International Journal of Environmental Research and Public Health

Research

Jump to: Review

229 KiB

Open AccessArticle

Why Some Employees Adopt or Resist Reorganization of Work Practices in Health Care: Associations between Perceived Loss of Resources, Burnout, and Attitudes to Change

by Carl-Ardy Dubois, Kathleen Bentein, Jamal Ben Mansour, Frédéric Gilbert and Jean-Luc Bédard

Int. J. Environ. Res. Public Health 2014, 11(1), 187-201; https://doi.org/10.3390/ijerph110100187 - 20 Dec 2013

Cited by 43 | Viewed by 14803

Abstract

In recent years, successive work reorganization initiatives have been implemented in many healthcare settings. The failure of many of these change efforts has often been attributed in the prominent management discourse to change resistance. Few studies have paid attention to the temporal process [...] Read more.

In recent years, successive work reorganization initiatives have been implemented in many healthcare settings. The failure of many of these change efforts has often been attributed in the prominent management discourse to change resistance. Few studies have paid attention to the temporal process of workers’ resource depletion/accumulation over time and its links with workers’ psychological states and reactions to change. Drawing upon the conservation of resources theory, this study examines associations between workers’ perceptions of loss of resources, burnout, and attitudes to change. The study was conducted in five health and social service centres in Quebec, in units where a work reorganization project was initiated. A prospective longitudinal design was used to assess workers’ perceptions at two time points 12 months apart. Our findings are consistent with the conservation of resources theory. The analysis of latent differences scores between times 1 and 2 showed that the perceived loss of resources was associated with emotional exhaustion, which, in turn, was negatively correlated with commitment to change and positively correlated with cynicism. In confirming the temporal relationship between perceived loss of resources, occupational burnout, and attitude to change, this research offers a new perspective to explain negative and positive reactions to change implementation. Full article

(This article belongs to the Special Issue Job Stress and Health)

► Show Figures

Figure 1

138 KiB

Open AccessArticle

Associations of Job Stress Indicators with Oxidative Biomarkers in Japanese Men and Women

by Jiro Takaki

Int. J. Environ. Res. Public Health 2013, 10(12), 6662-6671; https://doi.org/10.3390/ijerph10126662 - 2 Dec 2013

Cited by 22 | Viewed by 5766

Abstract

Some researchers have suggested that oxidative damage may be one of the mechanisms linking job stress with coronary heart disease. The aim of this study was to investigate the association between job stress indicators and oxidative biomarkers. The study included 567 subjects (272 [...] Read more.

Some researchers have suggested that oxidative damage may be one of the mechanisms linking job stress with coronary heart disease. The aim of this study was to investigate the association between job stress indicators and oxidative biomarkers. The study included 567 subjects (272 men, 295 women) who answered questionnaires related to their work and underwent a medical examination. Job stress evaluated using the demands-control-support model was measured using the Job Content Questionnaire. Effort-reward imbalance was measured using the Effort-Reward Imbalance Questionnaire. Urinary hydrogen peroxide (H₂O₂) and 8-hydroxy-2'-deoxyguanosine (8-OHdG) were measured by the modified ferrous ion oxidation xylenol orange version-1 method and enzyme-linked immunosorbent assay, respectively. In men, the changes in the odds ratios for high urinary H₂O₂ associated with a 1-standard-deviation (SD) increase in worksite social support were 0.69 (95% confidence interval (CI) 0.53, 0.91) univariately and 0.68 (95%CI 0.51, 0.90) after adjustment for covariates. The change in the odds ratio for high urinary H₂O₂ associated with a 1-SD increase in effort-reward ratio was 1.35 (95% CI 1.03, 1.78) after adjustment for covariates. In women, there were no significant associations of the two job stress indicators with urinary H₂O₂ and 8-OHdG levels after adjustment for covariates (p > 0.05). Full article

(This article belongs to the Special Issue Job Stress and Health)

193 KiB

Open AccessArticle

The Influence of Domestic Overload on the Association between Job Strain and Ambulatory Blood Pressure among Female Nursing Workers

by Luciana Fernandes Portela, Lucia Rotenberg, Ana Luiza Pereira Almeida, Paul Landsbergis and Rosane Harter Griep

Int. J. Environ. Res. Public Health 2013, 10(12), 6397-6408; https://doi.org/10.3390/ijerph10126397 - 27 Nov 2013

Cited by 10 | Viewed by 6251

Abstract

Evidence suggests that the workplace plays an important etiologic role in blood pressure (BP) alterations. Associations in female samples are controversial, and the domestic environment is hypothesized to be an important factor in this relationship. This study assessed the association between job strain [...] Read more.

