Matthias Raspe1, Peter Koch2, Max Zilezinski3, Kevin Schulte4, Diane Bitzinger5, Ulrike Gaiser6, Andreas Hammerschmidt7, Ralf Köhnlein8, Julian Puppe9, Florian Tress10, Theodor Uden11, Albert Nienhaus12,13. 1. Medizinische Klinik m. S. Infektiologie und Pneumologie, Charité - Universitätsmedizin Berlin, Humboldt-Universität zu Berlin, Berlin, Deutschland. 2. Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland. 3. Geschäftsbereich Pflegedirektion - Pflegewissenschaft, Core-Team III Delirmanagement und Demenzpflege, Charité - Universitätsmedizin Berlin, Berlin, Deutschland. 4. Klinik für Innere Medizin IV mit dem Schwerpunkt Nieren- und Hochdruckkrankheiten, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Kiel, Deutschland. 5. Klinik für Anästhesiologie, Universitätsklinikum Regensburg, Regensburg, Deutschland. 6. Klinik für Kinderneurologie und Sozialpädiatrie, Kinderzentrum Maulbronn gGmbH, Maulbronn, Deutschland. 7. Klinik für Orthopädie und Unfallchirurgie, KRH Klinikum Lehrte, Lehrte, Deutschland. 8. Präventionsdienst, Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege (BGW), Karlsruhe, Deutschland. 9. Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Uniklinik Köln, Köln, Deutschland. 10. Klinik für Gefäßchirurgie, Universitätsklinik der Paracelsus Medizinischen Privatuniversität Klinikum Nürnberg, Standort Süd, Nürnberg, Deutschland. 11. Zentrum für Kinderheilkunde und Jugendmedizin, Medizinische Hochschule Hannover, Hannover, Deutschland. 12. Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland. albert.nienhaus@bgw-online.de. 13. Abteilung Arbeitsmedizin, Gefahrstoffe und Gesundheitswissenschaften (AGG), Berufsgenossenschaft für Gesundheitsdienst und Wohlfahrtspflege (BGW), Pappelallee 35-37, 22089, Hamburg, Deutschland. albert.nienhaus@bgw-online.de.
Abstract
BACKGROUND: Profound transformations in the German healthcare system lead to intense working conditions for young employees in inpatient care. Published data suggest associated health risks. OBJECTIVES: This investigation aims to assess current stress factors, their consequences, and subjective measures for improvement. METHODS: During September 2017, a cross-sectional survey was conducted among physicians and nurses ≤35 years of age and with work experience in inpatient care not exceeding six years. Field access was gained via seven scientific and professional societies. The electronic questionnaire consisted of mainly validated instruments. Regression models included confounders into the final data analysis. RESULTS: Included in the final data analysis were 1060 complete cases. The overall response rate was 13%. Different stress factors (e.g. time-related or psychosocial) were found at high levels. These stress factors were connected to reduced health and higher risk of burnout. Furthermore, they were associated with inferior perceived quality of care. Young physicians claimed less documentation requirements and less intense working conditions. Young nurses demanded fair salary and an appropriate nurse-patient allocation. CONCLUSION: Today's working conditions in inpatient care are a threat to the health status of young employees. General conditions, which ensure a sustainable healthy and effective working environment, need to be ensured.
BACKGROUND: Profound transformations in the German healthcare system lead to intense working conditions for young employees in inpatient care. Published data suggest associated health risks. OBJECTIVES: This investigation aims to assess current stress factors, their consequences, and subjective measures for improvement. METHODS: During September 2017, a cross-sectional survey was conducted among physicians and nurses ≤35 years of age and with work experience in inpatient care not exceeding six years. Field access was gained via seven scientific and professional societies. The electronic questionnaire consisted of mainly validated instruments. Regression models included confounders into the final data analysis. RESULTS: Included in the final data analysis were 1060 complete cases. The overall response rate was 13%. Different stress factors (e.g. time-related or psychosocial) were found at high levels. These stress factors were connected to reduced health and higher risk of burnout. Furthermore, they were associated with inferior perceived quality of care. Young physicians claimed less documentation requirements and less intense working conditions. Young nurses demanded fair salary and an appropriate nurse-patient allocation. CONCLUSION: Today's working conditions in inpatient care are a threat to the health status of young employees. General conditions, which ensure a sustainable healthy and effective working environment, need to be ensured.
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