Job Stressors among Female Physicians: Relation to Having a Clinical Diagnosis of Hypertension

Nedic, Olesja; Belkić, Karen; Filipovic, Danka; Jocic, Neda

doi:10.1179/oeh.2010.16.3.330

Cited by 15 publications

(17 citation statements)

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“…The Occupation Stressor Index (Belkic, ; Belkic & Nedic, ; Levi et al, ; Nedic, Belkic, Filipovic, & Jocic, ), a two‐dimensional matrix, was defined by the vertical axis composed of levels of information transmission (including input, central decision‐making, output, general) and the stressor aspects placed along the horizontal axis. Each element in the OSI was scored from 0 to 2 (0: “not present,” 2: “strongly present”) and summed to give total scores under each domain.…”

Section: The Studymentioning

confidence: 99%

“…The OSI is an international validated survey tool developed and tailored specifically for professionals (Belkic, ; Belkic & Nedic, ; Levi et al, ; Nedic et al, ) to assess precisely levels of known stressors experienced by medical workers (including nurses, doctors, IVF laboratory technicians). The English versions of OSI questionnaire were translated into Vietnamese by using double translation technique approved by original developer in the US for ensuring linguistic validity.…”

Section: The Studymentioning

confidence: 99%

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The prevalence of job stressors among nurses in private in vitro fertilization (IVF) centres

et al. 2018

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AimThe primary aim of this study was to identify the level of stress and the stressors having an impact on nurses compared with other medical workers in private IVF centres.BackgroundStressful working conditions can an adversely affect not only the health and well‐being of health professionals but also subsequently to patient outcomes if care is given to infertile couples. This is of relevance particularly in view of Vietnam's recent economic growth and the increase in the number of private IVF centres. This is the first study looking at the levels of stress experienced by health workers (especially nurses) providing IVF services.DesignA cross‐sectional survey.MethodsAll health workers in seven IVF Clinics in HCMC were invited to complete an Occupational Stress Index (OSI) questionnaire.ResultsOf the invited 131 medical professionals, 105 (80%) completed the confidential self‐administered questionnaire. Thirty‐five participants (33.3%) were nurses, 19 (18.1%) were doctors and 51 (48.6%) were lab technicians. Approximately two‐thirds reported not having children (67.6%), half (50.48%) married and three‐quarters (76.2%) were women, with a significant difference by medical worker group (p < 0.05). Among the three groups, nurses have higher occupational stress index score compared with the others. The OSI score only had a strong relationship with the “high demand” (p < 0.001). Some demographic variables (e.g., income, long working hours, education level) statistically represented the high significant source of job stress.

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Section: The Studymentioning

confidence: 99%

Section: The Studymentioning

confidence: 99%

The prevalence of job stressors among nurses in private in vitro fertilization (IVF) centres

et al. 2018

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“…In a substantial number of published studies [17][18][19][20][21][22][23][24][25][26][27] the total OSI, its aspects and many of the elements were found to be significantly associated with risk behaviors such as smoking, obesity and sedentariness and with clinical outcomes, includ-ing arterial hypertension, ischemic heart disease, as well as dyslipidemia, type 2 diabetes, inter alia. Moreover, the total OSI scores and OSI profiles help identify and characterize the work conditions of occupational groups such as surgeons, anesthesiologists, other physician categories, as well as urban mass transit operators, long-route truck drivers and other professional driver groups at elevated risk for stress-related disorders.…”

Section: Empirical Studies Using the Osimentioning

confidence: 99%

“…A comparative study from the Novi Sad physician cohort was also performed among 35 female physicians with and 74 without clinically-diagnosed hypertension [26]. Adjusting for covariates including body mass index (BMI), having an OSI high demand score above the mean yielded an odds ratio (OR) of 3.14 (95% CI=1.05-9.43) for hypertension.…”

