Work psychosocial aspects and psychological distress among nurses

Detalhes bibliográficos
Autor(a) principal: Araújo, Tânia M
Data de Publicação: 2003
Outros Autores: Aquino, Estela, Menezes, Greice, Santos, Cristiane  Oliveira, Aguiar, Lia
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/31611
Resumo: OBJECTIVE: To evaluate the association between psychological demand and job control and demand with psychological distress among nurses. METHODS: A cross-sectional study included 502 female nurses working in a public hospital at the city of Salvador, state of Bahia, Brazil. The Demand-Control Model proposed by Karasek to evaluate the association between job control-demand and psychological distress was adopted. The SRQ-20 was used to measure psychological distress. RESULTS: The prevalence of psychological distress was 33.3%, ranging from 20.0% among lady nurses to 36.4%, among nurse assistants. Strong dose-response gradients were observed between demand and psychological distress and the negative association between job control and psychological distress. Prevalence of psychological distress was higher (PR=2.6; 95% CI: 1.81-3.75) among professionals in high-strain jobs (high demand, low control) when compared to professionals in low-strain jobs (low demand, high control), after adjustment by potential confounders in a logistic multiple regression model. CONCLUSIONS: Study findings reinforce the relevance of intervening in the organizational structure in order to increase control upon job and adjust the levels of psychological demands.
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spelling Work psychosocial aspects and psychological distress among nurses Aspectos psicossociais do trabalho e distúrbios psíquicos entre trabalhadoras de enfermagem Aspectos psicossociais do trabalhoModelo demanda-controleDistúrbios psíquicos menoresGêneroRecursos humanos de enfermagem no hospitalPsicologia do trabalhoSaúde mentalSaúde ocupacionalEstudos transversaisPsychosocial aspects of workJob strain modelPsychological distressGenderNursing staff hospitalOccupational psychologyMental healthOccupational healthCross-sectional studies OBJECTIVE: To evaluate the association between psychological demand and job control and demand with psychological distress among nurses. METHODS: A cross-sectional study included 502 female nurses working in a public hospital at the city of Salvador, state of Bahia, Brazil. The Demand-Control Model proposed by Karasek to evaluate the association between job control-demand and psychological distress was adopted. The SRQ-20 was used to measure psychological distress. RESULTS: The prevalence of psychological distress was 33.3%, ranging from 20.0% among lady nurses to 36.4%, among nurse assistants. Strong dose-response gradients were observed between demand and psychological distress and the negative association between job control and psychological distress. Prevalence of psychological distress was higher (PR=2.6; 95% CI: 1.81-3.75) among professionals in high-strain jobs (high demand, low control) when compared to professionals in low-strain jobs (low demand, high control), after adjustment by potential confounders in a logistic multiple regression model. CONCLUSIONS: Study findings reinforce the relevance of intervening in the organizational structure in order to increase control upon job and adjust the levels of psychological demands. OBJETIVO: Avaliar a associação entre demanda psicológica e controle sobre o trabalho e a ocorrência de distúrbios psíquicos menores entre trabalhadoras de enfermagem. MÉTODOS: Estudo de corte transversal, incluindo 502 trabalhadoras de enfermagem de um hospital público de Salvador, Bahia. O Modelo Demanda-Controle, de Karasek, foi utilizado para avaliar as dimensões psicossociais estudadas. Para mensuração de distúrbios psíquicos menores (DPM), utilizou-se o SRQ-20. RESULTADOS: A prevalência de DPM foi 33,3%, variando de 20,0% entre enfermeiras a 36,4% entre auxiliares. Observou-se nítido gradiente tipo dose-resposta de associação positiva entre demanda psicológica e DPM, e associação negativa entre controle sobre o trabalho e DPM. A prevalência de DPM foi mais elevada (RP=2,6; IC95%: 1,81-3,75) no quadrante de trabalho em alta exigência (alta demanda, baixo controle), quando comparado às profissionais em trabalho de baixa exigência (baixa demanda, alto controle), depois de ajustado, num modelo de regressão logística múltipla, por potenciais confundidores. CONCLUSÕES: Os achados reforçam a relevância da adoção de medidas de intervenção na estrutura organizacional, de modo a elevar o controle sobre o trabalho e redimensionar os níveis de demanda psicológica. Universidade de São Paulo. Faculdade de Saúde Pública2003-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3161110.1590/S0034-89102003000400006Revista de Saúde Pública; Vol. 37 No. 4 (2003); 424-433 Revista de Saúde Pública; Vol. 37 Núm. 4 (2003); 424-433 Revista de Saúde Pública; v. 37 n. 4 (2003); 424-433 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31611/33497Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessAraújo, Tânia MAquino, EstelaMenezes, GreiceSantos, Cristiane  OliveiraAguiar, Lia2012-07-08T14:56:09Zoai:revistas.usp.br:article/31611Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:56:09Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Work psychosocial aspects and psychological distress among nurses
