Working conditions and health status of young physicians and nurses in German hospitals

Raspe, Matthias and Koch, Peter and Zilezinski, Max and Schulte, Kevin and Bitzinger, Diane and Gaisee, Ulrike and Hammerschmide, Andreas and Koehnlein, Ralf and Puppe, Julian and Tress, Florian and Uden, Theodor and Nienhaus, Albert (2020) Working conditions and health status of young physicians and nurses in German hospitals. BUNDESGESUNDHEITSBLATT-GESUNDHEITSFORSCHUNG-GESUNDHEITSSCHUTZ, 63 (1). pp. 113-121. ISSN 1436-9990, 1437-1588

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Abstract

Background Profound transformations in the German healthcare system lead to intense working conditions for young employees in inpatient care. Published data suggest associated health risks. Objectives This investigation aims to assess current stress factors, their consequences, and subjective measures for improvement. Methods During September 2017, a cross-sectional survey was conducted among physicians and nurses <= 35 years of age and with work experience in inpatient care not exceeding six years. Field access was gained via seven scientific and professional societies. The electronic questionnaire consisted of mainly validated instruments. Regression models included confounders into the final data analysis. Results Included in the final data analysis were 1060 complete cases. The overall response rate was 13%. Different stress factors (e.g. time-related or psychosocial) were found at high levels. These stress factors were connected to reduced health and higher risk of burnout. Furthermore, they were associated with inferior perceived quality of care. Young physicians claimed less documentation requirements and less intense working conditions. Young nurses demanded fair salary and an appropriate nurse-patient allocation. Conclusion Today's working conditions in inpatient care are a threat to the health status of young employees. General conditions, which ensure a sustainable healthy and effective working environment, need to be ensured.

Item Type: Article
Uncontrolled Keywords: EFFORT-REWARD IMBALANCE; TRAINING CONDITIONS; INTERNAL-MEDICINE; NATIONWIDE SURVEY; JOB-SATISFACTION; STRESS; QUESTIONNAIRE; ASSOCIATION; RESIDENTS; INTENTION; Physicians; Nurses; Stress factors; Health; Consequences
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Anästhesiologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 19 Mar 2020 11:24
Last Modified: 19 Mar 2020 11:24
URI: https://pred.uni-regensburg.de/id/eprint/25833

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