Job strain, psychological distress, and burnout in nurses

Abstract

The first phase of this longitudinal study consisted of a questionnaire completed by a cohort of 1,891 nurses (aged 23–65 years) from six acute care hospitals from the province of Québec. This study was set up to investigate the association between the psychosocial environment of work and mental health. After adjusting for counfounding factors, a combination of high psychological demands and low decision latitude was associated with psychological distress and emotional exhaustion, one of the three dimensions of burnout. Social support at work, although associated with each of the mental health indicators, did not modify their association with job strain. The present study identified conditions of the work environment that are modifiable and provide the basis for interventions that focus beyond the modification of individual coping strategies. Am. J. Ind. Med. 34:20–28, 1998. © 1998 Wiley‐Liss, Inc.

Ansiedade e depressão entre profissionais de enfermagem que atuam em blocos cirúrgicos

“…The association among weekly hour load, anxiety and depression showed no statistical significance among the study participants, similar to another study among nurses (22) , which revealed no association between psychological symptoms and number of hours worked during the week. Among teachers, psychic disorder appeared among professionals with a significantly higher weekly hour load (p<0.0001) (21) .…”

Work-related Reproductive, Musculoskeletal and Mental Disorders among Working Women-History, Current Issues and Future Research Directions.

“…For example, in the Whitehall II study, a cohort study of 6895 men and 3413 women, it was reported that high job demands predicted higher scores on the General Health Questionnaire, which was used to measure psychiatric disorders, at follow-up 61) . In the first phase of a cohort study of 1,891 nurses, it showed that a combination of high job demands and low decision latitude was associated with psychological distress 62) .…”

Aspectos psicossociais do trabalho e distúrbios psíquicos entre trabalhadoras de enfermagem

“…Este resultado é consistente com outros estudos que observaram associação entre alta demanda e baixo controle no trabalho e sintomas psicológicos. 2,3,13,16 É consistente também com investigações que demonstraram o efeito de altas demandas psicológicas sobre sofrimento psíquico e sintomas depressivos. 4 Considerando-se os níveis intermediários de exposição, observou-se prevalência mais elevada de DPM entre profissionais em trabalho ativo do que em trabalho passivo.…”

“…Em relação a suporte social, resultados similares foram encontrados entre pessoal de enfermagem e entre trabalhadores qualificados no Quebec. 2 A maior parte dos estudos que avaliaram suporte social e saúde mental investigaram seu efeito direto sobre a saúde mental, e poucos analisaram se suporte social modificava o efeito da associação entre a combinação de alta demanda psicológica e baixo controle sobre efeitos na saúde mental. 3,12 Poucos estudos incorporam a sobrecarga domésti-ca na abordagem do trabalho feminino.…”