Healthcare in distress: A survey of mental health problems and the role of gender among nurses and physicians in Sweden

Hagqvist, Emma; Lidwall, Ulrik; Seing, Ida; Nyberg, Anna; Landstad, Bodil J.; Sjöström, Malin; Jonsdottir, Ingibjörg H.; Nilsen, Per

doi:10.1016/j.jad.2023.07.042

Cited by 9 publications

(8 citation statements)

References 43 publications

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“…Considering the demanding nature of nursing, marked by significant workloads, depression, burnout, and challenges amplified by pandemics [4][5][6], alongside the acute shortage of nurses in Europe [7,8], there is an urgent need to prioritise resources that bolster nurses' resistance resources against stress. This approach extends beyond merely averting adverse outcomes like burnout [13,16] and depression [17]. It involves actively identifying and reinforcing resistance resources to counteract stress [19,20], promoting health [21], and understanding the various "push and pull factors" [11] in the workplace.…”

Section: Discussionmentioning

confidence: 99%

“…At the same time the shortage of nurses in Europe is so serious that it has been described as "a ticking time bomb" [7], especially in the case of specialised nurses [8], which is furthermore aggravated by the trend of nurses' motivation to leave the profession and workplace [9][10][11][12][13][14][15]. It is therefore essential to not only avoid burnout [13,16], depression [17], and mental health problems among nurses [18], but also identify resistance resources against stress [19,20], enhancing resources for health [21], work-related "push and pull factors" [11], and even factors that make nurses thrive professionally [22,23], enabling nurses to remain in the profession and workplace.…”

Section: Introductionmentioning

confidence: 99%

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Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses: Identifying Resistance Resources against Stress

Eriksson,

Johannesson,

Kerekes

et al. 2024

IJERPH

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Extensive research shows nurses’ work environment to be particularly stressful. This study develops, explores, and psychometrically tests a new profession-specific questionnaire identifying generalised and specific resistance resources, that make it possible to measure resources to manage work-related stress. An exploratory study design was employed. The questionnaire development was inspired by the MEASURE approach and the salutogenic theory of health. Building on the results from a literature review of nursing research and salutogenesis, supplemented by twelve interviews with hospital nurses, an item pool was generated. The first version was pilot-tested in a group of nurses who were studying to become specialist nurses. The second version of the questionnaire was psychometrically tested on a sample of registered nurses in close patient care (n = 475), analysed using confirmatory factor analysis to test seven predefined domains of the questionnaire. The analysis revealed a first order seven-domain model of 21 items: job satisfaction, professional role, work motivation, commitment, belonging in the workplace, factors and conditions for remaining in the profession, and workload. The structure of the questionnaire indicates its usefulness in clinical practice for measuring resistance resources.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses: Identifying Resistance Resources against Stress

Eriksson,

Johannesson,

Kerekes

et al. 2024

IJERPH

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“…This disparity could be attributed to the additional social responsibilities that females often shoulder in relation to household and family obligations, alongside their professional duties. The challenges associated with striking a harmonious equilibrium between managing job-related demands and ful lling child-rearing responsibilities could signi cantly contribute to heightened stress levels among female nurses [37,38]. In contrast, males exhibited stronger psychological resilience compared to females [39].…”

Section: Healthcare Crisismentioning

confidence: 99%

Trajectories and Predictors of Emotional Exhaustion in Clinical Nurses in the Context of Healthcare Crisis: A Case Study in Xi'an, China

