Associations between psychosocial work factors and provider mental well-being in emergency departments: A systematic review
Emergency departments (ED) are complex and dynamic work environments with various psychosocial work stressors that increase risks for providers' well-being. Yet, no systematic review is available which synthesizes the current research base as well as quantitatively aggregates data on associatio...
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| description | Emergency departments (ED) are complex and dynamic work environments with various psychosocial work stressors that increase risks for providers' well-being. Yet, no systematic review is available which synthesizes the current research base as well as quantitatively aggregates data on associations between ED work factors and provider well-being outcomes.
We aimed at synthesizing the current research base on quantitative associations between psychosocial work factors (classified into patient-/ task-related, organizational, and social factors) and mental well-being of ED providers (classified into positive well-being outcomes, affective symptoms and negative psychological functioning, cognitive-behavioural outcomes, and psychosomatic health complaints).
A systematic literature search in eight databases was conducted in December 2017. Original studies were extracted following a stepwise procedure and predefined inclusion criteria. A standardized assessment of methodological quality and risk of bias was conducted for each study with the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project. In addition to a systematic compilation of included studies, frequency and strength of quantitative associations were synthesized by means of harvest plots. Subgroup analyses for ED physicians and nurses were conducted.
N = 1956 records were retrieved. After removal of duplicates, 1473 records were screened for titles and abstracts. 199 studies were eligible for full-text review. Finally, 39 original studies were included whereof 37 reported cross-sectional surveys. Concerning the methodological quality of included studies, the majority was evaluated as weak to moderate with considerable risk of bias. Most frequently surveyed provider outcomes were affective symptoms (e.g., burnout) and positive well-being outcomes (e.g., job satisfaction). 367 univariate associations and 370 multivariate associations were extracted with the majority being weak to moderate. Strong associations were mostly reported for social and organizational work factors.
To the best of our knowledge, this review is the first to provide a quantitative summary of the research base on associations of psychosocial ED work factors and provider well-being. Conclusive results reveal that peer support, well-designed organizational structures, and employee reward systems balance the negative impact of adverse work factors on ED providers' well-being. This review identif |
| doi_str_mv | 10.1371/journal.pone.0197375 |
| format | Article |
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We aimed at synthesizing the current research base on quantitative associations between psychosocial work factors (classified into patient-/ task-related, organizational, and social factors) and mental well-being of ED providers (classified into positive well-being outcomes, affective symptoms and negative psychological functioning, cognitive-behavioural outcomes, and psychosomatic health complaints).
A systematic literature search in eight databases was conducted in December 2017. Original studies were extracted following a stepwise procedure and predefined inclusion criteria. A standardized assessment of methodological quality and risk of bias was conducted for each study with the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project. In addition to a systematic compilation of included studies, frequency and strength of quantitative associations were synthesized by means of harvest plots. Subgroup analyses for ED physicians and nurses were conducted.
N = 1956 records were retrieved. After removal of duplicates, 1473 records were screened for titles and abstracts. 199 studies were eligible for full-text review. Finally, 39 original studies were included whereof 37 reported cross-sectional surveys. Concerning the methodological quality of included studies, the majority was evaluated as weak to moderate with considerable risk of bias. Most frequently surveyed provider outcomes were affective symptoms (e.g., burnout) and positive well-being outcomes (e.g., job satisfaction). 367 univariate associations and 370 multivariate associations were extracted with the majority being weak to moderate. Strong associations were mostly reported for social and organizational work factors.
To the best of our knowledge, this review is the first to provide a quantitative summary of the research base on associations of psychosocial ED work factors and provider well-being. Conclusive results reveal that peer support, well-designed organizational structures, and employee reward systems balance the negative impact of adverse work factors on ED providers' well-being. This review identifies avenues for future research in this field including methodological advances by using quasi-experimental and prospective designs, representative samples, and adequate confounder control.
