Evidence map›Paper›PMID 26112796›Full record

ArticleInternational archives of occupational and environmental health2016

Stress among nurses working in emergency, anesthesiology and intensive care units depends on qualification: a Job Demand-Control survey.

Marion Trousselard, Frédéric Dutheil, Geraldine Naughton, Sylvie Cosserant, Sylvie Amadon, Christian Dualé, Pierre Schoeffler

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Article in International archives of occupational and environmental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Exploring the Link between Work Addiction Risk and Health-Related Outcomes Using Job-Demand-Control Model.International journal of environmental research and public health · 2020
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  13. Relationship between Mental Health, theBioMed research international · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Marion TrousselardNeurophysiology of Stress, Armies' Biomedical Research Institute, Armies' Health Service, Bretigny sur Orge, France. marion.trousselard@gmail.com.
Frédéric DutheilOccupational Medicine, University Hospital of Clermont-Ferrand (CHU), Clermont-Ferrand, France. frederic.dutheil@acu.edu.au.
Geraldine NaughtonSchool of Exercise Science, Faculty of Health, Australian Catholic University, Melbourne, VIC, 3065, Australia. geraldine.naughton@acu.edu.au.
Sylvie CosserantAnesthésie-Réanimation, Pôle BLOC-ARCHI, CHU Clermont-Ferrand, 63003, Clermont-Ferrand, France. scosserant@chu-clermontferrand.fr.
Sylvie AmadonAnesthésie-Réanimation, Pôle BLOC-ARCHI, CHU Clermont-Ferrand, 63003, Clermont-Ferrand, France. samadon@chu-clermontferrand.fr.
Christian DualéCentre de Pharmacologie Clinique, CHU Clermont-Ferrand, 63003, Clermont-Ferrand, France. cduale@chu-clermontferrand.fr.
Pierre SchoefflerUniversity Clermont Auvergne, 63000, Clermont-Ferrand, France. pschoeffler@chu-clermontferrand.fr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe nurse stress literature reports an overwhelming culture of acceptance and expectation of work stressors, ironically linked to the control of the workplace to effectively and proactively manage stress. The stressors involved in delivering "stress management" have been well studied in nursing-related workplaces, especially in acute care settings in accordance with the Karasek Job Demand-Control-Support (JDCS) model. However, little is known about the effects of specificity of an acute care unit and the level of qualifications on stress experienced by nurses.

methodsA survey using the JDCS model was conducted among 385 nurses working in three different acute care units (anesthesiology, emergency and intensive care unit) from a university hospital. Specific questions explored variables such as gender, acute care units, level of qualification and working experience.

resultsTwo hundred questionnaires were returned. A high level of job strain was highlighted without a gender effect and in the absence of isostrain. Nurses from acute care units were located in the high stress quadrant of the JDCS model. Conversely, other nurses were commonly located in the "active" quadrant. Independent of acute care settings, the highest level of education was associated with the highest job strain and the lowest level of control.

conclusionsIn an acute care setting, a high level of education was a key factor for high job stress and was associated with a perception of a low control in the workplace, both of which may be predictors of adverse mental health. In particular, the lack of control has been associated with moral distress, a frequently reported characteristic of acute care settings. To enhance the personal and professional outcomes of the advanced registered nurses, strategies for supporting nurses manage daily stressors in acute care are urgently required.

Indexed as

Clinical CompetenceOccupational HealthAnesthesiologyCritical Care NursingEducational StatusEmergency NursingFemaleHumansMaleModels, PsychologicalNursing Staff, HospitalProfessional AutonomySocial SupportStress, PsychologicalSurveys and QuestionnairesWorkloadHospitalKarasekOccupationPsychologySocial supportStrainStress

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.