Work-related stress according to the demand-control model and minor psychic disorders in nursing workers

Abstract

RESUMO ABSTRACTThis was a cross-sectional study that aimed to assess the association between work-related stress according to the Demand-Control Model, and the occurrence of Minor Psychic Disorder (MPD) in nursing workers. The participants were 335 professionals, out of which 245 were nursing technicians, aged predominantly between 20 and 40 years. Data were collected using the Job Stress Scale and the Self-Reporting Questionnaire-20. The analysis was performed using descriptive and analytical statistics. The prevalence of suspected MPD was 20.6%. Workers classified in the quadrants active job and high strain of the Demand-Control Model presented higher potential for developing MPD compared with those classified in the quadrant low strain. In conclusion, stress affects the mental health of workers and the aspects related to high psychological demands and high control still require further insight in order to understand their influence on the disease processes of nursing workers. DESCRIPTORS RESUMENEstudio transversal cuyo objetivo fue evaluar la asociación entre el estrés laboral, según el Modelo Demanda-Control, y la aparición de Trastorno Psíquico Menor (TPM) en los trabajadores de enfermería. Participaron 335 profesionales, siendo 245 técnicos de enfermería, con edad predominante entre 20 y 40 años. Los datos fueron recolectados utilizándose la Job Stress Scale y el Self-Reporting Questionnaire-20. El análisis se realizó mediante estadística descriptiva y analítica. La prevalencia de probable TPM encontrada fue del 20,6%. Los trabajadores en los cuadrantes trabajo activo y alto desgaste, del modelo demanda-control, presentan probabilidades de desarrollar TPM, en comparación con los situados en el cuadrante bajo desgaste. Se concluye que el estrés afecta la salud mental de los trabajadores y que los aspectos relacionados con la alta demanda psicoló-gica y alto control todavía necesitan de mayores conocimientos para comprender su influencia en los procesos de enfermedad de los trabajadores de enfermería.

Estresse Ocupacional E Fatores Associados Entre Enfermeiros De Hospitais Públicos

“…Outros estudos realizados demonstraram que o clima organizacional favorável -especialmente o apoio instrumental e as relações emocionais estabelecidas com os chefes e colegas -produz efeitos atenuantes sobre o estresse que ajudam o trabalhador no enfrentamento de situações difíceis, tensas e problemáticas (8)(9)15) . A cultura organizacional, falta de apoio ao trabalhador, falha na comunicação e conflitos entre médicos, enfermeiros e outros profissionais são fatores que contribuem para o adoecimento mental e o desgaste nas relações interpessoais no contexto hospitalar (6) .…”

“…Entre as principais repercussões associadas ao estresse ocupacional, têm-se o absenteísmo, insatisfação laboral, acidentes de trabalho, diminuição da qualidade de vida, síndrome de burnout, problemas cardiovasculares, distúrbios psíquicos menores, e também ocorre um declínio do desempenho do trabalhador, que impacta a qualidade do cuidado (9)(10)(11)(12)(13) .…”

Depression and suicide risk among nursing professionals: an integrative review

“…Nurses have mentioned the precariousness of interpersonal relationships, since health work is influenced and controlled by the relationships between people, which requires cohesion and collaborative participation (27,29) . Due to the relational aspects of nursing work, they can cause irritability, generate conflicts and interpersonal difficulties with the other team members, but also with managers, users and extend to their families (15,31) . One of the measures to improve interpersonal relationships in the nursing work environment is access to relational technologies (29) .…”

“…The highly complex activities and demand of nursing professionals also produces high levels of stress and consequently www.ee.usp.br/reeusp Depression and suicide risk among Nursing professionals: an integrative review correlate with high levels of depression, for example nurses who work in psychiatric nursing, intensive care units and operating rooms (6,9,23) . Work conditions have transformed the stress into something familiar and often normal, with implications on the health of nursing professionals, highlighting the need for the use of internal and external strategies to minimize stress through coping strategies to control, tolerate and reduce the effects of adverse stimuli (20,29,31,(33)(34) .…”

Attributes of a Magnetic work environment, and its relation to work stress among nursing staff at Children’s Cancer Hospital Egypt (CCHE 57357)

“…Ressler [42] reported that the individuals experience stress whenever they are faced with an event or situation they perceive as challenging to their ability to cope. Wu et al [43] and Urbanetto et al [44] added that training programs and staff's coping strategies in unfavorable work situations representing an important protective factor for the health of nursing professionals within the work climate. Moreover, The American Nurses Association reported that nurses' stress occurs as a result of Physical violence by patients, patients' family members, or strangers against nurses or by "lateral", violence in the form of incivility, disruptive behavior, verbal aggression, and bullying tend to be perpetrated by other nurses, nurse managers, physicians, and other co-workers.…”