Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 110
Filtrar
1.
J Occup Health ; 63(1): e12189, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33426766

RESUMO

OBJECTIVES: Workplace-based selective prevention of mental health problems currently relies on subjective evaluation of stress complaints. Hair cortisol captures chronic stress responses and could be a promising biomarker for the early identification of mental health problems. The objective was to provide an overview of the state-of-the-art knowledge on the practical value of hair cortisol in the occupational setting. METHODS: We performed a scoping review of cross-sectional and longitudinal studies in PubMed, Embase, and PsycINFO up to November 2019 assessing the relations of hair cortisol with work-related stressors, perceived stress, and mental health outcomes in healthy workers. RESULTS: We found five longitudinal studies, of which two observed an increase in work-related stressors to be associated with higher hair cortisol, one found a relation with lower hair cortisol and one did not find a relationship. Findings of cross-sectional studies were also mixed. The one available longitudinal study regarding mental health showed that hair cortisol was not related to depressive symptoms. CONCLUSIONS: Hair cortisol measurement within occupational health research is still in its early stage and more longitudinal studies are urgently needed to clarify its relationship with work-related stressors and perceived stress before hair cortisol can be used to identify workers at risk for mental health problems.


Assuntos
Cabelo/química , Hidrocortisona/análise , Saúde do Trabalhador , Estresse Ocupacional/diagnóstico , Humanos
2.
BMJ Open ; 10(12): e042930, 2020 12 18.
Artigo em Inglês | MEDLINE | ID: mdl-33371046

RESUMO

OBJECTIVE: Our study aims to understand the psychological impact of the COVID-19 pandemic among healthcare workers (HCWs) at acute hospital settings in the South-East of Ireland, as a crucial step in guiding policies and interventions to maintain their psychological well-being. DESIGN: Observational cohort study. PARTICIPANTS AND SETTING: 472 HCWs participated from two distinct acute hospital settings, A and B, in the South-East of Ireland. PRIMARY AND SECONDARY OUTCOME MEASURES: Measures of psychological distress-depression, anxiety, acute and post-traumatic stress disorder (PTSD)-as dictated by the Depression, Anxiety and Stress Scale (DASS-21) and Impact of Event Scale-Revised (IES-R). An independent sample t-test and a Mann-Whitney U test was used to determine significance of difference in continuous variables between groups. Categorical variables were assessed for significance with a χ2 test for independence. RESULTS: The DASS-21 provided independent measures of depression (mean 4.57, IQR 2-7), anxiety (mean 3.87, IQR 1-6) and stress (mean 7.41, IQR 4-10). Positive scores were reflected in 201 workers (42.6%) for depression and 213 (45.1%) for both anxiety and stress. The IES-R measured subjective distress on three subscales: intrusion (mean 1.085, IQR 0.375-1.72), avoidance (mean 1.008, IQR 0.375-1.5) and hyperarousal (mean 1.084, IQR 0.5-1.667). Overall, 195 cases (41.3%) were concerning for PTSD. Site B scored significantly higher across all parameters of depression (5.24 vs 4.08, p<0.01), anxiety (4.66 vs 3.3, p<0.01), stress (8.91 vs 6.33, p<0.01) and PTSD (0.058 vs 0.043, p<0.01). Worse outcomes were also noted in HCWs with underlying medical ailments. CONCLUSION: Psychological distress is prevalent among HCWs during the COVID-19 pandemic; screening for adverse mental and emotional outcomes and developing timely tailored preventative measures with effective feedback are vital to protect their psychological well-being, both in the immediate and long-term.


Assuntos
Ansiedade , Pessoal de Saúde , Hospitais/estatística & dados numéricos , Estresse Ocupacional , Transtornos de Estresse Pós-Traumáticos , Adulto , Ansiedade/diagnóstico , Ansiedade/epidemiologia , Ansiedade/etiologia , /psicologia , Feminino , Pessoal de Saúde/psicologia , Pessoal de Saúde/estatística & dados numéricos , Política de Saúde , Humanos , Irlanda/epidemiologia , Masculino , Saúde Mental/tendências , Determinação de Necessidades de Cuidados de Saúde , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/epidemiologia , Estresse Ocupacional/etiologia , Estresse Ocupacional/psicologia , Serviços Preventivos de Saúde , Escalas de Graduação Psiquiátrica , Angústia Psicológica , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/etiologia
3.
BMJ Case Rep ; 13(10)2020 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-33130587

RESUMO

A previously fit and well 37-year-old male healthcare worker presented with confusion, psychotic symptoms and a suicide attempt in the context of a new COVID-19 diagnosis. Following surgical interventions and an extended admission to the intensive care unit, he made a good recovery in terms of both his physical and mental health. A number of factors likely contributed to his presentation, including SARS-CoV-2 infection, severe insomnia, worry, healthcare worker-related stress, and the unique social and psychological stressors associated with the COVID-19 pandemic. This case highlights the need to further characterise the specific psychiatric sequelae of COVID-19 in community settings, and should remind general medical clinicians to be mindful of comorbid psychiatric symptoms when assessing patients with newly diagnosed COVID-19.


