Pilotstudie zur Evaluation einer medizinisch-beruflich 					orientierten Rehabilitation für Pflegekräfte

Wittmann, Christine; Papst, Lilia; Reischl, Markus; Welsch, Katja; Käfer, Michael; Köllner, Volker

doi:10.13109/zptm.2021.67.oa13

Cited by 3 publications

(5 citation statements)

References 14 publications

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“…Type S-economical characterizes people who do not expect professional success, and who see satisfaction with life in situations not related to work. This type, on the other hand, has a clear tendency to distance himself from work-related problems [4,7,11,12].…”

Section: Discussionmentioning

confidence: 99%

“…In designing the strategy, one should strive for individualized adaptation of educational programs taking into account behavior patterns and experiences at work in order to obtain the highest effectiveness of professional functioning. [11,45].…”

Section: Discussionmentioning

confidence: 99%

“…Risk type B -burn out -shows low subjective importance of work, low resistance to stress and low ability to distance oneself from problems at work. This type is characterized by a tendency to give up in di cult situations and a very low sense of inner balance [4,7,11,12].…”

Section: Introductionmentioning

confidence: 99%

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Types of behaviors and experiences at work and health condition in the group of nurses at Accident and Emergency Units

Betke,

Prof,

2023

Preprint

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Introduction Nursing is a profession associated with a high workload and high levels of emotional tension. The way an employee functions in a professional environment is one of the many health risks. Schaarschmid and Fischer distinguished patterns of behavior and experiences in the area of professional activity. Material and Methods The study included 150 nurses employed in Hospital Emergency Departments in central Poland. The AVEM questionnaire was used to assess the types of behavior and experiences at work, and the GHQ-28 questionnaire was used to assess the general state of mental health. Results The surveyed nurses most often functioned at work according to type S - economical or B - burned out, and least frequently according to type A - overloaded. The mean severity of health abnormalities was at the average level of M = 4.72 sten (SD = 1.56). The surveyed nurses did not reveal any depressive disorders, the most common health problems were social functioning disorders and complaints about somatic ailments. There were significant differences in health between nurses working in a healthy, economical or burned-out manner, especially in the experienced anxiety and insomnia as well as in the scope of depressive symptoms. Individuals functioning in accordance with type B – burned-out significantly more often complained of perceived anxiety and sleep problems than individuals functioning in accordance with type G - healthy. The analyzes showed that the intensification of complaints about the health condition can be inferred from lower education, low perfectionism in the performance of professional tasks and an increased tendency to resign in the event of failure. Conclusion Employers should conduct an individual analysis of the types of work behavior in the group of nurses in order to eliminate factors contributing to the deterioration of their health condition.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Types of behaviors and experiences at work and health condition in the group of nurses at Accident and Emergency Units

Betke,

Prof,

2023

Preprint

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“…In summary, more research is needed on workplace interventions that examine AVEM patterns before and after health-promoting interventions. One previous study showed that an intervention program for nurses resulted in a significant reduction in the scales of the subjective importance of work, willingness to work until exhausted, and striving for perfection, as well as a significant increase in distancing ability and satisfaction with life [66]. The use of a mind-body therapy over six weeks affected 24% of subjects to change from an AVEM risk pattern to a health-promoting pattern [67].…”

Section: Recommendations For Health Promotion and Managementmentioning

confidence: 99%

The Predominance of the Health-Promoting Patterns of Work Behavior and Experience in General Practice Teams—Results of the IMPROVEjob Study

Thielmann,

Wagner,

Bozorgmehr

et al. 2024

Healthcare

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This study aims to identify the distribution of the “Work-related behavior and experience patterns” (Arbeitsbezogenes Verhaltens-und Erlebnismuster, AVEM) in general practitioners and their teams by using baseline data of the IMPROVEjob study. Members of 60 general practices with 84 physicians in a leadership position, 28 employed physicians, and 254 practice assistants participated in a survey in 2019 and 2020. In this analysis, we focused on AVEM variables. Age, practice years, work experience, and working time were used as control variables in the Spearman Rho correlations and analysis of variance. The majority of the participants (72.1%) revealed a health-promoting pattern (G or S). Three of eleven AVEM dimensions were above the norm for the professional group “employed physicians”. The AVEM dimensions “striving for perfection” (p < 0.001), “experience of success at work” (p < 0.001), “satisfaction with life” (p = 0.003), and “experience of social support” (p = 0.019) differed significantly between the groups’ practice owners and practice assistants, with the practice owners achieving the higher values, except for experience of social support. Practice affiliation had no effect on almost all AVEM dimensions. We found a high prevalence of AVEM health-promoting patterns in our sample. Nearly half of the participants in all professional groups showed an unambitious pattern (S). Adapted interventions for the represented AVEM patterns are possible and should be utilized for maintaining mental health among general practice teams.

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“…Psychosomatic rehabilitation is a particular setting in that more than half of all patients may show a burnout-associated pattern ( 21 ) and are over-proportionately affected by symptom chronification and long sickness absence times ( 22 , 23 ). Moreover, individuals with a burnout-associated coping style are discharged unfit for work significantly more often than individuals of any other work-related coping style ( 24 ). Using a large sample group, we therefore aimed to assess the extent of responsivity in occupational behavior and experience that may be expected in the psychosomatic rehabilitation setting.…”

Section: Introductionmentioning

confidence: 99%

Responsivity and relation to depressive symptoms of occupational behavior and experience patterns

Papst,

Zickwolf,

Käfer

et al. 2023

Front. Public Health

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IntroductionWork stress is a frequent factor in the development of depression. However, not only workplace environment, but also personal attitudes may affect stress experience. The aim of this study was to investigate the change sensitivity of occupational attitudes in psychosomatic inpatients and assess the relationship of changes to depressive symptom reduction.MethodsThe data set encompassed N = 1708 inpatients from two German psychosomatic rehabilitation clinics at admission and discharge. Responsivity of AVEM measures was evaluated by Bonferroni-corrected t-tests and Cohen’s dz effect sizes for paired samples. The relation of occupational behavior and experience patterns and depressive symptoms as assessed by the BDI-II questionnaire was calculated by Pearson correlation analysis of pre-post differential values.ResultsChanges in work attitudes were found on eight out of eleven AVEM subscales (Padj ≤ 0.001, Cohen’s dz = −0.45 to 0.43) and all AVEM coping styles. Most patients (57.4%) were classified to have a Burnout occupational coping style at admission. Changes following rehabilitation were most frequently observed from Burnout to Sparing coping styles (8.3%). Small to moderate associations between changes in occupational attitudes and depressive symptom reduction were found for all subscales (r = −0.39 to 0.25) except work ambition, and for occupational coping styles Burnout (r = 0.19), Sparing (r = −0.18) and Healthy (r = −0.10), but not Ambitious.DiscussionThe data support responsivity of occupational behavior and experience patterns within a psychosomatic rehabilitation setting. Correlations with depressive symptom reduction suggest that occupational attitudes are related but separate treatment targets.

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Pilotstudie zur Evaluation einer medizinisch-beruflich orientierten Rehabilitation für Pflegekräfte

Cited by 3 publications

References 14 publications

Types of behaviors and experiences at work and health condition in the group of nurses at Accident and Emergency Units

Types of behaviors and experiences at work and health condition in the group of nurses at Accident and Emergency Units

The Predominance of the Health-Promoting Patterns of Work Behavior and Experience in General Practice Teams—Results of the IMPROVEjob Study

Responsivity and relation to depressive symptoms of occupational behavior and experience patterns

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