Protocol registration number: PROSPERO 2016 CRD42016037220.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0197375</identifier><identifier>PMID: 29864128</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Analysis ; Arbeit ; Arbeitsbelastung ; Arzt ; Bias ; Biology and Life Sciences ; Burnout ; Burnout, Professional - psychology ; Burnout-Syndrom ; Cognitive ability ; Departments ; Emergency medical care ; Emergency medical services ; Emergency Service, Hospital ; Emergency services ; Environmental health ; Gesundheitsgefährdung ; Health psychology ; Health services ; Hospital emergency services ; Hospitals ; Humans ; Job Satisfaction ; Krankenhaus ; Krankenschwester ; Male ; Medical personnel ; Medicine ; Medicine and Health Sciences ; Mental Health ; Nurses ; Nursing ; Occupational health ; Occupational stress ; Patient care ; People and Places ; Physicians ; Physicians - psychology ; Practice ; Psychischer Faktor ; Psychological aspects ; Psychosozialer Faktor ; Public health ; Quality ; Quality assessment ; Quality control ; Quantitative research ; Reinforcement ; Social factors ; Social Sciences ; Stress ; Studies ; Subgroups ; Synthesis ; System theory ; Systematic review ; Variables ; Violence ; Well being ; Workplace - psychology ; Zufriedenheit</subject><ispartof>PloS one, 2018-06, Vol.13 (6, Art. e0197375), p.12-13:6, Art. e0197375<12</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Schneider, Weigl. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Schneider, Weigl 2018 Schneider, Weigl</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c778t-c60e4d61e30d526a61f4d6b65ce08f2544766e1a3554d6bbcc7ffa06864679973</citedby><cites>FETCH-LOGICAL-c778t-c60e4d61e30d526a61f4d6b65ce08f2544766e1a3554d6bbcc7ffa06864679973</cites><orcidid>0000-0001-6287-6196</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986127/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986127/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttp://www.fachportal-paedagogik.de/fis_bildung/suche/fis_set.html?FId=1145759$$DAccess content in the German Education Portal$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29864128$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>van Bogaert, Peter</contributor><creatorcontrib>Schneider, Anna</creatorcontrib><creatorcontrib>Weigl, Matthias</creatorcontrib><title>Associations between psychosocial work factors and provider mental well-being in emergency departments: A systematic review</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Emergency departments (ED) are complex and dynamic work environments with various psychosocial work stressors that increase risks for providers' well-being. Yet, no systematic review is available which synthesizes the current research base as well as quantitatively aggregates data on associations between ED work factors and provider well-being outcomes.
We aimed at synthesizing the current research base on quantitative associations between psychosocial work factors (classified into patient-/ task-related, organizational, and social factors) and mental well-being of ED providers (classified into positive well-being outcomes, affective symptoms and negative psychological functioning, cognitive-behavioural outcomes, and psychosomatic health complaints).
A systematic literature search in eight databases was conducted in December 2017. Original studies were extracted following a stepwise procedure and predefined inclusion criteria. A standardized assessment of methodological quality and risk of bias was conducted for each study with the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project. In addition to a systematic compilation of included studies, frequency and strength of quantitative associations were synthesized by means of harvest plots. Subgroup analyses for ED physicians and nurses were conducted.
N = 1956 records were retrieved. After removal of duplicates, 1473 records were screened for titles and abstracts. 199 studies were eligible for full-text review. Finally, 39 original studies were included whereof 37 reported cross-sectional surveys. Concerning the methodological quality of included studies, the majority was evaluated as weak to moderate with considerable risk of bias. Most frequently surveyed provider outcomes were affective symptoms (e.g., burnout) and positive well-being outcomes (e.g., job satisfaction). 367 univariate associations and 370 multivariate associations were extracted with the majority being weak to moderate. Strong associations were mostly reported for social and organizational work factors.
To the best of our knowledge, this review is the first to provide a quantitative summary of the research base on associations of psychosocial ED work factors and provider well-being. Conclusive results reveal that peer support, well-designed organizational structures, and employee reward systems balance the negative impact of adverse work factors on ED providers' well-being. This review identifies avenues for future research in this field including methodological advances by using quasi-experimental and prospective designs, representative samples, and adequate confounder control.
