Are job stress models capturing important dimensions of the psychosocial work environment?

Occupational and environmental medicine (Impact Factor: 3.23). 11/2007; 64(10):640-1. DOI: 10.1136/oem.2007.032979
Source: PubMed
  • [Show abstract] [Hide abstract]
    ABSTRACT: Different initiatives have been implemented in healthcare organizations to improve efficiency, such as transforming care at the bedside (TCAB). However, there are important gaps in understanding the effect of TCAB on healthcare teams' work environments. The specific aim of the study is to describe findings regarding the TCAB initiative effects on healthcare teams' work environments. A pretest and posttest study design was used for this study. The TCAB initiative was implemented in fall 2010 in a university health center in Montreal, Canada. The sample consisted of healthcare workers from four different care units. Statistically significant improvement was observed with the communicating specific information subscale from the measure of processes of care variable, and a significant difference was found between the support from colleagues variable, which was higher at baseline than postprogram. The differences for psychological demand, decisional latitude, and effort-reward were not significant. TCAB is an intervention that allows healthcare teams to implement change to improve patients' and families' outcomes. Ongoing energy should focus on how to improve communication among all members of the team and ensure their support.
    Worldviews on Evidence-Based Nursing 07/2013; 11(1). DOI:10.1111/wvn.12015 · 2.32 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: To assess which work stressors are substantially contributing to work strain and examine their relative contribution. We prospectively examined the association between work stressors and work strain, which was defined as employees reporting ill due to work stress. Relevant work stressors were combined into a stressor score with each stressor having its own relevance. Standardized odds ratios (SORs) were calculated using logistic regression analysis and used to compare the associations obtained between already existing scales and the stressor score with work strain. The stressor score yielded an SOR of 1.89 (95% confidence interval: 1.49 to 2.41) for work strain, while psychological demands (JCQ) yielded an SOR of 1.46 (95% confidence interval: 1.09 to 1.88) for work strain. We were able to extend and substantiate the range of relevant work stressors into a more comprehensive measure, which should be used to optimize prevention strategies.
    Journal of occupational and environmental medicine / American College of Occupational and Environmental Medicine 02/2012; 54(3):363-70. DOI:10.1097/JOM.0b013e3182452181 · 1.80 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Prolonged stress may lead to mental illness, but the prevalence of stress in a working age population seeking primary health care for whatever reason, is unknown. This paper seeks to examine to what extent this group perceives stress, as well as symptoms of burnout/exhaustion, depression and anxiety. In 2009, 587 primary health care patients aged 18-65 years (377 women, 210 men), with an appointment with a primary health care physician, participated in the study. A screening questionnaire with questions about age, gender, marital status, employment, reason for medical consultation, and the QPS Nordic screening question about stress was distributed:" Stress is defined as a condition where you feel tense, restless, anxious or worried or cannot sleep at night because you think of problems all the time. Do you feel that kind of stress these days? There were five possible answers; "not at all" and "only a little" (level 1),"to some extent" (level 2),"rather much" and "very much" (level 3). In a second step, symptoms of burnout/exhaustion (Shirom-Melamed Burnout Questionnaire and the Self-rated Exhaustion Disorder instrument) and anxiety/depression (Hospital Depression and Anxiety scale) were assessed among those with higher levels of perceived stress. 345 (59%) of the study patients indicated stress levels 2 or 3 (237 women and 108 men). Women more often indicated increased levels of stress than men. Two thirds of the participants expressing stress levels 2-3 indicated a high degree of burnout, and approximately half of them indicated Exhaustion Disorder (ED). Among highly stressed patients (level 3), 33% reported symptoms indicating possible depression and 64% possible anxiety. More than half of this working age population perceived more than a little stress, as defined, women to a greater extent than men. Symptoms of burnout and exhaustion were common. A high level of perceived stress was often accompanied by symptoms of depression and/or anxiety.
    BMC Family Practice 01/2015; 16(1):38. DOI:10.1186/s12875-015-0252-7 · 1.74 Impact Factor


1 Download
Available from