Psychosocial stress in nursing work at a university hospital: effort-reward imbalance model

Authors

DOI:

https://doi.org/10.33448/rsd-v11i6.29437

Keywords:

Nursing; Worker's health; Occupational stress; Public hospitals; Teaching.

Abstract

Objectives: to characterize psychosocial stress in nursing professionals at a university hospital using the Effort-Reward Imbalance model and to analyze the association of the resulting imbalance with the characteristics of the sample. Method: a cross-sectional study with 110 nursing workers from a university hospital located in the city of Rio de Janeiro who responded to the effort-reward imbalance scale and a sample characterization instrument in 2018. Bivariate analyzes were performed using Pearson's Chi-square test and Odds Ratio Estimation. Project approved by the research ethics committee. Results: effort was associated with family income and type of employment relationship, with age group and professional category showing a borderline association. The reward was not associated with any variable. Conclusion: the association of the effort subscale with family income and the type of employment relationship point to psychosocial stress, characterizing the imbalance due to the absence of reciprocity between effort and reward at work. There is a need for preventive measures by the organization in the face of psychosocial stress.

Author Biography

Elias Barbosa de Oliveira, Universidade do Estado do Rio de Janeiro

Professor Associado em Enfermagem Psiquiátrica e Saúde Mental (UERJ). Pós-Doutor em Álcool e Drogas (University of Toronto _ Center of Addiction and Mental Health). Doutor em Enfermagem (Universidade Federal do Rio de Janeiro). Mestre em Enfermagem (Universidade Federal do Estado do Rio de Janeiro). Especialista em Álcool e Drogas (Universidade de São Paulo). Professor permanente do Programa de Pós-Graduação (Mestrado/Doutorado) da Faculdade de Enfermagem /UERJ. Procientista da UERJ. Líder do Grupo de Estudos Saúde Mental e Trabalho. Atua como parecerista ad-hoc de periódicos científicos nas áreas de Enfermagem e Psicologia. Desenvolve pesquisas nas áreas de Trabalho e Saúde Mental; Álcool e outras Drogas; Enfermagem em Saúde Mental e Psiquiatria; Família.

References

Araújo, C. & Veiga, A. (2015). Domesticity, labor and personal satisfaction: Hours of housework and well-being in the state of Rio de Janeiro. Rev. Bras. Ciênc. Polít. (Online), (18), 179–209. https://dx.doi.org/10.1590/0103-335220151807

Araújo, M. R. M. & Morais, K. R. S. (2017). Labor precariousness and the worker's overthrow process. Cad. psicol soc trab, 20(1):1-13. https//dx.doi.org/10.11606/issn.1981-0490.v20i1p1-13

Bordin, V, Almeida, M. L, Zilly, A, Justino, E. T, Silva, N. D. V. & Faller, J. W. (2018). Treating nurses outlook on nursing leadership at a public hospital of the triple border. Rev. adm. saúde, 18(71), 1–19. http://dx.doi.org/10.23973/ras.71.107

Carlotto, M. S, Câmara, S. G, Diehl, L, Ely, K, Freitas, I. M. & Schneider, G. A. (2018). Occupational stressors and coping strategies. Rev. Subj. (Online), 18(1), 92–105. http//doi.org/10.5020/23590777.rs.v18i1.6462

Castro, F. G, Alvarez, M, Luz, R. (2017). Modo de produção flexível, terceirização e precariedade subjetiva. Cad. psic. social trab. 20(1): 43-54. Disponível em: htpp//doi.org/10.11606/issn.1981-0490.v20i1p43-5

Dagget, T, Molla, A. & Belachew, T. (2016). Job related stress among nurses working in Jimma Zone public hospitals, South West Ethiopia: A cross sectional study. BMC nurs, 15(39). https://doi.org/10.1186/s12912-016-0158-2

Druck, G, Dutra R, Silva, S. M. (2019). The labor counter-reform: outsourcing and precarization as rule. Caderno CrH, 32(86): 289-05.https://doi.org/10.9771/ccrh.v32i86.30518

Fernandes JC, Portela LF, Griep RH, Rotenberg L. (2017). Working hours and health in nurses of public hospitals according to gender. Rev Saúde Púb, 51(63):1-13. https://doi.org/10.1590/s1518-8787.2017051006808

Gondim, A. M, Pinheiro, J. A. P, Mendes, C. F, Neves L. (2018). The impact of precarious labor in health care services. Rev. SBPH [Internet]. [cited 2022 feb 16]; 21(1):56-73. Available from: http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516-08582018000100004&lng=pt.

Granadeiro, D. S, Oliveira, E. B, Passos, J. P, Marques, F. C, Souza, N. V. M, Higa, G. J. O. (2020).