Evidence suggests that the workplace plays an important etiologic role in blood pressure (BP) alterations. Associations in female samples are controversial, and the domestic environment is hypothesized to be an important factor in this relationship. This study assessed the association between job strain and BP within a sample of female nursing workers, considering the potential role of domestic overload. A cross-sectional study was conducted in a group of 175 daytime workers who wore an ambulatory BP monitor for 24 h during a working day. Mean systolic and diastolic BP were calculated. Job strain was evaluated using the Demand-Control Model. Domestic overload was based on the level of responsibility in relation to four household tasks and on the number of beneficiaries. After adjustments no significant association between high job strain and BP was detected. Stratified analyses revealed that women exposed to both domestic overload and high job strain had higher systolic BP at home. These results indicate a possible interaction between domestic overload and job strain on BP levels and revealed the importance of domestic work, which is rarely considered in studies of female workers. Full article

(This article belongs to the Special Issue Job Stress and Health)

663 KiB

Open AccessArticle

Effects of Habitual Anger on Employees’ Behavior during Organizational Change

by Mareike Bönigk and Georges Steffgen

Int. J. Environ. Res. Public Health 2013, 10(12), 6215-6234; https://doi.org/10.3390/ijerph10126215 - 25 Nov 2013

Cited by 7 | Viewed by 9092

Abstract

Organizational change is a particularly emotional event for those being confronted with it. Anger is a frequently experienced emotion under these conditions. This study analyses the influence of employees’ habitual anger reactions on their reported behavior during organizational change. It was explored whether [...] Read more.

Organizational change is a particularly emotional event for those being confronted with it. Anger is a frequently experienced emotion under these conditions. This study analyses the influence of employees’ habitual anger reactions on their reported behavior during organizational change. It was explored whether anger reactions conducive to recovering or increasing individual well-being will enhance the likelihood of functional change behavior. Dysfunctional regulation strategies in terms of individual well-being are expected to decrease the likelihood of functional change behavior—mediated by the commitment to change. Four hundred and twelve employees of different organizations in Luxembourg undergoing organizational change participated in the study. Findings indicate that the anger regulation strategy venting, and humor increase the likelihood of deviant resistance to change. Downplaying the incident’s negative impact and feedback increase the likelihood of active support for change. The mediating effect of commitment to change has been found for humor and submission. The empirical findings suggest that a differentiated conceptualization of resistance to change is required. Specific implications for practical change management and for future research are discussed. Full article

(This article belongs to the Special Issue Job Stress and Health)

► Show Figures

Figure 1

244 KiB

Open AccessArticle

Psychosocial Job Strain and Sleep Quality Interaction Leading to Insufficient Recovery

by Leif W. Rydstedt and Jason J. Devereux

Int. J. Environ. Res. Public Health 2013, 10(11), 5863-5873; https://doi.org/10.3390/ijerph10115863 - 5 Nov 2013

Cited by 5 | Viewed by 5822

Abstract

The purpose of the study was to assess the impact of job strain and sleep quality on the diurnal pattern of cortisol reactivity, measured by awakening and evening (10 PM) saliva cortisol. The sample consisted of 76 British white-collar workers (24 women, 52 [...] Read more.

