OBJECTIVE: To identify combinations of two models of psychosocial stress at work among nursing teams and their associations with self-rated health. METHODS: This was a cross-sectional study among workers at three public hospitals in the municipality of Rio de Janeiro, Southeastern Brazil (N = 1307). In 2006, a multidimensional questionnaire including two scales for measuring stress at work (demand-control and effort-reward imbalance models) was administered. Partial and complete (including social support at work) demand-control models were considered, along with partial and complete (including excessive commitment to work) effort-reward models. Multiple logistic regression models were used to estimate adjusted odds ratios and their respective 95% confidence intervals. RESULTS: The dimensions of both models were independently associated with self-rated health, with odds ratios between 1.70 and 3.37. The partial demand-control model was less associated with health (OR = 1.79; 95%CI 1.26;2.53) than was the partial effort-reward imbalance model (OR = 2.27; 95%CI 1.57;3.30). Incorporation of social support and excessive commitment to work increased the strength of the demand-control and effort-reward imbalance models, respectively. Increased strength of association was observed when the two partial models were combined. CONCLUSIONS: The results indicate that the effort-reward imbalance model performed better for this specific group and for the outcome evaluated, and that there was an advantage in using complete models or combinations of partial models.
OBJECTIVE: To identify combinations of two models of psychosocial stress at work among nursing teams and their associations with self-rated health. METHODS: This was a cross-sectional study among workers at three public hospitals in the municipality of Rio de Janeiro, Southeastern Brazil (N = 1307). In 2006, a multidimensional questionnaire including two scales for measuring stress at work (demand-control and effort-reward imbalance models) was administered. Partial and complete (including social support at work) demand-control models were considered, along with partial and complete (including excessive commitment to work) effort-reward models. Multiple logistic regression models were used to estimate adjusted odds ratios and their respective 95% confidence intervals. RESULTS: The dimensions of both models were independently associated with self-rated health, with odds ratios between 1.70 and 3.37. The partial demand-control model was less associated with health (OR = 1.79; 95%CI 1.26;2.53) than was the partial effort-reward imbalance model (OR = 2.27; 95%CI 1.57;3.30). Incorporation of social support and excessive commitment to work increased the strength of the demand-control and effort-reward imbalance models, respectively. Increased strength of association was observed when the two partial models were combined. CONCLUSIONS: The results indicate that the effort-reward imbalance model performed better for this specific group and for the outcome evaluated, and that there was an advantage in using complete models or combinations of partial models.
Authors: Leidjaira Lopes Juvanhol; Enirtes Caetano Prates Melo; Marilia Sá Carvalho; Dóra Chor; José Geraldo Mill; Rosane Härter Griep Journal: Int J Environ Res Public Health Date: 2017-04-22 Impact factor: 3.390
Authors: Kionna Oliveira Bernardes Santos; Tânia Maria de Araújo; Fernando Martins Carvalho; Robert Karasek Journal: BMJ Open Date: 2017-05-17 Impact factor: 2.692
Authors: Mariza Alves Barbosa Teles; Mirna Rossi Barbosa; Andréa Maria Duarte Vargas; Viviane Elizângela Gomes; Efigênia Ferreira e Ferreira; Andréa Maria Eleutério de Barros Lima Martins; Raquel Conceição Ferreira Journal: Health Qual Life Outcomes Date: 2014-05-15 Impact factor: 3.186
Authors: Marluce Rodrigues Godinho; Aldo Pacheco Ferreira; Rosangela Maria Greco; Liliane Reis Teixeira; Maria Teresa Bustamante Teixeira Journal: Rev Lat Am Enfermagem Date: 2016-07-25