Construction of work-related stress risk management index system for medical personnel in China based on Delphi method / 环境与职业医学

ABSTRACT

Background Despite the growing occupational stress of medical personnel, there is no occupational stress risk management index system for medical personnel in China, and the related risk management work is unfounded. Objective To construct a work-related stress risk management index system for medical personnel in China based on Delphi method. Methods On the basis of literature review and expert interview, an index pool of work-related stress risk management for medical personnel was preliminarily constructed. Through two-round Delphi method, experts' opinions on the importance, operability, familiarity, and judgment basis of candidate indicators were collected, and an index system for work-related stress risk management of medical personnel was constructed. Results Fifteen expert opinions were collected in each of the two rounds, with a recovery rate of 100%. The expert authority coefficients were all >0.9. In the first round, the importance score was 9.78±0.35, the coefficient of variation was 0-0.22, and the Kendall coordination coefficient was 0.215 (P<0.01); in the second round, the importance score was 9.82±0.26, the coefficient of variation was 0-0.13, and the Kendall coordination coefficient was 0.208 (P<0.01). Finally, the index system of work-related stress risk management for medical personnel was composed of 10 first-level indexes, 28 second-level indexes, and 47 third-level indexes. The 10 first-level indexes were job demand, job control, organizational support, interpersonal relationships, role conflict, doctor-patient conflict and medical disputes, work-life conflict, professional self-identity, workplace environment, and social environment, respectively. Conclusion A preliminary refined work-related stress risk management index system for medical personnel in China has been established, but the indicators will be further modified by verification and application of the indicator system.