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psychology</subject><subject>Practice</subject><subject>Psychischer Faktor</subject><subject>Psychological aspects</subject><subject>Psychosozialer Faktor</subject><subject>Public health</subject><subject>Quality</subject><subject>Quality assessment</subject><subject>Quality control</subject><subject>Quantitative research</subject><subject>Reinforcement</subject><subject>Social factors</subject><subject>Social Sciences</subject><subject>Stress</subject><subject>Studies</subject><subject>Subgroups</subject><subject>Synthesis</subject><subject>System theory</subject><subject>Systematic review</subject><subject>Variables</subject><subject>Violence</subject><subject>Well being</subject><subject>Workplace - psychology</subject><subject>Zufriedenheit</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqNkl2L1DAUhoso7rr6CxQtCIIXMybNV3sjDIsfAwsLft2GNDntZGybmnR2nX9vOtNdpqAgvUh78py3J2_eJHmB0RITgd9t3c53qln2roMlwoUggj1IznFBsgXPEHl48n6WPAlhixAjOeePk7OsyDnFWX6eVKsQnLZqsK4LaQnDLUCX9mGvN-6w0aS3zv9MK6UH50OqOpP23t1YAz5toRtGAJpmUYLt6tR2KbTga-j0PjXQKz-MUHiaPKpUE-DZtF4k3z9--Hb5eXF1_Wl9ubpaaCHyYaE5Amo4BoIMy7jiuIqfJWcaUF5ljFLBOWBFGBvrpdaiqhTi8TRcFNGCi-TVUbdvXJCTRUFmiBa5yDHBkVgfCePUVvbetsrvpVNWHgrO1zIObXUDEpUImQJTQQilhUGqKDNTUoVEhnRuaNR6P_1tV7ZgdDypV81MdL7T2Y2s3Y1k0X-cjeO-ngS8-7WDMPxj5ImqVZzKdpWLYrq1QcsVo5gwkeUsUsu_UPEx0FodQ1LZWJ81vJ01RGaA30OtdiHI9dcv_89e_5izb07YDahm2ATX7A4Rm4P0CGrvQvBQ3TuHkRwzfueGHDMup4zHtpenrt833YU6As-nK7b9iSamTLCC_AFeTADH</recordid><startdate>20180604</startdate><enddate>20180604</enddate><creator>Schneider, Anna</creator><creator>Weigl, Matthias</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>9S6</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-6287-6196</orcidid></search><sort><creationdate>20180604</creationdate><title>Associations between psychosocial work factors and provider mental well-being in emergency departments</title><author>Schneider, Anna ; Weigl, Matthias</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c778t-c60e4d61e30d526a61f4d6b65ce08f2544766e1a3554d6bbcc7ffa06864679973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Analysis</topic><topic>Arbeit</topic><topic>Arbeitsbelastung</topic><topic>Arzt</topic><topic>Bias</topic><topic>Biology and Life Sciences</topic><topic>Burnout</topic><topic>Burnout, Professional - psychology</topic><topic>Burnout-Syndrom</topic><topic>Cognitive ability</topic><topic>Departments</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency Service, Hospital</topic><topic>Emergency services</topic><topic>Environmental health</topic><topic>Gesundheitsgefährdung</topic><topic>Health psychology</topic><topic>Health services</topic><topic>Hospital emergency services</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Job Satisfaction</topic><topic>Krankenhaus</topic><topic>Krankenschwester</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Medicine</topic><topic>Medicine and Health Sciences</topic><topic>Mental Health</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Occupational health</topic><topic>Occupational stress</topic><topic>Patient care</topic><topic>People and Places</topic><topic>Physicians</topic><topic>Physicians - psychology</topic><topic>Practice</topic><topic>Psychischer Faktor</topic><topic>Psychological aspects</topic><topic>Psychosozialer Faktor</topic><topic>Public health</topic><topic>Quality</topic><topic>Quality assessment</topic><topic>Quality control</topic><topic>Quantitative research</topic><topic>Reinforcement</topic><topic>Social factors</topic><topic>Social Sciences</topic><topic>Stress</topic><topic>Studies</topic><topic>Subgroups</topic><topic>Synthesis</topic><topic>System theory</topic><topic>Systematic review</topic><topic>Variables</topic><topic>Violence</topic><topic>Well being</topic><topic>Workplace - 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Yet, no systematic review is available which synthesizes the current research base as well as quantitatively aggregates data on associations between ED work factors and provider well-being outcomes.
