Occupational stress and engagement in primary health care workers

The mediating role of psychological capital in the association between work engagement and occupational stress in pediatric nurses

Pediatric nurses are exposed to occupational stress due to the demanding care of sick children and complex interactions with families. The negative impact on nurse's physical and mental health, stress can also affect the quality of care. On the other hand, work engagement as a positive mental state and psychological capital as one of the supporting factors can help improve conditions and reduce occupational stress. However, the role of psychological capital in the relationship between occupational stress and work engagement in pediatric nurses needs further research. The aim of this study was to determine the mediating role of psychological capital in the relationship between work engagement and occupational stress in nurses working on pediatric wards. The present study was a predictive correlational study using the path analysis model. The statistical population of this study consisted of 251 pediatric nurses. The sampling was conducted from December 2023 to May 2024. Data collection instruments included the Demographic Profile Form, Chen's occupational Stress Questionnaire, Schaufeli et al.'s Work Engagement Questionnaire, and Luthans' Psychological Capital Questionnaire. The data analysis was carried out using the SPSS 26 and AMOS 24 software. The results of this study showed that there was an inverse and significant relationship between work engagement and occupational stress in nurses working in the pediatric ward (p < 0.001, β = -0.22). In addition, a positive and significant relationship was observed between work engagement and psychological capital among nurses (p < 0.001, β = 0.39). The results also showed that there was an inverse and significant relationship between psychological capital and occupational stress (p < 0.001, β = -0.23). The results of the final model represented psychological capital as a mediating variable that explains the relationship between work engagement and occupational stress of nurses. The results of this study showed that higher work engagement leads to a reduction in occupational stress in nurses working in the pediatric ward and that psychological capital acts as a mediating variable in this relationship. Nurses who have higher work engagement and psychological capital, experience less occupational stress. Age and work experience were also related to reduced stress and increased work engagement and psychological capital. It is suggested that hospital managers focus on educational and supportive programs to enhance psychological capital and increase the work engagement of nurses working in pediatric wards to improve the quality of care for children.

Differences in workplace violence and health variables among professionals in a hospital emergency department: A descriptive-comparative study

INTRODUCTION

Workplace violence is a relevant social problem due to its high prevalence and serious consequences. A quarter of workplace violence occurs in the healthcare sector. Evidence shows differences among professionals, with emergency department workers being especially vulnerable, presenting a higher risk of suffering mental and physical health problems, as well as threats to their professional and social integrity.

OBJECTIVE

To explore the frequency with which emergency department professionals are exposed to user violence and violence by their own coworkers; as well as to analyze the differences between different professionals in exposure to violence in the workplace and some of its most studied consequences such as burnout, job satisfaction, engagement, and general health.

METHODS

A descriptive comparative study was carried out with a sample of 120 emergency department workers from three hospitals in Alicante. The majority were healthcare professionals (84.2%), women (61.7%), obtaining a mean age of 41.8 years (SD = 10.8). Sociodemographic and occupational variables, user violence, violence among colleagues and superiors, general health, burnout, engagement, and job satisfaction were evaluated.

RESULTS

A high prevalence of both physical and non-physical user violence in the healthcare setting was observed, especially affecting nursing and administrative assistants. In addition, significant differences were identified between professionals in terms of non-physical user violence, burnout, engagement, and job satisfaction. Administrative staff suffer greater non-physical user violence, while nursing assistants show higher levels of engagement. Regarding job satisfaction, nurses report higher intrinsic satisfaction. Medical staff, nurses and nursing assistants show higher levels of extrinsic satisfaction compared to administrative staff.

DISCUSSION

Our results are consistent with other studies in which a relationship between exposure to violence and job satisfaction is observed. In addition, administrative staff appear to be the professionals most exposed to violence from both patients and coworkers. These results provide evidence for future research focused on improving the work environment and health of emergency department professionals.

Reduce stress and the risk of burnout by using yoga techniques. Pilot study

Introduction

This article examines the effectiveness of yoga in managing stress, with a particular focus on work-related stress. Yoga combines physical postures, breath control, and meditation, and has gained recognition for its potential to relieve stress.

