Work-related determinants of psychosocial risk factors among employees in the hospital setting

Coutinho, Hugo; Queirós, Cristina; Henriques, Ana; Norton, Pedro; Alves, Elisabete

doi:10.3233/wor-182825

Cited by 16 publications

(16 citation statements)

References 26 publications

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“…Physicians and nurses in hospitals are exposed to high work stress that puts them at risk for impaired well-being and health (Angerer et al, 2008;Pisljar et al, 2011;Burke et al, 2016;Coutinho et al, 2018). The Fourth European Working Conditions Survey reported, that in the European Union, 40 percent of employees in the healthcare sector suffer from constant health problems (Parent-Thirion et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

“…The recent Sixth European Working Conditions Survey shows that, compared to other professions, health care workers experience the highest work intensity, the most frequent interruptions, high emotional demands, and the highest exposure to social stressors, for example bullying, humiliating behavior or physical violence (Parent-Thirion et al, 2017). Beyond that, working conditions in hospitals are characterized by ongoing restructuring (Burke et al, 2016), demographic change (Halaweish and Alam, 2015) with aging employees (Weigl et al, 2011a(Weigl et al, , 2012, an increasing number of multimorbid patients (Warth et al, 2016), increased pressure on performance (Coutinho et al, 2018), and an increasing shortage of qualified workers (Goodin, 2003;Simoens et al, 2005). These developments show that working conditions in hospitals have become more stressful for employees than ever before.…”

Section: Introductionmentioning

confidence: 99%

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Hospital Medical and Nursing Managers’ Perspectives on Health-Related Work Design Interventions. A Qualitative Study

et al. 2020

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Background: Research indicates that the active support of managers is essential for the sustainable implementation of health-related work design interventions in organizations. However, little is known about managers' perceptions of such health promotion measures. Objective: Our study aims to provide information that help to foster managers active support of health-related work design interventions in hospitals. Based on Ajzen's Theory of Planned Behavior (TPB) we explore the attitudes, perceived organizational norms, and perceived behavioral control of managers in the hospital regarding such interventions. Methods: Semi-structured interviews with 37 managers (chief physicians, senior physicians, and senior nurses) were carried out in one German hospital. A software aided qualitative content analysis was applied. Results: We observed that the majority of managers are aware of the importance of health-related work design. We found a high variation in the perception of organizational norms related to mental health promotion of employees. Behavioral control for supporting interventions is perceived more on an individual (e.g., appraisal interviews, professional development or support) and team level (e.g., fair work schedule, regular team meetings), less on an organizational level. Conclusion: To enable and to motivate hospital medical and nursing managers to support health-related work design, hospitals need to establish clear organizational norms that the health promotion of their employees is an important organizational goal. Moreover, managers need to get more work-design competencies and decision latitude to get more control. Important arguments for the top hospital management could be that health-related work design is highly effective for economic success, for treatment quality, and that the middle management already has a positive attitude toward the implementation of measures that help promote the mental health of their staff.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Hospital Medical and Nursing Managers’ Perspectives on Health-Related Work Design Interventions. A Qualitative Study

et al. 2020

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“…Dentro de los factores asociados con las dimensiones, se encontró una mayor edad, el mayor número de horas dedicado a actividades recreativas, así como para ejercicio intenso, y una mayor posibilidad de trabajar fuera de la institución se asocia con un menor riesgo psicosocial. La dimensión Exigencias Psicológicas en el trabajo fue la única que cumple criterio de riesgo alto (tener más del 50% de evaluados en la categoría de riesgo alto), estos resultados se asemejan a lo encontrado en Argentina, Chile, China y Portugal, entre otros, especialmente en los centros de mayor complejidad, probablemente por atender patologías más complejas (6,(14)(15)(16) . No se encontró ningún factor asociado a un mayor riesgo con esta dimensión; llamando la atención que este factor de riesgo de manera global no presentó diferencias entre especialidades, a diferencia de otros estudios donde se evidencia mayor presencia en ciertas especialidades (emergencia y medicina interna) (14,17,18) ; pero, ello probablemente se deba al tipo de hospital, donde todos los pacientes atendidos son de alta complejidad requiriendo mayor atención y concentración.…”

