Effect of Workload on Job Stress of Ghanaian OPD Nurses: The Role of Coworker Support

BACKGROUND: Although the concept of workload is important to nursing practice, only a few nursing researchers have focused on the issue of workload within the nursing context. Knowledge of how the dynamics of workload affects the job stress of nurses working in a specific unit or department in a hospital setting, and the influence of coworker support on this relationship, still remains limited. This study, therefore examined the effect of workload on job stress of Ghanaian outpatient department nurses and the moderating effect of coworker support on this relationship. METHODS: A cross-sectional survey design was used, and questionnaire was used to collect data from a sample of 216 outpatient department nurses from four major hospitals in Ghana. The data collected measured workload, job stress, and coworker support using National Aeronautics and Space Administration (NASA) Task Load Index, job stress scale, and coworker support scale, respectively. Data were analysed using descriptive statistics, correlation, and hierarchical regression. RESULTS: High levels of workload were associated with high levels of job stress of the nurses. Also, higher levels of workload were related to higher levels of job stress for nurses who received high levels of coworker support, but this was not the case for those who received low levels of coworker support (reserve buffering effect). CONCLUSION: The finding reiterates the adverse effect of workloads on employees' health, and the reverse buffering effect implies that supporting a colleague at work should be conveyed in a positive manner devoid of negative appraisal.

Perceived social support and presenteeism among healthcare workers in China: the mediating role of organizational commitment

OBJECTIVES@#We assessed the role of social support in presenteeism by examining organizational commitment among Chinese healthcare workers.@*METHODS@#One thousand four hundred thirty-four healthcare workers from 6 hospitals in 4 Chinese cities completed a questionnaire measuring presenteeism, social support, and organizational commitment. With organizational commitment as the mediator, regression analyses and structural equation modeling were used to test the model.@*RESULTS@#Organizational commitment was directly inversely associated with presenteeism (β = - 0.42, p 0.05). The correlation between supervisor support and coworker support was significant (β = 0.71, p <0.001). Supervisor support and coworker support were significantly positively associated with organizational commitment (β = 0.41, p < 0.001, and β = 0.14, p < 0.001, respectively).@*CONCLUSIONS@#Supervisor support was more important in promoting organizational commitment, while coworker support was more effective in reducing presenteeism. The mediating effect of organizational commitment was significant.

Influence of Authentic Leadership and Coworker Support on the Psychological Well-being of Staff Nurses / 산업간호학회지

PURPOSE: This descriptive study investigated the effects of authentic leadership and coworker support on psychological well-being of staff nurses. METHODS: The participants were 166 staff nurse working in university hospital located in D city. Data were collected from July 1 2017 to 31, 2017. Data analysis was performed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and hierarchical regression. RESULTS: The regression model that included demographics and coworker support explained about 40.0% of psychological well-being. Marital status, nurse satisfaction, turnover experience, and coworker support were the predictors of psychological well-being in staff nurses. CONCLUSION: Coworker support was an important predictor of the psychological well-being of staff nurse. Therefore, strategics to improve coworker support are needed to increase psychological well-being in the clinical field.

Absenteísmo-doença, modelo demanda-controle e suporte social: um estudo caso-controle aninhado em uma coorte de trabalhadores de hospitais, Santa Catarina, Brasil / Sickness-absenteeism, job demand-control model, and social support: a case-control study nested in a cohort of hospital workers, Santa Catarina, Brazil

O objetivo do estudo foi identificar a contribuição do Modelo Demanda-Controle (MDC) e do suporte social para duração do absenteísmo-doença segundo Licenças para Tratamento de Saúde (LTS) nos trabalhadores de hospitais (servidores públicos) da Secretaria de Estado da Saúde de Santa Catarina (SES/SC), Brasil. Entre as secretarias deste estado, a SES/SC tem a segunda maior frequência de LTS, com destaque nos hospitais. Este é um estudo caso-controle aninhado em uma coorte de trabalhadores de hospitais da SES/SC, com acompanhamento entre 01/07/2008 e 30/06/2009. Os casos foram aqueles que apresentaram LTS nesse período, os critérios de pareamento foram sexo, faixa etária e setor de trabalho. O desfecho foi o total de dias de LTS, as variáveis de exposição foram MDC e o suporte social do supervisor e do colega. Utilizou-se dados primários e secundários, nas análises a regressão Zero-inflado Binomial Negativa, e as variáveis socioeconômicas e ocupacionais nos ajustes. O banco de dados para as análises teve 425 (144 casos; 281 controles) participantes. O baixo suporte do colega aumentou a expectativa de dias de LTS em 2,04 (IC95 por cento: 1,05-3,93), unido ao trabalho de baixa exigência aumentou 2,68 (IC95 por cento: 1,37-5,27) e ao de alta exigência (iso-strain) 78 por cento (IC95 por cento: 1,02-3,12) mais do que o MDC com alto suporte do colega. Este estudo mostrou a importância do suporte do colega sobre a duração absenteísmo-doença, e auxiliou conjeturar que a variável tempo nos trabalhadores de hospital leva a adaptação às exigências das tarefas e a monotonia. Intervenções no relacionamento entre os trabalhadores provavelmente diminuirão a duração de LTS.

The aim of the study was to identify the Job Demand-Control (JDC) and social support contribution for sickness-absenteeism duration of Health Treatment Licences (HTL) in hospital workers (civil servants) of the Santa Catarina State Department of Health of (SES/SC), Brazil. These health workers have the second highest HTL among civil servants in the state, especially those working in hospitals. This is a case-control study nested in a cohort of hospital workers followed up between 07/01/2008 and 06/30/2009. The workers with HTL in this period were selected as cases and those without HTL were selected as cases matched by sex, age and working sector. The outcome was the duration of HTL and the exposure variables were JDC and supervisor and coworker social support. We used both primary and secondary data, zero-inflated negative binomial regression analysis, and socioeconomic and occupation variables in the adjustments. The data used for analysis included 425 participants (144 cases; 281 controls). Low coworker support added 2,04 (95 percent confidence interval (CI): 1,05-3,93) HTL days. This effect increased to 2,68 days (95 percent CI: 1,37-5,27) when combined with low job strain and raised 78 percent (95 percent CI: 1,02-3,12) more than JDC with high coworker support combined with high strain (iso-strain). This study uncovered the importance of coworker support for the duration of sickness-absenteeism and suggested its use for the interventions aiming to decrease the duration of HTL.