Preventing occupational stress in healthcare workers

Albert Marine; Jani H Ruotsalainen; Consol Serra; Jos H Verbeek

doi:10.1002/14651858.CD002892.pub2

Scolaris Content Display Scolaris Content Display

Contenido relacionado

Ir a:

Revisiones y protocolos relacionados
Guías
Temas

Revisiones y protocolos relacionados

Topics

Temas

Analysis 1.1

Comparison 1 Person‐directed intervention vs no intervention (Short Term), Outcome 1 Beck & Srivastava Stress Scale and Perceived Stress Scale.

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 1.2

Comparison 1 Person‐directed intervention vs no intervention (Short Term), Outcome 2 Maslach Burnout Inventory.

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 1.3

Comparison 1 Person‐directed intervention vs no intervention (Short Term), Outcome 3 State Trait Anxiety Inventory.

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 1.4

Comparison 1 Person‐directed intervention vs no intervention (Short Term), Outcome 4 General Health Questionnaire.

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 2.1

Comparison 2 Person‐directed intervention vs no intervention (Medium and Long Term), Outcome 1 Maslach Burnout Inventory (at 2 years).

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 2.2

Comparison 2 Person‐directed intervention vs no intervention (Medium and Long Term), Outcome 2 Stait Trait Anxiety Inventory (Jones at 3 months and Yung at 1 month).

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 2.3

Comparison 2 Person‐directed intervention vs no intervention (Medium and Long Term), Outcome 3 Perceived Stress Scale (at 1 month).

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 2.4

Comparison 2 Person‐directed intervention vs no intervention (Medium and Long Term), Outcome 4 General Health Questionnaire (at 1 month).

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 3.1

Comparison 3 Work‐directed intervention vs no intervention (Short Term), Outcome 1 Maslach Burnout Inventory.

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 3.2

Comparison 3 Work‐directed intervention vs no intervention (Short Term), Outcome 2 Nursing Stress Scale.

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 3.3

Comparison 3 Work‐directed intervention vs no intervention (Short Term), Outcome 3 General symptoms.

Ir a la figura de la revisiónAbrir en una pestaña nueva

Analysis 4.1

Comparison 4 Work‐directed intervention vs no intervention (Medium Term), Outcome 1 Nursing Stress Scale (at 6 months).

Ir a la figura de la revisiónAbrir en una pestaña nueva

Table 1. Search strategy (MEDLINE)

Search strategy

1 exp Burnout, professional
2 burnout.tw.
3 exp job satisfaction
4 job satisfaction.tw.
5 (mental adj25 health adj25 professional$) .ab,ti.
6 (stress adj25 professional$) .ab,ti.
7 (stress adj25 occupational) .ab,ti.
8 randomised controlled trial.pt.
9 controlled clinical trial.pt.
10 randomised controlled trials
11 random allocation
12 double blind method
13 single blind method
14 or/8‐13
15 clinical trial.pt.
16 exp Clinical trial
17 (clin$ adj25 trial$) .ti,ab.
18 ((singl$ or doubl$ or trebl$ or tripl$) adj25 (blind $ or 12010 mask$)) .ti,ab.
19 19 placebos
20 placebos.ti,ab.
21 random.ti,ab.
22 research design
23 or/15‐22
24 comparative study
25 exp "Evaluation and Follow Up"
26 follow up studies
27 prospective studies
28 (control$ or prospectiv$ or volunteer$) .ti,ab.
29 or/24‐28
30 14 or 23 or 29
31 animal
32 human
33 31 and 32
34 31 not 33
35 or/1‐7
36 exp anxiety/ or exp anxiety disorders
37 anxiety.ti.
38 exp Depression
39 depression.ti.
40 or/35‐39
41 exp Health personnel
42 health.mp. and personnel.ti,ab. [mp=title, abstract, registry]
43 Nursing
44 nurse.mp. or nursing.ti,ab. [mp=title, abstract, registry]
45 limit 44 to human
46 or/41‐45
47 40 and 46
48 34
49 limit 48 to human
50 30
51 limit 50 to human
52 47 and 51
53 52 and 8
54 41 or 42
55 54 and 51 and 40
56 health.mp. and personnel.tw. [mp=title, abstract, registry]
57 54 and 56
58 54 or 56
59 58 and 51 and 40
60 (health and related and occupation$) .ab,tw,ti.
61 cleaners.mp. [mp=title, abstract, registry]
62 exp Occupational diseases
63 58 and 62
64 58 or 62
65 from 64 keep 8

Table 1. Search strategy (MEDLINE)

Ir a la tabla de la revisión

Table 2. Levels of evidence: legend

HQ+	LQ+	HQ‐	LQ‐	HQinc	LQinc
High quality positive effect (strong evidence)	Low quality, positive effect (limited evidence)	High quality, negative effect (strong evidence)	Low quality, negative effect (limited evidence)	High quality, inconsistent effect	Low quality, inconsistent effect

