Cortese C G, Gerbaudo Laura, Benso P G, Violante B
Dipartimento di Psicologia, Università degli Studi di Torino, Torino.
Med Lav. 2009 Sep-Oct;100(5):344-58.
Job stress has negative effects on both health care work ers' (HCW) health and on work organization.
To assess whether the presence of stressful conditions, individually considered, or combined in the iso-strain model, is significantly associated with specific socio-demographic characteristics, also with the aim of providing organizational tools for management to reduce stress in the working environment according to Italian law 81/2008.
The extended version of the Job Content Questionnaire was administered to 265 healthy HCW in seven paired wards of two hospitals. The five psychosocial scales Job Demand (JD), Job Control (JC), Social Support (SS), Skill Underutilization (SuS), and Job Insecurity (JI) were calculated. The factors JD, JC, and SS were combined together to separate a group of 33 HCW in iso-strain conditions from another group of 232 HCW not in iso-strain conditions. Several socio-demographic variables were collected.
Statistically significant associations were found between socio-demographic characteristics and psychosocial factors, whereas the iso-strain conditions were not related to any socio-demographic parameter.
Data suggest the need for alternative policies to reduce job stress: for example, actions addressed to operative units or HCW with specific socio-demographic characteristics could be effective in improving individual psychosocial factors; however, integrated actions aimed at reorganizing the working environment as a whole should be implemented to correct iso-strain conditions.
工作压力对医护人员的健康和工作组织均有负面影响。
评估单独考虑或在等应变模型中综合考虑的压力状况是否与特定的社会人口学特征显著相关,同时旨在根据意大利第81/2008号法律为管理层提供组织工具,以减轻工作环境中的压力。
对两家医院七个配对病房的265名健康医护人员进行了工作内容问卷扩展版的调查。计算了五个社会心理量表,即工作需求(JD)、工作控制(JC)、社会支持(SS)、技能未充分利用(SuS)和工作不安全感(JI)。将JD、JC和SS因素组合在一起,从另一组232名非等应变条件的医护人员中分离出一组33名处于等应变条件的医护人员。收集了几个社会人口学变量。
发现社会人口学特征与社会心理因素之间存在统计学上的显著关联,而等应变条件与任何社会人口学参数均无关。
数据表明需要采取替代政策来减轻工作压力:例如,针对具有特定社会人口学特征的操作单元或医护人员采取的行动可能有效地改善个体社会心理因素;然而,应实施旨在整体重组工作环境的综合行动以纠正等应变条件。