Psychosocial and organizational work environment of nurse managers and self-reported depressive symptoms: Cross-sectional analysis from a cohort of nurse managers

Abstract

Objectives:The association between depressive symptoms and psycho-organisational work environment has been established in the literature. Some studies have evaluated depressive symptoms in healthcare workers, but little research has been carried out among nurse managers. The aim of the study is to evaluate the depressive symptoms prevalence among nurse managers' population and work environment factors. Material and Methods: A descriptive correlational research design was used. Data were collected from 296 nurse managers in five hospitals in the eastern area of France between 2007 and 2008. Health outcomes were evaluated by measuring depressive symptoms (CES-D scale), the exposure data by assessing psycho-organisational work environment with effort-reward imbalance-model of Siegrist. Multiple logistic regressions were used to describe the strength of the association between depressive symptoms and effort-reward imbalance adjusted for personal and occupational chara cteristics of the nurse managers. Results: Among the nurse managers, a third had depressive symptoms, and 18% presented an effort-reward imbalance (ratio: ≥ 1). A significant association was found between depressive symptoms and effort-reward imbalance (OR = 10.81, 95% CI: 5.1-23, p < 10 -3 ), and with esteem as a reward (OR = 3.21, 95% CI: 1.6-6.3, p < 10 -2 ). Conclusion: In view of the hierarchical situation of nurse managers and their primary roles in hospitals, it is necessary to take prevention measures to improve their work environment and health. nurse managers and showed that personal (lack of coreself evaluation) and situational (effort-reward imbalance ratio) factors were significant predictors of the score of burnout [30]. In France, only 2 studies about the health of nurse managers were published. Fanello et al. [31] analysed the mental health of 97 nurse managers using the standardised mental health questionnaire -GHQ-12 for health -questions to define their social and occupational characteristics and workplace experience. They demonstrated that 1/3 of participants were considered to be in psychological distress, that the lack of reward was associated with psychological distress of nurse managers. The second study was the European Press Next study carried out in France among a population of health care workers including nurse managers [32]. A total of 28% of nurse managers reported suffering from mental diseases. Associations between the organisational work environment, stress and depressive symptoms have been established in the literature in the general population [33][34][35]. To describe the psycho-organisational work environment, different scales were established and validated. The 2 models from Karasek [36,37] and Siegrist [38,39] were translated into French, and their psychometric properties were studied in the French population [40][41][42][43][44]. Several studies showed links between the effort-reward imbalance and depressive symptoms or self-health assessments. The risk of depression ranged from 1.5 to 4.6 with the effo...

Association of cumulative job dissatisfaction with depression, anxiety and stress among expatriate nurses in Saudi Arabia

“…The prevalence of depression overall (53%) and severe depression alone (13%) that we found in our study was higher than those reported in other studies which used the DASS-21 scale (overall: 20%-35%; severe = 8%) (Cheung & Yip, 2016;Creedy, Sidebotham, Gamble, Pallant, & Fenwick, 2017). The estimates were also higher than those reported in other studies that used a different instrument for the assessment of depression (overall: 10%-40%) (Letvak et al, 2012;Nourry, Luc, Lefebvre, Sultan-Taïeb, & Béjean, 2014;Ohler, Kerr, & Forbes, 2010;Ruggiero, 2005). Furthermore, the proportion of nurses who had symptoms of anxiety (66% overall) was higher than other studies; earlier studies showed prevalence estimates below 38% (Hegney et al, 2014;Shen et al, 2016).…”

Prevalence of depressive symptoms and work-related risk factors among nurses in public hospitals in southern China: A cross-sectional study

“…The highest reported prevalence of depressive symptoms (52.5%) was found among nurses in a general hospital in Taiwan20, but another study in Taiwan reported that the prevalence was 27.7% among nurses in a psychiatric hospital21. The prevalence ranged from 10% to 40% in Canada, France, and the USA291011. Thus, the high prevalence of depressive symptoms among Chinese nurses warrants further investigation.…”

“…Two studies have reported on the prevalence of depression among nurses in different hospital departments, and both reported that the prevalence differs across departments1027. Consequently, in the prevention and management of depression among nurses, we must consider inter-department differences.…”

“…In the USA, a study showed that the prevalence of depressive symptoms among nurses was 41%, but another reported it to be 18%29. In France, a third of nurse managers in hospitals were found to suffer from depressive symptoms10. In Canada, 1 in 10 nurses show depressive symptoms11.…”

Psychosocial Factors at Work Triggering Gastrointestinal Disorders in Nurses Employed by Supportive Treatment and Nursing Units in Vilnius

“…A number of studies carried out in Lithuania involved the analysis of the impact of psychosocial risk factors on the occurrence of the diseases of the circulatory system [11], the development of depression [12], the association of nurses' obesity, stress and other risk factors with the symptoms of gastroesophageal reflux disease (GERD) [13,14]. In terms of the increasingly growing economy, the pace of work, the competition among employees, the impact of the working environment factors is accelerating on changes observed in relationships or the occurrence of functional bodily disorders.…”