Investigating work-related stress among health professionals at different hierarchical levels: A cross-sectional study

Karin A. Peter; Jos M. G. A. Schols; Ruud J. G. Halfens; Sabine Hahn

doi:10.1002/nop2.469

Investigating work-related stress among health professionals at different hierarchical levels: A cross-sectional study

Karin A. Peter^*, Jos M. G. A. Schols, Ruud J. G. Halfens, Sabine Hahn

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Aim: To determine the extent of stress at work among health professionals working in upper-, middle- and lower-management positions and those not working in management positions.

Design: Cross-sectional design and randomly selected hospitals, nursing homes and home care organizations.

Methods: The study sample included nursing staff and midwives, physicians, medical-technical and medical-therapeutic professionals at all hierarchical levels (N = 8,112). Data were collected using self-report questionnaires and analysed using multiple regression models.

Results: Health professionals in upper- and middle-management positions reported higher quantitative demands, severe work-private life conflicts (p <.05) as well as less role clarity in middle-management positions (B = -1.58,p <.05). In lower-management positions, health professionals reported higher physical (B = 3.80,p <.001) and emotional demands (B = 1.79,p <.01), stress symptoms (B = 1.81,p <.05) and job dissatisfaction (B = -1.17,p <.05). Health professionals without management responsibilities reported the poorest working conditions in relation to various stressors, job satisfaction (B = -5.20,p <.001) and health-related outcomes (e.g. burnout symptoms:B = 1.89,p <.01).

Original language	English
Pages (from-to)	969-979
Number of pages	11
Journal	Nursing open
Volume	7
Issue number	4
DOIs	https://doi.org/10.1002/nop2.469
Publication status	Published - Jul 2020

Keywords

nurses
nursing
stress
work
workforce
LEADERSHIP
MANAGERS
INTERVENTION
EMPLOYEES
ABSENCE
NURSES

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10.1002/nop2.469Licence: CC BY-NC

Cite this

@article{a5330cc6ba6446b9a412c0e09ecfb00d,

title = "Investigating work-related stress among health professionals at different hierarchical levels: A cross-sectional study",

abstract = "Aim: To determine the extent of stress at work among health professionals working in upper-, middle- and lower-management positions and those not working in management positions.Design: Cross-sectional design and randomly selected hospitals, nursing homes and home care organizations.Methods: The study sample included nursing staff and midwives, physicians, medical-technical and medical-therapeutic professionals at all hierarchical levels (N = 8,112). Data were collected using self-report questionnaires and analysed using multiple regression models.Results: Health professionals in upper- and middle-management positions reported higher quantitative demands, severe work-private life conflicts (p <.05) as well as less role clarity in middle-management positions (B = -1.58,p <.05). In lower-management positions, health professionals reported higher physical (B = 3.80,p <.001) and emotional demands (B = 1.79,p <.01), stress symptoms (B = 1.81,p <.05) and job dissatisfaction (B = -1.17,p <.05). Health professionals without management responsibilities reported the poorest working conditions in relation to various stressors, job satisfaction (B = -5.20,p <.001) and health-related outcomes (e.g. burnout symptoms:B = 1.89,p <.01).",

keywords = "nurses, nursing, stress, work, workforce, LEADERSHIP, MANAGERS, INTERVENTION, EMPLOYEES, ABSENCE, NURSES",

author = "Peter, {Karin A.} and Schols, {Jos M. G. A.} and Halfens, {Ruud J. G.} and Sabine Hahn",

note = "Funding Information: This study was financially supported by the University of Applied Sciences, Health Division, Bern, Switzerland, and the State Secretariat for Education and Research (SER) of Switzerland. The funders had no influence or control on the planning, conduct or reporting of the study. We are very grateful to all organizations and healthcare professionals who participated in this study for sharing their experience and time so generously. Additionally, we thank Dr. Reto B?rgin, who shared his expertize in statistical analysis with us. Publisher Copyright: {\textcopyright} 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd.",

year = "2020",

month = jul,

doi = "10.1002/nop2.469",

language = "English",

volume = "7",

pages = "969--979",

journal = "Nursing open",

issn = "2054-1058",

publisher = "Wiley",

number = "4",

}

TY - JOUR

T1 - Investigating work-related stress among health professionals at different hierarchical levels

T2 - A cross-sectional study

AU - Peter, Karin A.

AU - Schols, Jos M. G. A.

AU - Halfens, Ruud J. G.

AU - Hahn, Sabine

N1 - Funding Information: This study was financially supported by the University of Applied Sciences, Health Division, Bern, Switzerland, and the State Secretariat for Education and Research (SER) of Switzerland. The funders had no influence or control on the planning, conduct or reporting of the study. We are very grateful to all organizations and healthcare professionals who participated in this study for sharing their experience and time so generously. Additionally, we thank Dr. Reto B?rgin, who shared his expertize in statistical analysis with us. Publisher Copyright: © 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd.

PY - 2020/7

Y1 - 2020/7

N2 - Aim: To determine the extent of stress at work among health professionals working in upper-, middle- and lower-management positions and those not working in management positions.Design: Cross-sectional design and randomly selected hospitals, nursing homes and home care organizations.Methods: The study sample included nursing staff and midwives, physicians, medical-technical and medical-therapeutic professionals at all hierarchical levels (N = 8,112). Data were collected using self-report questionnaires and analysed using multiple regression models.Results: Health professionals in upper- and middle-management positions reported higher quantitative demands, severe work-private life conflicts (p <.05) as well as less role clarity in middle-management positions (B = -1.58,p <.05). In lower-management positions, health professionals reported higher physical (B = 3.80,p <.001) and emotional demands (B = 1.79,p <.01), stress symptoms (B = 1.81,p <.05) and job dissatisfaction (B = -1.17,p <.05). Health professionals without management responsibilities reported the poorest working conditions in relation to various stressors, job satisfaction (B = -5.20,p <.001) and health-related outcomes (e.g. burnout symptoms:B = 1.89,p <.01).

AB - Aim: To determine the extent of stress at work among health professionals working in upper-, middle- and lower-management positions and those not working in management positions.Design: Cross-sectional design and randomly selected hospitals, nursing homes and home care organizations.Methods: The study sample included nursing staff and midwives, physicians, medical-technical and medical-therapeutic professionals at all hierarchical levels (N = 8,112). Data were collected using self-report questionnaires and analysed using multiple regression models.Results: Health professionals in upper- and middle-management positions reported higher quantitative demands, severe work-private life conflicts (p <.05) as well as less role clarity in middle-management positions (B = -1.58,p <.05). In lower-management positions, health professionals reported higher physical (B = 3.80,p <.001) and emotional demands (B = 1.79,p <.01), stress symptoms (B = 1.81,p <.05) and job dissatisfaction (B = -1.17,p <.05). Health professionals without management responsibilities reported the poorest working conditions in relation to various stressors, job satisfaction (B = -5.20,p <.001) and health-related outcomes (e.g. burnout symptoms:B = 1.89,p <.01).

KW - nurses

KW - nursing

KW - stress

KW - work

KW - workforce

KW - LEADERSHIP

KW - MANAGERS

KW - INTERVENTION

KW - EMPLOYEES

KW - ABSENCE

KW - NURSES

U2 - 10.1002/nop2.469

DO - 10.1002/nop2.469

M3 - Article

C2 - 32587715

SN - 2054-1058

VL - 7

SP - 969

EP - 979

JO - Nursing open

JF - Nursing open

IS - 4

ER -