Table 2. Levels of evidence: legend

Ir a la tabla de la revisión

Table 3. Study quality and intervention type

Study ID	Intervention type	Intervention content	Reporting	External validity	Internal validity	Power
Bittman	Person‐directed		8	2	8	4
Cohen‐Katz	Person‐directed		3	0	8	1
Delvaux	Organisational	communication skills	8	1	10	4
Ewers	Person‐directed		8	1	9	0
Heaney	Organisational	participatory problem solving	5	0	6	5
Jones	Person‐directed		7	0	8	3
Lee	Person‐directed		8	0	8	3
Lökk	Person‐directed		7	1	8	1
McElligott	Person‐directed		5	0	6	0
Melchior	Organisational	primary nursing	7	1	7	4
Norvell	Person‐directed		3	0	6	0
Proctor	Organisational	coping with difficult residents	6	0	7	3
Razavi	Organisational	communication skills	7	0	8	3
Rowe	Person‐directed		8	0	9	3
Schrijnemaekers	Organisational	emotion‐oriented care	7	1	10	5
Tsai	Person‐directed		5	1	6	4
von‐Baeyer	Person‐directed		8	1	9	0
West	Person‐directed		6	0	8	1
Yung	Person‐directed		10	0	9	2

Table 3. Study quality and intervention type

Ir a la tabla de la revisión

Table 4. Levels of evidence: Person‐directed interventions: Stress

Stress scale	HQ+	LQ+	HQ‐	LQ‐	HQinc	LQinc
Beck and Srivastava Stress Inventory		Jones
Perceived Stress Scale		Lee
Stress Assessment Inventory						Rowe 1999
Nursing Stress Checklist		Tsai
Job‐Related Tension Index		West

Table 4. Levels of evidence: Person‐directed interventions: Stress

Ir a la tabla de la revisión

Table 5. Levels of evidence: Person‐directed interventions: Maslach Burnout Inventory

MBI subscales	HQ+	LQ+	HQ‐	LQ‐	HQinc	LQinc
Emotional Exhaustion		Cohen‐Katz Ewers Norvell Rowe West				Bittman
Depersonalisation		Ewers Rowe				Bittman Cohen‐Katz Norvell West
Personal Accomplishment		Cohen‐Katz Ewers Rowe West				Bittman Norvell

Table 5. Levels of evidence: Person‐directed interventions: Maslach Burnout Inventory

Ir a la tabla de la revisión

Table 6. Levels of evidence: Person‐directed interventions: State Trait Anxiety Inventory

STAI facets	HQ+	LQ+	HQ‐	LQ‐	HQinc	LQinc
State		Jones von Baeyer West Yung
Trait		Jones von Baeyer West				Yung

Table 6. Levels of evidence: Person‐directed interventions: State Trait Anxiety Inventory

Ir a la tabla de la revisión

Table 7. Levels of evidence: Person‐directed interventions: general symptoms

Scale	HQ+	LQ+	HQ‐	LQ‐	HQinc	LQinc
Brief Symptom Inventory						Cohen‐Katz
GHQ General Health Questionnaire		Jones
C‐H Inventory of Physical Symptoms						Norvell
Chinese GHQ						Tsai
Chinese GHQ		Yung

Table 7. Levels of evidence: Person‐directed interventions: general symptoms

Ir a la tabla de la revisión

Table 8. Levels of evidence: Work‐directed interventions: Stress

Stress scale	HQ+	LQ+	HQ‐	LQ‐	HQinc	LQinc
Nursing Stress Scale	Delvaux
Occupational Stress Indicator						Proctor

Table 8. Levels of evidence: Work‐directed interventions: Stress

Ir a la tabla de la revisión

Table 9. Levels of evidence: Work‐directed interventions: Maslach Burnout Inventory

MBI subscales	HQ+	LQ+	HQ‐	LQ‐	HQinc	LQinc
Emotional Exhaustion					Schrijnemaekers	Melchior
Depersonalisation					Schrijnemaekers	Melchior
Personal Accomplishment	Schrijnemaekers					Melchior

Table 9. Levels of evidence: Work‐directed interventions: Maslach Burnout Inventory

Ir a la tabla de la revisión

Table 10. Levels of evidence: Work‐directed interventions: general symptoms

Scale	HQ+	LQ+	HQ‐	LQ‐	HQinc	LQinc
Symptom Checklist‐90‐Revised						Heaney
GHQ General Health Questionnaire (somatic symptoms)		Proctor

Table 10. Levels of evidence: Work‐directed interventions: general symptoms

Ir a la tabla de la revisión

Comparison 1. Person‐directed intervention vs no intervention (Short Term)

