OCCUPATIONAL STRESS AND DISSATISFACTION WITH QUALITY OF WORK LIFE IN NURSING

309 nursing workers of a public general hospital participated in this cross-sectional study. The Total Quality of Work Life and the Job Stress Scale instruments were used to evaluate the quality of work life and occupational stress, respectively.

Results:

associations were estimated using Poisson regression analysis combined with robust variance. We found association between dissatisfaction with quality of work life and smoking (PR=1.53; 95%CI: 1.02-2.31), work at the care units for highly dependent or critically ill patients (PR=2.47; 95%CI: 1.18-5.19), low social support at work (PR=1.76; 95%CI: 1.29-2.40) and the quadrants of the demand-control model "active job" (PR=1.74; 95%CI: 1.04-2.92) and "high-strain job" (PR=2.54; 95%CI: 1.51-4.27) .

Conclusion:

these results may help the hospital and nursing managers to develop and implement strategies in order to reduce excessive demands and work overload and increase social support among the nursing staff.

DESCRIPTORS:
Quality of life; Work; Burnout, professional; Nursing, team; Occupational health

Variable/categories	(P%)	RP	95%CI	p-value
Gender
Male	29.4	1.00
Female	37.6	1.28	0.74-2.20	0.351
Age
> 40 years	34.0	1.00
≤ 40 years	37.9	1.12	0.81-1.54	0.498
Marital status
Married or with a partner	35.9	1.00
Single or without a partner	38.5	1.07	0.78-1.47	0.676
Number of children
0	37.6	1.00
1	37.3	0.99	0.67-1.47	0.968
2	37.4	0.99	0.68-1.44	0.970
≥ 3	31.7	0.84	0.50-1.42	0.514
Provides for the family alone
No	37.1	1.00
Yes	33.9	0.91	0.62-1.34	0.633
Professional Education
Nursing technician/assistant	33.3	1.00
Registered nurse	42.0	1.26	0.94-1.69	0.124
Time since graduation
≥ 10 years	50.0	1.00
< 10 years	33.9	0.68	0.44-1.05	0.075
Graduate degree
Yes	42.1	1.00
No	32.6	0.77	0.58-1.04	0.086
Frequency of thinking of changing profession
Rarely	28.4	1.00
Often	43.7	1.54	1.13-2.11	0.005
Hours of sleep a day
> 7 hours	29.0	1.00
≤ 7 hours	41.1	1.42	1.01-1.99	0.036
Tobacco
Never smoked	35.4	1.00
Gave up smoking/smokes	47.1	1.33	0.90-1.96	0.183
Physical activity
Very active	35.3	1.00
Active	35.6	1.01	0.55-1.84	0.981
Irregularly active	27.5	0.78	0.39-1.54	0.470
Sedentary	39.2	1.11	0.68-1.81	0.670
Time of work at the institution
> 5 years	37.3	1.00
≤ 5 years	36.2	0.97	0.72-1.30	0.842
Type of employment
Effective	38.4	1.00
Contracted	23.3	0.61	0.31-1.18	0.104
Type of unit/sector
Differentiated/support/administrative services	16.1	1.00
Units for patients of intermediate or semi-critical care	32.9	2.04	0.89-4.69	0.063
Units for highly dependent or critically ill patients	47.8	2.96	1.30-6.77	0.001
Time of service in the sector
≥ 3 years	38.2	1.00
< 3 years	36.0	0.94	0.69-1.28	0.703
Possibility of sector choice
Yes	32.1	1.00
No	40.6	1.26	0.93-1.71	0.126
Weekly working hours
30 hours	38.8	1.00
40 hours	32.5	0.84	0.59-1.19	0.314
Work shift
Only daytime	40.1	1.00
Only overnight	30.3	0.75	0.53-1.08	0.118
Switches between day and night	40.7	1.01	0.70-1.46	0.944
Perception of the number of people in the working scale
Sufficient	25.6	1.00
Insufficient	38.5	1.50	0.88-2.56	0.103
Net salary of the institution
≥ 3 minimum wages	37.7	1.00
< 3 minimum wages	35.5	0.94	0.70-1.27	0.694
Another job or paid work
No	32.5	1.00
Yes	41.4	1.27	0.95-1.71	0.107
Demand-Control model
Low-strain job	17.6	1.00
Passive job	30.5	1.73	0.95-3.15	0.071
Active job	42.4	2.40	1.44-4.02	< 0.001
High-strain job	59.4	3.36	2.04-5.56	< 0.001
Social support at work
High	25.7	1.00
Low	47.2	1.84	1.33-2.53	< 0.001

Variable/categories	(P%)	95%CI	p-value
Tobacco
Never smoked	1.00
Gave up smoking/smokes	1.53	1.02-2.31	0.042
Type of unit/sector
Differentiated/support/administrative services	1.00
Units for patients of intermediate or semi-critical care	1.78	0.84-3.76	0.132
Units for highly dependent or critically ill patients	2.47	1.18-5.19	0.017
Work shift
Only daytime	1.00
Only overnight	0.73	0.52-1.03	0.074
Switches between day and night	0.96	0.68-1.34	0.804
Demand-Control model
Low-strain job	1.00
Passive job	1.40	0.76-2.55	0.277
Active job	1.74	1.04-2.92	0.034
High-strain job	2.54	1.51-4.27	< 0.001
Social support at work
High	1.00
Low	1.76	1.29-2.40	< 0.001

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspondence: Bruno Del Sarto Azevedo Universidade Estadual do Sudoeste da Bahia, Programa de Pós-Graduação em Enfermagem e Saúde Avenida José Moreira Sobrinho, s/n, 45208-091 - Jequiezinho, Jequié, BA, Brasil E-mail: brunodelsarto@outlook.com