Purpose

This study aimed to investigate the motivating factors behind individuals adopting yoga exercises and to assess the effects of regular yoga practice, with a particular focus on age-related differences. Additionally, we aimed to compare participants' expectations with the actual results of their yoga practice.

Methods

To achieve this, we conducted a comprehensive survey using an online form, which was completed by 520 yoga practitioners. Participants were surveyed about their motivation, the effects they experienced, and the type of yoga they practiced.

Results

The results showed that the most common motivation for individuals practicing yoga was stress reduction. Additionally, the analysis of the effects of regular yoga practice demonstrated a significant reduction in stress levels, with experienced practitioners reporting lower stress levels compared to beginners. In conclusion, the study suggests that regular yoga practice can be an effective way to reduce stress levels.

Conclusion

Dynamic forms of yoga, which incorporate fluid movements and synchronized breathing techniques, are highly effective approaches to stress management and relief. These findings highlight the value of yoga as a tool for individuals of all ages seeking stress relief and overall well-being. Another advantage of yoga practice is its affordability and lack of negative side effects.

The effect of perceived professional benefits on health professionals' job engagement: the role of psychological availability and future perceived professional benefits

BACKGROUND

Improving the job engagement of health professionals can effectively enhance the quality of their medical services. However, few studies have investigated whether and how perceived professional benefits affect job engagement. Based on resource conservation theory, this study explored the effect of the influence of perceived professional benefits on job engagement, and also examined the mediating role of psychological availability and the moderating role of future perceived professional benefits.

METHODS

A cross-sectional study was conducted in six tertiary hospitals and seven secondary hospitals in Liu Panshui, a city in western China. A total of 1,406 valid questionnaires were obtained and analysed by using correlation analysis, hierarchical regression analysis, and bootstrap tests.

RESULT

The study found a significant positive association between health professionals' perceived professional benefits and their job engagement. Additionally, psychological availability was found to mediate this relationship. Future perceived professional benefits not only positively moderate this relationship between perceived professional benefits on health professionals' psychological availability but also positively moderate the mediating role of psychological availability between perceived professional benefits and job engagement.

CONCLUSION

Improving health professionals' perceived professional benefits can enhance their job engagement by increasing their psychological availability. However, for health professionals with low future perceived professional benefits, this improvement may disappear. Therefore, it is important to enhance both their current and future perceived professional benefits to improve their job engagement.

Prevalence of depression, anxiety, and stress and associated reasons among Iranian primary healthcare workers: a mixed method study

BACKGROUND

Different mental disorders may be associated with many work-related factors to which primary health care workers (PHCWs) are exposed. The current research aims to measure the rates of depression, anxiety, and stress among PHCWs, and their associated causes in primary health care (PHC) settings.

METHODS

An explanatory sequential mixed methods design was employed in this research from January 2021 to January 2022 in Tabriz, Iran's PHC centers. First, this study followed an online-based cross-sectional survey using a self-reported questionnaire. The Depression, Anxiety and Stress Scale-21 Items (DASS-21) and questions on demographic and work-related characteristics were completed by 303 frontline PHCWs during the quantitative phase. In the qualitative phase, a semi-structured interview was held with 12 PHCWs who had the highest level of depression, anxiety, and stress to identify the reasons and sources of mental health prevalence. Quantitative data were analyzed using descriptive statistics via SPSS-26. A content analysis was performed to analyze qualitative data.

RESULTS

The results showed that self-reported stress, anxiety, and depression had a prevalence of 40.3%, 42.9%, and 42.6%, respectively. Symptoms of at least one mental disorder were experienced by 54% of respondents, while 28% had all three. Major sources of stress, anxiety, and depression among PHCWs were working environment conditions, organizational policies, job-related reasons, and interpersonal relations.

CONCLUSIONS

The results of current study indicated that PHCWs experienced high levels of depression, anxiety, and stress. The main factors and reasons that contributed to these mental health issues among PHCWs were work environment conditions, organizational policies, job-related reasons and interpersonal relations. Therefore, interventions should be implemented to promote mental health of PHCWs. This can include measures such as psychological screening, supportive care, workload management, flexible scheduling, and access to mental health resources. Additionally, training programs can be implemented to enhance resilience and coping skills among healthcare professionals.