Precarização do trabalho em serviço de atendimento móvel de urgência e a saúde do trabalhador. Research, Society and Development, 9(2): e181922032. http://dx.doi.org/10.33448/rsd-v9i2.2032

Guimarães Junior, S. D, & Ferreira, J. B. O. (2018). Sujeito em terceiro plano: uma reflexão crítica acerca da articulação entre a dinâmica da terceirização e processos de subjetivação. Rev. psic. org e trab, 18(2), 381-9. https://doi.org/10.17652/rpot/2018.2.14177

Lancman S, Sato, A. T, Hein, D. T, Barros, J. O. (2019). Precariousness of work and psychic suffering: psychodynamics of work action in a university hospital pharmacy service. Rev bras saúde ocup, 44: e33. https://doi.org/10.1590/2317-6369000006118

Lua I, Araújo TM, Santos KOB, Almeida MMG. (2018). Factors associated with common mental disorders among female nursing professionals in primary health care. Psicol Refl Crít. 25(31):20. http://doi.org/10.1186/s41155-018-0101-4

Machado, F. K. S, Giongo, C. R. & Mendes, J. M. R. (2016). Outsourcing and precariousness of work: A social suffering issue. Ver. psic pol, 16(36), 227–40. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1519-549X2016000200007&lng=pt&tlng=pt

Machado, M. H, Aguiar Filho, W, Lacerda, W. F, Oliveira, E, Lemos, W, Wermelinger, M, et al (2015). Características gerais da enfermagem: O perfil sócio demográfico. Enferm. foco, 7(1/4):11–7. http://dx.doi.org/10.21675/2357-707X.2016.v7.nESP.686

Marconi, M. D. A & Lakatos, E. M. (2017). Fundamentos da metodologia científica. (8a ed.): Editora Atlas SA.

Menezes, A. P. R, Moretti B, Reis A. A. C. (2019). The future of the SUS: impacts of neoliberal reforms on public health - austerity versus universality. Saúde Debate, 43:(spe5):58-70. https://doi.org/10.1590/0103-11042019S505

Moraes Filho, I. M. & Almeida, R. J. (2016). Occupational stress at work in nursing in Brazil: An integrative review. Rev. bras. promoç. saúde, 29(3), 447–54. https://doi.org/10.5020/18061230.2016.p447

Neves, M. O, Almeida, T. H. R. C, Querino, A. D. L, Lino, D. C. S. F, Souza, R. C. (2017). Aspectos psicossociais do trabalho de Agentes Comunitários de Saúde. Rev. Saúde Col. 7(1): 24-8. http://doi.org/10.13102/ rscdauefs.v7i1.1123.

Oliveira, A. M. N, Araújo, T. M. (2017). Situações de desequilíbrio entre esforço-recompensa e transtornos mentais comuns em trabalhadores da atenção básica de saúde. Trab educ saúde, 16(1):243-62. http://dx.doi.org/10.1590/1981-7746-sol00100

Pialarissi, R. (2017). Precarização do trabalho. Rev adm saúde, 23:17(66). Disponível em: http://www.cqh.org.br/ojs-2.4.8/index.php/ras/article/view/11/21. Acesso em 02 de março. de 2022.

Siegrist, J. (2008). Effort-reward imbalance at work: Theory, measurement and evidence. Department of Medical Sociology, University Dusseldorf. http://www.mentalhealthpromotion.net/resources/theorie_measurement_evidence.pdf

Silva, L. S. & Barreto, S. M. (2010). Transcultural adaptation into Brazilian Portuguese of the effort-reward imbalance scale: A study with bank workers. Rev. panam. salud pública, 27(1):32–6. https://doi.org/10.1590/s1020-49892010000100005

Souza, N. V. D. O, Gonçalves, F. G. A, Pires, A. S. & David, H. M. S. L. (2017). Neoliberalist influences on nursing hospital work process and organization. Rev. bras. enferm, 70(5):912-19. http://dx.doi.org/10.1590/0034-7167-2016-0092

Vieira, M. L. C, Oliveira, E. B, Souza, N. V. D. O, Lisboa, M. T. L, Progianti, J, Costa, C. C. P. (2018). Nursing presenteeism: repercussions on workers’ health and patient safety. Rev enferm UERJ, 26(2): e31107. https//dx.doi.org/10.12957/reuerj.2018.31107

Published

07/05/2022

How to Cite

BEIRAL, F. M. da F. .; OLIVEIRA, E. B. de .; LEITE, C. do N. .; SOUSA, K. H. J. F. .; NASCIMENTO, F. P. B. .; OLIVEIRA, B. R. de. Psychosocial stress in nursing work at a university hospital: effort-reward imbalance model. Research, Society and Development, [S. l.], v. 11, n. 6, p. e51111629437, 2022. DOI: 10.33448/rsd-v11i6.29437. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/29437. Acesso em: 28 may. 2022.

Issue

Section

Health Sciences