ArticleOccupational and environmental medicine2022
Multilevel approach to individual and organisational predictors of stress and fatigue among healthcare workers of a university hospital: a longitudinal study.
Article in Occupational and environmental medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Factors associated with occupational fatigue among healthcare workers in Malaysia: a systematic review.BMJ open · 2026Pooled it
- Associations of Insomnia, Fatigue, and Overtime Work With Self-Reported Medication Errors Among Perianesthesia Nurses: A Cross-Sectional Study.International nursing review · 2026Observational
- Presenteeism among healthcare professionals in a hospital setting: a scoping review.Revista latino-americana de enfermagem · 2026Article
- "I can't endure it" vs. "I can handle it" - experiencing work fatigue risk for nurses: a qualitative study.BMC nursing · 2025Article
- Enhancing hospital protection measures reduces frontline medical workers' stress during the pandemic.BMC psychology · 2024Article
- Quality improvement collaborative for improving patient care delivery in Argentine public health sector intensive care units.BMJ open quality · 2024Article
- Identifying individual and organizational predictors of accidental exposure to blood (AEB) among hospital healthcare workers: A longitudinal study.Infection control and hospital epidemiology · 2024Article
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Authors and funding
13 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveHealthcare workers (HCWs) are at high risk of experiencing stress and fatigue due to the demands of their work within hospitals. Improving their physical and mental health and, in turn, the quality and safety of care requires considering factors at both individual and organisational/ward levels. Using a multicentre prospective cohort, this study aims to identify the individual and organisational predictors of stress and fatigue of HCWs in several wards from university hospitals.
methodsOur cohort consists of 695 HCWs from 32 hospital wards drawn at random within four volunteer hospital centres in Paris-area. Three-level longitudinal analyses, accounting for repeated measures (level 1) across participants (level 2) nested within wards (level 3) and adjusted for relevant fixed and time-varying confounders, were performed.
resultsAt baseline, the sample was composed by 384 registered nurses, 300 auxiliary nurses and 11 midwives. According to the three-level longitudinal models, some predictors were found in common for both stress and fatigue (low social support from supervisors, work overcommitment, sickness presenteeism and number of beds per ward). However, specific predictors for high level of stress (negative life events, low social support from colleagues and breaks frequently cancelled due to work overload) and fatigue (longer commuting duration, frequent use of interim staff in the ward) were also found.
conclusionOur results may help identify at-risk HCWs and wards, where interventions to reduce stress and fatigue should be focused. These interventions could include manager training to favour better staff support and overall safety culture of HCWs.
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