We aimed at synthesizing the current research base on quantitative associations between psychosocial work factors (classified into patient-/ task-related, organizational, and social factors) and mental well-being of ED providers (classified into positive well-being outcomes, affective symptoms and negative psychological functioning, cognitive-behavioural outcomes, and psychosomatic health complaints).
A systematic literature search in eight databases was conducted in December 2017. Original studies were extracted following a stepwise procedure and predefined inclusion criteria. A standardized assessment of methodological quality and risk of bias was conducted for each study with the Quality Assessment Tool for Quantitative Studies from the Effective Public Health Practice Project. In addition to a systematic compilation of included studies, frequency and strength of quantitative associations were synthesized by means of harvest plots. Subgroup analyses for ED physicians and nurses were conducted.
N = 1956 records were retrieved. After removal of duplicates, 1473 records were screened for titles and abstracts. 199 studies were eligible for full-text review. Finally, 39 original studies were included whereof 37 reported cross-sectional surveys. Concerning the methodological quality of included studies, the majority was evaluated as weak to moderate with considerable risk of bias. Most frequently surveyed provider outcomes were affective symptoms (e.g., burnout) and positive well-being outcomes (e.g., job satisfaction). 367 univariate associations and 370 multivariate associations were extracted with the majority being weak to moderate. Strong associations were mostly reported for social and organizational work factors.
To the best of our knowledge, this review is the first to provide a quantitative summary of the research base on associations of psychosocial ED work factors and provider well-being. Conclusive results reveal that peer support, well-designed organizational structures, and employee reward systems balance the negative impact of adverse work factors on ED providers' well-being. This review identifies avenues for future research in this field including methodological advances by using quasi-experimental and prospective designs, representative samples, and adequate confounder control.
Protocol registration number: PROSPERO 2016 CRD42016037220.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>29864128</pmid><doi>10.1371/journal.pone.0197375</doi><tpages>e0197375</tpages><orcidid>https://orcid.org/0000-0001-6287-6196</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | PloS one, 2018-06, Vol.13 (6, Art. e0197375), p.12-13:6, Art. e0197375<12 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2049878131 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Analysis Arbeit Arbeitsbelastung Arzt Bias Biology and Life Sciences Burnout Burnout, Professional - psychology Burnout-Syndrom Cognitive ability Departments Emergency medical care Emergency medical services Emergency Service, Hospital Emergency services Environmental health Gesundheitsgefährdung Health psychology Health services Hospital emergency services Hospitals Humans Job Satisfaction Krankenhaus Krankenschwester Male Medical personnel Medicine Medicine and Health Sciences Mental Health Nurses Nursing Occupational health Occupational stress Patient care People and Places Physicians Physicians - psychology Practice Psychischer Faktor Psychological aspects Psychosozialer Faktor Public health Quality Quality assessment Quality control Quantitative research Reinforcement Social factors Social Sciences Stress Studies Subgroups Synthesis System theory Systematic review Variables Violence Well being Workplace - psychology Zufriedenheit |
| title | Associations between psychosocial work factors and provider mental well-being in emergency departments: A systematic review |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-29T12%3A21%3A47IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Associations%20between%20psychosocial%20work%20factors%20and%20provider%20mental%20well-being%20in%20emergency%20departments:%20A%20systematic%20review&rft.jtitle=PloS%20one&rft.au=Schneider,%20Anna&rft.date=2018-06-04&rft.volume=13&rft.issue=6,%20Art.%20e0197375&rft.spage=12&rft.epage=13:6,%20Art.%20e0197375%3C12&rft.pages=12-13:6,%20Art.%20e0197375%3C12&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0197375&rft_dat=%3Cgale_plos_%3EA541357285%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2049878131&rft_id=info:pmid/29864128&rft_galeid=A541357285&rft_doaj_id=oai_doaj_org_article_0b00d914733449d0a9b2db4a0720c8d4&rfr_iscdi=true |