Assuntos
Infecções por Coronavirus/complicações , Infecções por Coronavirus/diagnóstico , Pneumonia Viral/complicações , Pneumonia Viral/diagnóstico , Transtornos Psicóticos/complicações , Transtornos Psicóticos/diagnóstico , Transtornos de Estresse Pós-Traumáticos/diagnóstico , Tentativa de Suicídio/prevenção & controle , Adulto , Infecções por Coronavirus/psicologia , Humanos , Masculino , Enfermeiros/psicologia , Estresse Ocupacional/complicações , Estresse Ocupacional/diagnóstico , Pandemias/prevenção & controle , Pandemias/estatística & dados numéricos , Pneumonia Viral/psicologia , Prognóstico , Transtornos Psicóticos/tratamento farmacológico , Transtornos Psicóticos/fisiopatologia , Medição de Risco , Transtornos de Estresse Pós-Traumáticos/complicações , Estresse Psicológico , Resultado do Tratamento , Reino Unido
4.
Ann Glob Health ; 86(1): 128, 2020 10 06.
Artigo em Inglês | MEDLINE | ID: mdl-33102148

RESUMO

Background: COVID-19 first appeared in China in December 2019, with a high rate of infectivity and morbidity, which brought tremendous psychological pressure to healthcare workers. Purpose: To understand the psychological health status of healthcare workers during the COVID-19 outbreak and decline, and to provide a theoretical reference for the future establishment of a psychological crisis intervention system. Methods: Healthcare workers were recruited using convenience sampling and snowball sampling methods, and the electronic version of the SCL-90 scale and a sociodemographic questionnaire were administered. In the pretest, a total of 5018 responses were collected; after six weeks, random sampling was performed. The SCL-90 and measures of other epidemic-related problems were administered, with 1570 responses received; then, the final data analysis was performed. Results: After six weeks, the post-test GSI score; SCL-90 total score; and PST, PSDI, O-C, I-S, DEP, ANX, PHOB, PAR, PSY, and HOS scores were significantly lower than the corresponding pretest scores (p < 0.05). The results by occupational category showed that the scores of nursing staff decreased significantly for 12 indexes and that the scores of the doctors and other hospital staff also significantly decreased. There was a significant difference between the pretest (50.78 ± 28.18) and post-test (45.00 ± 28.49) scores for the degree of worry about the epidemic. Healthcare workers believed that the top three aspects of life affected by the epidemic were economic problems (816 people), interpersonal communication problems (731 people), and mental health (728 people). Conclusion: Over the course of the epidemic, the item scores generally declined significantly. Therefore, during an outbreak period, attention should be paid to psychological crisis interventions for healthcare workers; problems caused by psychological pressure, and even other psychological conditions, can be significantly alleviated to reduce the probability of subsequent health problems.


Assuntos
Ansiedade , Infecções por Coronavirus , Intervenção na Crise/métodos , Depressão , Pessoal de Saúde/psicologia , Pandemias , Pneumonia Viral , Estresse Psicológico , Adulto , Ansiedade/diagnóstico , Ansiedade/etiologia , Betacoronavirus , China/epidemiologia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Depressão/diagnóstico , Depressão/etiologia , Feminino , Humanos , Masculino , Saúde Mental/estatística & dados numéricos , Estresse Ocupacional/classificação , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia , Escalas de Graduação Psiquiátrica , Estresse Psicológico/diagnóstico , Estresse Psicológico/etiologia
5.
Psychiatr Danub ; 32(Suppl 1): 5-9, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32890353

RESUMO

The COVID-19 epidemic has been a major global public health problem during past months in Italy and in several other Countries and on the date of publication of this article, is still a serious public health problem. The health staff, engaged in the care of the sick and in the prevention of the spread of the infection have been subjected to a further increase in psychological difficulties and work-related stress, related to the workload for the continuous influx of sick and intense and close working shifts for the viral emergency. The SAVE-9 (Stress and Anxiety to Viral Epidemics - 9 items) scale has been developed as a tool for assessing work anxiety and stress in response to the viral epidemic of health professionals working to prevent the spread of the virus and to treat infected people.


