Evidence map›Paper›PMID 35981866›Full record

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.

Oumou Salama Daouda, René Sosata Bun, Karim Ait Bouziad, Katiuska Miliani, Anastasia Essa-Eworo, Florence Espinasse, Delphine Seytre, Anne Casetta, Simone Nérome, Adelaide Nascimento and 3 more

Open access · hybridAbstract read
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% of its field
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

13 authors at 7 institutions in 2 countries.

Oumou Salama Daouda *MESuRS Laboratory, Conservatoire National des Arts et Metiers, Paris, Île-de-France, France oumou-salama.daouda@lecnam.net.ORCID http://orcid.org/0000-0001-9682-1599
René Sosata Bun *iPLESP, INSERM, Sorbonne Universite, Paris, Île-de-France, France.
Karim Ait BouziadMESuRS Laboratory, Conservatoire National des Arts et Metiers, Paris, Île-de-France, France.
Katiuska MilianiCPIAS Ile de France, Paris, Île-de-France, France.
Anastasia Essa-EworoCPIAS Ile de France, Paris, Île-de-France, France.
Florence EspinasseHôpital Ambroise Paré, AP-HP, Paris, Île-de-France, France.
Delphine SeytreHôpital Avicenne, AP-HP, Paris, Île-de-France, France.
Anne CasettaHôpital Cochin, AP-HP, Paris, Île-de-France, France.
Simone NéromeHôpital Beaujon, AP-HP, Paris, Île-de-France, France.
Adelaide NascimentoCRTD Laboratory, Conservatoire National des Arts et Metiers, Paris, Île-de-France, France.
Pascal AstagneauiPLESP, INSERM, Sorbonne Universite, Paris, Île-de-France, France.
Laura TemimeMESuRS Laboratory, Conservatoire National des Arts et Metiers, Paris, Île-de-France, France.
Mounia N HocineMESuRS Laboratory, Conservatoire National des Arts et Metiers, Paris, Île-de-France, France.
Conservatoire National des Arts et Métiers · FRInserm · FRLaboratoire Conception de Produits et Innovation · FRAssistance Publique – Hôpitaux de Paris · FRCHU Ambroise Paré · BEHôpital Beaujon · FRHôpital Cochin · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

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.

Indexed as

fatiguelongitudinal studiesmental healthoccupational healthstatistics

Identifiers

PMID35981866
PMCPMC9685720
OpenAlexW4293828997

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.