Analysis of the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals

This article examines the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals. A longitudinal, before-and-after study was conducted with nursing professionals working in the frontline in the pre-pandemic and pandemic periods. Our study applied the Brazilian versions of the Professional Quality of Life Scale and the Utrecht Work Engagement Scale. High levels of compassion satisfaction (≥43.0), low levels of burnout (<23.0) and secondary traumatic stress (<23.0), as well as high levels of vigor (≥4.0 and ≤4.99), absorption (≥4.0 and ≤4.99), and overall score (≥4.0 and ≤4.99) were observed. Moderate, negative, and significant correlations of burnout with vigor (r: -0.505; p-value: <0.001), in the pre-pandemic period; and with overall score, in the pre-pandemic (r: -0.543; p-value: <0.001) and pandemic periods (r: -0.458; p-value: <0.001), were also observed. No changes in levels of work engagement were found. Professionals with compassion fatigue showed decreased vigor, absorption, and overall score, rated as medium in the pandemic period (≥2.0 and ≤3.99), and an increased dedication, which was low (≥1.0 and ≤1.99) in the pre-pandemic period. It was concluded that there is no harmful association between compassion fatigue and work engagement with COVID-19 in nursing professionals.

Profile and essentiality of Nursing in the context of the COVID-19 pandemic

The present study aims to describe the sociodemographic and health profile of nursing professionals in the context of the COVID-19 pandemic and propose a reflective analysis on the essentiality of the category facing the intrinsic demands of patients and the Brazilian health system, especially in the context of the public health emergency triggered by the exponential advance of the SARS-CoV-2 virus. This study reveals the relationship between historical injustices and the different types of inequality that impacted and caused the vulnerability of the profession, with an emphasis on the presentation of potential perspectives arising from this historical process and recent events.

Stress levels and related factors in primary care health professionals: an integrative review

Objective: To identify, based on evidence, stress levels and related factors in health professionals working in Primary Care. Methods: An integrative review was carried out, with the guiding question "What are the levels of stress and factors related to them in health professionals working in Primary Care?". The research took place in December 2022, in the databases: LILACS, MEDLINE, CINAHL and Scopus. Primary studies available in full in English, Portuguese and Spanish were included. Results: Of the 1,358 productions initially found, 14 texts were included as a sample. It was observed that professionals face different levels of stress in their daily work. Stress can be related to physical and emotional exhaustion, dissatisfaction, overload and less engagement at work, longer working hours, female sex, work in the Covid-19 pandemic, organizational and communication problems. Conclusions: The evidence allows critical reflection on the need for greater concern and involvement on the part of the authorities and competent bodies with the health of workers, in order to direct actions that can intervene on risk factors in the work environment and minimize vulnerabilities caused by stress.

Satisfação no trabalho de trabalhadores da Atenção Primária à Saúde

Objetivo: identificar os fatores relacionados à (in)satisfação no trabalho de trabalhadores da Atenção Primária à Saúde (APS). Métodos: estudo exploratório com abordagem quantitativa, conduzido em 23 unidades da APS no estado de São Paulo. Foi utilizada a Escala de Satisfação no Trabalho, que abrange o grau de contentamento com chefia, colegas, salário, promoções e trabalho realizado, além de um questionário sócio-ocupacional. Resultados: participaram 70 trabalhadoras, sendo a grande maioria auxiliares de Enfermagem e agentes comunitárias de saúde, com idade média de 45±10,6 anos. Constatou-se indiferença nos campos colegas, chefia e natureza do trabalho. Por outro lado, verificou-se insatisfação com os campos salário e promoções. Conclusão: foi constatada insatisfação no trabalho na APS, e os achados demonstram a necessidade de revisão do plano de carreira e ajustes salariais.

Occupational stress and work engagement among primary healthcare physicians: a cross-sectional study

BACKGROUND

Brazil's Family Health Strategy is based on a primary healthcare model, which is considered to have case resolution capacity, with physicians at its center.

OBJECTIVES

To evaluate the levels of occupational stress and work engagement among primary healthcare physicians.

DESIGN AND SETTING

Cross-sectional study conducted in 2017, in São José do Rio Preto, São Paulo, Brazil.

