Psychosocial risk factors in specialist physicians of a tertiary level hospital in Lima-Peru
DOI:
https://doi.org/10.31053/1853.0605.v77.n4.25122Keywords:
occupational health, risk factors, working conditionsAbstract
Aim: To determine the presence and the factors associated with psychosocial risk factors in physicians of a tertiary level hospital in Lima-Peru.
Methods: Cross-sectional study in a tertiary level hospital that included physicians from the emergency department and the systemic diseases department (dermatology, endocrinology, immunology and rheumatology). Physchosocial risk factors were evaluated using the SUSESO/ISTAS 21 questionnaire; and, as possible associated factors, demographic and family characteristics, sleep hours, recreational and work activity were included. The psychosocial risk factors were analyzed as five global dimensions and their respective sub-dimensions.
Results: Sixty-two physicians were included; the most affected factors were Psychological Demands (69.4% at high risk) and Social Support in the Company and Leadership Quality (48.4% at high risk). A low risk in the dimension of Social Support and Leadership Quality was associated with more hours of work per month outside the institution (195.0 vs. 78.7, p = 0.024). A low risk in the dimension Active Labor and Skills Development was associated with a greater number of hours of recreational activities (24.9 vs. 11.1; p = 0.041) and more than 75 minutes of severe physical activity (35.3% vs. 5.6%; p = 0.037). And, a low risk in the dimension Compensation was associated with an older age (47.2 vs. 44.3, p = 0.043).
Conclusions: Older age, the greater number of hours dedicated to recreational activities, as well as for intense exercise, and a greater possibility of working outside the institution is associated with a lower psychosocial risk.
Downloads
References
1. Organización Internacional del Trabajo. La organización del trabajo y los riesgos psicosociales: una mirada de género. Organización Internacional del Trabajo. 2013. Disponible en: https://www.ilo.org/wcmsp5/groups/public/---americas/---ro-lima/---sro-san_jose/documents/publication/wcms_227402.pdf.
2. Organización Internacional del Trabajo. Seguridad y Salud en el centro del Futuro del Trabajo: Aprovechar 100 años de experiencia. Organización Internacional del Trabajo. 2019 Disponible en: https://www.ilo.org/wcmsp5/groups/public/---dgreports/---dcomm/documents/publication/wcms_686762.pdf.
3. Gobierno de Chile. Ministerio de Salud. Departamento de Salud Ocupacional. División de Políticas Públicas Saludables y Promoción. Protocolo de vigilancia de riesgos psicosociales en el trabajo. 2013. Disponible en: https://www.minsal.cl/portal/url/item/e039772356757886e040010165014a72.pdf
4. Zhang Y, Feng X. The relationship between job satisfaction, burnout, and turnover intention among physicians from urban state-owned medical institutions in Hubei, China: a cross-sectional study. BMC Health Serv Res. 2011 Sep 24;11:235. doi: 10.1186/1472-6963-11-235.
5. Nieuwenhuijsen K, Bruinvels D, Frings-Dresen M. Psychosocial work environment and stress-related disorders, a systematic review. Occup Med (Lond). 2010 Jun;60(4):277-86. doi: 10.1093/occmed/kqq081
6. Asante JO, Li MJ, Liao J, Huang YX, Hao YT. The relationship between psychosocial risk factors, burnout and quality of life among primary healthcare workers in rural Guangdong province: a cross-sectional study. BMC Health Serv Res. 2019 Jul 3;19(1):447. doi: 10.1186/s12913-019-4278-8.
7. Falco A, Girardi D, Parmiani G, Bortolato S, Piccirelli A, Bartolucci GB, De Carlo NA. Presenteismo e salute dei lavoratori: effetti di mediazione sullo strain psico-fisico in un'indagine longitudinale [Presenteeism and workers' health: effects of mediation on psycho-physical stress in a longitudinal study]. G Ital Med Lav Ergon. 2013 Jul-Sep;35(3):138-50.
8. Superintendencia de Seguridad Social. Intendencia de Seguridad y Salud en el Trabajo. Unidad de Medicina del Trabajo. Manual del método del cuestionario SUSESO/ISTAS21: versiones completa y breve. Superintendencia de Seguridad Social. 2016. Disponible en: http://www.ist.cl/wp-content/uploads/2016/08/Anexo-1_Manual-del-metodo-del-cuestionario-SUSESOISTAS21.pdf
9. Kuusio H, Heponiemi T, Vänskä J, Aalto AM, Ruskoaho J, Elovainio M. Psychosocial stress factors and intention to leave job: differences between foreign-born and Finnish-born general practitioners. Scand J Public Health. 2013 Jun;41(4):405-11. doi: 10.1177/1403494813477248.
10. Degen C, Li J, Angerer P. Physicians' intention to leave direct patient care: an integrative review. Hum Resour Health. 2015 Sep 8;13:74. doi: 10.1186/s12960-015-0068-5.
