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Examining the sources of occupational stress in an emergency department.

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Date
2016-12
ICR Author
Yap, Christina
Author
Basu, S
Yap, C
Mason, S
Type
Journal Article
Metadata
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Abstract
Background Previous work has established that health care staff, in particular emergency department (ED) personnel, experience significant occupational stress but the underlying stressors have not been well quantified. Such data inform interventions that can reduce cases of occupational mental illness, burnout, staff turnover and early retirement associated with cumulative stress.Aims To develop, implement and evaluate a questionnaire examining the origins of occupational stress in the ED.Methods A questionnaire co-designed by an occupational health practitioner and ED management administered to nursing, medical and support staff in the ED of a large English teaching hospital in 2015. The questionnaire assessed participants' demographic characteristics and perceptions of stress across three dimensions (demand-control-support, effort-reward and organizational justice). Work-related stressors in ED staff were compared with those of an unmatched control group from the acute ear, nose and throat (ENT) and neurology directorate.Results A total of 104 (59%) ED staff returned questionnaires compared to 72 staff (67%) from the acute ENT/neurology directorate. The ED respondents indicated lower levels of job autonomy, management support and involvement in organizational change, but not work demand. High levels of effort-reward imbalance and organizational injustice were reported by both groups.Conclusions Our findings suggest that internal ED interventions to improve workers' job control, increase support from management and involvement in organizational change may reduce work stress. The high levels of effort-reward imbalance and organizational injustice reported by both groups may indicate that wider interventions beyond the ED are also needed to address these issues.
URI
https://repository.icr.ac.uk/handle/internal/3462
DOI
https://doi.org/10.1093/occmed/kqw155
Collections
  • Clinical Studies
Subject
Humans
Attitude of Health Personnel
Stress, Psychological
Perception
Job Satisfaction
Burnout, Professional
Adolescent
Adult
Middle Aged
Occupational Health
Workplace
Hospitals, Teaching
Emergency Service, Hospital
Organizational Culture
Professional Autonomy
England
Female
Male
Surveys and Questionnaires
Workforce
Research team
Clinical Trials & Statistics Unit
Language
eng
License start date
2016-12
Citation
Occupational medicine (Oxford, England), 2016, 66 (9), pp. 737 - 742

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