Effort-reward and work-life imbalance, general stress and burnout among employees of a large public hospital in Switzerland

Effort-reward and work-life imbalance, general stress and burnout among employees of a large public hospital in Switzerland
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DOI:
10.4414/smw.2012.13577
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发表时间:
2012-05-31
影响因子:
2.9
通讯作者:
Bauer, Georg F.
Bauer, Georg F.
中科院分区:
医学4区
文献类型:
--
作者:
Haemmig, Oliver;Brauchli, Rebecca;Bauer, Georg F.

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简介:努力-回报不平衡(ERI)和工作-生活不平衡(WLI)是公认的工作压力和职业倦怠的危险因素,但迄今为止尚未进行联合调查,并在这方面相互比较。目前的横断面研究提供了初步证据,通过研究协会的ERI和WLI与一般的压力和burnus.METHODS:这项研究是基于2007年收集的调查数据之间的一个大型公立医院的人员在苏黎世覆盖随机样本的502名员工的所有职业和职位。患病率,相关系数,标准化回归系数和比值比计算association.Results的措施:关于主要的研究问题,并涉及到整个研究样本,WLI被认为是更强烈的一般压力和倦怠比ERI。分层分析表明,这尤其适用于护士,技术护理和急救人员谁占研究人口的五分之三以上。但对于其他专业类别,如医生,治疗师和医疗技术人员,ERI与倦怠的联系却相反。在ERI与职业倦怠的关系中,尤其是在WLI与职业倦怠的关系中,ERI起着中介作用(相当小)。为了预防慢性压力和倦怠,人们应该考虑在工作中付出的巨大努力,以及所有与家庭责任或其他私人活动竞争和干扰的工作要求。考虑了
INTRODUCTION: Effort-reward imbalance (ERI) and work-life imbalance (WLI) are recognised risk factors for work stress and burnout but have not been investigated conjointly so far and compared with each other in this regard. The present cross-sectional study provides initial evidence by studying associations of ERI and WLI with general stress and burnout simultaneously.METHODS: The study was based on survey data collected in 2007 among the personnel of a large public hospital in the canton of Zurich covering a random sample of 502 employees of all professions and positions. Prevalence rates, correlation coefficients, standardised regression coefficients and odds ratios were calculated as measures of association.RESULTS: Concerning the main research question and relating to the entire study sample, WLI was found to be more strongly associated with general stress and burnout than ERI. As stratified analyses with regard to burnout have shown, this applied especially to nursing, technical care and emergency staffs who account for more than three fifths of the study population. But for other professional categories like physicians, therapists and medical-technical personnel the opposite of a stronger association of ERI with burnout was found. Results also suggested that general stress plays a (rather minor) mediating role in the relationships between ERI and burnout and particularly between WLI and burnout.CONCLUSION: For the prevention of chronic stress and burnout one should consider both high efforts put into work as well as all job demands that are competing and interfering with family responsibilities or other private activities should be considered.