Aspectos psicossociais do trabalho e distúrbios psíquicos entre trabalhadoras de enfermagem
title Work psychosocial aspects and psychological distress among nurses
spellingShingle Work psychosocial aspects and psychological distress among nurses
Araújo, Tânia M
Aspectos psicossociais do trabalho
Modelo demanda-controle
Distúrbios psíquicos menores
Gênero
Recursos humanos de enfermagem no hospital
Psicologia do trabalho
Saúde mental
Saúde ocupacional
Estudos transversais
Psychosocial aspects of work
Job strain model
Psychological distress
Gender
Nursing staff hospital
Occupational psychology
Mental health
Occupational health
Cross-sectional studies
title_short Work psychosocial aspects and psychological distress among nurses
title_full Work psychosocial aspects and psychological distress among nurses
title_fullStr Work psychosocial aspects and psychological distress among nurses
title_full_unstemmed Work psychosocial aspects and psychological distress among nurses
title_sort Work psychosocial aspects and psychological distress among nurses
author Araújo, Tânia M
author_facet Araújo, Tânia M
Aquino, Estela
Menezes, Greice
Santos, Cristiane  Oliveira
Aguiar, Lia
author_role author
author2 Aquino, Estela
Menezes, Greice
Santos, Cristiane  Oliveira
Aguiar, Lia
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Araújo, Tânia M
Aquino, Estela
Menezes, Greice
Santos, Cristiane  Oliveira
Aguiar, Lia
dc.subject.por.fl_str_mv Aspectos psicossociais do trabalho
Modelo demanda-controle
Distúrbios psíquicos menores
Gênero
Recursos humanos de enfermagem no hospital
Psicologia do trabalho
Saúde mental
Saúde ocupacional
Estudos transversais
Psychosocial aspects of work
Job strain model
Psychological distress
Gender
Nursing staff hospital
Occupational psychology
Mental health
Occupational health
Cross-sectional studies
topic Aspectos psicossociais do trabalho
Modelo demanda-controle
Distúrbios psíquicos menores
Gênero
Recursos humanos de enfermagem no hospital
Psicologia do trabalho
Saúde mental
Saúde ocupacional
Estudos transversais
Psychosocial aspects of work
Job strain model
Psychological distress
Gender
Nursing staff hospital
Occupational psychology
Mental health
Occupational health
Cross-sectional studies
description OBJECTIVE: To evaluate the association between psychological demand and job control and demand with psychological distress among nurses. METHODS: A cross-sectional study included 502 female nurses working in a public hospital at the city of Salvador, state of Bahia, Brazil. The Demand-Control Model proposed by Karasek to evaluate the association between job control-demand and psychological distress was adopted. The SRQ-20 was used to measure psychological distress. RESULTS: The prevalence of psychological distress was 33.3%, ranging from 20.0% among lady nurses to 36.4%, among nurse assistants. Strong dose-response gradients were observed between demand and psychological distress and the negative association between job control and psychological distress. Prevalence of psychological distress was higher (PR=2.6; 95% CI: 1.81-3.75) among professionals in high-strain jobs (high demand, low control) when compared to professionals in low-strain jobs (low demand, high control), after adjustment by potential confounders in a logistic multiple regression model. CONCLUSIONS: Study findings reinforce the relevance of intervening in the organizational structure in order to increase control upon job and adjust the levels of psychological demands.
publishDate 2003
dc.date.none.fl_str_mv 2003-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31611
10.1590/S0034-89102003000400006
url https://www.revistas.usp.br/rsp/article/view/31611
identifier_str_mv 10.1590/S0034-89102003000400006
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/31611/33497
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 37 No. 4 (2003); 424-433
Revista de Saúde Pública; Vol. 37 Núm. 4 (2003); 424-433
Revista de Saúde Pública; v. 37 n. 4 (2003); 424-433
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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