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EN
The presented research study focuses on subjective career success of doctors and its determinants of the working environment. The aim of the research was to determine the relationship between subjective career success and work stress in the overall level and individual levels. A further aim was to identify differences in subjective career success in terms of length of experience, specialization and workplace of doctors. Subjective career success was studied through questionnaires The Career Satisfaction Scale (Greenhaus, Parasuraman, and Wormley, 1990), because career satisfaction is considered as the most common indicator of subjective career success. Work-related stress was studied through questionnaires The Work stress and Burnout Scale (Hennig and Keller, 1996). Length of experience, specialization and workplace were detected using custom items. The sample consisted of 50 doctors from hospitals and ambulances. The data were processed using a simple correlation analysis and Independent Samples T test. Data analysis showed that subjective career success of doctors was negatively correlated with work stress in the overall level and also with all the levels (mental, emotional, physical and social). We also found a difference in the subjective career success in terms of length of experience and specialization. Doctors with longer practise (over 20 years) and specialists showed higher subjective career success as doctors with shorter practice (under 20 years) and practitioners. There was no difference between doctors working in hospitals and doctors working in the ambulance and no difference between men and women.
SK
Predkladaná výskumná štúdia sa zameriava na subjektívny kariérny úspech lekárov a jeho determinanty týkajúce sa ich pracovného zaradenia. Cieľom výskumu bolo zistiť, či existuje vzťah medzi subjektívnym kariérnym úspechom a pracovným stresom, v jeho celkovej miere a v jednotlivých rovinách, a tiež zistiť, či existujú rozdiely v miere subjektívneho kariérneho úspechu z hľadiska dĺžky praxe, špecializácie a pracoviska lekárov. Subjektívny kariérny úspech bol skúmaný prostredníctvom Dotazníka kariérnej spokojnosti (Greenhaus, Parasuraman, & Wormley, 1990), pretože kariérna spokojnosť je považovaná za najčastejší ukazovateľ subjektívneho kariérneho úspechu. Pracovný stres bol skúmaný prostredníctvom Dotazníka pracovného stresu a vyhorenia (Hennig & Keller, 1996). Dĺžka praxe, špecializácia a pracovisko lekárov boli zisťované pomocou vlastných položiek. Výskumný súbor tvorilo 50 lekárov z nemocníc a ambulancií. Získané údaje boli spracované pomocou jednoduchej korelačnej analýzy a t-testu pre dva nezávislé výbery. Analýza údajov ukázala, že subjektívny kariérny úspech lekárov bol v negatívnom vzťahu tak s celkovou mierou pracovného stresu, ako aj so všetkými jeho rovinami (duševná, citová, telesná a sociálna). Tiež bol zistený rozdiel v miere subjektívneho kariérneho úspechu z hľadiska dĺžky praxe a špecializácie. Lekári s dlhšou praxou (nad 20 rokov) a lekári špecialisti (odborní) vykazovali vyššiu mieru subjektívneho kariérneho úspechu ako lekári s kratšou praxou (do 20 rokov) a praktickí (všeobecní) lekári. Rozdiel medzi lekármi pracujúcimi v nemocniciach a lekármi pracujúcimi v ambulanciách nebol zistený, rovnako ani rozdiel medzi mužmi a ženami.
EN
Introduction Research into work reintegration following invasive cardiac procedures is limited. The aim of this prospective study was to explore predictors of job satisfaction among cardiac patients who have returned to work after cardiac rehabilitation (CR). Material and methods The study population consisted of 90 cardiac patients who have recently been treated with coronary angioplasty or heart surgery. They were evaluated during their CR and 12 months after the discharge using validated self-report questionnaires measuring job satisfaction, work stress-related factors, emotional distress and illness perception. Information on socio-demographic, medical and occupational factors has also been collected. Results After adjusting for demographic, occupational and medical variables, baseline job satisfaction (p < 0.001), depression (p < 0.01) and ambition (p < 0.05) turned out to be independent, significant predictors of job satisfaction following return to work (RTW). Patients who had a partial RTW were more satisfied with their job than those who had a full RTW, controlling for baseline job satisfaction. Conclusions These findings recommend an early assessment of patients’ psychosocial work environment and emotional distress, with particular emphasis on job satisfaction and depressive symptoms, in order to promote satisfying and healthy RTW after cardiac interventions.