METHODS

A non-probability sample including 32 physicians from family health teams was used. Three self-applied instruments were used: a scale developed by the researchers seeking sociodemographic and professional variables, the Work Stress Scale and the Utrecht Work Engagement Scale.

RESULTS

Female professionals (59.4%), permanent employees (56.3%), workload of 40 hours per week (59.4%) and 3-10 years of acting in primary care (68.8%) were more prevalent. Six professionals (19.4%) exhibited significant stress (score ≥ 2.5). The main stressors were lack of prospects for career growth (2.9 ± 1.3), form of task distribution (2.7 ± 1.0), poor training (2.7 ± 1.2) and insufficient time to perform the job (2.6 ± 1.2). Levels of work engagement ranged from 4.3 to 4.6 and were rated as high in all dimensions. Physicians with occupational stress had average levels of work engagement, whereas those without occupational stress had high levels of work commitment.

CONCLUSIONS

A notable percentage of the physicians were experiencing occupational stress. The physicians had high levels of work engagement. Occupational stress was negatively correlated with work engagement, and it significantly compromised physicians' levels of work engagement and interfered with their positive relationship with the work environment.

Quality of Life and Stress Management in Healthcare Professionals of a Dental Care Setting at a Teaching Hospital in Rome: Results of a Randomized Controlled Clinical Trial

In the healthcare environment, more and more people experience work-related stress. The Faculty of Medicine and Dentistry of Sapienza University of Rome, having observed the need to take care of healthcare professionals, has set itself the objective of providing useful tools such as additional and necessary personal protective equipment for healthcare professionals.

OBJECTIVE

To promote health through better management, skills, and the use of strategies and solutions to identify, decompress, and neutralize those responsible for work-related stress mechanisms in order to take care of those who care (CURARE CURANTES).

MATERIALS AND METHODS

A randomized controlled clinical trial was conducted. The participants were enrolled by three departments of the Department of Dental and Maxillofacial Sciences of Rome; in consideration of emotional involvement of health professionals who work there. A motivational program was offered.

RESULTS

There were 17 and 16 healthcare professionals in the intervention and control groups, respectively. Levels of the mental composite score (MCS) varied both in the pre-post phase of the intervention group (p = 0.002), and between the intervention group and control group in the post phase (p = 0.006). No significant differences were observed for the physical composite score (PCS). Similarly, there were no significant differences regarding the positivity scale (PS) and the two dimensions of work-related stress (job demand and decision latitude).

CONCLUSION

This study demonstrates the efficacy of yoga training practiced directly in the workplace and wearing work clothes, entering the work context, not weighing further on the healthcare workload, and being a way to carry out physical activity even in those cases in which professionals do not have the time to do it in their free time.

Analysis of the Coping Strategies of Primary Health Care Professionals: Cross-Sectional Study in a Large Brazilian Municipality

Objective: To analyze the coping strategies used by primary healthcare (PHC) professionals. Methods: A cross-sectional, descriptive-analytical study realized with professionals working in primary healthcare units in São José do Rio Preto, a large city in the interior of São Paulo, Brazil. For data collection, we used an instrument developed by the researchers containing sociodemographic and professional variables, as well as the Problem Coping Modes Scale (EMEP). Results: We evaluated 333 PHC professionals. A difference was observed between the scores of the four coping strategies (p < 0.001), with the highest score for the problem-focused strategy (3.8) and the lowest score for the emotion-focused strategy (2.4). Physicians had the lowest scores in coping strategies focused on religious practices/fantastical thinking (p < 0.001) and pursuit of social support (p = 0.045), while community health agents had the highest scores in these coping strategies. Conclusions: Professionals working in PHC have different coping strategies for the problems and stressful situations experienced in the work environment. These strategies can involve more positive attitudes focused on confrontation and problem solving, and on emotional responses that involve attitudes of avoidance and denial of the problem.

