Workplace stress in nursing workers from an emergency hospital: Job Stress Scale analysis

This study identifies workplace stress according to the Job Stress Scale and associates it with socio-demographic and occupational variables of nursing workers from an emergency hospital. This is a cross-sectional study and data were collected through a questionnaire applied to 388 nursing professionals. Descriptive statistics were applied; univariate and multivariate analyses were performed. The results indicate there is a significant association with being a nursing technician or auxiliary, working in the position for more than 15 years, and having low social support, with 3.84, 2.25 and 4.79 times more chances of being placed in the ‘high strain job' quadrant. The study reveals that aspects related to the workplace should be monitored by competent agencies in order to improve the quality of life of nursing workers.Estudio que tuvo el objetivo identificar el estrés en el trabajo, según la Job Stress Scale y asociarlo con aspectos sociodemográficos y laborales de trabajadores de enfermería de un hospital de emergencia. Estudio de tipo transversal, cuyos datos fueron recolectados, por medio de cuestionario, con 388 profesionales de enfermería. El análisis fue realizado con la estadística descriptiva, análisis univariado y multivariado. Los resultados identificaron asociación significativa con el cargo de técnico/auxiliar de enfermería, tiempo en el cargo superior a 15 años y bajo apoyo social, con chances respectivas de 3,84; 2,25 y 4,79 mayores para el cuadrante alto desgaste. El estudio demostró que los aspectos relacionados al ambiente de trabajo deben ser acompañados por los órganos competentes con la finalidad de invertir recursos en la calidad de vida en el trabajo de la enfermería.Trata-se de estudo cujo objetivo foi identificar o estresse no trabalho, segundo a Job Stress Scale, e associá-lo aos aspectos sociodemográficos e laborais de trabalhadores de enfermagem de um hospital de pronto-socorro. É estudo tipo transversal, cujos dados foram coletados por meio de questionário, com 388 profissionais de enfermagem. A análise foi realizada pela estatística descritiva, análise univariada e multivariada. Através dos resultados identificaram-se associação significativa com o cargo de técnico/auxiliar de enfermagem, tempo no cargo superior a 15 anos e baixo apoio social, com chances respectivas de 3,84, 2,25 e 4,79 maiores para o quadrante alto desgaste. Demonstra-se, assim, que os aspectos relacionados ao ambiente de trabalho devem ser acompanhadas pelos órgãos competentes no intuito de investir na qualidade de vida no trabalho da enfermagem

Work stress and the risk of recurrent coronary heart disease events: A systematic review and meta-analysis

Though much evidence indicates that work stress increases the risk of incident of coronary heart disease (CHD), little is known about the role of work stress in the development of recurrent CHD events. The objective of this study was to review and synthesize the existing epidemiological evidence on whether work stress increases the risk of recurrent CHD events in patients with the first CHD. A systematic literature search in the PubMed database (January 1990 – December 2013) for prospective studies was performed. Inclusion criteria included: peer-reviewed English papers with original data, studies with substantial follow-up (> 3 years), end points defined as cardiac death or nonfatal myocardial infarction, as well as work stress assessed with reliable and valid instruments. Meta-analysis using random-effects modeling was conducted in order to synthesize the observed effects across the studies. Five papers derived from 4 prospective studies conducted in Sweden and Canada were included in this systematic review. The measurement of work stress was based on the Demand- Control model (4 papers) or the Effort-Reward Imbalance model (1 paper). According to the estimation by meta-analysis based on 4 papers, a significant effect of work stress on the risk of recurrent CHD events (hazard ratio: 1.65, 95% confidence interval: 1.23–2.22) was observed. Our findings suggest that, in patients with the first CHD, work stress is associated with an increased relative risk of recurrent CHD events by 65%. Due to the limited literature, more well-designed prospective research is needed to examine this association, in particular, from other than western regions of the world

Work stress and metabolic syndrome in radiologists. First evidence.

Background. Il fatto che lo stress da lavoro aumenti il rischio cardiovascolare \ue8 un dato suffragato da sufficiente evidenza scientifica. L\u2019associazione dello stress con la sindrome metabolica ha fino ad oggi ricevuto minore attenzione. In questo studio ci siamo proposti di indagare l\u2019associazione tra stress da lavoro e sindrome metabolica in una popolazione di radiologi. Metodo. I radiologi e radioterapisti partecipanti ad alcuni congressi scientifici sono stati invitati a compilare un questionario per la valutazione dello stress da lavoro e dei principali parametri che consentono la diagnosi di sindrome metabolica (obesit\ue0, ipertensione, ipercolesterolemia, ipertrigliceridemia, iperglicemia). Risultati. La maggior parte dei medici che hanno partecipato all\u2019indagine (383, 58,6%) presenta almeno una componente patologica. Quarantasei soggetti (7,1%) presentano una sindrome metabolica. Tutte le variabili indicative di stress da lavoro, sia quelle derivanti dal modello demand/control di Karasek che quelle appartenenti al modello effort/reward di Siegrist, risultano significative predittrici delle componenti di sindrome metabolica. I radiologi con alto stress da lavoro hanno un rischio di soffrire di sindrome metabolica significativamente pi\uf9 elevato di quello dei loro colleghi meno stressati, sia quando lo stress \ue8 definito come \u201cjob strain\u201d, cio\ue8 elevato carico di lavoro e ridotta discrezionalit\ue0 (OR 4,89 IC95% 2,51-9,55), sia quando questo \ue8 definito come \u201ceffort reward imbalance\u201d, discrepanza tra lo sforzo lavorativo e le ricompense ricevute per il lavoro svolto (OR 4,66 IC95% 2,17-10,02). Conclusioni. I risultati di questa prima indagine trasversale, ove siano confermati da un successivo studio longitudinale, indicherebbero la necessit\ue0 di intervenire con tempestive misure organizzative per ridurre lo stress professionale dei medici radiologi.Background. Scientific data have amply demonstrated that work stress increases the risk of cardiovascular disease. However, less attention has been given to the association between stress and metabolic syndrome. In this study, our aim was to investigate the relationship between work stress and metabolic syndrome in a population of radiologists. Method. Radiologists and radiotherapists taking part in scientific congress meetings were invited to compile a questionnaire to evaluate work stress and the main parameters for diagnosing metabolic syndrome (obesity, hypertension, elevated cholesterol level, elevated triglycerides, hyperglycemia). Results. Most of the doctors taking part in the survey (383, 58.6%) were found to have at least one pathological component. Forty-seven subjects (7.1%) manifested metabolic syndrome. All the variables indicating work stress, whether derived from Karasek\u2019s demand/control model or from the effort/reward model devised by Siegrist, were significant predictors of metabolic syndrome components. Radiologists with elevated levels of stress had a significantly higher risk of being affected by metabolic syndrome than colleagues with lower stress levels, whether stress was defined as \u201cjob strain\u201d, i.e. elevated work load and reduced discretionary power (OR 4.89 IC95% 2.51-9.55), or as \u201ceffort reward imbalance\u201d, i.e. mismatch between effort and reward for the work performed (OR 4.66 IC95% 2.17-10.02). 2 Conclusions. Should the results of this cross-sectional study be confirmed by a subsequent longitudinal survey, they would indicate the need for prompt organizational intervention to reduce occupational stress in radiologists