Objectifying psychomental stress in the workplace--an example.

Details

Serval ID
serval:BIB_138E001345B7
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Objectifying psychomental stress in the workplace--an example.
Journal
International archives of occupational and environmental health
Author(s)
Fischer J.E., Calame A., Dettling A.C., Zeier H., Fanconi S.
ISSN
0340-0131
Publication state
Published
Issued date
2000
Peer-reviewed
Oui
Volume
73 Suppl
Pages
S46-52
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't - Publication Status: ppublish
Abstract
BACKGROUND: Psychomental stress is a major source of illness and reduced productivity. Data objectifying physiological stress responses are scarce. We studied salivary cortisol levels in a highly stressful environment, the pediatric critical care unit. The aim was to identify targets for organizational changes, to implement these changes and to assess their impact on cortisol levels. DESIGN: Repeated measurements observational cohort study (before and after intervention). SUBJECTS: 84 nurses working in two independent teams (A and B) in a 19 bed pediatric intensive care unit. Between study periods team A experienced a major exchange of experienced staff while the turnover rate in team B remained average. MEASUREMENTS AND INTERVENTIONS: Salivary cortisol samples were collected every 2 h and after stressful events. Nurses in study period I showed elevated cortisol levels at the beginning of the late shift, interpreted as an anticipatory stress reaction. To ease conditions during the early part of the late shift (conflicting tasks, noise and crowding), we postponed the afternoon ward round, limited non-urgent procedures and introduced a change in visiting hours. The early shift, which was not affected by the intervention, served as control. MAIN RESULTS: Both crude and adjusted analysis revealed a decrease of cortisol levels at the beginning of the late shift in team B (p = 0.0009), but not in team A (p = 0.464). The control situation showed no difference between teams and study periods. INTERPRETATION: We demonstrated reduced cortisol secretions in one team following organizational changes, which was probably overridden by the disruption of social coherence in the second team.
Keywords
Adult, Analysis of Variance, Biological Markers, Circadian Rhythm, Female, Humans, Hydrocortisone, Intensive Care Units, Pediatric, Least-Squares Analysis, Male, Nursing Staff, Hospital, Occupational Diseases, Organizational Innovation, Personnel Staffing and Scheduling, Personnel Turnover, Prospective Studies, Saliva, Statistics, Nonparametric, Stress, Psychological, Switzerland, Workplace
Pubmed
Web of science
Create date
25/01/2008 10:06
Last modification date
20/08/2019 12:42
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