RESUMO
Purpose@# : Job stress is a risk factor for depression. Many employees work in teams. However, few studies have examined the effect of team work and team climate on employees’ mental health in the workplace. We investigated the associations between team work and depression among Korean employees. @*Methods@# : We conducted a secondary analysis of data from the 5th Korean Working Conditions Survey (KWCS), a cross-sectional national survey. The sample comprised 30,235 wage employees over the age of 15, including 14,555 men and 15,680 women. To measure team work, respondents were asked, “Do you work in a group or team that has common tasks and can plan its work?” Depressive mood was measured using the 5-item World Health Organization (WHO-5) Well-Being Index. The analysis was conducted by univariate and multiple logistic regression analyses to estimate the effect of team work on depressive mood. @*Results@# : Depressive mood was observed in 26.6% of team employees and 29.5% of those without a team (out of all wage employees), indicating a significant difference. After adjusting for demographic and workplace characteristics as potential confounding variables, as compared to non-team work, the odds ratios of depressive mood for team work were 0.96 (95% CI: 0.88–1.04) for men, which was not statistically significant, and 0.80 (95% CI: 0.73–0.87) for women, which was statistically significant. Conclusion : Our findings can be used to develop safety and health policies to improve the mental health of Korean employees. Reorganizing companies to support team work would also benefit the mental health of wage employees, especially female employees.
RESUMO
PURPOSE: A tube thoracostomy is an invasive procedure that places patients at risk for complications. Tube thoracostomies are frequently performed by emergency medicine residents. Thus, the purpose of the study was to assess both the complication rate for tube thoracostomies performed by emergency medicine residents and the factors associated with these complications. METHODS: A retrospective chart review of all patients who had undergone a tube thoracostomy performed by emergency medicine residents between January 2008 and February 2009 was conducted at a university hospital. Complications were divided into major and minor complications and into immediate and delayed complications. Complications requiring corrective surgical intervention, requiring the administration of blood products, or involving situations requiring intravenous antibiotics were defined as major. Complications that were detected within 2 hours were defined as immediate. RESULTS: Tube thoracostomies were performed in 189 patients, and 70 patients(37%) experienced some complications. Most complications were immediate and minor. In multiple logistic regressions, BMI, hypotension and resident seniority were significantly associated with complications. CONCLUSION: The prevalence of complications was similar to these in previous reports on the complications of a tube thoracostomy. Most complications from tube thoracostomies performed by emergency medicine residents were immediate and minor complications. Thus, emergency medicine residents should be allowed to perform closed tube thoracostomies instead of thoracic surgeons.