The purpose of the study was to assess the impact of job strain and sleep quality on the diurnal pattern of cortisol reactivity, measured by awakening and evening (10 PM) saliva cortisol. The sample consisted of 76 British white-collar workers (24 women, 52 men; mean age 45.8 years). Sleep quality and job strain were assessed in a survey distributed just before the cortisol sampling. Both input variables were dichotomized about the median and factorial ANOVA was used for the statistical analysis. Low sleep quality was significantly associated with lower morning cortisol secretion. While job strain had no main effects on the cortisol reactivity there was a significant interaction effect between the input variables on morning cortisol secretion. These findings tentatively support the hypothesis that lack of sleep for workers with high job strain may result in a flattened diurnal cortisol reactivity. Full article

(This article belongs to the Special Issue Job Stress and Health)

► Show Figures

Figure 1

358 KiB

Open AccessArticle

Psychological Distress, Related Work Attendance, and Productivity Loss in Small-to-Medium Enterprise Owner/Managers

by Fiona Cocker, Angela Martin, Jenn Scott, Alison Venn and Kristy Sanderson

Int. J. Environ. Res. Public Health 2013, 10(10), 5062-5082; https://doi.org/10.3390/ijerph10105062 - 15 Oct 2013

Cited by 107 | Viewed by 11247

Abstract

Owner/managers of small-to-medium enterprises (SMEs) are an under-researched population in terms of psychological distress and the associated health and economic consequences. Using baseline data from the evaluation of the Business in Mind program, a mental health promotion intervention amongst SME owner/managers, this study [...] Read more.

Owner/managers of small-to-medium enterprises (SMEs) are an under-researched population in terms of psychological distress and the associated health and economic consequences. Using baseline data from the evaluation of the Business in Mind program, a mental health promotion intervention amongst SME owner/managers, this study investigated: (i) prevalence of high/very high psychological distress, past-month sickness absenteeism and presenteeism days in SME owner/managers; (ii) associated, self-reported lost productivity; and (iii) associations between work, non-work and business-specific factors and work attendance behaviours. In our sample of 217 SME owner/managers 36.8% reported high/very high psychological distress. Of this group 38.7% reported past-month absenteeism, 82.5% reported past-month presenteeism, and those reporting presenteeism were 50% less productive as than usual. Negative binomial regression was used to demonstrate the independent effects of socio-demographic, work-related wellbeing and health-related factors, as well as various individual and business characteristics on continuous measures of absenteeism and presenteeism days. Health-related factors (self-rated health and treatment) were the strongest correlates of higher presenteeism days (p < 0.05). Work-related wellbeing factors (job tension and job satisfaction) were the strongest correlates of higher absenteeism days (p < 0.05). Higher educational attainment, treatment and neuroticism were also correlated with more absenteeism days. SME-specific information about the occurrence of psychological distress, work attendance behaviour, and the variables that influence these decisions, are needed for the development of guidelines for managing psychological distress within this sector. Full article

(This article belongs to the Special Issue Job Stress and Health)

► Show Figures

Figure 1

288 KiB

Open AccessArticle

Stress, Health and Well-Being: The Mediating Role of Employee and Organizational Commitment

by Ajay K. Jain, Sabir I. Giga and Cary L. Cooper

Int. J. Environ. Res. Public Health 2013, 10(10), 4907-4924; https://doi.org/10.3390/ijerph10104907 - 11 Oct 2013

Cited by 31 | Viewed by 13474

Abstract

This study investigates the mediating impact of organizational commitment on the relationship between organizational stressors and employee health and well-being. Data were collected from 401 operator level employees working in business process outsourcing organizations (BPOs) based in New Delhi, India. In this research [...] Read more.

This study investigates the mediating impact of organizational commitment on the relationship between organizational stressors and employee health and well-being. Data were collected from 401 operator level employees working in business process outsourcing organizations (BPOs) based in New Delhi, India. In this research several dimensions from ASSET, which is an organizational stress screening tool, were used to measure employee perceptions of stressors, their commitment to the organization, their perception of the organization’s commitment to them, and their health and well-being. Data were analyzed using structural equation modeling on AMOS software. Results of the mediation analysis highlight both employee commitment to their organization and their perceptions of the organization’s commitment to them mediate the impact of stressors on physical health and psychological well-being. All indices of the model fit were found to be above standard norms. Implications are discussed with the view to improving standards of health and well-being within the call center industry, which is a sector that has reported higher turnover rates and poor working conditions among its employees internationally. Full article

(This article belongs to the Special Issue Job Stress and Health)

► Show Figures

Figure 1

249 KiB

Open AccessArticle

Workplace Bullying among Healthcare Workers

by Antonio Ariza-Montes, Noel M. Muniz, María José Montero-Simó and Rafael Angel Araque-Padilla

Int. J. Environ. Res. Public Health 2013, 10(8), 3121-3139; https://doi.org/10.3390/ijerph10083121 - 24 Jul 2013

Cited by 101 | Viewed by 22344

Abstract

This paper aims to assess consistent predictors through the use of a sample that includes different actors from the healthcare work force to identify certain key elements in a set of job-related organizational contexts. The utilized data were obtained from the 5th European [...] Read more.

