Work-related determinants of psychosocial risk factors among employees in the hospital setting

Work-related determinants of psychosocial risk factors among employees in the hospital setting
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DOI:
10.3233/wor-182825
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发表时间:
2018-01-01
影响因子:
2.3
通讯作者:
Alves, Elisabete
Alves, Elisabete
中科院分区:
医学4区
文献类型:
--
作者:
Coutinho, Hugo;Queiros, Cristina;Alves, Elisabete

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背景技术背景:了解哪些因素影响职业安全和健康风险是至关重要的,以促进psychosocial riskmanagement.OBJECTIVE:要评估葡萄牙员工在医院setting.METHODS的主要工作相关的决定因素之间的高暴露于psychosocial风险因素:2014年5月至7月,399名员工的公立医院完成了结构化问卷调查。社会心理因素进行了评估,葡萄牙中等长度版本的哥本哈根社会心理问卷。结果:人格(53.8%)、工作要求(28.1%)、社会关系和领导(24.4%)是最高的心理社会风险因素。非医护人员在工作不安全感、满意度和工作-家庭界面方面的风险较高(OR = 2.60,95%CI:1.02-6.62)。轮班工人在工作要求(OR = 1.79,95%CI:1.10-2.91)、个性(OR = 2.45,95%CI:1.36 -4.41)和健康和幸福感(OR = 3.18,95%CI:1.72 - 5.66)方面暴露于更高的心理社会风险。非政府雇员在人格(OR = 2.20,95%CI:1.15-4.21)、人格(OR = 2.62,95%CI:1.41-4.86)和健康和幸福感(OR = 2.34,95%CI:1.27-4.31)方面具有较高的风险暴露。查明这些风险有助于优化工人的心理健康,提高组织的效力。
BACKGROUND: Understanding which factors influence occupational safety and health risks is crucial to promote psychosocial risk management.OBJECTIVE: To assess the main work-related determinants of high exposure to psychosocial risk factors among Portuguese employees in the hospital setting.METHODS: Between May and July 2014, 399 employees of a public hospital completed a structured questionnaire. Psychosocial factors were assessed by the Portuguese medium length version of the Copenhagen Psychosocial Questionnaire. Age and gender adjusted odds ratios (OR) and 95% confidence intervals (95%CI) were computed by logistic regression models.RESULTS: The highest psychosocial risks emerged in the personality (53.8%), workplace demands (28.1%), and social relationships and leadership (24.4%) categories. Professionals with non-health care roles presented a higher risk in the wo rkerwork interface (OR = 2.60;95%CI:1.02-6.62), that evaluated work insecurity, satisfaction and the work-family interface. Shift workers were exposed to a higher psychosocial risk in workplace demands (OR = 1.79;95%CI:1.10-2.91), personality (OR = 2.45 ;95 %CI:1 .36-4.41 ), and health and well-being (OR = 3.18; 95 %CI:1 .72-5 .66). Non-government employees had a higher risk exposure in personality (OR = 2.20;95%CI:1.15-4.21), and those who were absent from work in personality (OR = 2.62;95%CI:1.41-4.86), and health and wellbeing (OR = 2.34;95%CI:1.27-4.31).CONCLUSIONS: Employees working in the hospital setting are vulnerable to psychosocial risk factors. Identifying those risks contributes to optimize workers' psychosocial health, increasing the effectiveness of the organization.