EN
This article introduces problematics of work load and stress. As they have become parts of the work-life balance, they equally affect the quality of life and the wellbeing of a person. Stress load is being induced by both adverse work conditions and work environment which the employee is not able to manage for a longer period of time despite his increased efforts.
EN
Psychologically and physically straining work conditions increase the risk of low back pain (LBP) development. According to recent recovery theories, leisure time recovery can counteract the negative influences of work stress on health. Similarly, a recent empirical work has indicated a moderating role of recovery on the link between stress and health issues. In this paper, a theoretical model is deduced to integrate the moderating effects of recovery on work stress and LBP development. Based on theoretical and empirical results, 2 separate recovery paths are distinguished: on the one hand, recovery can prevent the experience of stress because a well-recovered person can cope more easily with work demands; while on the other hand, recovery refills the depleted resources after confrontation with work strain and reduces stress experiences. Given that work strains is a main risk factor for LBP development, recovery in leisure time seems to be a highly relevant aspect, which has not been investigated to date in the field of LBP.
EN
Objective: Teaching profession is characterised by an above-average rate of psychosomatic and mental health impairment due to work-related stress. The aim of the study was to identify predictors of mental health in female teachers. Material and Methods: A sample of 630 female teachers (average age 47±7 years) participated in a screening diagnostic inventory. Mental health was surveyed with the General Health Questionnaire GHQ-12. The following parameters were measured: specific work conditions (teacher-specific occupational history), scales of the Effort-Reward-Imbalance (ERI) Questionnaire as well as cardiovascular risk factors, physical complaints (BFB) and personal factors such as inability to recover (FABA), sense of coherence (SOC) and health behaviour. Results: First, mentally fit (MH⁺) and mentally impaired teachers (MH⁻) were differentiated based on the GHQ-12 sum score (MH⁺: < 5; MH⁻: ≥ 5); 18% of the teachers showed evidence of mental impairment. There were no differences concerning work-related and cardiovascular risk factors as well as health behaviour between MH⁺ and MH⁻. Binary logistic regressions identified 4 predictors that showed a significant effect on mental health. The effort-reward-ratio proved to be the most relevant predictor, while physical complaints as well as inability to recover and sense of coherence were identified as advanced predictors (explanation of variance: 23%). Conclusion: Contrary to the expectations, classic work-related factors can hardly contribute to the explanation of mental health. Additionally, cardiovascular risk factors and health behaviour have no relevant influence. However, effort-reward-ratio, physical complaints and personal factors are of considerable influence on mental health in teachers. These relevant predictors should become a part of preventive arrangements for the conservation of teachers' health in the future.
EN
Objective: Personality dispositions may influence perceptions of work stress. The paper examines the relationship between temperament in terms of Strelau's Regulative Theory of Temperament and the effort-reward imbalance and its components. Material and Methods: There were 890 participants (360 men) aged 37.9 years on average. Temperament traits of briskness and perseveration (temporal characteristics of behavior), sensory sensitivity, emotional reactivity, endurance and activity (energetic characteristics of behavior) were measured by Strelau & Zawadzki's Formal Characteristics of Behavior-Temperament Inventory (FCB-TI) in 1997 and 2001. Effort and reward at work were assessed with the original effortreward imbalance (ERI) questionnaire of 2007. Results: Higher ERI at work was predicted by higher emotional reactivity, higher perseveration, lower briskness, and lower endurance. Higher effort and lower rewards at work were predicted by higher perseveration and lower endurance. The FCB-TI temperament characteristics accounted for 5.2%, 4.8% and 6.5% of the variance in the ERI, effort and reward, respectively. Lower emotional reactivity, lower perseveration, higher briskness and higher endurance predicted higher esteem at work, job promotion and job security. Conclusions: Individual differences in arousability, reflected in temporal and energetic characteristics of behavior, may predispose to or to protect from an effort-reward imbalance at work. Individual differences should be acknowledged in work stress prevention and developing interventions.