The Relationship between Emotional Stability, Psychological Well-Being and Life Satisfaction of Romanian Medical Doctors during COVID-19 Period: A Cross-Sectional Study

Due to the COVID-19 pandemic, as well as the fast progression of modern society, occupational stress has recently reached alarming levels with consequences for doctors’ psychological well-being. The aim of this study was to analyze the relationship among emotional stability, psychological well-being, and life satisfaction of medical doctors. We conducted a cross-sectional study on 280 medical doctors from Romania between February 2021 and September 2021, in the period between the third and fourth pandemic waves, who were evaluated by the DECAS, ASSET, and Satisfaction with Life scales. Our results showed that emotional stability is negatively correlated with psychological well-being (r = −0.526, p < 0.000) and positively correlated with life satisfaction (r = 0.319, p < 0.0001). Between psychological well-being and life satisfaction, we found a negative correlation (r = −0.046, p < 0.001). This study shows that there is a correlation among emotional stability, psychological well-being, and life satisfaction, which is why it can be considered that Romanian doctors have generated coping mechanisms during the COVID-19 pandemic.

Negative emotional status and influencing factors among young employees in center of disease control and prevention

BACKGROUND

Negative emotions among employees have become a public problem that increase the risk of developing the disease and accelerate its progression. This study aimed to investigate the status and influencing factors of negative emotions among young employees in center of disease control and prevention.

METHODS

Participants included 6099 employees aged 40 or below in center of disease control and prevention (CDC) of 32 province of China were interviewed by online questionnaire survey. The emotional conditions of anxiety and depression, and their influencing factors were analyzed.

RESULTS

A total of 5353 valid questionnaires were collected with the recovery rate of 87.77%. 2871 cases of young employees had different degrees of negative emotions at work, accounting for about 53.60%. Regression analysis showed that gender, professional title, educational level, job satisfaction, chronic diseases, daily sleep duration, average weekly overtime, physical activity time, and sugary beverage intake were the influencing factors of negative emotions (P < 0.05). Male, primary and below, never working overtime and daily physical activity time more than 30 min were protective factors for negative emotions (OR vale were 0.79, 0.68, 0.39 and 0.63, respectively, P < 0.05). Bachelor degree or above, poor job satisfaction, chronic disease, daily sleep duration less than 8 h and drinking one to three sugary drinks a week were the risk factors for negative emotion (OR vale were1.21, 4.32, 2.16, 2.75 and 1.20, respectively, P < 0.05).

CONCLUSION

Due to the influence of work pressure, lifestyle, chronic diseases and other factors, young employees in CDC have a certain degree of negative emotions at work, which should be paid enough attention. Meanwhile, corresponding measures should be taken according to the influencing factors to reduce the occurrence of negative emotions.

Prevalência de ansiedade e depressão em trabalhadores da Atenção Primária à Saúde

Resumo Introdução A atualização da Política Nacional de Atenção Básica em Saúde, em 2017, trouxe importantes retrocessos para o sistema de saúde brasileiro, dificultando a atuação profissional e favorecendo o adoecimento psíquico dos trabalhadores. Objetivo Avaliar a prevalência de ansiedade e depressão em trabalhadores da atenção primária à saúde. Método Estudo transversal, realizado em 2017, em um município de grande porte do interior paulista. Foram avaliados 173 profissionais das equipes da Atenção Primária à Saúde, utilizando um questionário com variáveis sociodemográficas e profissionais; o Inventário de Ansiedade de Beck (BAI); e o Inventário de Depressão de Beck (BDI-II). Resultados A ansiedade esteve presente em 45,3% dos profissionais, sendo 25,0% com ansiedade leve, 9,9% com ansiedade moderada e 10,5% com ansiedade grave. A depressão esteve presente 41,0% dos profissionais, sendo 28,9% com depressão leve e 12,1% com depressão moderada. Houve maior prevalência de ansiedade (17,3%) e de depressão (28,3%) entre Agentes Comunitários de Saúde e menor prevalência de ansiedade (1,2%) e de depressão (0,6%) entre médicos. Conclusão Há uma prevalência elevada de ansiedade e depressão em profissionais da Atenção Primária em Saúde, especialmente em agentes comunitários de saúde. Os gestores municipais devem implementar medidas de atenção à saúde dos trabalhadores, bem como garantir condições de trabalho favoráveis, para evitar o adoecimento dos profissionais.

