Work stress and health in primary health care physicians and hospital physicians (original) (raw)
Related papers
Medical Archives, 2017
Objectives: To identify and compare the stressors in the work environment experienced by employees in primary health care and secondary health care, amongphysiciansand nurses. Patients and methods: The survey was conducted to identify types of stressors by assessing health care workers employed in the primary and secondary health care services of the Public Institution, the Health Centre of the Sarajevo Canton, using a questionnaire about stress in the workplace. Results: Among all study participants stressors connected to the organization of work, fi nance and communication were found to aff ect their mental health most strongly. The results show a signifi cant diff erence between primary and secondary health care in experience of stressors related to the organization of work, communication, and stressors related to the emotional and physical risks. Primary health care physicians report a signifi cantly higher experience of stress and impact on mental health compared with other physicians related to emotional diffi culties when working in the fi eld of palliative care. Our results also indicate a signifi cant diff erence between primary and secondary health providers in experiencing stressors related to the organization of work, such as: on-call duty shifts, an inadequate working environment and in the assessment of administrative work overload. Conclusion: The survey identifi ed the most intense stressors for doctors and nurses at primary and secondary levels of health care services. The results of the study indicate that doctors and nurses have a diff erent hierarchy of stressors, as well as subjects at Primary and Secondary Health Care. The results of the study indicate that subjects et Primary Health Care perceive more stressful organizational, emotional and communicational problems.
Work related stress among healthcare
Objectives: Occupational stress among healthcare workers is an important concern due to its crucial contribution in attaining maximum job output and optimal quality of working life. Our study aims to compare job stress levels of healthcare employees based on 1) sector, 2) category and 3) specialisation. Methods: Stress severity and frequency were evaluated using the 9-point scale Job Stress Survey (Job Stress, Job Pressure, Lack of Support). A crosssectional sample of 223 healthcare providers were enrolled from seven health institutions in Peninsular Malaysia (East Coast = 55%; mean age = 30 years; female = 78.9%; < 2 years experience = 35.9%; government-based = 48%; supportive = 62.8%). Results: No significant difference was found between government and private sector workers. Supportive staff reported significantly higher stress frequency in contrast to professionals who demonstrated significantly higher stress severity in all dimensions (p < .05). Within the supportive group, radiographers were the most stressed, followed by nurses and medical laboratory technologists (p > .05). Research-based professionals experienced significantly worse stress frequency in all components compared to professional practitioners (p < .05). Conclusion: Because stress levels are affected by job category and specialisation, flexible strategies to ensure employees' job productivity, contentment and personal well-being should be implemented.
Workplace Stress Among Doctors in Government Hospitals: An Empirical Study
Work plays a central role in the lives of many people, and thus the impact of occupational stress is an important issue both for individual employees and the organizations in which they work. Stress experienced at work can have adverse outcomes for the well-being of individual employees and organization as whole. OBJECTIVES The present study aims to investigate the causes of role stress in doctors working in government hospitals and to examine the levels of stress among Male and Female doctors. METHODOLOGY (Organizational Role Stress) ORS instrument developed by Prof. UdaiPareek was employed to collect the data from the respondents. Convenient sampling method was used to select the sampled units within the hospitals for the study. One hundred (100) questionnaires were distributed to the doctors and seventy three (73) completed questionnaires were received. RESULTS Findings of the study revealed that doctors are the serious sufferers of organizational role stress.
