Associations between Work Intensification, Stress and Job Satisfaction: The Case of Nurses in Ontario (original) (raw)
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Associations between Work Intensification, Stress and Job Satisfaction
Relations industrielles, 2000
Health sector reform of the 1990s affected most health care workers in Ontario and in other provinces. As a result of organizational changes, many workers experienced work intensification. This paper examines the associations between work intensification, stress and job satisfaction focusing on nurses in three teaching hospitals in Ontario. Data come from our 2002 survey of 949 nurses who worked in their employing hospital since the early 1990s when the health sector reform era began. Results show that nurses feel their work has intensified since the health sector reform of the 1990s, and work intensification contributed to increased stress and decreased job satisfaction. Results provide empirical support to the literature which suggests that work intensification has an adverse effect on workers’ health and well-being, and work attitudes.
A longitudinal study of job stress in the nursing profession: causes and consequences
Journal of Nursing Management, 2006
This study examines the influence of changes in work conditions on stress outcomes as well as influence of changes in stress outcomes on work conditions. As such, it answers questions still open in literature regarding causality of work environmental characteristics and the health of nurses. A complete, two wave panel design was used with a time interval of three years. The sample consisted of 381 hospital nurses in different functions, working at different wards. Changes in work conditions are predictive of the outcomes, especially of job satisfaction and emotional exhaustion. The strongest predictors of job satisfaction were social support from supervisor, reward, and control over work. The strongest predictors of emotional exhaustion were work and time pressure and physical demands. Reversed relationships were also found for these outcomes. The results of this study are consistent with transactional models of stress that indicate that stressors and stress outcomes mutually influence each other. To prevent nurses from a negative spiral, it seems of importance to intervene early in the process.
Job stress and satisfaction among nurses: individual differences
Stress Medicine, 2000
In a study involving 276 nurses in a large hospital in Northern Ireland, a comprehensive set of questionnaires was administered to assess multiple job-related variables. Nurses in general appeared to display high scores on the stresses related to con®dence and competency in role, home±work con¯ict, and organisational involvement (subscales which are themselves closely associated with demands in social interaction at work). These are stresses which were related to psychological well-being. There were no gender differences on occupational stress or the health outcome variables. Age did emerge as signi®cantly related to total stress and mental health (older nurses reporting more stress, and the younger nurses experiencing better psychological health). Grade of nursing was unrelated to job stress and outcome health variables, including work satisfaction. Although no differences were observed between wards/specialism and stress, differences were revealed along satisfaction, with maternity nurses (and intensive care nurses) displaying the highest level of satisfaction at work, and surgical (and medical) nurses showing the lowest. Finally, Type A emerged as a signi®cant determinant of physical health, in contrast to internal locus of control, which was more related to mental health, (lower) occupational stress, and job satisfaction. No signi®cant Type A Â locus of control interactions were observed. The implications of these ®ndings for nursing care are discussed.
Determinants of Job Stress in the nursing Profession: a Review
This review discusses the determinants of job stress in the nursing profession. It summarizes the results of 51 studies published between 1990 and 2005. The present review includes psychological, attitudinal and behavioral stress indica- tors, and in this way focuses on a variety of outcomes: job satisfaction, health complaints, burnout, absenteeism and turnover. The dimensions of the Job Demands, Control, Support (JDCS) model were found to be important deter- minants, as well as other job characteristics such as communication, home-work conflict and task- and role clarity. Challenging work, supervisor support, control and coping have the potential to buffer the detrimental effects of a stressful work environment. Challenging or meaningful work however can work out in opposite ways. The commitment,to take care of others can be an important buffer in the stressor-strain relationship, but also can lead to burnout, when going on too long. Providing a comprehensive review of the existin...
Canadian Public Policy, 2017
Le stress au travail coû te cher et diminue la productivité. Or, les Québécois sont plus susceptibles de rapporter un niveau élevé de stress au travail que les autres Canadiens. Dans cet article, à l'aide de données de l'Enquête sur la santé dans les collectivités canadiennes couvrant les années 2003 à 2012, les auteurs étudient les déterminants du stress au travail. Les maladies chroniques, les problèmes de santé mentale et de mauvaises habitudes de vie contribuent à augmenter le stress au travail. Cependant, même quand on tient compte de plusieurs variables, le fait de vivre au Québec est constamment associé à un plus grand stress au travail. Les auteurs discutent donc du rô le possible de facteurs contextuels et culturels; toutefois, aucune explication ne se démarque. Mais les Québécois sont absents du travail plus souvent que les autres Canadiens, ce qui laisse supposer que les coû ts de ce phénomène sont réels. Mots clés : stress au travail, Enquête sur la santé dans les collectivités canadiennes, comparaisons interprovinciales de stress, Québec, Canada Work stress is costly and decreases productivity. Quebecers are much more likely to report high work stress than other Canadians. Using data from the Canadian Community Health Survey spanning 2003-2012, we study the determinants of reported work stress. Chronic disease, mental health, and lifestyle choices all contribute to work stress. Despite including a large variety of influences, living in Quebec is persistently associated with higher work stress. We discuss contextual and cultural factors. No one explanation stands out, but Quebecers are absent from work more often than others, suggesting that the costs of this phenomenon are real.