leave their current positions. Methods: A cross-sectional study was conducted in July 2017 to assess levels of burnout in a national cohort of PAs, who were largely members of online specialty forums. The Copenhagen Burnout Inventory (CBI) was used to measure burnout. Univariate analysis produced descriptive statistics for CBI. We performed a 2-sample t test to measure differences in average burnout scores for those who had thoughts of resigning from their positions and those who had not. Results: Of the approximately 10 205 national PAs, we sampled 1126 (11%). Of the 1126 individuals who received the study information, 931 (83%) completed the baseline survey. Total mean scores for all subscales were elevated (personal: 53.7, SD 21.4; work-related: 52.0, SD 22; and client-related: 30.6, SD 20.8; each scale ranged from 0, low, to 100, high). Burnout scores differed between those contemplating leaving their jobs and those who were not, across all subscales of CBI, including personal (64.2 versus 42.4, -24.18 to -19.44 confidence interval [CI]), work-related (63.5 versus 39.7, -26.12 to -21.35 CI), and client-related (36.6 versus 24.2, -14.95 to -9.84 CI; P < .0001 for all). Conclusions: In this national survey of PAs, burnout scores measured by the CBI were higher among those who had considered leaving their positions.


Assuntos
Esgotamento Profissional/psicologia , Bolsas de Estudo , Internato e Residência , Diretores Médicos , Carga de Trabalho/psicologia , Adulto , Estudos Transversais , Bases de Dados Factuais/estatística & dados numéricos , Educação de Pós-Graduação em Medicina , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reorganização de Recursos Humanos , Diretores Médicos/psicologia , Diretores Médicos/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
17.
Lakartidningen ; 1162019 Aug 26.
Artigo em Sueco | MEDLINE | ID: mdl-31454053

RESUMO

The Swedish Association for Child and Adolescent Psychiatry conducted a survey among their specialty trainees in 2018. Of the 48% response rate, around 48% admitted hesitancy to continue in their chosen specialty. A further 12% planned to depart from their field after completion of training. Factors associated with discontinuation in training were the perception of ineffective psychotherapeutic treatments and a lack of autonomy at work; which was strongly correlated to the doctor's role and team collaboration. Workload was generally perceived as excessive, with not enough time for after work recovery and the subsequent negative impact on private life. However, these factors were not found to significantly affect trainees' decision to leave. The doctor's role requires better clarification and medical leadership needs to be improved, so that evidence based treatments can be offered.


Assuntos
Psiquiatria do Adolescente , Atitude do Pessoal de Saúde , Psiquiatria Infantil , Educação de Pós-Graduação em Medicina , Adolescente , Adulto , Escolha da Profissão , Criança , Orientação Infantil , Humanos , Papel do Médico , Autonomia Profissional , Psicoterapia/normas , Psicotrópicos/normas , Sociedades Médicas , Inquéritos e Questionários , Suécia , Equilíbrio Trabalho-Vida , Carga de Trabalho/psicologia , Local de Trabalho/psicologia
18.
Biomed Res Int ; 2019: 9875090, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31380445

RESUMO

University organizational contexts have been changing significantly in recent years, and academic staff are expected to manage larger workloads at an increased pace. This can threaten their well-being and exacerbate work-related stress-possibly creating negative impacts on their mental and physical states. Surprisingly, academic occupational psychological health is still rarely studied. By referring to the Job Demands-Resources (JD-R) conceptual model, this study aimed to analyze the relationship between university teachers' well-being and job demands and resources, with a particular focus on the role of the relationship with students. Specifically, 550 associate and full professors were studied to determine the impact of job characteristics, quality of relationships in the work environment, and negative and positive relations with students regarding emotional exhaustion and work engagement. Hierarchical multiple regression models allowed us to highlight the fact that emotional exhaustion was positively and significantly associated with workload, conflicts with colleagues, and requests from students, and it was negatively associated with work meaning. Work engagement was positively and significantly associated with work meaning and social support from students. Our study points out that the flexible and renowned JD-R model can successfully be used to analyze the occupational psychological health of academics. Further, our study underscores the fact that, among job demands and resources, the often-neglected relations with external users (the students) can play an important role in university teachers' perceptions of exhaustion and engagement.


Assuntos
Esgotamento Profissional/psicologia , Emoções , Docentes/psicologia , Estresse Ocupacional/psicologia , Feminino , Humanos , Satisfação no Emprego , Masculino , Saúde Mental , Pessoa de Meia-Idade , Saúde do Trabalhador , Inquéritos e Questionários , Carga de Trabalho/psicologia , Local de Trabalho/psicologia
19.
Artigo em Inglês | MEDLINE | ID: mdl-31382474

RESUMO

This paper presents the study on the association between in-vehicle music listening, physiological and psychological response, and driving performance, using the driving simulator approach, with which personality (temperament) was considered. The performance indicators considered were the standard deviation of speed, lane crossing frequency, perceived mental workload, and mean and variability of heart rate. Additionally, effects of the presence of music and music genre (light music versus rock music) were considered. Twenty participants of different personalities (in particular five, four, seven, and four being choleric, sanguine, phlegmatic, and melancholic, respectively) completed a total of 60 driving simulator tests. Results of mixed analysis of variance (M-ANOVA) indicated that the effects of music genre and driver character on driving performance were significant. The arousal level perceived mental workload, standard deviation of speed, and frequency of lane crossing were higher when driving under the influence of rock music than that when driving under the influence of light music or an absence of music. Additionally, phlegmatic drivers generally had lower arousal levels and choleric drivers had a greater mental workload and were more likely distracted by music listening. Such findings should imply the development of cost-effective driver education, training, and management measures that could mitigate driver distraction. Therefore, the safety awareness and safety performance of drivers could be enhanced.


Assuntos
Condução de Veículo , Música , Temperamento , Adulto , Percepção Auditiva , Simulação por Computador , Feminino , Humanos , Masculino , Carga de Trabalho/psicologia , Adulto Jovem
20.
Cien Saude Colet ; 24(7): 2593-2599, 2019 Jul 22.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31340276

RESUMO

This study assessed job satisfaction and work overload among doctors, nurses, psychologists, and nursing technicians working in community mental health services and conducted a comparison between nurses and other healthcare professionals. Using convenience sampling, a cross-sectional study was conducted with 61 healthcare professionals working in psychosocial care centers in a municipality located in the South Region of Brazil. Data was collected using a sociodemographic questionnaire, work impact assessment scale (Impacto - Br), and mental health professional satisfaction scale (Satis - Br). Data analysis was performed using the statistical software package SPSS 21.0. The average overall work overload score of nurses was 2.92 ± 0.42 and the average overall job satisfaction score was 3.38 ± 0.51. The level of satisfaction of nurses with the quality of services provided was lower than that of other professionals (3.36 ± 0.77 compared to 3.78 ± 0.56, respectively; p = 0.04). The factor that had the greatest negative influence on work overload among nurses was feeling physically tired (2.99 ± 0.92), while the factor that had the greatest positive influence on job satisfaction was good working relationships (4.06 ± 0.65).


Assuntos
Pessoal de Saúde/psicologia , Satisfação no Emprego , Serviços de Saúde Mental/organização & administração , Enfermeiras e Enfermeiros/psicologia , Adulto , Idoso , Brasil , Estudos Transversais , Fadiga/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Carga de Trabalho/psicologia , Adulto Jovem
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