11. Clough BA, March S, Chan RJ, Casey LM, Phillips R, Ireland MJ. Psychosocial interventions for managing occupational stress and burnout among medical doctors: a systematic review. Syst Rev. 2017 Jul 17;6(1):144. doi: 10.1186/s13643-017-0526-3.
12. Alvarado R, Pérez-Franco J, Saavedra N, Fuentealba C, Alarcón A, Marchetti N, Aranda W. Validación de un cuestionario para evaluar riesgos psicosociales en el ambiente laboral. Rev Med Chil. 2012;140(9):1154-63. doi: 10.4067/S0034-98872012000900008.
13. Superintendencia de Seguridad Social. Unidad de Riesgo Psicosocial Laboral. Manual de Uso del Cuestionario SUSESO/ISTAS21. Superintendencia de Seguridad Social. 2013 Disponible en: http://www.ist.cl/wp-content/uploads/2016/08/MANUAL-breve-ISTAS-11-11-2013.pdf.
14. Acevedo GE, Sánchez J, Farías MA, Fernández AR. Riesgos psicosociales en el equipo de salud de hospitales públicos de la Provincia de Córdoba, Argentina. Cienc Trab. 2013;15(48):140-7. doi: 10.4067/S0718-24492013000300006
15. Coutinho H, Queirós C, Henriques A, Norton P, Alves E. Work-related determinants of psychosocial risk factors among employees in the hospital setting. Work. 2018;61(4):551-560. doi: 10.3233/WOR-182825.
16. Leyton-Pavez CE, Valdés-Rubilar SA, Huerta-Riveros PC. Metodología para la prevención e intervención de riesgos psicosociales en el trabajo del sector público de salud. Rev Salud Publica (Bogota). 2017;19(1):31-40.
17. Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, West CP, Sloan J, Oreskovich MR. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012 Oct 8;172(18):1377-85. doi: 10.1001/archinternmed.2012.3199.
18. Escribà-Agüir V, Bernabé-Muñoz Y. Exigencias laborales psicológicas percibidas por médicos especialistas hospitalarios. Gac Sanit. 2002;16:487-96.
19. Bragard I, Dupuis G, Fleet R. Quality of work life, burnout, and stress in emergency department physicians: a qualitative review. Eur J Emerg Med. 2015 Aug;22(4):227-34. doi: 10.1097/MEJ.0000000000000194.
20. Burg MM, Schwartz JE, Kronish IM, Diaz KM, Alcantara C, Duer-Hefele J, Davidson KW. Does Stress Result in You Exercising Less? Or Does Exercising Result in You Being Less Stressed? Or Is It Both? Testing the Bi-directional Stress-Exercise Association at the Group and Person (N of 1) Level. Ann Behav Med. 2017 Dec;51(6):799-809. doi: 10.1007/s12160-017-9902-4.
21. Choi B, Schnall PL, Yang H, Dobson M, Landsbergis P, Israel L, Karasek R, Baker D. Psychosocial working conditions and active leisure-time physical activity in middle-aged us workers. Int J Occup Med Environ Health. 2010;23(3):239-53. doi: 10.2478/v10001-010-0029-0.
22. Escribà-Agüir V, Tenías-Burillo JM. Psychological well-being among hospital personnel: the role of family demands and psychosocial work environment. Int Arch Occup Environ Health. 2004 Aug;77(6):401-8. doi: 10.1007/s00420-004-0525-2.
23. O'Dowd E, O'Connor P, Lydon S, Mongan O, Connolly F, Diskin C, McLoughlin A, Rabbitt L, McVicker L, Reid-McDermott B, Byrne D. Stress, coping, and psychological resilience among physicians. BMC Health Serv Res. 2018 Sep 21;18(1):730. doi: 10.1186/s12913-018-3541-8.
24. Houdmont J, Clemes S, Munir F, Wilson K, Kerr R, Addley K. Psychosocial work environment and leisure-time physical activity: the Stormont study. Occup Med (Lond). 2015 Apr;65(3):215-9. doi: 10.1093/occmed/kqu208.
25. Dieser RB, Edginton CR, Ziemer R. Decreasing Patient Stress and Physician/Medical Workforce Burnout Through Health Care Environments: Uncovering the Serious Leisure Perspective at Mayo Clinic's Campus in Rochester, Minnesota. Mayo Clin Proc. 2017 Jul;92(7):1080-1087. doi: 10.1016/j.mayocp.2017.03.017.
26. Schütte S, Chastang JF, Malard L, Parent-Thirion A, Vermeylen G, Niedhammer I. Psychosocial working conditions and psychological well-being among employees in 34 European countries. Int Arch Occup Environ Health. 2014 Nov;87(8):897-907. doi: 10.1007/s00420-014-0930-0.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The generation of derivative works is allowed as long as it is not done for commercial purposes. The original work may not be used for commercial purposes.
How to Cite