This paper aims to assess consistent predictors through the use of a sample that includes different actors from the healthcare work force to identify certain key elements in a set of job-related organizational contexts. The utilized data were obtained from the 5th European Working Conditions Survey, conducted in 2010 by the European Foundation for the Improvement of Living and Working Conditions. In light of these objectives, we collected a subsample of 284 health professionals, some of them from the International Standard Classification of Occupations—subgroup 22—(ISCO-08). The results indicated that the chance of a healthcare worker referring to him/herself as bullied increases among those who work on a shift schedule, perform monotonous and rotating tasks, suffer from work stress, enjoy little satisfaction from their working conditions, and do not perceive opportunities for promotions in their organizations. The present work summarizes an array of outcomes and proposes within the usual course of events that workplace bullying could be reduced if job demands were limited and job resources were increased. The implications of these findings could assist human resource managers in facilitating, to some extent, good social relationships among healthcare workers. Full article

(This article belongs to the Special Issue Job Stress and Health)

225 KiB

Open AccessArticle

Circulating Nitrite and Nitrate are Associated with Job-Related Fatigue in Women, but not in Men

by Jiro Takaki

Int. J. Environ. Res. Public Health 2013, 10(7), 2813-2824; https://doi.org/10.3390/ijerph10072813 - 5 Jul 2013

Cited by 7 | Viewed by 5943

Abstract

A recent study indicated that serum nitrite and nitrate (NO_x) is inversely associated with general fatigue. The purpose of this study was to confirm the negative association between nitric oxide (NO) and fatigue and to examine whether NO can prevent fatigue [...] Read more.

A recent study indicated that serum nitrite and nitrate (NO_x) is inversely associated with general fatigue. The purpose of this study was to confirm the negative association between nitric oxide (NO) and fatigue and to examine whether NO can prevent fatigue caused by job strain. The subjects, 570 workers (272 men and 298 women), answered self-administered questionnaires and underwent a medical examination. Job strain was measured using the Job Content Questionnaire. Fatigue was evaluated using the Profile of Mood States. Venous blood samples were collected after overnight fasting. Plasma NO_x concentration was determined by the ozone-based chemiluminescence assay. Plasma NO_x levels were significantly (p < 0.05) negatively associated with fatigue even after adjustment for job strain and potential confounders in women, but not in men. Significant (p < 0.05) interactions showed that, in women, as the level of the job strain worsened, fatigue was exacerbated, but the plasma NO_x seemed to buffer the association, even after adjustment for potential confounders and the interaction between job strain and vegetable intake. In women, NO seemed to be inversely associated with fatigue and to buffer the association between job strain and fatigue, but not in men. Full article

(This article belongs to the Special Issue Job Stress and Health)

► Show Figures

Figure 1

327 KiB

Open AccessArticle

Generational Differences in Work-Family Conflict and Synergy

by Nicholas J. Beutell

Int. J. Environ. Res. Public Health 2013, 10(6), 2544-2559; https://doi.org/10.3390/ijerph10062544 - 19 Jun 2013

Cited by 23 | Viewed by 12253

Abstract

This paper examines differences in work-family conflict and synergy among the four generational groups represented in the contemporary workforce: Generation Y Generation X, Baby Boomers, and Matures using data from the 2008 National Study of the Changing Workforce (n = 3,502). Significant [...] Read more.

