ArticleIndustrial health2021
Effects of participatory workplace improvement program on stress-related biomarkers and self-reported stress among university hospital nurses: a preliminary study.
Article in Industrial health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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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.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- Participatory action-oriented training implemented across various workplaces: a scoping review protocol.Industrial health · 2026Article
- A path analysis examination of factors affecting early childhood educators' health, burnout, and turnover.BMC public health · 2026Article
- Diabetes mellitus narrows frequency band range of low-frequency components in heart rate variability.Diabetology international · 2025Article
- Psychosocial Occupational Health-A Priority for Middle-Income Countries?Healthcare (Basel, Switzerland) · 2023Review
- Work-family enrichment: A potential buffer of inflammation among black adults?Brain, behavior, & immunity - health · 2022Article
- Giving social support at work may reduce inflammation on employees themselves: a participatory workplace intervention study among Japanese hospital nurses.Industrial health · 2022Article
- Psychosocial working conditions and chronic low-grade inflammation in geriatric care professionals: A cross-sectional study.PloS one · 2022Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although participatory workplace improvement programs are known to provide favorable effects on high stress occupations like nursing, no studies have confirmed its effect using biomarkers. The aim of this study was to determine whether a participatory workplace improvement program would decrease stress-related symptoms as evaluated by biomarkers and self-reported stress among hospital nurses. Three actions to alleviate job stress, which were determined through focus group interviews and voting, were undertaken for two months. A total of 31 female Japanese nurses underwent measurement of inflammatory markers, autonomic nervous activity (ANA), and perceived job stress (PJS) at three-time points; before the program (T1), within a week after the completion of the program (T2), and three months after the program (T3). A series of inflammatory markers (Interferon-γ, Interleukin (IL)-6, and IL-12/23p40) decreased significantly at T2, and IL-12/23p40 and IL-15 significantly decreased at T3 compared to T1, while ANA and PJS remained unchanged. Our participatory program exerted beneficial effects in reducing inflammatory responses, but not for ANA and PJS. Further investigations with a better study design, i.e., a randomized controlled trial, and a larger sample size are warranted to determine what exerted beneficial effects on inflammatory markers and why other outcomes remained unchanged.
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