Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study

• Authors: Leilei Yu , Weiting Liu , Jingzheng Wang , Ziyao Jin , Ruoyu Meng , Zhiyuan Wu , Yuanyuan Zheng , Zheng Guo

Abstracts

EN

Objectives Occupational stress is a common complaint in nurses, who perceived more sense of effort-reward imbalance (ERI). Suboptimal health status (SHS) is a state between health and disease. However, the correlation between ERI and SHS is unclear. Therefore, the aim of this study was to examine the prevalence of SHS and ERI and evaluate the relationship between ERI and SHS in clinical nurses by a cross-sectional study. Material and Methods The current cross-sectional study was conducted through an online survey at Dongping People’s Hospital in China. A total of 633 completed surveys were received. Effort-reward imbalance was measured by subscales of the ERI questionnaire. SHS was measured by the Suboptimal Health Status Questionnaire – 25 (SHSQ-25). The relationship between ERI and SHS in nurses was subsequently assessed by Spearman’s correlation coefficient and logistic regression model. Results The mean age of the optimal health status (OHS) group (M±SD 26.3±7.3 years) was younger than the SHS group (M±SD 30.3±6.9 years). The prevalence of SHS was 54.5% (345/633). Female nurses aged ≥30 years, a junior college or university graduate educational level, smokers, and nurses without regular exercise were at a higher risk of SHS. In Spearman’s correlation analysis, ERI reflected by the effort-reward ratio was correlated with SHSQ-25 score (r = 0.662, p < 0.001). In logistic regression, ERI was strongly associated with SHS after potential confounding factors adjusting (OR 27.924, 95% CI 22.845–34.132). Conclusions The prevalence of SHS was significantly high in clinical nurses. Administrators should pay more attention to health status of female nurses aged ≥30 years, with a junior college or bachelor’s degree, smoking, and without regular exercise to reduce the SHS and ERI.

Keywords

EN

stress; nurses; occupational health; hospital; effort-reward imbalance; suboptimal health status

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2024
• Volume: 37
• Issue: 2
• Pages: 165-175

Dates

published

2024

Contributors

author

Leilei Yu

• The Affiliated Tai’an City Central Hospital of Qingdao University, Tai’an, China (Department of Endocrinology)

author

Weiting Liu

• Edith Cowan University, Joondalup, Australia (School of Nursing and Midwifery)

author

Jingzheng Wang

• Dongping People’s Hospital, Tai’an, China (Department of Laboratory)

author

Ziyao Jin

• Zhejiang University School of Medicine, Hangzhou, China (Key Laboratory of Oral Biomedical Research of Zhejiang Province, Stomatology Hospital, School of Stomatology)

author

Ruoyu Meng

• Shandong Provincial Hospital Affiliated to Shandong First Medical University, Ji’nan, China (Department of Minimally Invasive Comprehensive Treatment of Cancer)

author

Zhiyuan Wu

• Capital Medical University, Beijing, China (Beijing Municipal Key Laboratory of Clinical Epidemiology, School of Public Health)
• Edith Cowan University, Joondalup, Australia (Centre for Precision Health)

author

Yuanyuan Zheng

• The Affiliated Tai’an City Central Hospital of Qingdao University, Tai’an, China (Department of Radiotherapy)

author

Zheng Guo

• Edith Cowan University, Joondalup, Australia (Centre for Precision Health)

Identifiers

DOI

10.13075/ijomeh.1896.02223

Biblioteka Nauki

31341044