The Effect of Job Strain on Psychological Morbidity and Quality of Life in Military Hospital Nurses in Taiwan: A Follow-up Study

Abstract

This study investigated changes in job strain in female nurses serving in a military hospital system being restructured and the effect of these changes on psychological morbidity and quality of life (QOL). Questionnaire surveys were sent twice to 618 nurses working in three military hospitals in southern Taiwan at the beginning and at follow up a half year later. A Job Content Questionnaire was used to divide subjects into high and low strain groups. The General Health Questionnaire and the WHO QOL Questionnaire were used to assess psychological morbidity and QOL. Four hundred eighteen nurses completed the study. Initially, the high strain group had a greater prevalence of psychological morbidity and lower QOL than the low strain group. At follow up, high strain group did not have a greater prevalence of psychological morbidity, though significant differences in QOL remained. Job control and social support directly affected the QOL (B=0.42, p<0.001; B=0.41, p=0.038, respectively) and the psychological demand affected directly on psychological morbidity (B=0.12, p<0.001). Job control and psychological demand are different aspects in job strain to impact the psychological morbidity and QOL in nurses working in military hospitals in Taiwan.

Coping strategies as moderating factors to compassion fatigue among critical care nurses

“…One exception, however, was that female nurses expressed higher levels of CF than the males. In Taiwan, Tzeng, Chung, and Yang () found that the younger nurses reported better satisfaction with work. There are contradicting findings in the literature, which might be related to the interference of other variables, which were not included in these studies, such as relationships with colleagues and managers, financial and marital status, the presence of children, and so on.…”

Health, workforce characteristics, quality of life and intention to leave: The ‘Fit for the Future’ survey of Australian nurses and midwives

“…Psychosocial work factors such as skill level, job strain, work‐life balance, psychological job demand, decision latitude, decision authority and job control can also influence QoL. Psychosocial work factors as a whole affected the QoL of male Malaysian automotive factory workers (Edimansyah, Rusli, Naing, Mohamed, & Winn, ); other studies linked QoL with specific aspects, such as job strain (Lerner, Levine, Malspeis, & D'Agostino, ; Tzeng, Chung, & Yang, ), job control (Liang, Hsieh, Lin, & Chen, ), social support (Jönsson, ; Liang et al., ; Tzeng et al., ), work‐life imbalance (Makabe, Takagai, Asanuma, Ohtomo, & Kimura, ), occupational stress and role overload (Wu, Li, Wang, Yang, & Qiu, ) and imbalanced effort/reward (Teles et al., ). However, promotion of work ability can benefit QoL in physical, psychosocial, social relationship and environmental domains (Milosevic et al., ; Sörensen et al., ) and positive correlations between QoL domains and job satisfactions have also been revealed (Cimete, Gencalp, & Keskin, ; Ibrahim et al., ).…”

Cargas De Trabalho E a Saúde Do Trabalhador De Enfermagem: Revisão Integrativa

“…A exposição à carga psíquica no trabalho da enfermagem pode estar relacionada com a tensão existente no ambiente de trabalho (10,22,47) e a intensificação do trabalho (36) por meio de exigências cognitivas e emocionais.…”

“…Outros fatores estão relacionados com o trabalho noturno, que perturba o equilíbrio oxidanteantioxidante e/ou gera estresse oxidativo (9) nos trabalhadores, assim como o sofrimento (10,14,15,52) , síndrome de Burnout (34,37,40,44,50) entre os profissionais de enfermagem e o aumento do risco de acidentes (21) de trabalho. A implantação de um novo sistema de turnos de trabalho, visando uma melhor distribuição de carga horária, possibilitaria uma redução no número de ausências no trabalho (35) .…”