Assuntos
Ansiedade/diagnóstico , Infecções por Coronavirus/psicologia , Pessoal de Saúde/psicologia , Estresse Ocupacional/diagnóstico , Pneumonia Viral/psicologia , Betacoronavirus , Humanos , Itália , Pandemias
6.
J Thorac Cardiovasc Surg ; 160(4): 980-987, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32605730

RESUMO

OBJECTIVES: The coronavirus 2019 (COVID-19) pandemic has overwhelmed health care systems and disrupted routine care internationally. Health care workers face disruption to their work routines and professional development, as well as an elevated risk of infection and morbidity. We sought to establish the impact of the COVID-19 pandemic on the well-being, practice, and progression of all trainees in cardiothoracic surgery in the United Kingdom. METHODS: A 31-item questionnaire was designed, validated, and disseminated via e-mail and an instant-messaging platform. RESULTS: In total, 76 (of 118, 64%) cardiothoracic surgical trainees responded, representing all training grades and programs nationally; 48 (63%) and 24 (32%) were concerned about their physical and mental health, respectively, 25 (33%) had taken time off work due to COVID-19, 65 (86%) had treated patients with COVID-19, 36 of whom (55%) were wearing satisfactory personal protective equipment at the time, 41 (54%) remain concerned about personal protective equipment provision at their institution, 42 (55%) had been redeployed to cover other specialties, and 23 (30%) had encountered ethical dilemmas related to care of patients. There was a significant impact on time spent in outpatient clinics (44% reduction), multidisciplinary team meetings (79% reduction), and operating theaters (78% reduction). In total, 67 (88%) of respondents were concerned about the impact on their training, and 54 (71%) felt that the deviation may require an extension in their planned training time. CONCLUSIONS: The duration and impact of the current pandemic is, as yet, uncertain. Timely sharing of experiences, concerns, and expectations will inform health care and education policy and influence practice in the pandemic era and beyond.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Educação de Pós-Graduação em Medicina , Estresse Ocupacional/etiologia , Pandemias , Pneumonia Viral , Estudantes de Medicina/psicologia , Cirurgiões/psicologia , Cirurgia Torácica/educação , Adulto , Atitude do Pessoal de Saúde , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/terapia , Infecções por Coronavirus/transmissão , Humanos , Saúde do Trabalhador , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/psicologia , Pneumonia Viral/diagnóstico , Pneumonia Viral/terapia , Pneumonia Viral/transmissão , Inquéritos e Questionários , Reino Unido
7.
Clin Ter ; 171(4): e316-e320, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32614365

RESUMO

INTRODUCTION: Work-related stress (WRS) can harm both physical and mental health but it shouldn't only be considered in its negative sense. The evaluation of WRS cannot be separated from the analysis of the subjective perception of workers, usually made by questionnaires. The aim of this pre-pilot study is to identify a new questionnaire capable of exploring as many psychosocial risk domains as possible and with a high internal consistency. MATERIAL AND METHODS: A first version of the questionnaire was administered to a convenience sample selected on a voluntary basis; both socio-demographic and work-related data were collected. A single item test was conducted on a group of 50 workers in order to assess whether the questions were confusing and to understand if they could be improved. The study sample completed the questionnaire at time 1 and time 2 (after 3 days). The 33-item version of the questionnaire was web-based in Google Form. Cronbach's alpha and Pearson's r were calculated. RESULTS: The analysis of the 33-item questionnaire at time 1 shows an excellent reliability with Cronbach's alpha coefficients of 0.93. At time 2 Cronbach's alpha coefficients was 0.94. Based on the test-retest score, the items with the highest scores were selected as part of the final version of the questionnaire (10-item). The reliability of this 10-items version is high with a Cronbach's alpha coefficients of 0.86 both at time 1 and at time 2. Two items have been chosen to explore the "emotional demand" and "dealing with technology". CONCLUSIONS: The pre-pilot study provided a questionnaire with high reliability and high repeatability. In its final version, the questionnaire investigates different psychosocial risk domains and represents a possible useful tool for assessing worker's exposure to them. The Authors reserve to administer the questionnaire to a larger population.


Assuntos
Estresse Ocupacional/diagnóstico , Questionário de Saúde do Paciente , Adulto , Feminino , Humanos , Masculino , Projetos Piloto , Psicologia , Psicometria , Reprodutibilidade dos Testes , Local de Trabalho
8.
J Vasc Surg ; 72(2): 692-699, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32067879

