„Also Stress ist jeden Tag“ – Ursachen und Bewältigung von arbeitsbedingten Fehlbelastungen im Krankenhaus aus Sicht der Beschäftigten. Eine qualitative Studie

Stiawa, Maja; Peters, Martin; Mulfinger, Nadine; Krumm, Silvia; Worringer, Britta; Maatouk, Imad; Küllenberg, Janna; Junne, Florian; Genrich, Melanie; Gündel, Harald; Puschner, Bernd

doi:10.1055/a-1477-6000

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…Social relations are considered one of the most important influence factors of health ( 35 ). It is already recognized that positive social relations are important for stress reduction at the hospital workplace ( 2 , 36 ). Situations characterized by high stress require the mobilization of social support to prevent negative consequences of stress ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

“…However, workplace-related causes for stress were present in German hospitals even before the COVID-19 pandemic. These included increasing treatment figures and excessive workload at times ( 2 , 8 ) and were attributed to political changes in the healthcare system and a related limited scope for improving working conditions ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

“…Suboptimal working conditions in hospitals, such as staff shortages or non-transparent work processes, can negatively affect employees' health and pose a risk to patient care (1)(2)(3). The pandemic led to additional demands, like an increased workload, more frequent interruptions or the pressure to increase test capacities, which negatively influenced the well-being of employees (4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

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What helps hospital staff in times of crisis: qualitative results of a survey on psychosocial resources and stressors in German hospitals during the COVID-19 pandemic

Schmidt-Stiedenroth,

Guthardt,

Genrich

et al. 2023

Front. Public Health

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BackgroundEven before the COVID-19 pandemic, hospital workers faced a tremendous workload. The pandemic led to different and additional strain that negatively affected the well-being of employees. This study aims to explore psychosocial resources and strategies that were used by hospital staff.MethodsIn the context of an intervention study, employees of three German hospitals were questioned in writing in summer and fall 2020. Five open-ended questions about the pandemic were asked to capture corresponding effects on daily work routine. Answers of 303 participants were evaluated using structuring qualitative content analysis.ResultsSignificant stressors and resources were identified in the areas of work content and task, social relations at work, organization of work, work environment and individual aspects. Stressors included, for example, emotional demands, conflicts, an increased workload, time and performance pressure. Important resources mentioned were, among others, the exchange with colleagues and mutual support. Sound information exchange, clear processes and guidelines and a positive work atmosphere were also important. In addition, the private environment and a positive mindset were perceived as helpful.ConclusionThis study contributes to a differentiated understanding of existing psychosocial resources of hospital staff in times of crisis. Identifying and strengthening these resources could reduce stress and improve well-being, making hospital staff better prepared for both normal operations and further crisis situations.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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What helps hospital staff in times of crisis: qualitative results of a survey on psychosocial resources and stressors in German hospitals during the COVID-19 pandemic

Schmidt-Stiedenroth,

Guthardt,

Genrich

et al. 2023

Front. Public Health

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“…The hospital setting as a workplace is frequently associated with poor working conditions, e.g. exposure to excessive mental and emotional demands and high work pressure [ 1 ]. This can lead to “toxic” work stress that increases the risk of reduced well-being, mental and physical illnesses [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Managers perception of hospital employees’ effort-reward imbalance

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Erschens

et al. 2023

J Occup Med Toxicol

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Objective Hospitals are frequently associated with poor working conditions that can lead to work stress and increase the risk for reduced employee well-being. Managers can shape and improve working conditions and thereby, the health of their teams. Thus, as a prerequisite, managers need to be aware of their employees’ stress levels. This study had two objectives: At first, it aimed to test the criterion validity of the Effort-Reward Imbalance (ERI) questionnaire measuring psychosocial workload in hospital employees. Secondly, mean scales of the ERI questionnaire filled in by employees were compared with mean scales of an adapted ERI questionnaire, in which managers assessed working conditions of their employees. Methods Managers (n = 141) from three hospitals located in Germany assessed working conditions of their employees with an adapted external, other-oriented questionnaire. Employees (n = 197) of the mentioned hospitals completed the short version of the ERI questionnaire to assess their working conditions. Confirmatory factor analyses (CFA) were applied to test factorial validity, using the ERI scales for the two study groups. Criterion validity was assessed with multiple linear regression analysis of associations between ERI scales and well-being among employees. Results The questionnaires demonstrated acceptable psychometric properties in terms of internal consistency of scales, although some indices of model fit resulting from CFA were of borderline significance. Concerning the first objective, effort, reward, and the ratio of effort-reward imbalance were significantly associated with well-being of employees. With regard to the second objective, first tentative findings showed that managers’ ratings of their employees’ effort at work was quite accurate, whereas their reward was overestimated. Conclusions With its documented criterion validity the ERI questionnaire can be used as a screening tool of workload among hospital employees. Moreover, in the context of work-related health promotion, managers’ perceptions of their employees’ workload deserve increased attention as first findings point to some discrepancies between their perceptions and those provided by employees.

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Handlungsleitende Bedingungen gesunder Führung: Eine längsschnittliche Untersuchung aus der Perspektive der Theory of Planned Behavior

Genrich-Hasken,

Angerer,

Gündel

et al. 2024

Gr Interakt Org

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„Also Stress ist jeden Tag“ – Ursachen und Bewältigung von arbeitsbedingten Fehlbelastungen im Krankenhaus aus Sicht der Beschäftigten. Eine qualitative Studie

Cited by 5 publications

References 24 publications

What helps hospital staff in times of crisis: qualitative results of a survey on psychosocial resources and stressors in German hospitals during the COVID-19 pandemic

What helps hospital staff in times of crisis: qualitative results of a survey on psychosocial resources and stressors in German hospitals during the COVID-19 pandemic

Managers perception of hospital employees’ effort-reward imbalance

Handlungsleitende Bedingungen gesunder Führung: Eine längsschnittliche Untersuchung aus der Perspektive der Theory of Planned Behavior

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