Multilevel approach to individual and organisational predictors of stress and fatigue among healthcare workers of a university hospital: a longitudinal study
In: ISSN: 1351-0711 ; Occupational and Environmental Medicine ; https://cnam.hal.science/hal-03844057 ; Occupational and Environmental Medicine, 2022, pp.oemed-2022-108220. ⟨10.1136/oemed-2022-108220⟩, 2022
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International audience ; Objective Healthcare workers (HCWs) are at high risk of experiencing stress and fatigue due to the demands of their work within hospitals. Improving their physical and mental health and, in turn, the quality and safety of care requires considering factors at both individual and organisational/ward levels. Using a multicentre prospective cohort, this study aims to identify the individual and organisational predictors of stress and fatigue of HCWs in several wards from university hospitals. Methods Our cohort consists of 695 HCWs from 32 hospital wards drawn at random within four volunteer hospital centres in Paris-area. Three-level longitudinal analyses, accounting for repeated measures (level 1) across participants (level 2) nested within wards (level 3) and adjusted for relevant fixed and time-varying confounders, were performed. Results At baseline, the sample was composed by 384 registered nurses, 300 auxiliary nurses and 11 midwives. According to the three-level longitudinal models, some predictors were found in common for both stress and fatigue (low social support from supervisors, work overcommitment, sickness presenteeism and number of beds per ward). However, specific predictors for high level of stress (negative life events, low social support from colleagues and breaks frequently cancelled due to work overload) and fatigue (longer commuting duration, frequent use of interim staff in the ward) were also found. Conclusion Our results may help identify at-risk HCWs and wards, where interventions to reduce stress and fatigue should be focused. These interventions could include manager training to favour better staff support and overall safety culture of HCWs.
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Multilevel approach to individual and organisational predictors of stress and fatigue among healthcare workers of a university hospital: a longitudinal study
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Autor/in / Beteiligte Person: | Daouda, Oumou, Salama ; Bun, René, Sosata ; Ait Bouziad, Karim ; Miliani, Katiuska ; Essa-Eworo, Anastasia ; Espinasse, Florence ; Seytre, Delphine ; Casetta, Anne ; Nérome, Simone ; Nascimento, Adelaide ; Astagneau, Pascal ; Temime, Laura ; Hocine, Mounia, N ; Laboratoire Modélisation, épidémiologie et surveillance des risques sanitaires (MESuRS) ; Conservatoire National des Arts et Métiers CNAM (CNAM) ; HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM) ; Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU) ; Centre d'appui pour la prévention des infections associées aux soins Île-de-France (Cpias Île-de-France) ; Hôpital Ambroise Paré AP-HP ; Hôpital Avicenne AP-HP ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) ; Hôpital Cochin AP-HP ; Hôpital Beaujon AP-HP ; Centre de recherche sur le travail et le développement (CRTD) |
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Zeitschrift: | ISSN: 1351-0711 ; Occupational and Environmental Medicine ; https://cnam.hal.science/hal-03844057 ; Occupational and Environmental Medicine, 2022, pp.oemed-2022-108220. ⟨10.1136/oemed-2022-108220⟩, 2022 |
Veröffentlichung: | HAL CCSD ; BMJ Publishing Group, 2022 |
Medientyp: | academicJournal |
DOI: | 10.1136/oemed-2022-108220 |
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