Individual-level interventions for reducing occupational stress in healthcare workers

Tamminga, Sietske J.; Emal, Lima M; Boschman, Julitta S.; Levasseur, Alice; Thota, Anilkrishna B.; Ruotsalainen, Jani; Schelvis, R.M.C.; Nieuwenhuijsen, Karen; Molen, Henk F. van der

doi:10.1002/14651858.cd002892.pub6

Cited by 11 publications

(3 citation statements)

References 364 publications

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“…These conversations should be neutral and focused on facts rather than culpability, considering the emotional toll healthcare professionals and support staff experience during their daily encounters. 19 4. Detailed documentation of the case review will be helpful at the time of reporting back to the patient and support the identification of opportunities to effect systemic change.…”

Section: Designing a Billing Reconsideration Processmentioning

confidence: 99%

Managing Patient Dissatisfaction and Billing Reconsideration Requests in Outpatient Clinics

Soares,

Ritchie,

Almodovar

2024

JONA: The Journal of Nursing Administration

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Section: Designing a Billing Reconsideration Processmentioning

confidence: 99%

Managing Patient Dissatisfaction and Billing Reconsideration Requests in Outpatient Clinics

Soares,

Ritchie,

Almodovar

2024

JONA: The Journal of Nursing Administration

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“…1 Prevention of PD in HCWs is warranted given the high prevalence and the adverse effects. 5 Oftentimes, questionnaires are utilized for the assessment of PD.…”

Section: Introductionmentioning

confidence: 99%

“…According to studies 30%−70% of HCWs experience high levels of PD symptoms 1 . Prevention of PD in HCWs is warranted given the high prevalence and the adverse effects 5 …”

Section: Introductionmentioning

confidence: 99%

Exploring the potential of stratum corneum biomarkers for assessing psychological distress in health care workers: An observational pilot study

Emal,

Tamminga,

Schaafsma

et al. 2024

Health Science Reports

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BackgroundsThe detection of biomarkers of a stress response in the stratum corneum (SC) could be used as objective assessment of early stress symptoms and monitoring of stress reduction interventions in health care workers (HCWs).AimThe aim of this study is to explore SC biomarkers of immune and hormonal response and skin barrier for assessment of psychological distress (PD) in HCWs.MethodsTwenty‐five female HCWs and 25 non‐HCWs participated. SC samples were collected using adhesive tapes at baseline and 3−5 days later (T1). We analyzed 24 biomarkers (immunological, vascular, hormones, and natural moisturizing factors). Stress symptoms were assessed using three scales of Copenhagen Psychosocial Questionnaire. The study involved: identifying SC biomarkers, correlating stress symptoms and biomarkers at baseline and T1, examining stress symptoms between the groups with a Mann‐Whitney test, comparing stress symptoms and biomarkers between groups using Ordinary Least Regression and investigating temporal variability of SC biomarkers at baseline and T1 using a Wilcoxon‐signed rank.ResultsFourteen SC biomarkers were identified. We found correlations between general stress and “IL18” (r = 0.55) physical stress and “IL1b” (r = 0.36) and cognitive stress and “MIP3a” (r = 0.38) at baseline and general stress and cortisol (r = −0.49), physical stress and cortisol (r = −0.60) and cortisone (r = −0.67) at T1. We found no differences in stress symptoms and biomarkers between the groups, except for “MIP3a” at baseline. Differences in the biomarker levels between two time points were found for “TARC,” “VEGFA,” “ILRA,” “IL1RA/IL1a,” “NMF,” and “DHEA.”ConclusionThe SC can be suitable biological material to assess biomarkers related to immune response, hormonal response, and skin barrier function. The SC biomarkers, showed strong, moderate and weak correlations with stress symptoms. Notably, these associations include cytokines of innate immunity and well‐known stress hormones, cortisol and cortisone.

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Do individual-level interventions focusing attention on or away from stress experience help reduce occupational stress in healthcare workers?

Tort¹,

Ciapponi²

2023

Cochrane Clinical Answers

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Individual-level interventions for reducing occupational stress in healthcare workers

Cited by 11 publications

References 364 publications

Managing Patient Dissatisfaction and Billing Reconsideration Requests in Outpatient Clinics

Managing Patient Dissatisfaction and Billing Reconsideration Requests in Outpatient Clinics

Exploring the potential of stratum corneum biomarkers for assessing psychological distress in health care workers: An observational pilot study

Do individual-level interventions focusing attention on or away from stress experience help reduce occupational stress in healthcare workers?

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