Section: Belkić K Et Al Occupational Medicine -Then and Nowmentioning

confidence: 99%

Occupational medicine - then and now: Where we could go from here

Belkić

Nedic²

2014

Med pregl

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Occupational medicine has a long-standing history in the region of the former Yugoslavia with seminal contributions to the theory and practice of this discipline. This tradition should be expanded to incorporate psychosocial stressors. We review the sociological work stress models and empirical evidence gleaned thereby, and then the occupational stressor index, an additive burden model developed from a cognitive ergonomics perspective. In numerous studies, the occupational stressor index is significantly associated with risk behaviors: smoking, obesity and sedentariness and clinical outcomes: hypertension, ischemic heart disease, dyslipidemia and type 2 diabetes. The occupational stressor index characterizes the work conditions of physicians including surgeons and anesthesiologists; professional drivers and other groups at elevated risk for stress-related disorders. Much of these empirical data are from this region. Work-stress related health disorders are a major public health problem, with enormous human and economic costs. A more proactive role for physicians is needed vis-à-vis our working environment and that of patients. We physicians face a heavy job stressor burden strongly implicated with adverse health outcomes. The challenge is to identify effective strategies to lower the risk of work-stressor related illness. The critical gap is the lack of evidence-based guidelines. Intervention studies are needed in which job stressors are ameliorated as a therapeutic/preventive modality; the logical starting point is within our own profession. We also suggest how the relevant clinical competence could be enhanced. Alongside clinical enhancement should be the full restoration of physician empowerment to implement work-related recommendations. A participatory action research perspective by physicians for physicians and for our patients is needed.

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“…Elevated BP and risk of hypertension have been reported in other stressful occupations, such as among air-traffic controllers, sea pilots, and professional drivers. 3 Shift work changes the diurnal variation of BP from a dipper to a non-dipper pattern, thus increasing the risk of hypertension among night shift workers. Individuals who show a nocturnal BP fall of at least 10% of mean arterial pressure (MAP) are classified as dippers.…”

Section: Introductionmentioning

confidence: 99%

Ambulatory Blood Pressure Monitoring in Health Workers During Night Shift Duty

Singh¹,

Kikon²,

Deba³

et al. 2019

jebmh

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BACKGROUNDBP and heart rate fluctuate over a 24 hours period. External stresses and subject's activities have direct effects on BP and heart rate. BP and heart rate also vary according to their own circadian rhythm. 1 Stress can cause hypertension through repeated elevations of BP. METHODSThis is a cross-sectional study conducted in Regional Institute of Medical Sciences (RIMS) Hospital amongst Health Workers. RESULTSMost of the Health Workers are Males (63%) and in the age group of 21-30 years with mean age of 30.22±6.32. Both systolic and diastolic hypertension was found during day, night and over 24 hours duty. Systolic hypertension during day duty was 10% which increases to 39% during night time duty. Systolic and diastolic hypertension during the 24 hours duty was found to be 22% and 39% respectively. DBP hypertension during day time duty was found to be 26% which increases to 48% during night time duty. The overall hypertensive distribution of hypertension of health workers is 29%, 52% and 42% during day time, night time and 24 hours duty respectively. CONCLUSIONSDuring Night time duty, more Health Workers were hypertensive (52%) as compared to day time duty which was lesser (29%) and over the 24 hours duty 42% of health workers were hypertensive. Thus, the present findings suggest effects of occupational stress on ABP measured at work, in night shift and over 24 hours period among health workers. In the long run, stressful night duty increases the risk of development of hypertension. HOW TO CITE THIS ARTICLE:Singh TB, Kikon EC, Deba TS, et al. Ambulatory blood pressure monitoring in health workers during night shift duty.

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Job Stressors among Female Physicians: Relation to Having a Clinical Diagnosis of Hypertension

Cited by 15 publications

References 0 publications

The prevalence of job stressors among nurses in private in vitro fertilization (IVF) centres

The prevalence of job stressors among nurses in private in vitro fertilization (IVF) centres

Occupational medicine - then and now: Where we could go from here

Ambulatory Blood Pressure Monitoring in Health Workers During Night Shift Duty

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