Ethical climate and intention to leave among critical care clinicians: an observational study in 68 intensive care units across Europe and the United States

Purpose: Apart from organizational issues, quality of inter-professional collaboration during ethical decision-making may affect the intention to leave one’s job. To determine whether ethical climate is associated with the intention to leave after adjustment for country, ICU and clinicians characteristics. Methods: Perceptions of the ethical climate among clinicians working in 68 adult ICUs in 12 European countries and the US were measured using a self-assessment questionnaire, together with job characteristics and intent to leave as a sub-analysis of the Dispropricus study. The validated ethical decision-making climate questionnaire included seven factors: not avoiding decision-making at end-of-life (EOL), mutual respect within the interdisciplinary team, open interdisciplinary reflection, ethical awareness, self-reflective physician leadership, active decision-making at end-of-life by physicians, and involvement of nurses in EOL. Hierarchical mixed effect models were used to assess associations between these factors, and the intent to leave in clinicians within I

Job Resources and Matching Active Coping Styles as Moderators of the Longitudinal Relation Between Job Demands and Job Strain

Background: Only in a few longitudinal studies it has been examined whether job resources should be matched to job demands to show stress-buffering effects of job resources (matching hypothesis), while there are no empirical studies in which the moderating effect of matching personal characteristics on the stress-buffering effect of job resources has been examined. Purpose: In this study, both the matching hypothesis and the moderating effect of matching active coping styles were examined with respect to the longitudinal relation between job demands, job resources, and job strain.Method: The study group consisted of 317 beginning teachers from Belgium. The two-wave survey data with a 1-year time lag were analyzed by means of structural equation modeling and multiple group analyses. Results: Data did not support the matching hypothesis. In addition, no support was found for the moderating effect of specific active coping styles, irrespective of the level of match. Conclusion: To show stress-buffering effects of job resources, it seems to make no difference whether or not specific types of job demands and job resources are matched, and whether or not individual differences in specific active coping styles are taken into account

Method triangulation to assess different aspects of food safety culture in food service operations

The advantages and added value of applying method triangulation to gain a more comprehensive evaluation of the prevailing food safety culture in catering establishments is illustrated by means of a case study. Three methods are applied assessing the food safety culture in food service operations of a Flemish University spread over different locations in the city of Ghent, but centrally managed. Each method sheds light on one of the aspects of 'food safety culture' as defined in the food safety culture conceptual model, in which food safety culture is considered as the interplay between a techno-managerial route/aspect and a human route/aspect Two system and product related methods, being internal audits and verification of monitoring data of Critical Control Points (CCPs) as part of the HACCP system, both assessing the performance of the food safety management system and as such belonging to the techno-managerial route, are compared with a people related method using the food safety climate self-assessment tool, which is belonging to the human route. By triangulation of these three methods different aspects of the food safety culture at the different locations could be investigated, illustrating how single-method derived results could lead to wrong conclusions. Moreover, by combining the assessment methods case by case, locations in which the hazard of optimistic bias and complacency might exist, can be identified. As such, more tailored and location specific strategies for improvement of food safety management and/or food safety culture can be put in place

Scale reliability and validity of the Karasek 'Job Demand-Control-Support' model in the Belstress study.

A

Use of benzodiazepine drugs and perceived job stress in a cohort of working men and women in Belgium. Results from the BELSTRESS-study

The aim of the Belstress Study was to see whether use of benzodiazepines is associated with perceived job stress as measured by Karasek's job-strain model. This model has as its central tenet that the most adverse health outcomes are to be expected in high strain jobs characterized by high job demands and low job control. An extension of the model states that the most noxious combination is high job demands, low control and low social support at work. Sample subjects were recruited from 25 Belgian companies between 1994 and 1998, and cover a wide range of occupations. A 5.6% of 16,094 men and 9.3% of 5012 women aged 35-59 years report use of benzodiazepines during the last month. A clear association is displayed between self-reported use of benzodiazepines and a high strain job compared to a low strain job (men: OR=1.93, 99% CI=1.4-2.6; women: OR=1.66, 99% CI=1.0-2.7), after adjustment is made for socio-demographic confounders (age, level of education, occupational group, employment sector, living situation). The independent association with quartile level of job demands is a striking feature (men: OR of highest quartile compared to lowest quartile group=1.91, 99% CI=1.4-2.6; women: OR=1.99, 99% CI=1.3-3.1). In men, an inverse association with quartile level of job control is observed (OR= 0.65, 99% CI=0.5-0.9) whereas in women a clear tendency in that direction is displayed (OR=0.62, 99% CI=0.4-1.1). The association with low social support is less clear; an independent association between use of benzodiazepines and iso-strain was observed particularly in men. © 2003 Elsevier Ltd. All rights reserved.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Perceptions of job insecurity and the impact of world market competition as health risks: Results from Belstress

