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Stress among nurses working in emergency, anesthesiology and intensive care units depends on qualification: a Job Demand-Control survey.

Identifieur interne : 002250 ( PubMed/Curation ); précédent : 002249; suivant : 002251

Stress among nurses working in emergency, anesthesiology and intensive care units depends on qualification: a Job Demand-Control survey.

Auteurs : Marion Trousselard [France] ; Frédéric Dutheil [France] ; Geraldine Naughton [Australie] ; Sylvie Cosserant [France] ; Sylvie Amadon [France] ; Christian Dualé [France] ; Pierre Schoeffler [France]

Source :

RBID : pubmed:26112796

Descripteurs français

English descriptors

Abstract

The nurse stress literature reports an overwhelming culture of acceptance and expectation of work stressors, ironically linked to the control of the workplace to effectively and proactively manage stress. The stressors involved in delivering "stress management" have been well studied in nursing-related workplaces, especially in acute care settings in accordance with the Karasek Job Demand-Control-Support (JDCS) model. However, little is known about the effects of specificity of an acute care unit and the level of qualifications on stress experienced by nurses.

DOI: 10.1007/s00420-015-1065-7
PubMed: 26112796

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pubmed:26112796

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<term>Anesthesiology</term>
<term>Clinical Competence</term>
<term>Critical Care Nursing</term>
<term>Educational Status</term>
<term>Emergency Nursing</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Models, Psychological</term>
<term>Nursing Staff, Hospital (psychology)</term>
<term>Nursing Staff, Hospital (standards)</term>
<term>Occupational Health</term>
<term>Professional Autonomy</term>
<term>Social Support</term>
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<term>Workload (psychology)</term>
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<term>Anesthésiologie</term>
<term>Autonomie professionnelle</term>
<term>Charge de travail (psychologie)</term>
<term>Compétence clinique</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles psychologiques</term>
<term>Mâle</term>
<term>Niveau d'instruction</term>
<term>Personnel infirmier hospitalier (normes)</term>
<term>Personnel infirmier hospitalier (psychologie)</term>
<term>Santé au travail</term>
<term>Soins infirmiers aux urgences</term>
<term>Soins infirmiers intensifs</term>
<term>Soutien social</term>
<term>Stress psychologique (étiologie)</term>
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<term>Stress, Psychological</term>
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<term>Personnel infirmier hospitalier</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Charge de travail</term>
<term>Personnel infirmier hospitalier</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Nursing Staff, Hospital</term>
<term>Workload</term>
</keywords>
<keywords scheme="MESH" qualifier="standards" xml:lang="en">
<term>Nursing Staff, Hospital</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Stress psychologique</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Anesthesiology</term>
<term>Clinical Competence</term>
<term>Critical Care Nursing</term>
<term>Educational Status</term>
<term>Emergency Nursing</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Models, Psychological</term>
<term>Occupational Health</term>
<term>Professional Autonomy</term>
<term>Social Support</term>
<term>Surveys and Questionnaires</term>
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<term>Anesthésiologie</term>
<term>Autonomie professionnelle</term>
<term>Compétence clinique</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Modèles psychologiques</term>
<term>Mâle</term>
<term>Niveau d'instruction</term>
<term>Santé au travail</term>
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<div type="abstract" xml:lang="en">The nurse stress literature reports an overwhelming culture of acceptance and expectation of work stressors, ironically linked to the control of the workplace to effectively and proactively manage stress. The stressors involved in delivering "stress management" have been well studied in nursing-related workplaces, especially in acute care settings in accordance with the Karasek Job Demand-Control-Support (JDCS) model. However, little is known about the effects of specificity of an acute care unit and the level of qualifications on stress experienced by nurses.</div>
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<Month>10</Month>
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<Month>10</Month>
<Day>05</Day>
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<ISSN IssnType="Electronic">1432-1246</ISSN>
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<Volume>89</Volume>
<Issue>2</Issue>
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<Year>2016</Year>
<Month>Feb</Month>
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<Title>International archives of occupational and environmental health</Title>
<ISOAbbreviation>Int Arch Occup Environ Health</ISOAbbreviation>
</Journal>
<ArticleTitle>Stress among nurses working in emergency, anesthesiology and intensive care units depends on qualification: a Job Demand-Control survey.</ArticleTitle>
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<MedlinePgn>221-9</MedlinePgn>
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<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00420-015-1065-7</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The nurse stress literature reports an overwhelming culture of acceptance and expectation of work stressors, ironically linked to the control of the workplace to effectively and proactively manage stress. The stressors involved in delivering "stress management" have been well studied in nursing-related workplaces, especially in acute care settings in accordance with the Karasek Job Demand-Control-Support (JDCS) model. However, little is known about the effects of specificity of an acute care unit and the level of qualifications on stress experienced by nurses.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A survey using the JDCS model was conducted among 385 nurses working in three different acute care units (anesthesiology, emergency and intensive care unit) from a university hospital. Specific questions explored variables such as gender, acute care units, level of qualification and working experience.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Two hundred questionnaires were returned. A high level of job strain was highlighted without a gender effect and in the absence of isostrain. Nurses from acute care units were located in the high stress quadrant of the JDCS model. Conversely, other nurses were commonly located in the "active" quadrant. Independent of acute care settings, the highest level of education was associated with the highest job strain and the lowest level of control.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In an acute care setting, a high level of education was a key factor for high job stress and was associated with a perception of a low control in the workplace, both of which may be predictors of adverse mental health. In particular, the lack of control has been associated with moral distress, a frequently reported characteristic of acute care settings. To enhance the personal and professional outcomes of the advanced registered nurses, strategies for supporting nurses manage daily stressors in acute care are urgently required.</AbstractText>
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<Affiliation>Centre de Pharmacologie Clinique, CHU Clermont-Ferrand, 63003, Clermont-Ferrand, France. cduale@chu-clermontferrand.fr.</Affiliation>
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<AffiliationInfo>
<Affiliation>Inserm, CIC1405, 63003, Clermont-Ferrand, France. cduale@chu-clermontferrand.fr.</Affiliation>
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<AffiliationInfo>
<Affiliation>University Clermont Auvergne, 63000, Clermont-Ferrand, France. pschoeffler@chu-clermontferrand.fr.</Affiliation>
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<AffiliationInfo>
<Affiliation>Anesthésie-Réanimation, Pôle BLOC-ARCHI, CHU Clermont-Ferrand, 63003, Clermont-Ferrand, France. pschoeffler@chu-clermontferrand.fr.</Affiliation>
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