Document Type

Journal Article

Publication Title

International Journal of Occupational Medicine and Environmental Health

Volume

37

Issue

2

First Page

165

Last Page

175

PubMed ID

38529760

Publisher

Institute of Occupational Medicine

School

School of Nursing and Midwifery / Centre for Precision Health

RAS ID

71468

Comments

Yu, L., Liu, W., Wang, J., Jin, Z., Meng, R., Wu, Z., ... & Guo, Z. (2024). Evaluating the association between effort-reward imbalance and suboptimal health status among hospital nurses: a cross-sectional study. International Journal of Occupational Medicine and Environmental Health, 37(2), 165. https://doi.org/10.13075/ijomeh.1896.02223

Abstract

Objectives: Occupational stress is a common complaint in nurses, who perceived more sense of effort-reward imbalance (ERI). Suboptimal health status (SHS) is a state between health and disease. However, the correlation between ERI and SHS is unclear. Therefore, the aim of this study was to examine the prevalence of SHS and ERI and evaluate the relationship between ERI and SHS in clinical nurses by a cross-sectional study. Material and Methods: The current cross-sectional study was conducted through an online survey at Dongping People's Hospital in China. A total of 633 completed surveys were received. Effort-reward imbalance was measured by subscales of the ERI questionnaire. The SHS was measured by the Suboptimal Health Status Questionnaire - 25 (SHSQ-25). The relationship between ERI and SHS in nurses was subsequently assessed by Spearman's correlation coefficient and logistic regression model. Results: The mean age of the optimal health status (OHS) group (M±SD 26.3±7.3 years) was younger than the SHS group (M±SD 30.3±6.9 years). The prevalence of SHS was 54.5% (345/633). Female nurses aged ≥30 years, a junior college or university graduate educational level, smokers, and nurses without regular exercise were at a higher risk of SHS. In Spearman's correlation analysis, ERI reflected by the effort-reward ratio was correlated with SHSQ-25 score (r = 0.662, p < 0.001). In logistic regression, ERI was strongly associated with SHS after potential confounding factors adjusting (OR 27.924, 95% CI 22.845-34.132). Conclusions: The prevalence of SHS was significantly high in clinical nurses. Administrators should pay more attention to health status of female nurses aged ≥30 years, with a junior college or bachelor's degree, smoking, and without regular exercise to reduce the SHS and ERI.

DOI

10.13075/ijomeh.1896.02223

Creative Commons License

Creative Commons Attribution-Noncommercial 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 3.0 License

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