RESUMO

BACKGROUND: Sexual harassment is defined as unwelcome behaviors or obscene remarks that affect an individual's work performance or create an intimidating, hostile, or offensive environment. It is known to be more pervasive in male-dominated workplaces and flourishes in a climate of tolerance and culture of silence. We sought to examine its prevalence in faculty of vascular surgery training programs, to identify factors associated with occurrence, to determine reporting barriers, and to identify any gender bias that exists. METHODS: An anonymous survey consisting of questions on gender bias and sexual harassment was e-mailed to vascular surgery faculty members at 52 training sites in the United States. The survey asked about type, perpetrators, and locations; why and how the practice occurs; reporting mechanisms and barriers to reporting; and demographic information. Descriptive and univariate analyses were performed. RESULTS: Of 346 invitations sent, 149 recipients (43%) completed the survey. Of respondents, 48 of 149 (32%) thought harassment occurred more commonly in surgical specialties with historical male dominance, citing ignoring of behavior and hierarchy/power dynamics as the most common reasons for its occurrence; 61 of 149 (41%) reported having experienced workplace harassment, with unwanted sexually explicit comments or questions and jokes, being called a sexist slur or nickname, or being paid unwanted flirtation as the most common behaviors. Harassment was high in both men and women, although women had a higher likelihood of being harassed (67% of women respondents vs 34% of men respondents; P = .001) and on average had experienced 2.6 (of 11) types of harassment. The majority of harassment came from hospital staff, although women were more likely to receive harassment from other faculty. Despite that 84% of respondents acknowledged known institutional reporting mechanisms, only 7.2% of the harassing behaviors were reported. The most common reasons for not reporting included feeling that the behavior was "harmless" (67%) or "nothing positive would come of it" (28%). Of the respondents, 30% feared repercussions or felt uncomfortable identifying as a target of sexual harassment, and only 59% would feel comfortable discussing the harassment with departmental or divisional leadership. In examining workplace gender disparity, female surgeon responses differed significantly from male surgeon responses in regard to perceptions of gender differences. CONCLUSIONS: A significant number of faculty of vascular surgery training programs have experienced workplace sexual harassment. Whereas most are aware of institutional reporting mechanisms, very few events are reported and <60% of respondents feel comfortable reporting to departmental or divisional leadership. Female vascular surgeons believe gender influences hiring, promotion, compensation, and assumptions of life goals. Further work is necessary to identify methods of reducing workplace sexual harassment and to optimize gender disparity in vascular surgery practice.


Assuntos
Atitude do Pessoal de Saúde , Estresse Ocupacional/psicologia , Médicas/psicologia , Sexismo/psicologia , Assédio Sexual/psicologia , Procedimentos Cirúrgicos Vasculares , Mulheres Trabalhadoras/psicologia , Local de Trabalho/psicologia , Adulto , Feminino , Identidade de Gênero , Humanos , Relações Interpessoais , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/epidemiologia , Prevalência , Fatores de Risco , Fatores Sexuais , Minorias Sexuais e de Gênero/psicologia , Inquéritos e Questionários , Estados Unidos/epidemiologia
9.
J Med Syst ; 44(2): 45, 2020 Jan 02.
Artigo em Inglês | MEDLINE | ID: mdl-31897774

RESUMO

There has been an increasing attention to the study of stress. Particularly, college students often experience high levels of stress that are linked to several negative outcomes concerning academic functioning, physical, and mental health. In this paper, we introduce the EuStress Solution, that aims to create an Information System to monitor and assess, continuously and in real-time, the stress levels of the students in order to predict burnout. The Information System will use a measuring instrument based on wearable device and machine learning techniques to collect and process stress-related data from the students without their explicit interaction. In the present study, we focus on heart rate and heart rate variability indices, by comparing baseline and stress condition. We performed different statistical tests in order to develop a complex and intelligent model. Results showed the neural network had the better model fit.


Assuntos
Esgotamento Profissional/diagnóstico , Esgotamento Profissional/fisiopatologia , Redes Neurais de Computação , Estudantes de Medicina/psicologia , Dispositivos Eletrônicos Vestíveis , Adolescente , Adulto , Temperatura Corporal/fisiologia , Ingestão de Energia/fisiologia , Análise Fatorial , Feminino , Frequência Cardíaca/fisiologia , Humanos , Masculino , Saúde Mental , Monitorização Ambulatorial , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/fisiopatologia , Portugal/epidemiologia , Sono/fisiologia , Adulto Jovem
10.
Nurs Outlook ; 68(2): 207-219, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31543282

RESUMO

BACKGROUND: A mentally-healthy nursing workforce is vital to providing quality healthcare. While there has been research conducted internationally on depressive symptoms in nurses, most studies have lacked a theoretical framework. PURPOSE: The purpose of this article is to describe the development of a situation-specific theory, the Systemic Assessment of Depressive Symptoms among Registered Nurses (SAD-RN). METHODS: The SAD-RN was developed through theory synthesis using the Roy's Adaptation Model (RAM) as a framework. Sixty-four research articles were selected to abstract relevant concepts based on a priori RAM concepts. FINDINGS: Using depressive symptoms as the anchor concept, related emergent concepts of SAD-RN include context, stressors, protective factors, negative health outcomes, and low patient care quality. DISCUSSION: SAD-RN is an evidence-based comprehensive model that offers researchers a guiding theory to be used in their future research on depressive symptoms among RNs.


