Factors associated with health professionals’ stress reactions, job satisfaction, intention to leave and health-related outcomes in acute care, rehabilitation and psychiatric hospitals, nursing homes and home care organisations

Abstract

The aim of this study is to identify (1) the extent of work-related stress and (2) stressors associated with cognitive and behavioral stress reactions, burnout symptoms, health status, quality of sleep, job satisfaction, and intention to leave the organization and the profession among health professionals working in acute care /rehabilitation hospitals, psychiatric hospitals, nursing homes, and home care organizations. Background Health professionals are faced with various stressors at work and as a consequence are leaving their profession prematurely. This study aimed to identify the extent of work-related stress and stressors associated with stress reactions, job satisfaction, and intention to leave and health-related outcomes among health professionals working in different healthcare sectors (acute care, rehabilitation and psychiatric hospitals, nursing homes and home care organizations). Methods This study is based on a repeated cross-sectional design, which includes three data measures between 2017 and 2020 and 19,340 participating health professionals from 26 acute care / rehabilitation hospitals, 12 psychiatric hospitals, 86 nursing homes and 41 home care organizations in Switzerland. For data analysis, hierarchical multilevel models (using AIC) were calculated separately for hospitals, nursing homes, and home care organizations, regarding health professionals’ stress symptoms, job satisfaction, intention to leave the organization / profession, general health status, burnout symptoms, and quality of sleep. Results The main findings reveal that the incompatibility of health professionals’ work and private life was significantly associated (p < 0.05) with their stress reactions, job satisfaction, intention to leave, and health-related outcomes in all the included work areas. The direct supervisor’s good leadership qualities were also associated with health professionals’ job satisfaction regarding all work areas (B ≥ 0.22, p = 0.000). In addition, a positive perceived bond with the organization (B ≥ 0.13, p < 0.01) and better development opportunities (B ≥ 0.05, p < 0.05) were associated with higher job satisfaction and a lower intention to leave the organization and profession among health professionals. Also, a younger age of health professionals was associated with a higher intention to leave the organization and the profession prematurely in all the included work areas. High physical (B ≥ 0.04, p < 0.05) and quantitative demands (B ≥ 0.05, p = 0.000) at work were also associated with negative health-related outcomes.

Building a resilient nursing workforce: Reflective learning and mentalization in education

“…The healthcare work environment imposes substantial emotional and psychological stress on nursing professionals. This pressure is not only a xture of professional practice but is also a signi cant aspect of nursing education, where students are introduced to the complexities and challenges inherent in caring for patients (Addor et al, 2016;Morenon et al, 2018;Peter et al, 2024). Resilience is an essential skill for nursing students, as it helps them effectively handle the high stress and emotional demands of their job.…”

Coaching Home Care Clients to Prepare Their Homes for Safe Care Visits: A Mixed-Methods Study to Evaluate a Nurse-Led Educational Intervention Process

“…During the past two decades, researchers have characterized occupational safety and health (OSH) hazards among HC workers [ 14 , 16 ]. The OSH hazards and adverse health outcomes in HC include, but are not limited to, overexertion and other musculoskeletal injuries [ 17 , 18 , 19 ]; safety hazards, such as slips, trips, and falls [ 17 , 19 , 20 , 21 ]; exposure to secondhand smoke [ 22 ]; exposure to hazardous chemicals, such as cleaning and disinfecting products [ 23 ]; stress [ 12 , 24 , 25 , 26 ], burnout [ 27 , 28 , 29 ]; violence [ 19 , 30 , 31 ]; and bloodborne pathogen exposures [ 32 , 33 ]. To date, safety-related interventions typically involve education for managers [ 34 ], and training following the NIOSH Total Worker Health model for aides [ 35 , 36 ].…”