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Beck & Srivastava Stress Scale and Perceived Stress Scale Show forest plot	2	130	Std. Mean Difference (IV, Fixed, 95% CI)	‐0.85 [‐1.21, ‐0.49]

2 Maslach Burnout Inventory Show forest plot	3		Mean Difference (IV, Random, 95% CI)	Subtotals only

2.1 Emotional Exhaustion	3	129	Mean Difference (IV, Random, 95% CI)	‐5.82 [‐11.02, ‐0.63]
2.2 Depersonalization	3	129	Mean Difference (IV, Random, 95% CI)	‐2.44 [‐5.06, 0.17]
2.3 Personal Accomplishment (lack of)	3	129	Mean Difference (IV, Random, 95% CI)	‐4.89 [‐8.71, ‐1.07]
3 State Trait Anxiety Inventory Show forest plot	3		Mean Difference (IV, Random, 95% CI)	Subtotals only

3.1 State anxiety	3	135	Mean Difference (IV, Random, 95% CI)	‐9.42 [‐16.92, ‐1.93]
3.2 Trait anxiety	3	135	Mean Difference (IV, Random, 95% CI)	‐6.91 [‐12.80, ‐1.01]
4 General Health Questionnaire Show forest plot	2	127	Mean Difference (IV, Random, 95% CI)	‐11.87 [‐27.24, 3.49]

Comparison 1. Person‐directed intervention vs no intervention (Short Term)

Ir a la tabla de la revisión

Comparison 2. Person‐directed intervention vs no intervention (Medium and Long Term)

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Maslach Burnout Inventory (at 2 years) Show forest plot	1		Mean Difference (IV, Random, 95% CI)	Subtotals only

1.1 Emotional Exhaustion	1	84	Mean Difference (IV, Random, 95% CI)	‐6.0 [‐8.16, ‐3.84]
1.2 Depersonalisation	1	84	Mean Difference (IV, Random, 95% CI)	‐0.62 [‐1.89, 0.65]
1.3 Personal Accomplishment (lack of)	1	84	Mean Difference (IV, Random, 95% CI)	‐5.82 [‐7.89, ‐3.75]
2 Stait Trait Anxiety Inventory (Jones at 3 months and Yung at 1 month) Show forest plot	2		Mean Difference (IV, Random, 95% CI)	Subtotals only

2.1 State anxiety	2	121	Mean Difference (IV, Random, 95% CI)	‐8.31 [‐11.49, ‐5.13]
2.2 Trait anxiety	2	121	Mean Difference (IV, Random, 95% CI)	‐4.09 [‐7.60, ‐0.58]
3 Perceived Stress Scale (at 1 month) Show forest plot	1	57	Mean Difference (IV, Fixed, 95% CI)	‐6.10 [‐8.44, ‐3.76]

4 General Health Questionnaire (at 1 month) Show forest plot	1	48	Mean Difference (IV, Fixed, 95% CI)	‐7.10 [‐10.58, ‐3.62]

Comparison 2. Person‐directed intervention vs no intervention (Medium and Long Term)

Ir a la tabla de la revisión

Comparison 3. Work‐directed intervention vs no intervention (Short Term)

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Maslach Burnout Inventory Show forest plot	1		Mean Difference (IV, Random, 95% CI)	Subtotals only

1.1 Emotional Exhaustion	1	161	Mean Difference (IV, Random, 95% CI)	‐1.52 [‐3.61, 0.57]
1.2 Depersonalisation	1	161	Mean Difference (IV, Random, 95% CI)	‐1.14 [‐2.18, ‐0.10]
1.3 Personal Accomplishment (lack of)	1	161	Mean Difference (IV, Random, 95% CI)	0.07 [‐1.12, 1.26]
2 Nursing Stress Scale Show forest plot	1	115	Mean Difference (IV, Fixed, 95% CI)	‐0.34 [‐0.62, ‐0.06]

3 General symptoms Show forest plot	1	57	Mean Difference (IV, Fixed, 95% CI)	‐2.90 [‐5.16, ‐0.64]

Comparison 3. Work‐directed intervention vs no intervention (Short Term)

Ir a la tabla de la revisión

Comparison 4. Work‐directed intervention vs no intervention (Medium Term)

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Nursing Stress Scale (at 6 months) Show forest plot	1	111	Mean Difference (IV, Fixed, 95% CI)	‐0.19 [‐0.49, 0.11]

Comparison 4. Work‐directed intervention vs no intervention (Medium Term)

Ir a la tabla de la revisión

The Cochrane Library

Scolaris Language Selector Scolaris Language Selector

Idioma de la Revisión Cochrane

Idioma de la web

Scolaris Content Language Banner Portlet Scolaris Content Language Banner Portlet