Assuntos
Transtorno Depressivo/diagnóstico , Transtorno Depressivo/enfermagem , Enfermeiras e Enfermeiros/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/enfermagem , Medição de Risco/métodos , Adaptação Psicológica , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Modelos de Enfermagem
11.
Psychiatry Res ; 284: 112662, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31703985

RESUMO

AIMS: To compare prevalence and risk factors for burnout, anxiety and depression among hospital psychiatrists and non-psychiatrists. METHOD: Regional online survey of psychiatric and non-psychiatric hospital physicians was performed including: a job-stress scale, the Hospital Anxiety and Depression Scale (HADS), the Copenhagen Burnout Inventory (CBI), a stressful work relationships list and a six items scale about work-related psychosocial risk factors (PRFs). The client-related burnout scale of the CBI has been changed to an interpersonal burnout scale. Cases were defined by a score of 8+ for the HADS-A/HADS-D and 50+ for the three CBI subscales. RESULTS: 285 psychiatrists and 326 non-psychiatrists participated. The prevalence of depression, personal burnout and work-related burnout did not differ between physicians. Anxiety was lower in psychiatrists and interpersonal burnout was higher in senior psychiatrists. Multivariate analysis showed two main PRFs, common to both groups of physicians: "work intensity and time" was associated with four of the five syndromes and "emotional demands" with the three burnout syndromes. Interpersonal burnout was associated with stressful relationships with leaders, but not with patients. CONCLUSION: Reducing the workload, improving the management of emotions and increasing managerial skills are important approaches for prevention.


Assuntos
Esgotamento Profissional/psicologia , Transtorno Depressivo/psicologia , Hospitais Psiquiátricos , Estresse Ocupacional/psicologia , Médicos/psicologia , Psiquiatria , Adulto , Esgotamento Profissional/diagnóstico , Esgotamento Profissional/terapia , Estudos Transversais , Transtorno Depressivo/diagnóstico , Transtorno Depressivo/terapia , Feminino , Hospitais Psiquiátricos/tendências , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/terapia , Médicos/tendências , Psiquiatria/tendências , Fatores de Risco , Autorrelato , Carga de Trabalho/psicologia
12.
Horiz. enferm ; 31(2): 135-147, 2020.
Artigo em Espanhol | LILACS, BDENF - Enfermagem | ID: biblio-1141010

RESUMO

INTRODUCCIÓN. La presencia de factores de riesgo psicosociales y de estrés en trabajadores de los países en desarrollo puede generar trastornos diversos, como alteración en el sueño, alimentación, entre otros. OBJETIVO. Establecer los riesgos psicosociales intralaborales y de estrés en los trabajadores de una empresa del sector secundario en Querétaro, México. MATERIAL Y MÉTODOS. Investigación transversal, descriptiva realizada en 96 trabajadores. Se aplicó cuestionario COPSOQ-ISTAS21, documento para la evaluación del estrés y la batería para la Evaluación de factores de riesgo psicosocial intralaboral. Se obtuvieron frecuencias y desviación estándar. Se consideraron los aspectos éticos de la investigación en humanos. RESULTADOS.63% son mujeres. Sobre los riesgos psicosociales en el trabajo se encontró que el66%de los participantes nunca influye en la cantidad de trabajo que se le asigna. En relación al estrés,el20% casi siempre presenta dolores en el cuello y espalda. CONCLUSIONES. Múltiples factores generadores de estrés son reversibles, donde la empresa puede generar estrategias no costosas y sencillas para modificarlos.


INTRODUCTION.The presence of psychosocial risk factors can lead to disorders on workers mainly in the developing economies. OBJECTIVE.To establish the psychosocial and stress risk factors and stress in a secondary sector employees in Queretaro, Mexico. MATERIAL AND METHODS. A descriptive cross-sectional study was done to 96 workers. It was apply the Copenhagen Psychosocial Questionnaire its Spanish version (COPSOQ-ISTAS21), stress questionnaire and a battery to assess psychosocial risk factors at the workplace. We obtained frequency and standard deviation. We considered ethical standards and procedures for research with human beings. RESULTS.63% of the workers were female. About the psychosocial risk, the results show that 66% not influence on the labors demands. Concerning to the stress 20% of workers often tend to upper back and neck pain. CONCLUSION.Multiple sources of stress are reversible; employers can be managed stress at work by seeking support from easy strategies to reduce it.


