Work stress among community psychiatric nurses

This article examines the findings of a research study on the levels and sources of stress among 60 community psychiatric nurses (CPNs) from six health authorities in the midlands area. This three-way comparative study explores the stress levels experienced by CPNs working with primary clients. The hypothesis that higher levels of stress is experienced by CPNs working with the severely mentally ill is supported. The stress levels experienced did appear to vary with the type of clients catered for. Using a questionnaire designed to measure individual variables, CPNs working with the severely mentally ill reported higher caseloads, less training, lack of respect and understanding of their role by others and the need for more supervision and support. Forty per cent of CPNs were found to be stressed according to the General Health Questionnaire (GHQ 28). While there is debate about where CPNs should focus their interventions and which clients should be prioritized, it appears that working with the severely mentally ill is less attractive and more stressful to CPNs. The results and suggestions for further research are highlighted in this article.     

Occupational stress and health care use

This study investigated the relationship between health care use and (a) stressful work events; (b) strain; (c) social support; (d) type of job and industry; and (e) the individual characteristics of control, commitment, and length of time in position. A sample of 260 individuals (95 men, 165 women) from two different industries was used. Correlational analyses suggested that health care claims and costs were positively related to stressful work events and strain and negatively related to employees' length of time in position. Industry type also played a role in predicting the health care variables. Multivariate analyses suggested that environmental, stressor, and strain variables accounted for up to 16% of the variance in health care costs and 21.5% of the variance in number of health care claims.     

Family health and mental health six years after economic stress and unemployment

This study is a follow-up of 39 working class couples who were interviewed after suffering economic stress or unemployment and again six years later. Repeated measures related to economics, stress, family functioning, anxiety, and depression were collected and analyzed for couples and for husbands and wives separately. A model of long-term coping was suggested for future testing. Initially stressed families appeared to grow stronger. Mental health correlated negatively to family problems. Depressed wives seemed to maintain their depression over time if they perceived family life as stressful. Irrespective of marital problems, husbands were less likely to stay depressed.     

Role of oxidative stress in health and disease

BACKGROUND: Radiation therapy can cause corneal and conjunctival abnormalities that sometimes require surgical treatment. Corneal stem cell dysfunction is described, which recovered after the cessation of radiation. METHODS: A 44-year-old man developed a corneal epithelial abnormality associated with conjunctival and corneal inflammation following radiation therapy for maxillary cancer. He experienced ocular pain and loss of vision followed by conjunctival epithelialisation of the upper and lower parts of the cornea. RESULTS: Examination of brush cytology samples showed goblet cells in the upper and lower parts of the cornea, which showed increased fluorescein permeability, and intraepithelial lymphocytes. Impression cytology showed goblet cells in the same part of the cornea. Specular microscopy revealed spindle type epithelial cells. Patient follow up included artificial tears and an antibiotic ophthalmic ointment. The corneal abnormalities resolved after 4 months with improved visual acuity without any surgical intervention, but the disappearance of the palisades of Vogt did not recover at 1 year after radiation. CONCLUSION: Radiation therapy in this patient caused temporary stem cell dysfunction which resulted in conjunctivalisation in a part of the cornea. Although limbal stem cell function did not fully recover, this rare case suggested that medical options should be considered before surgery.     

Work satisfaction of health personnel in primary care

OBJECTIVE: To determine the level of work satisfaction of health professionals working in Primary Care and to establish the social, demographic and professional factors which determine it. DESIGN: An observational, crossover study using a self-administered questionnaire. SETTING: Primary Care. PARTICIPANTS: All the doctors and nurses working in the Primary Care teams in the Albacete Health Area (468 in all). MEASUREMENTS AND MAIN RESULTS: The scale of work satisfaction of health professionals in Primary Care teams was used. Social, demographic and professional data were collected. 9 dimensions or components of work satisfaction were identified through a factorial analysis. The lowest scores were for motivation, opportunities for professional development and coordination with specialists. CONCLUSIONS: The findings show, in general, indifference as to work satisfaction or lack of it in areas such as motivation and opportunities for professional development. The differences observed in those polled relate to their job and work-place, and also, in the case of doctors, to specialist training.     

Work strain, health, and absenteeism: A meta-analysis.

Work strain has been argued to be a significant cause of absenteeism in the popular and academic press. However, definitive evidence for associations between absenteeism and strain is currently lacking. A theory focused meta-analysis of 275 effects from 153 studies revealed positive but small associations between absenteeism and work strain, psychological illness, and physical illness. Structural equation modeling results suggested that the strain-absence connection may be mediated by psychological and physical symptoms. Little support was received for the purported volitional distinction between absence frequency and time lost absence measures on the basis of illness. Among the moderators examined, common measurement, midterm and stable sources of variance, and publication year received support. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Manifestation and management of stress in health care workers

The inescapable nature of stress and its effects both positive and negative are thoroughly examined in this article by Jan Howells-Johnson. Major theories of stress, physiological and psychological effects, as well as coping mechanisms and benefits are all included. Working through the activities gives the reader an opportunity to examine stress in a very personal way, by reflecting on and relating to their own experiences of it. As stress is never going to go away, knowledge gained from this extensive work may prove the pathway to effective self help or a more cheerful acceptance of what cannot be changed.     