Estresse ocupacional e sintomas osteomusculares em Agentes Comunitários de Saúde

Resumo Introdução Os Agentes Comunitários de Saúde (ACS) trabalham em condições de riscos ocupacionais e sobrecarga que podem causar adoecimento. Objetivos Avaliar a presença de estresse ocupacional e sintomas osteomusculares em Agentes Comunitários de Saúde e comparar os níveis de estresse ocupacional, segundo as características sociodemográficas. Método Estudo transversal, realizado em 2017, em um município do interior paulista. Foram utilizadas a Escala de Estresse no Trabalho e o Questionário Nórdico de Sintomas Osteomusculares. Resultados Participaram 44 ACS, sendo 70,5% do sexo feminino, 47,7% com 40 anos ou mais, 79,5% não exerciam outra atividade remunerada e 50,0% tinham de três a 10 anos de atuação profissional. Vinte e um (47,7%) profissionais apresentaram níveis importantes de estresse ocupacional (>2,5). Os principais fatores estressores foram: deficiência na divulgação de informações sobre decisões organizacionais (3,3;±1,1); deficiência nos treinamentos (3,4;±1,6); pouca valorização (3,2;±1,4); poucas perspectivas de crescimento na carreira (3,2;±1,6); discriminação/favoritismo no ambiente de trabalho (3,1;±1,5); falta de compreensão sobre as responsabilidades no trabalho (3,0;±1,5); tipo de controle (2,9;±1,1); forma como as tarefas são distribuídas (2,8;±1,4); realizar tarefas que estão além da capacidade (2,8;±1,2); falta de autonomia na execução do trabalho (2,7;±1,3); receber ordens contraditórias do superior (2,7;±1,4); tempo insuficiente para realizar o trabalho (2,7;±1,3). No último ano, 65,9% dos ACS referiram dor osteomuscular nas regiões lombar, 61,4% no pescoço, 47,7% nos ombros e 43,2% nos joelhos. Conclusão O estresse ocupacional e os sintomas osteomusculares são problemas presentes na prática laboral dos ACS, evidenciando que as organizações precisam incrementar recursos laborais para prevenir riscos psicossociais e amplificar a qualidade do trabalho destes profissionais.

Occupational stress and work engagement among military police officers

This paper investigates the levels of occupational stress and work engagement among military police officers. This cross-sectional, descriptive, and analytical study was conducted with 268 police officers from the 3rd Military Police Battalion of Paraná state. We observed significant levels of occupational stress in 125 (46.7%) police officers. The main stressors were lack of career growth prospects (3.7; ±1.3); inadequate training (3.4; ±1.2); discrimination/favoritism in the work environment (3.1; ±1.4); long working hours (3.0; ±1.4); distribution of tasks (2.7; ±1.1); control type (2.7; ±1.1); gaps in disclosing information about organizational decisions (2.7; ±1.2); low valuation (2.7; ±1.2). Levels of work engagement ranged from 3.8 [medium] to 4.1 [high]. The correlation between occupational stress and work engagement was low for the dimensions of Absorption (r: -.284; p<0.001) and Overall Score (r: -0.393; p<0.001) and moderate for the dimensions Vigor (r: -0.422; p<0.001) and Dedication (r: -0.414; p<0.001). We concluded that an important number of police officers had shown occupational stress. However, they displayed good levels of work engagement and are enthusiastic, inspired, and proud of their work.

Career commitment and entrenchment among Primary Care nurses

OBJECTIVE

To assess career commitment and entrenchment among Primary Care nurses.

METHOD

This is a cross-sectional study, carried out in 2018, with primary care nurses from two cities in the state of São Paulo. The Career Commitment and Entrenchment Scales, validated in Brazil, and consisting of 12 items each, were used, and assess: identity, resilience, and planning, related to commitment; emotional costs, investments, and limitation of career alternatives, related to entrenchment.

RESULTS

The mean score of career commitment (61.4 points) was higher than that of career entrenchment (57.8 points); the identity factor had a high level (70.9 points); resilience and career planning obtained medium levels (62.5 and 50.8 points, respectively). Career entrenchment (57.8 points) and its respective factors reached medium levels (investments: 57.7 points; limitation of alternatives: 58.8 points; emotional costs: 57.0 points).