Assuntos
Humanos , Masculino , Feminino , Adulto , Riscos Ocupacionais , Estresse Ocupacional/psicologia , Categorias de Trabalhadores/psicologia , Autoavaliação , Condições de Trabalho , Estudos Transversais , Inquéritos e Questionários , Fatores de Risco , Saúde do Trabalhador , Carga de Trabalho , Local de Trabalho , Medição de Risco , Estresse Ocupacional/diagnóstico , México
13.
PLoS One ; 14(12): e0226739, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31869395

RESUMO

This study investigated the correlations between firefighters' occupational stress and cardiorespiratory fitness, arterial stiffness, heart rate variability, and sleep quality. We examined 705 male firefighters aged 40-50 years in Seoul City, Korea from November 2016-December 2017. The Occupational stress scale was used to evaluate occupational stress; an exercise stress test was administered to measure participants' maximal oxygen uptake (VO2max); brachial-ankle pulse wave velocity was used to measure firefighters' arterial stiffness; their autonomic nervous system activities were analyzed to determine heart rate variability (HRR); and the Pittsburgh Sleep Quality Index was used to assess their sleep quality. We divided the sample population into tertile groups per their occupational stress scores; i.e., low-stress group (n = 233), medium-stress group (n = 237), and high-stress group (n = 235). They were compared per each indicator and correlations were examined. There was a significant difference in VO2max (p < .01), and arterial stiffness (p < .001) according to occupational stress levels. Occupational stress was significantly correlated with cardiorespiratory fitness (r = -.820, p < .05), arterial stiffness (r = .085, p < .05), and sleep quality (r = .276, p < .001), but not HRR. In conclusion, Firefighters' occupational stress is a key factor behind their elevated risk of cardiovascular diseases; therefore, we recommend programs aimed at reducing their occupational stress and preventing cardiovascular diseases.


Assuntos
Bombeiros , Estresse Ocupacional/fisiopatologia , Adulto , Aptidão Cardiorrespiratória , Frequência Cardíaca , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/epidemiologia , Seul/epidemiologia , Sono , Rigidez Vascular
14.
Soc Work ; 65(1): 21-28, 2019 12 20.
Artigo em Inglês | MEDLINE | ID: mdl-31846041

RESUMO

Self-care is regarded as essential for effective social work practice, offsetting occupational stress and promoting well-being and resiliency among practitioners. However, the literature reveals a notable absence of psychometrically sound instruments to measure self-care. The purpose of the present study was to describe the development, refinement, and construct validity of the Self-Care Practices Scale (SCPS). The piloted version of the SCPS is a 38-item instrument designed to measure frequency of engagement in personal and professional self-care practices. Data were collected through mailed surveys from a random sample of master's-level clinical social workers and members of the National Association of Social Workers (N = 492). Analysis supports the construct validity of an 18-item SCPS with two subscales that demonstrate strong internal validity. The SCPS is useful for social work educators, practitioners, and administrators to ascertain frequency of self-care practice and build a stronger culture of self-care. The role of SCPS in future research is discussed.


Assuntos
Escalas de Graduação Psiquiátrica/normas , Autocuidado/psicologia , Serviço Social/estatística & dados numéricos , Assistentes Sociais/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/psicologia , Psicometria , Reprodutibilidade dos Testes
15.
Artigo em Inglês | MEDLINE | ID: mdl-31671748

RESUMO

The Job Demand-Control-Support (JDC-S) and Effort-Reward Imbalance (ERI) models dominate psychosocial work environment research and practice, with their independent and collective contributions to employee health having been extensively demonstrated. Psychosocial risk assessment in the humanitarian aid sector is in its infancy, and there is a need to identify appropriate psychosocial work environment models to inform approaches to assessment. The aim of this study is to examine the efficacy of these models separately and in combination to identify psychological distress in humanitarian aid workers. Cross-sectional survey data were obtained from 283 humanitarian aid workers. Logistic regression analyses investigated the separate and combined ability of the models to identify psychological distress. More than half of the participant sample reported psychological distress, and one third reported high ERI and high job strain. When tested separately, each model was associated with a significantly elevated likelihood of psychological distress. When tested in combination, the two models offered a superior estimation of the likelihood of psychological distress than achieved by one model in isolation. Psychosocial risk assessment in the humanitarian aid sector encompassing the characteristics of both these leading psychosocial work environment models captures the breadth of relevant generic psychosocial work characteristics. These initial findings require corroboration through longitudinal research involving sector-representative samples.