Wu,

He,

Zhang

et al. 2024

Preprint

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Background In response to the diminishing toxicity and fatality of the novel coronavirus, China implemented a policy shift at the end of 2022 to relax its control measures pertaining to the COVID-19 pandemic. Consequently, a rapid surge in community-level infections ensued, exerting a pronounced strain on the medical and healthcare systems and posing significant challenges and pressures for healthcare workers. Objective This study investigated the growth trajectory of emotional exhaustion and its predictors in clinical nurses in the context of healthcare crisis. Methods A total of 422 frontline clinical nursing staff from Xi’an, China, were followed up three times over two months, and data from the final 358 clinical nurses were analyzed. The growth mixed model (GMM) was used to identify the trajectory categories, and the predictive factors of the trajectory types were analyzed by logistic regression. The relationship of the trajectory types of emotional exhaustion with psychological capital were analyzed by variance analysis. Results The best-fit growth mixture modeling revealed three class models: Class 1 characterized by high and increasing levels of emotional exhaustion, Class 2 characterized by moderate and decreasing levels of emotional exhaustion, and Class 3 characterized by low and decreasing levels of emotional exhaustion. These classes accounted for 9.78%, 83.52%, and 6.70% of clinical nurses, respectively. The results of the univariate analysis indicated that age, years of working experience, gender, past participation in emergency public health event rescue, and sleep quality were associated with the trajectory of emotional exhaustion. Different groups of nursing personnel had varying levels of psychological capital, with higher levels of emotional exhaustion associated with lower levels of psychological capital. Logistic regression analysis revealed that gender, past participation in emergency public health event rescue, and sleep quality were independent predictors of the emotional exhaustion trajectory. Female clinical nurses who had not participated in emergency public health event rescue and had poor sleep quality were more likely to experience persistent high levels of emotional exhaustion. Conclusion Our study demonstrated the heterogeneity of emotional exhaustion among frontline clinical nursing personnel in coping with healthcare system overload, and the significant impact of gender, past participation in emergency public health event rescue, and sleep quality on the development of emotional exhaustion in clinical nurses. Healthcare administrators should prioritize their attention to clinical nurses who are at a higher risk of developing a persistent high emotional exhaustion pattern and provide targeted interventions.

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“…Recently, Hagqvist et al . identified a prevalence of (symptoms of) burnout in up to 28% of Swedish physicians, with significant variations across different specialties, work sites and technical ranks [ 4 , 5 ]. These findings suggest underlying work-related contributors to physician burnout that require further investigation.…”

Section: Introductionmentioning

confidence: 99%

Associations between effort–reward imbalance and risk of burnout among Swedish physicians

Christiansen,

Gynning,

Lashari

et al. 2024

Occupational Medicine

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Background The high prevalence of burnout among Swedish physicians may have several possible effects on individuals and society. However, further investigations of work-related factors associated with the risk of burnout among Swedish physicians are needed. Aims We aimed to study the associations between psychosocial work factors, based on the effort–reward imbalance (ERI) model, and the risk of burnout among Swedish physicians. Methods A representative sample of 7200 Swedish physicians was invited in 2021. Data were gathered through questionnaires, with a response rate of 41%. Logistic regression models were used to study the associations between exposure to ERI and the risk of burnout. Results Approximately 62% of Swedish physicians were exposed to a high ERI. Exposure to a high ERI was associated with 11 times increased risk (95% confidence interval 6.5–20.0) of burnout in adjusted models. Large variations in the prevalence of ERI and risk of burnout across sociodemographic and occupational factors were identified, particularly across different clinical specialties. Conclusions A majority of Swedish physicians were exposed to high levels of work-related stress, strongly associated with an increased risk of burnout. This population-based cross-sectional study underlines the need to further study variations of work-related stress across clinical specialties and to monitor occupational health among physicians longitudinally.

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Healthcare in distress: A survey of mental health problems and the role of gender among nurses and physicians in Sweden

Cited by 9 publications

References 43 publications

Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses: Identifying Resistance Resources against Stress

Development and Psychometric Test of the Salutogenic Survey on Sustainable Working Life for Nurses: Identifying Resistance Resources against Stress

Trajectories and Predictors of Emotional Exhaustion in Clinical Nurses in the Context of Healthcare Crisis: A Case Study in Xi'an, China

Associations between effort–reward imbalance and risk of burnout among Swedish physicians

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