Basu, S., Yap, C. and Mason, S. (2016) Examining the sources of occupational stress in an emergency department. Occupational Medicine, 66 (9). pp. 737-742. ISSN 0962-7480
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.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 The Author. This is an author produced version of a paper subsequently published in Occupational Medicine. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | Emergency services; NHS workforce; occupational stress; perceived work stressors; stress; well-being; work place stress |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research The University of Sheffield > Sheffield Teaching Hospitals |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 10 Feb 2017 11:04 |
Last Modified: | 16 Nov 2017 01:38 |
Published Version: | https://doi.org/10.1093/occmed/kqw155 |
Status: | Published |
Publisher: | Oxford University Press (OUP) |
Refereed: | Yes |
Identification Number: | 10.1093/occmed/kqw155 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:111199 |