Technological change and the medical technologist: a stress survey of four biomedical laboratories in a large tertiary care hospital.

Medical technologists from four clinical laboratories in a large teaching hospital were surveyed for their perceptions of occupational stress or job dissatisfaction concomitant with the advent of major technological and procedural change. Overall the data support the interpretation of excessive stress and job dissatisfaction. More than one-third (37.7%) of the laboratory personnel experienced psychological symptoms of occupational stress; 46.4% had experienced physical symptoms of stress. There was a marked and significant increase in reports of adverse effects among the group of laboratory workers subjected to the most extensive technological changes. Main components of the stress difference related to work overload, feelings of uncertainty in the face of new technology, lack of direction from supervisors and lack of influence on management. Age, type of shift worked and years of employment were associated with physical and psychological manifestations of stress. Implications and recommendations for laboratory workers, hospital administrators and educators are discussed.