EN
Though much evidence indicates that work stress increases the risk of incident of coronary heart disease (CHD), little is known about the role of work stress in the development of recurrent CHD events. The objective of this study was to review and synthesize the existing epidemiological evidence on whether work stress increases the risk of recurrent CHD events in patients with the first CHD. A systematic literature search in the PubMed database (January 1990 – December 2013) for prospective studies was performed. Inclusion criteria included: peer-reviewed English papers with original data, studies with substantial follow-up (> 3 years), end points defined as cardiac death or nonfatal myocardial infarction, as well as work stress assessed with reliable and valid instruments. Meta-analysis using random-effects modeling was conducted in order to synthesize the observed effects across the studies. Five papers derived from 4 prospective studies conducted in Sweden and Canada were included in this systematic review. The measurement of work stress was based on the Demand- Control model (4 papers) or the Effort-Reward Imbalance model (1 paper). According to the estimation by meta-analysis based on 4 papers, a significant effect of work stress on the risk of recurrent CHD events (hazard ratio: 1.65, 95% confidence interval: 1.23–2.22) was observed. Our findings suggest that, in patients with the first CHD, work stress is associated with an increased relative risk of recurrent CHD events by 65%. Due to the limited literature, more well-designed prospective research is needed to examine this association, in particular, from other than western regions of the world.
EN
Objectives To prospectively investigate if the risk of chronic neck/shoulder pain is associated with work stress and job control, and to assess if physical exercise modifies these associations. Material and Methods The study population comprised 29 496 vocationally active women and men in the Norwegian Nord-Trøndelag Health Study (HUNT Study) without chronic pain at baseline in 1984–1986. Chronic neck/shoulder pain was assessed during a follow-up in 1995–1997. A generalized linear model (Poisson regression) was used to calculate adjusted relative risks (RRs). Results Work stress was dosedependently associated with the risk of neck/shoulder pain (p trend < 0.001 in both sexes). The women and men who perceived their work as stressful “almost all the time” had multi-adjusted RRs = 1.27 (95% confidence interval (CI): 1.1–1.47) and 1.71 (95% CI: 1.46–2), respectively, referencing those with no stressful work. Work stress interacted with sex (p < 0.001). Poor job control was not associated with the risk of neck/shoulder pain among the women (RR = 1.04, 95% CI: 0.92–1.19) nor the men (RR = 1.09, 95% CI: 0.95–1.26). Combined analyses showed an inverse dose-dependent association between hours of physical exercise/week and the risk of neck/shoulder pain in the men with no stressful work (p trend = 0.05) and among the men who perceived their work as “rarely stressful” (p trend < 0.02). This effect was not statistically significant among the women or among men with more frequent exposure to work stress. Conclusions Work stress is an independent predictor of chronic neck/shoulder pain and the effect is stronger in men than in women. Physical exercise does not substantially reduce the risk among the persons with frequent exposure to work stress.
EN
Objectives: This study aimed to conduct a 2-year follow-up of mental disorders in healthcare workers (HCWs) in a region of China outside the epidemic’s core zone who happened to be directly or possibly exposed to persons with COVID-19. Material and Methods: A cognitive analysis scale was utilized in the evaluation the mental or emotional state of HCWs at Xuzhou Medical University’s affiliated hospital in the city of Xuzhou, China (a non-core epidemic area) 2 years after the first assessment during the COVID-19 pandemic. A total of 165 HCWs were selected as the study subjects. In accordance to the exposure risk of COVID-19 patients, the subjects were separated into 2 categories: a group with a high risk HCW (HHCW) (HCWs working in COVID-19-positive wards; N = 91) and a group with a minimal risk HCW (LHCW) (HCWs who worked in wards without COVID-19 patients at the same hospital; N = 75). The clinical as well as demographic information of every HCWs were collected. Results: The demographic data revealed significant differences in terms of occupation, remuneration, and selfless concerns amidst both categories (p < 0.05). There lacked a statistically notable difference in the occurrence of PTSD between the 2 groups. Data was analyzed for factors associated with PTSD, and the results showed that psychological resilience, job risk, and stress in the workplace were risk factors for PTSD. Additionally, the results of the logistic regression analysis showed that psychological resilience was a significant shared risk factor for PTSD in HCWs after the COVID-19 pandemic. Conclusions: The 2-year follow-up showed no statistical difference in the incidence of PTSD between the HHCW group and the LHCW group. Workplace stress, occupational hazards, and psychological resilience were the major contributing risk factors for PTSD in HCWs.
