Work-related stress among primary healthcare workers

Radovan Ilić; Jovana Popović; Vladan Marković; Vesna Nemec; Miloš Milošević

doi:10.2298/VSP181228020I

Radovan Ilić Faculty of Physical Education and Sports Management, Singidunum University, Belgrade, Serbia
Jovana Popović Faculty of Medicine, University of Belgrade, Belgrade, Serbia
Vladan Marković Faculty of Physical Education and Sports Management, Singidunum University, Belgrade, Serbia
Vesna Nemec Faculty of Physical Education and Sports Management, Singidunum University, Belgrade, Serbia
Miloš Milošević Faculty of Physical Education and Sports Management, Singidunum University, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP181228020I

Keywords: primary health care;, health personnel;, stress, psychological;, risk factors;, surveys and questionnaires;, serbia

Abstract

Background/Aim. There are data on an increased stress level in primary health care workers. The aim of this paper was to investigate the state of stress among employees in the field of primary health care in order to identify the factors that most affect stress and groups that are particularly susceptible to stress. Methods. The study was conducted using a sample of 95 health care workers in the field of primary health care. Data were collected through an anonymous survey consisting of two parts. The first part of the survey included questions related to the characteristics of the workplace and professional and socio-demographic characteristics of the employees. The second part of the survey was based on the Behavioral Health Concepts (BHC) stress test, which is used to estimate the adaptation to stress across four dimensions: overall assessment, quality of life assessment, symptomatology, and level of functioning. Results. Although the total number of respondents fell under the group of moderate stress (mean = 3.97), using descriptive statistical analysis, it was discovered that, 4.2% of the respondents had an increased level of stress. The variance analysis demonstrated that there were statistically significant differences (p < 0.00) between the effects of educational variables (F = 11.68), workplace (F = 14.07) and work time (F = 9.16) on overall stress. Significant interaction between variables workplace and work time was also found [F (2.72) = 3.22; p < 0.046]. Conclusion. Primary health care employees have an increased level of stress, which depends on both the working conditions and the personal characteristics of the employees.

References

Dukić D, Ločkić N, Dragutinović G, Dobraš M, Savković S. Analy-sis of the work of outpatient health institutions and the use of primary health care in the Republic of Serbia in 2016. Belgradr: Institut za javno zdravlje Srbije „Dr Milan Jo-vanović Batut”; 2017. (Serbian)

Nešić M. Stress psycho-neuro-endocrino-immunology. Niš: Faculty of Medicine, University of Niš; 1995. (Serbian)

Welp A, Meier L, Manser T. Emotional exhaustion and work-load predict clinician-rated and objective patient safety. Front Psychol 2015; 5: 1573.

Stapelberg N, Neumann D, Shum D, Headrick J. Health, pre-disease and critical transition to disease in the psycho-immune-neuroendocrine network: Are there distinct states in the progression from health to major depressive disor-der?. Physiol Behav 2018; 198: 108‒19.

McCormack HM, MacIntyre TE, O'Shea D, Herring MP, Campbell MJ. The Prevalence and Cause(s) of Burnout Among Ap-plied Psychologists: A Systematic Review. Front Psychol 2018; 9:1897.

Acker G. Burnout among mental health care providers. J Soc Work 2012; 12(5): 475–90.

Deljanin Z, Rančič N, Tiodorović B, Petrović B, Veličković Z, Ilić M. Association of stressful life events with acute myocardial in-farction in population in the city of Niš within the period from 1998–2000. Vojnosanit Pregl 2007; 64(7): 463‒8. (Serbian)

Blustein D. The Oxford Handbook of the psy-chology of working. New York: Oxford Universi-ty Press; 2013.

Anthony‐McMann PE, Ellinger AD, Astakhova M, Halbesleben JR. Exploring Different Operationalizations of Employee Engagement and Their Relationships With Workplace Stress and Burnout. Hum Res Develop Quart 2018; 8: 163‒95.

Tarafdar M, Pullins EB, Ragu‐Nathan TS. Technostress: nega-tive effect on performance and possible mitigations. Info Systems J 2015; 25:103–32.

Čabarkapa M, Korica V, Rodjenkov S. Personal traits and a sense of job-related stress in a military aviation crew. Vojnosanit Pregl 2011; 68(2): 143‒9. (Serbian)

Leonova AB. Kompleksnaya strategiya analiza profession-al'nogo stressa: ot diagnostiki k profilaktike i korrektsii. Psikhol Zh 2004; 5(2): 75. (Russian)

Bratton J, Gold J. Human resource management: theory and practice. London: Palgrave; 2017.

Milosevic M, Milosevic M. Special physical education: Textbook on the management of the construction of the physical in-tegrity and capacity of police officers. Saarbrücken, Ger-many: LAP Lambert Academic Publishing; 2014.

Siegrist J. Work stress and beyond. Eur J Public Health 2000; 10(3): 233–4.

Vićentić S, Jovanović A, Dunjić B, Pavlović Z, Nenadović M, Nena-dović N. Professional stress in general practitioners and psy-chiatrists – the level of psycologic distress and burnout risk. Vojnosanit Pregl 2010; 67(9): 741–6. (Serbian)

Physicians' Foundation. The physicians' perspective medical practice in 2008. J Miss State Med Assoc 2009; 50(2): 61‒2.

Babić L, Kordić B, Babić J. Differences in motivation of health care professionals in public and private health care cen-ters. SJAS 2014; 11(2): 45‒53.

Cohen J. Statistical Power Analysis for the Behavioral Sci-ences. New York: Academic Press; 1959.

Faul, F. G Power 3.1.9.2. [Software]. Kiel: Universitat Kiel; 2014.

Behavioral Health Concepts Team. Bhc stress test. Columbia, MO: Behavioral Health Concepts Inc; 2000.

Dobrodolac M, Čubranić-Dobrodolac M, Marković D, Blagojević M. Employees’ emotional wellbeing – the step to successful im-plementation of total quality management; case study of Serbian post. Afr J Bus Manage 2010; 4(9): 1745‒52.

Maaroufi N, Rzeigui J, Ayari L, Zeineb Abid Z, Dhaouadi M, Saidi H. Assessment of Effects of Stress among Healthcare Providers at the Tabarka and Jendouba General Hospital’s Emergency Service Units in Northern Tunisia. Health 2015; 7: 910‒4.

Peterson U. Stress and burnout in healthcare workers. Stockholm: Karolinska Institutet; 2008.

Halder S, Mahato AK. Stress and psychological well being sta-tus among health care professionals. Int J Occup Safety Health 2013; 3(1): 32–5.

Chou LP, Li CY, Hu SC. Job stress and burnout in hospital employees: comparisons of different medical professions in a regional hospital in Taiwan. BMJ Open 2014; 4: e004185.

Portoghese I, Galletta M, Coppola C, Finco G, Campagna M. Burnout and Workload Among Health Care Workers: The Moderating Role of Job Control. Saf Health Work 2014; 5(3): 152‒7.

Koinis A, Giannou V, Drantaki V, Angelaina S, Stratou E, Saridi M. The impact of healthcare workers job environment on their mental-emotional health. Coping strategies: the case of a local general hospital. Health Psychol Res 2015; 3(1): 1984.