Work-related stressors and psychological distress predict career change ideation among Lithuanian healthcare workers.

IF 1.4 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Povilas Kavaliauskas, Auguste Nomeikaite, Odeta Gelezelyte, Evaldas Kazlauskas, Giedre Smailyte
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引用次数: 0

Abstract

Objectives: The study aimed to assess the mental health and well-being of Lithuanian healthcare workers by gathering demographic information, identifying common stressors affecting the work environment, evaluating mental health, and exploring directions for psychosocial care. Additionally, the research explored the prevalence of considering a career change among respondents.

Material and methods: The study included 1618 responders who completed an online survey in December 2021 - January 2022. Participants included in this study: physicians, nurses, residents and other healthcare workers. It evaluated their demographics, most common stressors affecting their work environment and mental health on the Depression, Anxiety and Stress Scale - 21 (DASS-21) scale. Lastly, all responders asked if they had considered changing their occupation to a non-medical job. Univariate analysis was performed using χ2 and Student's t test, and binary logistic regression evaluated career change predictors.

Results: Career change was considered by 1081 (66.8%) responders. The main career change predictors were poor working conditions (OR 1.91, p < 0.001), direct contact with patients (OR 1.84, p < 0.001), lack of career perspectives (OR 1.95, p < 0.001), mobbing (OR 1.67, p = 0.001) and exhaustion (OR 1.51, p = 0.005). After evaluating DASS-21 scores, it was found that 23% of respondents had severe and extremely severe depression symptoms, 27.4% severe and extremely severe anxiety, and 21.4% had severe and extremely severe stress levels.

Conclusions: Lithuanian healthcare workers are in high distress and have poor mental health. They are in need psychosocial assistance to avoid burnout and staff loss. Int J Occup Med Environ Health. 2024;37(3):287-99.

工作压力和心理困扰可预测立陶宛医护人员的转行想法。
研究目的本研究旨在通过收集人口信息、确定影响工作环境的常见压力因素、评估心理健康以及探索社会心理护理的方向,来评估立陶宛医护人员的心理健康和福祉。此外,研究还探讨了受访者中考虑转行的普遍程度:该研究包括 1618 名在 2021 年 12 月至 2022 年 1 月期间完成在线调查的受访者。本研究的参与者包括医生、护士、住院医师和其他医护人员。该研究通过抑郁、焦虑和压力量表-21(DASS-21)评估了他们的人口统计学特征、影响其工作环境和心理健康的最常见压力源。最后,所有受访者都被问及是否考虑过改行从事非医疗工作。使用 χ2 和学生 t 检验进行了单变量分析,二元逻辑回归评估了职业变化的预测因素:结果:1081 名(66.8%)受访者考虑过转行。主要的职业变化预测因素是工作条件差(OR 1.91,p < 0.001)、直接接触病人(OR 1.84,p < 0.001)、缺乏职业前景(OR 1.95,p < 0.001)、被人围攻(OR 1.67,p = 0.001)和疲惫(OR 1.51,p = 0.005)。评估 DASS-21 评分后发现,23% 的受访者有严重和极其严重的抑郁症状,27.4% 的受访者有严重和极其严重的焦虑,21.4% 的受访者有严重和极其严重的压力水平:结论:立陶宛医护人员的心理压力大,心理健康状况不佳。他们需要社会心理援助,以避免职业倦怠和人员流失。Int J Occup Med Environ Health.2024;37(3).
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.40
自引率
5.00%
发文量
52
审稿时长
7.5 months
期刊介绍: The Journal is dedicated to present the contemporary research in occupational and environmental health from all over the world. It publishes works concerning: occupational and environmental: medicine, epidemiology, hygiene and toxicology; work physiology and ergonomics, musculoskeletal problems; psychosocial factors at work, work-related mental problems, aging, work ability and return to work; working hours, shift work; reproductive factors and endocrine disruptors; radiation, ionizing and non-ionizing health effects; agricultural hazards; work safety and injury and occupational health service; climate change and its effects on health; omics, genetics and epigenetics in occupational and environmental health; health effects of exposure to nanoparticles and nanotechnology products; human biomarkers in occupational and environmental health, intervention studies, clinical sciences’ achievements with potential to improve occupational and environmental health.
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