Factors associated with health professionals’ stress reactions, job satisfaction, intention to leave and health-related outcomes in acute care, rehabilitation and psychiatric hospitals, nursing homes and home care organisations

Peter, Karin Anne; Voirol, Christian; Kunz, Stefan; Gurtner, Andrea; Renggli, Fabienne Josefine; Juvet, Typhaine; Golz, Christoph (2024). Factors associated with health professionals’ stress reactions, job satisfaction, intention to leave and health-related outcomes in acute care, rehabilitation and psychiatric hospitals, nursing homes and home care organisations BMC Health Services Research, 24(1) BioMed Central 10.1186/s12913-024-10718-5

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Abstract The aim of this study is to identify (1) the extent of work-related stress and (2) stressors associated with cognitive and behavioral stress reactions, burnout symptoms, health status, quality of sleep, job satisfaction, and intention to leave the organization and the profession among health professionals working in acute care /rehabilitation hospitals, psychiatric hospitals, nursing homes, and home care organizations. Background Health professionals are faced with various stressors at work and as a consequence are leaving their profession prematurely. This study aimed to identify the extent of work-related stress and stressors associated with stress reactions, job satisfaction, and intention to leave and health-related outcomes among health professionals working in different healthcare sectors (acute care, rehabilitation and psychiatric hospitals, nursing homes and home care organizations). Methods This study is based on a repeated cross-sectional design, which includes three data measures between 2017 and 2020 and 19,340 participating health professionals from 26 acute care / rehabilitation hospitals, 12 psychiatric hospitals, 86 nursing homes and 41 home care organizations in Switzerland. For data analysis, hierarchical multilevel models (using AIC) were calculated separately for hospitals, nursing homes, and home care organizations, regarding health professionals’ stress symptoms, job satisfaction, intention to leave the organization / profession, general health status, burnout symptoms, and quality of sleep. Results The main findings reveal that the incompatibility of health professionals’ work and private life was significantly associated (p < 0.05) with their stress reactions, job satisfaction, intention to leave, and health-related outcomes in all the included work areas. The direct supervisor’s good leadership qualities were also associated with health professionals’ job satisfaction regarding all work areas (B ≥ 0.22, p = 0.000). In addition, a positive perceived bond with the organization (B ≥ 0.13, p < 0.01) and better development opportunities (B ≥ 0.05, p < 0.05) were associated with higher job satisfaction and a lower intention to leave the organization and profession among health professionals. Also, a younger age of health professionals was associated with a higher intention to leave the organization and the profession prematurely in all the included work areas. High physical (B ≥ 0.04, p < 0.05) and quantitative demands (B ≥ 0.05, p = 0.000) at work were also associated with negative health-related outcomes.

Item Type:	Journal Article (Original Article)
Division/Institute:	School of Health Professions Business School > Institute for New Work School of Health Professions > Nursing Business School > Institute for New Work > Diversity and Inclusion School of Health Professions > Nursing > Innovation in the Field of Health Care and Human Resources Development Business School
Name:	Peter, Karin Anne; Voirol, Christian; Kunz, Stefan; Gurtner, Andrea; Renggli, Fabienne Josefine; Juvet, Typhaine and Golz, Christoph0000-0003-1711-5106
Subjects:	B Philosophy. Psychology. Religion > BF Psychology R Medicine > RT Nursing
ISSN:	1472-6963
Publisher:	BioMed Central
Language:	English
Submitter:	Christoph Golz
Date Deposited:	08 Mar 2024 10:04
Last Modified:	10 Mar 2024 01:39
Publisher DOI:	10.1186/s12913-024-10718-5
Uncontrolled Keywords:	Work-related stress Intention to leave Job satisfaction Hospital Nursing home Home care organization Health professionals
ARBOR DOI:	10.24451/arbor.21329
URI:	https://arbor.bfh.ch/id/eprint/21329