Differential aspects of chronic work-related stress predict depression in registered and geriatric nurses
A cross-sectional study
Abstract
Abstract.Background: Chronic work stress is a problem which persists among nurses for several reasons and studies suggest that both levels of stress and depression remain on an ongoing high level. However, not much is known about the impact of differential aspects of chronic work-related stress on levels of depression when investigating geriatric and registered nurses. Aim: The aim of this study was to analyse the relationship between various aspects of chronic work stress and levels of depression in geriatric and registered nurses. Methods: A cross-sectional online survey among 370 nurses was carried out. Besides demographic information, several aspects of chronic work stress were assessed with the Trier Inventory of Chronic Stress and levels of depression with the Beck Depression Inventory-II. Statistical analyses included multiple linear regression. Results: Most important work-related predictors of depression scores in nurses were ’Work dissatisfaction’ (ß = .237; 95 %-CI: [.194; .280]) and ’Work overload’ (ß = .161; 95 %-CI: [.124; .198]) within blockwise multiple regression analysis. A previously diagnosed psychiatric disorder (ß = –.268; 95 %-CI: [–.313; –.223]) proved to be the strongest predictor of nurses’ depression experience. Our model explained 37 % of variance in depression scores. However, being a geriatric or registered nurse did not predict levels of depression. Conclusions: Different aspects of chronic work stress seem to be associated with levels of depression in nurses. This should be taken into account when working on the improvement of working conditions for nurses.
Zusammenfassung.Hintergrund: Aus verschiedenen Gründen ist chronischer Arbeitsstress ein andauerndes Problem bei Pflegefachpersonen und in Studien finden sich hohe Werte an Stress und Depression. Allerdings ist wenig darüber bekannt, welche Auswirkungen spezifische Aspekte von chronischem Arbeitsstress auf Depression bei Angestellten der Kranken- und Altenpflege haben. Ziel: Das Ziel der Studie war es, den Zusammenhang verschiedener Aspekte von chronischem Arbeitsstress und Depression bei Pflegefachpersonen der Kranken- und Altenpflege zu untersuchen. Methoden: Eine Querschnittsstudie wurde online unter 370 Pflegefachpersonen durchgeführt. Neben demografischen Informationen wurden verschiedene Aspekte von chronischem Arbeitsstress mit dem Trierer Inventar zum Chronischen Stress und Depressionswerte mit dem Beck Depressions-Inventar II erhoben. Als statistische Methode wurde die multiple lineare Regression eingesetzt. Ergebnisse: Als stärkste arbeitsbezogene Prädiktoren für die Depressivitätsgenese bei Alten- und Krankenpflegefachpersonen erwiesen sich „Unzufriedenheit mit der Arbeit“ (ß = 0,237; 95 %-CI: [0,194; 0,280]) und „Arbeitsüberlastung“ (ß = 0,161; 95 %-CI: [0,124; 0,198]) innerhalb der blockweisen multiplen Regressionsanalyse. Das Vorliegen einer diagnostizierten psychiatrischen Störung war (ß = –0,268; 95 %-CI: [–0,313; –0,223]) der beste Prädiktor für das Depressionserleben der Pflegefachpersonen. Unser Modell erklärte 37 % der Varianz in den Depressionswerten. Allerdings hatte die Zugehörigkeit zu den Alten- oder Krankenpflegefachpersonen keine Vorhersagekraft. Schlussfolgerungen: Unterschiedliche Aspekte von chronischem Arbeitsstress scheinen mit den Depressionswerten bei Kranken- und Altenpflegefachpersonen assoziiert zu sein. Dieser Aspekt sollte Berücksichtigung finden, wenn an einer Verbesserung der Arbeitsbedingungen für Pflegefachpersonen gearbeitet wird.
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