这项研究的目的是确定(1)与工作相关的压力的程度和(2)与认知和行为应激反应相关的压力源,倦怠症状,健康状况,睡眠质量,工作满意度,并打算离开在急性护理/康复医院工作的卫生专业人员的组织和专业,精神病医院,疗养院,和家庭护理组织。
背景:卫生专业人员在工作中面临各种压力源,因此过早地离开了他们的职业。这项研究旨在确定与工作相关的压力和压力源与应激反应相关的程度,工作满意度,以及在不同医疗保健部门工作的卫生专业人员的离职意向和与健康相关的结果(急性护理,康复和精神病医院,疗养院和家庭护理组织)。
方法:这项研究基于重复的横截面设计,其中包括2017年至2020年的三项数据指标,以及来自26家急性护理/康复医院的19,340名参与其中的卫生专业人员,12家精神病医院,瑞士有86个疗养院和41个家庭护理组织。对于数据分析,分层多层次模型(使用AIC)分别为医院计算,疗养院,和家庭护理组织,关于卫生专业人员的压力症状,工作满意度,打算离开组织/专业,一般健康状况,倦怠症状,和睡眠质量。
结果:主要发现表明,卫生专业人员的工作和私人生活不相容与他们的应激反应显着相关(p<0.05),工作满意度,打算离开,以及所有纳入工作领域的健康相关结果。直接主管的良好领导素质也与卫生专业人员在所有工作领域的工作满意度相关(B≥0.22,p=0.000)。此外,与组织的积极感知联系(B≥0.13,p<0.01)和更好的发展机会(B≥0.05,p<0.05)与较高的工作满意度和较低的离开组织和职业的意愿相关。此外,较年轻的卫生专业人员与在所有纳入的工作领域过早地离开组织和职业的意愿较高相关.工作中的高身体要求(B≥0.04,p<0.05)和定量要求(B≥0.05,p=0.000)也与负面的健康相关结果相关。
The aim of this study is to identify (1) the extent of work-related stress and (2) stressors associated with cognitive and behavioral stress reactions, burnout symptoms, health status, quality of sleep, job satisfaction, and intention to leave the organization and the profession among health professionals working in acute care /rehabilitation hospitals, psychiatric hospitals, nursing homes, and home care organizations.
BACKGROUND: Health professionals are faced with various stressors at work and as a consequence are leaving their profession prematurely. This study aimed to identify the extent of work-related stress and stressors associated with stress reactions, job satisfaction, and intention to leave and health-related outcomes among health professionals working in different healthcare sectors (acute care, rehabilitation and psychiatric hospitals, nursing homes and home care organizations).
METHODS: This study is based on a repeated cross-sectional design, which includes three data measures between 2017 and 2020 and 19,340 participating health professionals from 26 acute care / rehabilitation hospitals, 12 psychiatric hospitals, 86 nursing homes and 41 home care organizations in Switzerland. For data analysis, hierarchical multilevel models (using AIC) were calculated separately for hospitals, nursing homes, and home care organizations, regarding health professionals\' stress symptoms, job satisfaction, intention to leave the organization / profession, general health status, burnout symptoms, and quality of sleep.
RESULTS: The main findings reveal that the incompatibility of health professionals\' work and private life was significantly associated (p < 0.05) with their stress reactions, job satisfaction, intention to leave, and health-related outcomes in all the included work areas. The direct supervisor\'s good leadership qualities were also associated with health professionals\' job satisfaction regarding all work areas (B ≥ 0.22, p = 0.000). In addition, a positive perceived bond with the organization (B ≥ 0.13, p < 0.01) and better development opportunities (B ≥ 0.05, p < 0.05) were associated with higher job satisfaction and a lower intention to leave the organization and profession among health professionals. Also, a younger age of health professionals was associated with a higher intention to leave the organization and the profession prematurely in all the included work areas. High physical (B ≥ 0.04, p < 0.05) and quantitative demands (B ≥ 0.05, p = 0.000) at work were also associated with negative health-related outcomes.