CONCLUSION

The nurses showed a predominance of the career commitment relationship, as they showed a greater link of identification and positive relationship than of career stagnation.

Career commitment and career entrenchment among Primary Health Care workers

OBJECTIVE

Assess levels of career commitment and career entrenchment among Primary Health Care workers.

METHODS

This Cross-sectional study addressed 393 workers using the Brazilian versions of the Career Commitment Measure (CCM) and Career Entrenchment Measure (CEM).

RESULTS

Levels of Career commitment [75.5-77.5] were higher (p<0.001) than Career Entrenchment [66.7-69.2]. Identity levels [82.7-85.5] were higher (p<0.001) than Investment levels [60.4-65.0]. Career resilience levels [75.1-79.2] were higher (p<0.001) than Emotional costs [69.0-72.1]. Planning levels [64.2-67.1] were lower (p<0.001) than levels of limitedness of career alternatives [68.1-71.0].

CONCLUSION

The highest scores were obtained in Career commitment, showing the workers' identification and positive relationship with their careers, that is, these workers remain in Primary Health Care services because they identify themselves with their professions.

Social media addiction and work engagement among nurses

PURPOSE

This study was conducted to investigate the relationship between social media addiction (SMA) and work engagement (WE) among nurses in Turkey.

DESIGN AND METHODS

This cross-sectional and correlational study was conducted with 205 nurses. In the study, the SMA and WE scales were used.

FINDINGS

It was determined that there was a negative significant correlation between the SMA and WE variables and that SMA accounted for 2% of WE.

PRACTICE IMPLICATIONS

The controlled use of social media by nurses and the use of strategies that support work engagement will make significant contributions both to nurses and to the outcomes of patient care.

Identifying the risk features for occupational stress in medical workers: a cross-sectional study

Objective

Occupational stress is considered a worldwide epidemic experienced by a large proportion of the working population. The identification of characteristics that place people at high risk for occupational stress is the basis of managing and intervening in this condition. In this study, we aimed to identify and validate the risk features for occupational stress among medical workers using a risk model and nomogram.

Methods

This cross-sectional study included 1988 eligible participants from Henan Province in China. Occupational stress and worker-occupation fit were measured with the Depression, Anxiety and Stress Scales (DASS-21) and Worker-Occupation Fit Inventory (WOFI). The identification of risk features was achieved through constructing multiple logistic regression model, and the risk features were used to develop the risk model and nomogram. Receiver operating characteristic (ROC) curves and calibration plots were generated to assess the effectiveness and calibration of the risk model.

Results

Among 1988 participants in our study, there were 42.5% (845/1988) medical workers experienced occupational stress. The risk features for occupational stress included poor work-occupation fit (WOF score < 25, expected risk: 77.3%), nurse population (expected risk: 63.1%), male sex (expected risk: 67.2%), work experience duration of 11–19 years (expected risk: 54.5%), experience of a traumatic event (expected risk: 65.3%) and the lack of a regular exercise habit (expected risk: 60.2%). For medical workers who have these risk features, the expected risk probability of occupational stress would be 90.2%.

Conclusion

The current data can be used to identify medical workers at risk of developing occupational stress. Identifying risk features for occupational stress and the work-occupation fit can support hierarchical stress management in hospitals.

Supplementary Information

The online version contains supplementary material available at 10.1007/s00420-021-01762-3.

Psychosocial factors in nursing work and occupational risks: a systematic review

OBJECTIVE

to identify, in international scientific production, the main psychosocial factors in nursing work, found through the Copenhagen Psychosocial Questionnaire (COPSOQ) application.

METHODS

a systematic review study of psychosocial factors at work among nursing professionals, who used COPSOQ in the assessment of work environments.

RESULTS

fifteen articles were identified, which highlighted as main psychosocial dimensions of nursing work demands, work organization, social relationships and leadership, work-home interface, workplace health and well-being and offensive behaviors.

CONCLUSION

the high demands for cognitive, emotional work and work pace were identified in the nursing routine. Management support had a positive impact. Physical and psychological violence and shift work interfere in family life, aggravating the fatigue of these professionals. Interventions for reducing work stress presuppose the identification of psychosocial factors involved in nursing work.