This paper examines differences in work-family conflict and synergy among the four generational groups represented in the contemporary workforce: Generation Y Generation X, Baby Boomers, and Matures using data from the 2008 National Study of the Changing Workforce (n = 3,502). Significant generational differences were found for work-family conflict (work interfering with family and family interfering with work) but not for work-family synergy. Mental health and job pressure were the best predictors of work interfering with family conflict for each generational group. Work-family synergy presented a more complex picture. Work-family conflict and synergy were significantly related to job, marital, and life satisfaction. Implications and directions for future research are discussed. Full article

(This article belongs to the Special Issue Job Stress and Health)

216 KiB

Open AccessArticle

Stress, Depression and Coping among Latino Migrant and Seasonal Farmworkers

by Sloane Burke Winkelman, Elizabeth H. Chaney and Jeffrey W. Bethel

Int. J. Environ. Res. Public Health 2013, 10(5), 1815-1830; https://doi.org/10.3390/ijerph10051815 - 3 May 2013

Cited by 57 | Viewed by 10023

Abstract

Research shows that one in four migrant farmworkers experienced an episode of one or more mental health disorders such as stress, depression, or anxiety in their lifetime. The purpose of this mixed methods study was to explore experiences and perceptions related to stress [...] Read more.

Research shows that one in four migrant farmworkers experienced an episode of one or more mental health disorders such as stress, depression, or anxiety in their lifetime. The purpose of this mixed methods study was to explore experiences and perceptions related to stress and depression among Latino migrant and seasonal farmworkers (MSFWs), and to identify their coping behaviors for dealing with these mental health conditions. Using a mixed methods research approach, three focus group interviews of a sample of Latino MSFWs (N = 29) were conducted and a quantitative survey was implemented (N = 57) at community sites in eastern North Carolina. Four major themes emerged from the focus group data: (1) physical stress related to working conditions; (2) mental stress related to family situations, work environment, documentation status, and lack of resources; (3) depression related to separation from family and the lack of resources; and (4) use of positive and negative mechanisms for coping with stress and depression. A discussion of these themes, results from the survey findings, implications for intervention and outreach programs, along with recommendations for further research, are provided. Full article

(This article belongs to the Special Issue Job Stress and Health)

Review

Jump to: Research

367 KiB

Open AccessReview

Burnout in Relation to Specific Contributing Factors and Health Outcomes among Nurses: A Systematic Review

by Natasha Khamisa, Karl Peltzer and Brian Oldenburg

Int. J. Environ. Res. Public Health 2013, 10(6), 2214-2240; https://doi.org/10.3390/ijerph10062214 - 31 May 2013

Cited by 225 | Viewed by 38865

Abstract

Nurses have been found to experience higher levels of stress-related burnout compared to other health care professionals. Despite studies showing that both job satisfaction and burnout are effects of exposure to stressful working environments, leading to poor health among nurses, little is known [...] Read more.

Nurses have been found to experience higher levels of stress-related burnout compared to other health care professionals. Despite studies showing that both job satisfaction and burnout are effects of exposure to stressful working environments, leading to poor health among nurses, little is known about the causal nature and direction of these relationships. The aim of this systematic review is to identify published research that has formally investigated relationships between these variables. Six databases (including CINAHL, COCHRANE, EMBASE, MEDLINE, PROQUEST and PsyINFO) were searched for combinations of keywords, a manual search was conducted and an independent reviewer was asked to cross validate all the electronically identified articles. Of the eighty five articles that were identified from these databases, twenty one articles were excluded based on exclusion criteria; hence, a total of seventy articles were included in the study sample. The majority of identified studies exploring two and three way relationships (n = 63) were conducted in developed countries. Existing research includes predominantly cross-sectional studies (n = 68) with only a few longitudinal studies (n = 2); hence, the evidence base for causality is still very limited. Despite minimal availability of research concerning the small number of studies to investigate the relationships between work-related stress, burnout, job satisfaction and the general health of nurses, this review has identified some contradictory evidence for the role of job satisfaction. This emphasizes the need for further research towards understanding causality. Full article

(This article belongs to the Special Issue Job Stress and Health)

► Show Figures

Graphical abstract

Journal Menu

Journal Browser

Job Stress and Health

Share This Special Issue

Special Issue Editor

Special Issue Information

Keywords

Benefits of Publishing in a Special Issue

Published Papers (12 papers)

Research

Review

Further Information

Guidelines

MDPI Initiatives

Follow MDPI