Job strain, psychological distress, and burnout in nurses

Bourbonnais, Renée; Comeau, Monique; Vézina, Michel; Dion, Guylaine

doi:10.1002/(sici)1097-0274(199807)34:1<20::aid-ajim4>3.3.co;2-n

Cited by 43 publications

(47 citation statements)

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“…For psychological demands and decision latitude, exposure was determined with a threshold at the median of the distribution of the general population (>22 for demands and (72 for latitude), 15 and for social support, the threshold was the median of the distribution of nurses in a former study. 2 Statistical analyses were conducted using SAS. 25 In all analyses, the significance level was fixed at 0.05 and a 0.10 level was mentioned as borderline.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of a participative intervention on psychosocial work factors to prevent mental health problems in a hospital setting

Bourbonnais

Brisson²,

Vinet³

et al. 2006

Occup Environ Med

148

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Objectives: To assess the effectiveness of a workplace intervention aimed at reducing adverse psychosocial work factors (psychological demands, decision latitude, social support, and effort-reward imbalance) and mental health problems among care providers. Methods: A quasi-experimental design with a control group was used. Pre-intervention (71% response rate), and one-year post-intervention measures (69% response rate) were collected by telephone interviews. Results: One year after the intervention, there was a reduction of several adverse psychosocial factors in the experimental group, whereas no such reduction was found in the control group. However, there was a significant deterioration of decision latitude and social support from supervisors in both experimental and control groups. There was also a significant reduction in sleeping problems and work related burnout in the experimental hospital, whereas only sleeping problems decreased in the control group while both client related and personal burnout increased in this hospital. The comparison between the experimental and control groups, after adjusting for pre-intervention measures, showed a significant difference in the means of all psychosocial factors except decision latitude. All other factors were better in the experimental group. Conclusion: Results suggest positive effects of the intervention, even though only 12 months have passed since the beginning of the intervention. Follow up at 36 months is necessary to evaluate whether observed effects are maintained over time. In light of these results, we believe that continuing the participative process in the experimental hospital will foster the achievement of a more important reduction of adverse psychosocial factors at work. It is expected that the intensity of the intervention will be directly related to its beneficial effects. Long term effects will however depend on the willingness of management and of staff to appropriate the process of identifying what contributes to adverse psychosocial factors at work and to adopt means to reduce them.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of a participative intervention on psychosocial work factors to prevent mental health problems in a hospital setting

Bourbonnais

Brisson²,

Vinet³

et al. 2006

Occup Environ Med

148

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“…It may therefore be influenced by variables related to the environment, such as satisfaction with one's social life, social support, and stressful events in the past. 7,18,[21][22][23][24][25] A lack of social support at work, [6][7][8][9]15,24,[26][27][28][29][30][31] the presence of conflicts with colleagues or superiors, 8,15,[21][22][23]30,[32][33][34][35][36][37][38] irregular work schedules, increased workloads, 8,15 role ambiguity, 15 and psychological fatigue [39][40][41][42] have all been associated with increased psychological distress. In addition, the uncertainties surrounding this period of work reorganization often lead to constant change in tasks over a period of several years until they stabilize.…”

Section: Literature Reviewmentioning

confidence: 99%

Contribution of the Psychosocial Work Environment to Psychological Distress Among Health Care Professionals Before and During a Major Organizational Change

Lavoie‐Tremblay

Bonin

Lesage

et al. 2010

The Health Care Manager

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The aim of this study was to investigate the relationships between 4 dimensions of the psychosocial work environment (psychological demands, decision latitude, social support, and effort-reward) among health care professionals as well as their psychological distress during a reorganization process. A correlational descriptive design was used for this quantitative study. A total of 159 health care professionals completed the questionnaire at T1, and 141 at T2. First, before the work reorganization, effort-reward imbalance was the sole variable of the psychological work environment that significantly predicted psychological distress. Second, the high overall level of psychological distress increased during the process of organizational change (from T1 to T2). Finally, effort-reward imbalance, high psychological demands, and low decision latitude were all significant predictors of psychological distress at T2, during the organizational change. In conclusion, to reduce the expected negative outcomes of restructuring on health care practitioners, managers could increase the number of opportunities for rewards, carefully explain the demands, and clarify the tasks to be performed by each of the employees to reduce their psychological burden and increase their perceptions of autonomy.

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“…In addition, data are accumulating regarding the negative impact of work stress on both mental and physical health (9)(10)(11). For instance, high-strain work has been observed to be related to a higher risk of self-reported mental health problems (12).…”

mentioning

confidence: 99%

“…A two-to fourfold increase in risk of depression has been associated with inadequate employment (13), and a twofold increase in risk of any psychiatric condition has been found among those experiencing work-related stress (8). It has also been observed that job strain and work stress are associated with emotional exhaustion, worse health status, and development of chronic physical conditions (9)(10)(11).…”

mentioning

confidence: 99%

Association of Chronic Work Stress, Psychiatric Disorders, and Chronic Physical Conditions With Disability Among Workers

Dewa¹,

Lin²,

Kooehoorn³

et al. 2007

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Job strain, psychological distress, and burnout in nurses

Cited by 43 publications

References 0 publications

Effectiveness of a participative intervention on psychosocial work factors to prevent mental health problems in a hospital setting

Effectiveness of a participative intervention on psychosocial work factors to prevent mental health problems in a hospital setting

Contribution of the Psychosocial Work Environment to Psychological Distress Among Health Care Professionals Before and During a Major Organizational Change

Association of Chronic Work Stress, Psychiatric Disorders, and Chronic Physical Conditions With Disability Among Workers

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