Assuntos
Indicadores Básicos de Saúde , Satisfação no Emprego , Modelos Psicológicos , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/psicologia , Socorro em Desastres , Recompensa , Adulto , Estudos Transversais , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Saúde do Trabalhador , Estresse Ocupacional/etiologia , Medição de Risco , Local de Trabalho/psicologia
16.
J Sch Psychol ; 76: 17-32, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31759465

RESUMO

This study examined the concurrent and predictive validity of single-item scales for assessing teacher stress and coping. Correlations between the stress and coping items and present and end-of-year teacher-reported burnout and self-efficacy generally aligned with hypotheses, with stronger associations between coping and burnout and self-efficacy in comparison to the associations between stress and burnout and self-efficacy. Stress and coping items also predicted concurrent and future emotional exhaustion controlling for covariates; however, only coping consistently predicted additional variance in future emotional exhaustion with both stress and coping items in the model. Further, the coping item, not the stress item, demonstrated sensitivity to detect intervention effects; that is, teachers randomly assigned to receive a classroom management intervention (the Incredible Years Teacher Classroom Management program) had significantly higher coping scores compared to a wait-list comparison group. The results of this study provide support for the continued use of single-item stress and coping measures of teacher well-being, and areas for further research and potential use of these measures are discussed.


Assuntos
Adaptação Psicológica , Estresse Ocupacional/diagnóstico , Escalas de Graduação Psiquiátrica , Testes Psicológicos , Professores Escolares/psicologia , Adulto , Educação Continuada , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Meio-Oeste dos Estados Unidos , Estresse Ocupacional/prevenção & controle , Estresse Ocupacional/psicologia , Reprodutibilidade dos Testes , Autoeficácia , Sensibilidade e Especificidade , Capacitação de Professores/métodos , Resultado do Tratamento
17.
Medicina (Kaunas) ; 55(10)2019 Sep 27.
Artigo em Inglês | MEDLINE | ID: mdl-31569824

RESUMO

Background and Objectives: Pain affects psychological stress and general health in the working population. However, the factors affecting psychological job stress related to chronic pain are unclear. This study aimed to clarify the structural differences among factors affecting psychological job stress in workers with chronic pain and those without pain. Materials and Methods: A stepwise multiple regression analysis revealed the differences in structure between the psychological stress of workers with chronic pain and those with no pain. Psychological job stress by the Brief Job Stress Questionnaire was used as the dependent variable, with psychological state (depression and anxiety), specifically that characteristic of chronic pain (pain catastrophizing); information on the nature of the pain (intensity and duration); and number of years of service as independent variables. Selected independent variables were evaluated for collinearity. Results: In the model with psychological stress as a dependent variable (chronic pain: r2 = 0.57, F = 41.7, p < 0.0001; no-pain: r2 = 0.63, F = 26.3, p < 0.0001), the difference between the experiences of workers with chronic pain and those with no pain was that chronic pain was associated with depression (Beta = 0.43, p < 0.0001) and no pain with anxiety (Beta = 0.34, p < 0.0001). In the model with chronic pain-related depression as a dependent variable (r2 = 0.62, F = 41.7, p < 0.0001), job-life satisfaction (Beta = -0.18, p = 0.0017) and magnification (a dimension of pain catastrophizing; Beta = 0.16, p < 0.0001) were significant. Conclusions: The results of this study suggest that the psychological characteristics of chronic pain, such as depression and magnification, should be considered when evaluating and intervening in the job stress of workers with chronic pain.


Assuntos
Dor Crônica/complicações , Estresse Ocupacional/complicações , Recursos Humanos em Hospital/psicologia , Adulto , Estudos de Casos e Controles , Catastrofização/diagnóstico , Catastrofização/etiologia , Dor Crônica/psicologia , Estudos Transversais , Depressão/diagnóstico , Depressão/etiologia , Feminino , Humanos , Masculino , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/psicologia , Análise de Regressão , Estresse Fisiológico , Inquéritos e Questionários
18.
Perspect Psychiatr Care ; 55(4): 773-778, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31538668

RESUMO

PURPOSE: This study was designed to determine the validity and reliability of the Turkish version of the "Nursing Job Rotation Stress Scale (NJRS)". DESIGN AND METHODS: This methodological study was carried out with 200 nurses in 2018. FINDINGS: The content validity index for NJRS is 0.98, the Cronbach's α coefficient of the whole scale is calculated as .92. The internal reliability of the subscales was 0.86, 0.83, and 0.81 respectively. The goodness of fit indexes are 0.054 for root mean square error of approximation (RMSEA), 0.95 for goodness-of-fit index (GFI), 0.98 for comparative fit index (CFI), 0.98 for incremental fit index (IFI), 0.94 for relative fit index (RFI), 0.96 for normed fit index (NFI), and 0.97 for Tucker-Lewis index (TLI). PRACTICE IMPLICATIONS: The Turkish version of the NJRS was evaluated and it was found to be a valid and reliable measurement tool for Turkish nurses.


