Combined use of job stress models and self-rated health in nursing
DOI:
https://doi.org/10.1590/S0034-89102011000100017Keywords:
Nurses, Burnout, Professional, Working Conditions, Job Satisfaction, Cross-Sectional StudiesAbstract
OBJECTIVE: To identify combinations of two models of psychosocial stress at work among nursing teams and their associations with self-rated health. METHODS: This was a cross-sectional study among workers at three public hospitals in the municipality of Rio de Janeiro, Southeastern Brazil (N = 1307). In 2006, a multidimensional questionnaire including two scales for measuring stress at work (demand-control and effort-reward imbalance models) was administered. Partial and complete (including social support at work) demand-control models were considered, along with partial and complete (including excessive commitment to work) effort-reward models. Multiple logistic regression models were used to estimate adjusted odds ratios and their respective 95% confidence intervals. RESULTS: The dimensions of both models were independently associated with self-rated health, with odds ratios between 1.70 and 3.37. The partial demand-control model was less associated with health (OR = 1.79; 95%CI 1.26;2.53) than was the partial effort-reward imbalance model (OR = 2.27; 95%CI 1.57;3.30). Incorporation of social support and excessive commitment to work increased the strength of the demand-control and effort-reward imbalance models, respectively. Increased strength of association was observed when the two partial models were combined. CONCLUSIONS: The results indicate that the effort-reward imbalance model performed better for this specific group and for the outcome evaluated, and that there was an advantage in using complete models or combinations of partial models.Downloads
Published
2011-02-01
Issue
Section
Original Articles
How to Cite
Griep, R. H., Rotenberg, L., Landsbergis, P., & Vasconcellos-Silva, P. R. (2011). Combined use of job stress models and self-rated health in nursing . Revista De Saúde Pública, 45(1), 145-152. https://doi.org/10.1590/S0034-89102011000100017