Fernández-Martínez Selene, Armas-Landaeta Carilene, Pérez-Aranda Adrián, Guzmán-Parra José, Monreal-Bartolomé Alicia, Carbonell-Aranda Vera, García-Campayo Javier, López-Del-Hoyo Yolanda
Psychiatry Department, Faculty of Medicine, University of Zaragoza, Zaragoza, Spain.
Instituto de Investigación Sanitaria Aragón (IIS Aragón), Hospital Universitario Miguel Servet, Zaragoza, Spain.
SAGE Open Nurs. 2024 Sep 10;10:23779608241278861. doi: 10.1177/23779608241278861. eCollection 2024 Jan-Dec.
Health care providers face heightened stress and increased rates of anxiety and depression post-COVID-19. The pandemic, officially declared over in May 2023, continues to impact their wellbeing significantly, with ongoing mental health monitoring and tailored interventions crucial for support.
The aim of this study was to describe the frequency of job stressors in a sample of Spanish health care providers post-COVID and to explore potential differences between physicians and nurses, hypothesizing that while both professional categories could experience similar job stressors, some of them could have a differential impact on the mental health of each subgroup.
This cross-sectional substudy is part of the MINDxYOU project. The data were collected from 191 health care providers from two regions in Spain. Participants completed the UNIPSICO test battery, used to assess job stressors, and questionnaires to evaluate perceived stress, depressive symptomatology, anxiety, and resilience. Descriptive analyses, bivariate correlations, and linear regression models were performed to compare the two professions that were the most representative of our sample: physicians (n = 82) and nurses (n = 54).
The most frequent job stressors were workload, lack of positive feedback, and inequity in social interactions. Physicians reported worse outcomes in terms of workload, autonomy, role conflicts, inequity in social interactions, and work-family balance compared to nurses. Mobbing, despite not being very frequent, significantly predicted different mental health outcomes for both physicians and nurses. Inequity in social interactions and job satisfaction were significant predictors of physicians' mental health, while role ambiguity, interpersonal conflicts, and career turnover intentions predicted nurses' mental health.
As hypothesized, our findings highlight that certain job stressors (i.e., inequity in social interactions, conflicts in the workplace) might be affecting physicians' and nurses' mental health differently. Therefore, effective strategies addressing each subgroup's specific stressors would be necessary to prevent the development of burnout syndrome and other serious mental health conditions associated with occupational stress. These strategies would imply organizational changes in most cases.
医疗保健提供者在新冠疫情后面临着更大的压力,焦虑和抑郁发生率也有所上升。这场于2023年5月正式宣告结束的大流行,仍在对他们的幸福感产生重大影响,持续的心理健康监测和量身定制的干预措施对于提供支持至关重要。
本研究的目的是描述西班牙医疗保健提供者样本在新冠疫情后的工作压力源频率,并探讨医生和护士之间的潜在差异,假设这两个专业类别可能经历相似的工作压力源,但其中一些压力源可能对每个亚组的心理健康产生不同影响。
这项横断面子研究是MINDxYOU项目的一部分。数据收集自西班牙两个地区的191名医疗保健提供者。参与者完成了用于评估工作压力源的UNIPSICO测试组,并填写了评估感知压力、抑郁症状、焦虑和恢复力的问卷。进行了描述性分析、双变量相关性分析和线性回归模型分析,以比较我们样本中最具代表性的两个职业:医生(n = 82)和护士(n = 54)。
最常见的工作压力源是工作量、缺乏积极反馈以及社交互动中的不公平。与护士相比,医生在工作量、自主性、角色冲突、社交互动中的不公平以及工作与家庭平衡方面报告的结果更差。尽管职场暴力并不常见,但它对医生和护士的不同心理健康结果有显著预测作用。社交互动中的不公平和工作满意度是医生心理健康的重要预测因素,而角色模糊、人际冲突和职业转换意愿则预测护士的心理健康。
正如所假设的那样,我们的研究结果突出表明,某些工作压力源(即社交互动中的不公平、工作场所的冲突)可能对医生和护士的心理健康产生不同影响。因此,有必要采取有效的策略来应对每个亚组的特定压力源,以预防倦怠综合征和其他与职业压力相关的严重心理健康问题的发展。在大多数情况下,这些策略将意味着组织变革。