when the requirements of job do not match the capabilities, resources, or needs of the worker in the work environment. Hospital work stress is a nosocomial stress characterized by stressors like; work over load, understaffing, use of redundant equipment, poor promotion, poor managerial relationship with staff, poor working environment, excessive/prolonged working hours, etc. This study sought to determine the workrelated stress among healthcare workers in Ugep. Data were collected using primary and secondary source. 198 semi-structured questionnaires were designed/administered through purposive sampling. Data generated were analysed using descriptive statistics such as mean, percentages, and illustrative graphs. Results and findings showed that 180 (92.8%) healthcare workers felt stressed at work due to two or more of the following factors; work over-load, emergencies, adhoc duties (3.5%), lack of equipment (30.8%), poor work environment, poor managerial support, poor staff attitude to work and fellow staff (29.8%). Findings from this study also showed that headaches/migraine (76.3%), poor concentration (11.6%), and loss of work interest (10.1%) were the major effects of WRS. The study demonstrates that there is significant relationship between workrelated stress on healthcare workers and service delivery, work overload and increase in work stress, and poor managerial relationship/support and staff attitude to service delivery. This study recommends that, stress reduction strategies and management interventions lie in the adoption of both managerial/organizational interventions that reduce stress at source and to some extent involves the application of individual (staff) interventions. Reducing and managing the level of nosocomial stress will go a long way to positively influence service delivery. Healthcare workers tend to work more efficiently in a comfortable, safe and protective environment where there are sufficient equipment, proper remuneration, management interest on staff welfare, proper management of shifts and days off as well as staff involvement in issues and decisions that concerns their job and overall wellbeing.
2017
Objectives: To identify and compare the stressors in the work environment experienced by employees in primary health care and secondary health care, amongphysiciansand nurses. Patients and methods: The survey was conducted to identify types of stressors by assessing health care workers employed in the primary and secondary health care services of the Public Institution, the Health Centre of the Sarajevo Canton, using a questionnaire about stress in the workplace. Results: Among all study participants stressors connected to the organization of work, fi nance and communication were found to aff ect their mental health most strongly. The results show a signifi cant diff erence between primary and secondary health care in experience of stressors related to the organization of work, communication, and stressors related to the emotional and physical risks. Primary health care physicians report a signifi cantly higher experience of stress and impact on mental health compared with other physicians related to emotional diffi culties when working in the fi eld of palliative care. Our results also indicate a signifi cant diff erence between primary and secondary health providers in experiencing stressors related to the organization of work, such as: on-call duty shifts, an inadequate working environment and in the assessment of administrative work overload. Conclusion: The survey identifi ed the most intense stressors for doctors and nurses at primary and secondary levels of health care services. The results of the study indicate that doctors and nurses have a diff erent hierarchy of stressors, as well as subjects at Primary and Secondary Health Care. The results of the study indicate that subjects et Primary Health Care perceive more stressful organizational, emotional and communicational problems.
This study investigates the occupational stress amongst 355 male and female Greek junior hospital doctors (JHDs) working in the Greater Athens area. The initial phase of the research involved in-depth interviews with a random stratified sample of sixty JHDs, both male and female, in a variety of specialties of junior hospital staff. An extended version of the occupational stress indicator (OSI) questionnaire was developed, incorporating additional items based on the results of the qualitative part of the study, and on previous research findings in the same area. The sample consisted of 193 males and 162 females JHDs, who completed the OSI. Analyses of the data demonstrated that, overall, JHDs presented significantly higher levels of sources of pressure than the normative population and other comparative occupational samples. As regards the various sub-group comparisons, bivariate analyses revealed that there were significant differences between male and female JHDs in certain aspects of pressure ("career and achievement" and "home/work interface"). Multivariate analyses revealed that predictors of physical and mental ill health and job dissatisfaction were type A behaviour and "demands of the profession" respectively. The research implications of the findings are discussed.
Occupational stress in health service workers in the UK
Stress Medicine, 1992
Levels of occupational stress were examined in 1176 employees of all occupational groups within one large UK health authority. In comparison with the most recently established normative group of workers from non-health care sectors, health workers reported significantly greater pressure at work but scored lower on measures of Type A behaviour pattern and employed coping strategies more frequently. The health care workers reported, in contrast with previous studies, fewer symptoms of mental ill-health and similar levels of job satisfaction. Job satisfaction and psychosomatic ill-health were related to sickness absence among health workers. Approximately one in 12 health workers had stress symptoms of equal magnitude to patients attending clinical psychology outpatient clinics. The major occupational groups within the health worker sample were compared on stress measures. General managers were found to report the lowest levels of pressure, were high on Type A (nearly as high as doctors), were found to be the most 'internal' in their perceived locus of control, had the lowest levels of ill-health symptoms, the highest levels of job satisfaction and the lowest sickness absence rate. Nurses reported the highest levels of pressure. Ancillary staff and scientists and technicians, on the other hand, had very low levels of job satisfaction and high sickness absence.