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Investigating work-related stress among health professionals at different hierarchical levels: A cross-sectional
Karin A Peter1, Jos M G A Schols2,3, Ruud J G Halfens4
1Division of Applied Research & Development in Nursing Bern University of Applied Sciences Bern Switzerland.
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).
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