Section: Discussionunclassified

Factores de riesgo psicosociales en médicos especialistas en hospital de nivel terciario de Lima-Perú

Marcilla-Truyenque

Ugarte‐Gil

2020

Rev Fac Cien Med Univ Nac Cordoba

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Objetivo: Determinar la presencia y factores asociados a factores de riesgo psicosociales en médicos de un hospital de nivel terciario en Lima-Perú.Método: Estudio transversal en un hospital de nivel terciario que incluyó médicos del departamento de emergencia y del departamento de enfermedades sistémicas (dermatología, endocrinología, inmunología y reumatología). Se evaluaron los factores de riesgo psicosociales usando el cuestionario SUSESO/ISTAS 21, y como posibles factores asociados se incluyeron características demográficas, familiares, horas de sueño, de la actividad recreativa y laborales. Los factores de riesgo psicosociales se analizaron como cinco dimensiones globales y sus respectivas sub-dimensiones.Resultados: Se incluyeron 62 médicos; los factores más afectados fueron Exigencias Psicológicas (69.4% en riesgo alto) y Apoyo Social en la Empresa y Calidad de Liderazgo (48.4% en riesgo alto). Un riesgo bajo en la dimensión de Apoyo Social en la Empresa y Calidad de Liderazgo se asoció con más horas de trabajo por mes fuera de la instititución (195.0 vs 78.7, p=0.024). Un riesgo bajo en la dimensión de Trabajo Activo y Posibilidades de Desarrollo se asoció con un mayor número de horas de actividades recreativas (24.9 vs 11.1; p=0.041) y más de 75 minutos de actividad física severa (35.3% vs 5.6%; p=0.037). Y, un riesgo bajo en la dimensión de Compensaciones con la edad (47.2 vs 44.3, p=0.043).Conclusiones: Una mayor edad, el mayor número de horas dedicado a actividades recreativas, así como para ejercicio intenso, y una mayor posibilidad de trabajar fuera de la institución se asocia con un menor riesgo psicosocial.

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“…In addition, it can lead to an increased incidence of ischemic heart disease [ 7 ]. Working conditions in hospitals are characterized by a high level of work stress [ 8 , 9 , 10 ]. Compared to other occupational groups, employees in the health sector have the highest work intensity, the most frequent interruptions, and high emotional demands [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

How Do Hospital Medical and Nursing Managers Perceive Work-Related Strain on Their Employees?

Worringer

Genrich

Müller

et al. 2020

IJERPH

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Health-oriented supportive leadership behavior is a key factor in reducing work stress and promoting health. Employees in the health sector are subject to a heavy workload, and it has been shown that 40% of them show permanent health problems. A supportive leadership behavior requires the manager’s awareness of the employees’ well-being. However, little is yet known about how medical and nursing managers perceive the well-being of their staff. To explore this issue, we conducted a total of 37 semi-standardized interviews with 37 chief physicians (CPs), senior physicians (SPs), and senior nurses (SNs) in one German hospital. The interviews were content-analyzed based on the definitions of strain of the ‘Federal Institute for Occupational Safety and Health’. Results show that hospital managers are aware of fatigue and further consequences such as deterioration of the team atmosphere, work ethics, treatment quality, and an increased feeling of injustice among employees. Most managers reported sick leaves as a result of psychosomatic complaints due to the permanent overstrain situation at work in the hospital. Results of this qualitative study are discussed in the light of health-oriented management relating to relevant stress models and to findings concerning staff shortages.

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Work-related determinants of psychosocial risk factors among employees in the hospital setting

Cited by 16 publications

References 26 publications

Hospital Medical and Nursing Managers’ Perspectives on Health-Related Work Design Interventions. A Qualitative Study

Hospital Medical and Nursing Managers’ Perspectives on Health-Related Work Design Interventions. A Qualitative Study

Factores de riesgo psicosociales en médicos especialistas en hospital de nivel terciario de Lima-Perú

How Do Hospital Medical and Nursing Managers Perceive Work-Related Strain on Their Employees?

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