PL
W opracowaniu zbadano w jaki sposób niepewność zatrudnienia wpływa na zachowania dewiacyjne pracowników. W celu sformułowania hipotez autorzy oparli się na teorii zachowania zasobów. Zasugerowali w nich, że niepewność zatrudnienia wykazuje dodatnią zależność ze stresem i zachowaniami dewiacyjnymi w miejscu pracy. Ponadto postawiono hipotezę, że etyczny klimat pracy działa jako moderator zależności między stresem a zachowaniami dewiacyjnymi. Z danych przekazanych przez 174 pracowników zatrudnionych w korporacjach wielonarodowych w Pakistanie wynika, że niepewność zatrudnienia ma wpływ na stres i dwa aspekty zachowań dewiacyjnych w miejscu pracy. Autorzy ustalili również, że etyczny klimat pracy zapobiega zarówno interpersonalnym, jak i organizacyjnym zachowaniom dewiacyjnym pracowników. JEL: E24, J24, J63, O15
EN
This study examines why and how job insecurity affects employees’ deviant behaviour at work. To develop our hypotheses, we build on the conservation of resources theory. Our hypotheses suggested that job insecurity would be positively related to work stress and workplace deviance. Moreover, an ethical work climate was hypothesised to moderate the relationship between work stress and workplace deviance. Using data from 174 employees working in Multi-National Corporations (MNCs) located in Pakistan, the findings indicated that job insecurity has consequences for work stress and two facets of workplace deviance. Further, we found that an ethical work climate prevents employees from both interpersonal and organisational deviant behaviour. JEL: E24, J24, J63, O15
EN
Background Fast progress in a lot of economic sectors has greatly contributed to a growing role of road transportation systems, including freight transport and passenger transport. The job of professional drivers is regarded as extremely hard and dangerous, it is associated with high risk of health loss and even life loss. This profession is also associated with mental burden, the main cause of the absence at work and alarming number of road accidents. The aim of study was to compare exposure to stress, check the level of stress and ways to cope with stress in 2 groups of drivers (N = 187). Material and Methods The study was carried out among public transport drivers and freight transport drivers. The authors’ own questionnaire and 2 psychological tests: Perceived Stress Scale (PSS-10) and Posttraumatic Growth Inventory and Inventory to Measure Coping Strategies with Stress (Mini-COPE) were used as the study tools. Results The level of stress is high in both groups, mostly due to a similar type of work. Both groups practice similar ways to cope with stress, but active ways predominate. Conclusions The work of a professional driver is considered as extremely stressful. The level of stress among professional drivers should be under continuous control. Employers should introduce preventive programs and educate employees about some professional ways to cope with stress. Med Pr 2016;67(4):455–466
PL
Wstęp Prężny rozwój licznych gałęzi gospodarki wpłynął na znaczny wzrost znaczenia transportu drogowego, zarówno towarowego, jak i pasażerskiego. Praca zawodowego kierowcy zaliczana jest do zawodów trudnych i niebezpiecznych ze względu na ryzyko narażenia zdrowia lub życia pracownika. Zawód ten wiąże się również z niekorzystnym i nadmiernym obciążeniem psychicznym, które wpływa zarówno na absencje w pracy, jak i na niepokojącą liczbę wypadków drogowych. Celem badania było porównanie narażenia na stres w 2 grupach kierowców, a także próba kompleksowej oceny nasilenia stresu w tych grupach zawodowych i określenie strategii radzenia sobie z nim. Materiał i metody Badanie zrealizowano wśród kierowców komunikacji miejskiej i kierowców