SCOPUS: ar.jFLWINinfo:eu-repo/semantics/publishe

Use of benzodiazepine drugs and perceived job stress in a cohort of working men and women in Belgium. Results from the BELSTRESS-study

The aim of the Belstress Study was to see whether use of benzodiazepines is associated with perceived job stress as measured by Karasek's job-strain model. This model has as its central tenet that the most adverse health outcomes are to be expected in high strain jobs characterized by high job demands and low job control. An extension of the model states that the most noxious combination is high job demands, low control and low social support at work. Sample subjects were recruited from 25 Belgian companies between 1994 and 1998, and cover a wide range of occupations. A 5.6% of 16,094 men and 9.3% of 5012 women aged 35-59 years report use of benzodiazepines during the last month. A clear association is displayed between self-reported use of benzodiazepines and a high strain job compared to a low strain job (men: OR=1.93, 99% CI=1.4-2.6; women: OR=1.66, 99% CI=1.0-2.7), after adjustment is made for socio-demographic confounders (age, level of education, occupational group, employment sector, living situation). The independent association with quartile level of job demands is a striking feature (men: OR of highest quartile compared to lowest quartile GROUP=1.91, 99% CI=1.4-2.6; women: OR=1.99, 99% CI=1.3-3.1). In men, an inverse association with quartile level of job control is observed (OR= 0.65, 99% CI=0.5-0.9) whereas in women a clear tendency in that direction is displayed (OR=0.62, 99% CI=0.4-1.1). The association with low social support is less clear; an independent association between use of benzodiazepines and iso-strain was observed particularly in men.Belgium Benzodiazepines Psychotropic drugs Work stress Demand-control-support model Occupational health

The job content questionnaire: Methodological considerations and challenges for future research

SCOPUS: re.jinfo:eu-repo/semantics/publishe

Private life telepressure and workplace cognitive failure among hospital nurses: The moderating role of mobile phone presence

Aim: To examine whether the presence of a mobile phone has a moderating role in the relationship between nurses' private life telepressure and workplace cognitive failure. Design: Cross-sectional quantitative study using self-report questionnaires. Methods: Data were collected between December 2019 - January 2020. In total, 849 Registered Nurses from three Belgian hospitals completed the online survey. Data were analysed with hierarchical regression analyses and simple slope tests. Results: Overall, the positive relationship between private life telepressure and workplace cognitive failure was moderated by mobile phone presence. Specifically, the experience of private life telepressure did only relate to higher workplace cognitive failure when nurses kept their mobile phone nearby (i.e. in their pockets). Additional exploratory analyses revealed that this moderation effect only held among nurses in young adulthood and regardless of the notification settings of their mobile phone. Conclusions: The present findings indicate the unintended risk of mobile phone presence at work as it relates to higher workplace cognitive failure in nurses who experience private life telepressure. Ensuring there are clear organizational policies and practises in place to store away personal belongings of healthcare personnel during work hours would therefore seem beneficial for hospitals. Impact: Considering the increased presence of mobile phones nowadays, a more detailed understanding is necessary on how these devices might distract personnel in a healthcare setting. The present study gives further insight into this topic and shows that in particular nurses in young adulthood who experience telepressure towards personal messages report more cognitive failure when their personal mobile phones are present, even when they do not actually use these devices. This furnishes additional evidence in support of hospitals' formal policy to forbid personal mobile phones of healthcare personnel when at work