Assuntos
Recursos Humanos de Enfermagem no Hospital , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/fisiopatologia , Escalas de Graduação Psiquiátrica/normas , Psicometria/normas , Jornada de Trabalho em Turnos , Tolerância ao Trabalho Programado/fisiologia , Adulto , Feminino , Humanos , Masculino , Psicometria/instrumentação , Reprodutibilidade dos Testes , Turquia
19.
Sensors (Basel) ; 19(17)2019 Aug 30.
Artigo em Inglês | MEDLINE | ID: mdl-31480380

RESUMO

Several unobtrusive sensors have been tested in studies to capture physiological reactions to stress in workplace settings. Lab studies tend to focus on assessing sensors during a specific computer task, while in situ studies tend to offer a generalized view of sensors' efficacy for workplace stress monitoring, without discriminating different tasks. Given the variation in workplace computer activities, this study investigates the efficacy of unobtrusive sensors for stress measurement across a variety of tasks. We present a comparison of five physiological measurements obtained in a lab experiment, where participants completed six different computer tasks, while we measured their stress levels using a chest-band (ECG, respiration), a wristband (PPG and EDA), and an emerging thermal imaging method (perinasal perspiration). We found that thermal imaging can detect increased stress for most participants across all tasks, while wrist and chest sensors were less generalizable across tasks and participants. We summarize the costs and benefits of each sensor stream, and show how some computer use scenarios present usability and reliability challenges for stress monitoring with certain physiological sensors. We provide recommendations for researchers and system builders for measuring stress with physiological sensors during workplace computer use.


Assuntos
Monitorização Fisiológica/instrumentação , Monitorização Fisiológica/métodos , Estresse Ocupacional/diagnóstico , Estresse Fisiológico , Adolescente , Adulto , Computadores , Eletrocardiografia , Feminino , Determinação da Frequência Cardíaca/instrumentação , Determinação da Frequência Cardíaca/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Respiração , Adulto Jovem
20.
BMJ Open ; 9(9): e030669, 2019 09 24.
Artigo em Inglês | MEDLINE | ID: mdl-31551386

RESUMO

OBJECTIVES: Organisational and workplace cultures are fundamental determinants of health systems performance; through better understanding of the dimensions of culture there is the potential to influence them, and subsequently improve safety and quality of care, as well as the experiences of both patients and staff. One promising conceptual framework for studying culture in healthcare is person-environment (P-E) fit. Comprising person-organisational (P-O) and person-group (P-G) components, P-E fit is defined as the extent to which individuals are compatible with their work environment. The aim of this study was to examine the associations of P-O and P-G fit with staff outcomes in mental healthcare. SETTING AND PARTICIPANTS: Participants (n=213) were staff and volunteers at 31 primary mental health facilities across six states of Australia. PRIMARY AND SECONDARY OUTCOME MEASURES: Staff outcomes, comprising burnout (depersonalisation and emotional exhaustion), job satisfaction and work stress. DESIGN: A multidimensional survey tool was used to measure P-O and P-G fit, and staff outcomes. Multiple regression analyses were used to test the associations between fit and outcome measures. RESULTS: The regression analyses indicated that, based on a Bonferroni adjusted alpha value of α=00417, P-O fit accounted for 36.6% of the variability in satisfaction (F=8.951, p≤0.001); 27.7% in emotional exhaustion (F=6.766, p≤0.001); 32.8% in depersonalisation (F=8.646, p≤0.001); and 23.5% in work stress (F=5.439, p≤0.001). The P-G fit results were less conclusive, with P-G fit accounting for 15.8% of the variability in satisfaction (F=4.184, p≤0.001); 10.0% in emotional exhaustion (F=2.488, p=0.014); 28.6% in depersonalisation (F=8.945, p≤0.001); and 10.4% in work stress (F=2.590, p=0.032). There was no statistically significant increase in the variability accounted for when the interaction term of P-O and P-G fit was added to the regression. CONCLUSIONS: The findings highlight that staff's perception of their workplace and organisational culture can have implications for staff well-being.


Assuntos
Esgotamento Profissional , Satisfação no Emprego , Serviços de Saúde Mental , Estresse Ocupacional , Cultura Organizacional , Local de Trabalho , Adulto , Atitude do Pessoal de Saúde , Austrália , Esgotamento Profissional/prevenção & controle , Esgotamento Profissional/psicologia , Despersonalização/diagnóstico , Despersonalização/prevenção & controle , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Masculino , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/normas , Estresse Ocupacional/diagnóstico , Estresse Ocupacional/prevenção & controle , Reorganização de Recursos Humanos/estatística & dados numéricos , Melhoria de Qualidade/organização & administração , Gestão de Riscos/métodos , Local de Trabalho/psicologia , Local de Trabalho/normas
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...