samochodów dostawczych firmy transportowej. W analizie użyto autorskiej ankiety oraz 2 testów psychologicznych – Skali Odczuwanego Stresu (Perceived Stress Scale – PSS-10) i Inwentarza do Pomiaru Radzenia Sobie ze Stresem (Inventory to Measure Coping Strategies with Stress – Mini-COPE). W badaniu wzięło udział 187 osób. Wyniki Poziom stresu w obu badanych grupach okazał się wysoki. Badani z obu grup zawodowych stosują analogiczne strategie radzenia sobie ze stresem, w głównej mierze wykorzystując aktywne sposoby jego zwalczania. Wnioski Praca zawodowego kierowcy należy do zawodów stresujących, dlatego istnieje ciągła potrzeba kontrolowania tego sektora. Konieczne jest wdrażanie programów profilaktycznych mających na celu edukację pracowników w zakresie odpowiednich technik radzenia sobie ze stresem. Med. Pr. 2016;67(4):455–466
Medycyna Pracy
|
2019
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vol. 70
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issue 2
249-257
EN
The knowledge about victims’ reactions to stressful events is important when it comes to the selection of the appropriate intervention strategies by people responsible for dealing with workplace bullying whenever it occurs in the organization. Early initiation of interventions is important, especially because workplace bullying is a situation not controlled by the victim who remains with a small selection of the possible forms of coping. For people experiencing workplace bullying, the knowledge about common reactions to this phenomenon may prove useful in itself, both reducing the discussed reactions and facilitating behaviors based on seeking help. The purpose of this review was to determine whether and which styles and strategies for coping with stress can play an important role in the process of experiencing bullying in the workplace. The review covered articles published in 1984−2018. The results of previous research may indicate that, in the face of workplace bullying, all forms of coping are indifferent, and sometimes may even worsen the situation of the victim. Undoubtedly, the reason for this is the fact that experiencing workplace bullying is a highly traumatic situation which continues over an extended period of time. Therefore, bullying can be included into those objective, universal stressors that will put most individuals, regardless of their perception, under strong stress. Med Pr. 2019;70(2):249–57
PL
Wiedza na temat reakcji ofiar na stresujące wydarzenia jest ważna, ponieważ pozwala osobom odpowiedzialnym za przeciwdziałanie mobbingowi wybrać odpowiednie strategie interwencji, kiedy pojawia się on w organizacji. Wczesne rozpoczęcie interwencji jest istotne, ponieważ mobbing nie podlega kontroli ofiary, która ma niewiele sposobów radzenia sobie z nim. Osobom doświadczającym mobbingu wiedza na temat powszechnych reakcji na to zjawisko może pomóc, ograniczając te reakcje i ułatwiając stosowanie zachowań polegających na poszukiwaniu pomocy. Celem niniejszego przeglądu było ustalenie, czy i jakie style oraz strategie radzenia sobie ze stresem mogą odgrywać istotną rolę w procesie doświadczania mobbingu w miejscu pracy. Przegląd obejmuje artykuły opublikowane w latach 1984–2018. Wyniki badań mogą świadczyć o tym, że w obliczu mobbingu wszystkie formy radzenia sobie są obojętne, a niekiedy mogą wręcz pogarszać sytuację ofiary. Dzieje się tak, ponieważ doświadczanie mobbingu jest sytuacją wysoce traumatyczną, której ofiary doświadczają przez dłuższy czas. Dlatego mobbing można zaliczyć do obiektywnych, uniwersalnych stresorów, który większość jednostek, niezależnie od ich percepcji, będzie wprowadzać w stan silnego stresu. Med. Pr. 2019;70(2):249–257
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