Work hours, schedule inflexibility, and stress in dual-earner spouses.

Explored the extent to which 96 dual-earner couples' work schedule strains predicted stress (depression, anxiety, and role strain) in both partners. Multiple regression analyses, controlling for SES, indicated that husbands' schedule inflexibility and long work hours (LWHs) were related to stress in husbands. Additionally, LWHs by wives were associated with husbands' anxiety and depression. Wives' schedule inflexibility and LWHs were associated directly with their role strain, but only indirectly with depression and anxiety. Husbands' schedule strains were unrelated to wives' levels of stress. Results are interpreted with respect to the social roles of women and men. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Work environments, stress, and productivity: An examination using ASSET.

In this study (N = 16,001), the predictors of productivity (i.e., work performance) were investigated with A Shortened Stress Evaluation Tool (E. B. Faragher, C. L. Cooper, & S. Cartwright, 2004), which incorporates individual work stressors, stress outcomes (physical and psychological wellbeing), and commitment (both to and from an organization). Psychological well-being, commitment from the organization to the employee, and resources were found to be predictive. Physical health, individual work stressors (with the exception of resources), and commitment from the employee to the organization were not identified as important. The findings are discussed with reference to both previous and future research. The large sample size and broad range of occupations included suggest the findings are generalizable to other employee groupings. Implications for both stress and management theory are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Pregnancy-specific stress, prenatal health behaviors, and birth outcomes.

Objective: Stress in pregnancy predicts earlier birth and lower birth weight. The authors investigated whether pregnancy-specific stress contributes uniquely to birth outcomes compared with general stress, and whether prenatal health behaviors explain this association. Design: Three structured prenatal interviews (N = 279) assessing state anxiety, perceived stress, life events, pregnancy-specific stress, and health behaviors. Main Outcome Measures: Gestational age at delivery, birth weight, preterm delivery (     

Work stress and recovery measured by urinary catecholamines and cortisol excretion in long distance coach drivers

Severe and frequently occurring epistaxis is a common problem in the praxis of the general practitioner. It may be a symptom of another disease which should be found. A specific pharmacological history has to be taken. This article tries to review the most important rhinologic aspects for the general practitioner that the development of the rhinologic disease works as guidance for the differential diagnosis of recurrent epistaxis.     

Work stress and self-reported alcohol use: The moderating role of escapist reasons for drinking.

This study examines the moderating role of escapist reasons for drinking alcohol in the job stress/self-reported alcohol use and problems relationship. It was hypothesized that higher levels of job stress would be associated with higher levels of self-reported drinking (H1) and drinking problems (H2) only for those who endorsed escapist reasons for drinking. For those who did not hold such beliefs, higher levels of job stress were predicted to be associated with lower self-reported alcohol intake (H3) and problems (H4). Survey data from white- and blue-collar workers employed across all paycodes and positions were collected randomly at a large manufacturing organization (62% response rate). Participants responded to questions concerning work stress, reasons for drinking, alcohol intake, and alcohol problems. Using only nonabstainers with complete data (N?=?1,645), results from regression analyses generally supported all hypotheses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Posttraumatic stress disorder and other predictors of health care consumption by Vietnam veterans

A total of 641 randomly selected Australian veterans of the Vietnam War were interviewed about their use of health care in the previous two weeks to determine what factors contributed to health care consumption. Seventy-three variables were examined by univariate linear regression and then grouped into seven categories relating to age, physical and mental health, predisposition to posttraumatic stress disorder (PTSD), deployment and repatriation experiences, and membership in veterans groups. PTSD was associated with an additional cost of $79 in health care for the two-week period. Each physical diagnosis was associated with an additional $28. Alcohol consumption was not related to health care costs. Other important variables contributing to costs were depression, educational status, the quality of the repatriation experience, and social support.     

Primary and secondary control strategies for managing health and financial stress across adulthood.

The study examined the relation among three types of control strategies (persistence, positive reappraisals, lowering aspirations) and subjective well-being across adulthood (N?=?3,490). Specifically, the authors investigated whether age-adapted endorsement of control strategies is conducive to subjective well-being if individuals experience health or financial stress. The results reveal an overall enhanced reliance on control strategies in older as compared with younger adults. In addition, persistence showed a stronger positive relation to subjective well-being in young adulthood as compared with old age. In midlife and old age, positive reappraisals had a stronger positive relation to subjective well-being than persistence. Lowering aspirations was negatively related to subjective well-being, independent of age. Age differences in the relation of control strategies to subjective well-being were particularly salient in individuals who faced either health or financial stress. (PsycINFO Database Record (c) 2010 APA, all rights reserved)