The prevalence of effort-reward imbalance and its associations with working conditions, psychosocial resources and burden among health care workers during the COVID-19 pandemic: Results of the egePan-Voice study

被引:12
作者
Beschoner, Petra [1 ]
Jerg-Bretzke, Lucia [1 ]
Erim, Yesim [2 ]
Geiser, Franziska [3 ]
Baranowski, Andreas M. [3 ]
Weidner, Kerstin [4 ]
Albus, Christian [5 ,6 ]
Schug, Caterina [2 ]
Limbrecht-Ecklundt, Kerstin [1 ]
Weimer, Katja [1 ]
Jarczok, Marc N. [1 ]
Kempf, Maximilian [1 ]
Guendel, Harald [1 ]
Morawa, Eva [1 ,2 ]
机构
[1] Univ Ulm, Med Ctr, Dept Psychosomat Med & Psychotherapy, Ulm, Germany
[2] Friedrich Alexander Univ Erlangen Nurnberg FAU, Univ Hosp Erlangen, Dept Psychosomat Med & Psychotherapy, Erlangen, Germany
[3] Univ Clin Bonn, Dept Psychosomat Med & Psychotherapy, Bonn, Germany
[4] Tech Univ Dresden, Carl Gustav Carus Fac Med, Dept Psychotherapy & Psychosomat Med, Dresden, Germany
[5] Univ Cologne, Dept Psychosomat & Psychotherapy, Med Fac, Cologne, Germany
[6] Univ Cologne, Univ Hosp, Cologne, Germany
关键词
COHERENCE SCALE; SOCIAL SUPPORT; JOB STRAIN; STRESS; SENSE; VALIDATION; OPTIMISM; BURNOUT;
D O I
10.1371/journal.pone.0287509
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Objective The association between a measure of effort-reward imbalance (ERI) and profession as well as gender in a sample of health care workers (HCW) during the first wave of the COVID-19 pandemic in Germany using the egePan-Voice study. In addition, we examined, which factors are associated with an effort-reward imbalance ratio (ERI ratio) >1. Methods In a large sample of HCW (N = 6174) we assessed occupational stress with the short version of the effort-reward imbalance (ERI) questionnaire, working conditions, COVID-19-related problems and psychosocial resources (ENRICHD Social Support Inventory, ESSI; Sense of Coherence Scale, SOC-3 and optimism, SOP2). Results The prevalence of a ERI ratio >1 among HCW was 50.9%. The prevalence's of an ERI ratio >1 were statistically significant different between gender as well as the occupational profession. The proportion of women (51.8%) with ERI ratio >1 was significantly higher than among men (47.8%). The highest ERI imbalance was found among nurses (62.8%), followed by medical technical assistants (MTA) (58.8%), while psychologists/psychotherapists revealed the lowest value (37.8%), followed by physicians (41.8%). In the total sample, most essential factors reported at this time for increased ERI ratio were: insufficient staff for the current work load, insufficient recovery, feeling insufficiently protected by measures taken by the hospital/the employer, high occupancy rate of the wards, insufficient trust in colleagues and being a nurse as compared with being a physician. Conclusion The findings indicate a high proportion of HCW with effort-reward imbalance and substantial profession-related differences. Preventive interventions should be offered to vulnerable groups among the HCW to decrease the imbalance measured by work stress.
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页数:19
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