scholarly journals The Perspective of Pituitary Patients on Work According to the Expanded ICF Model: a Qualitative Study

Author(s):  
Merel van der Meulen ◽  
Daniel J. Lobatto ◽  
Wouter R. van Furth ◽  
Sasja D. Huisman ◽  
Yvonne F. Heerkens ◽  
...  

Abstract Purpose: As the majority of patients with pituitary disease are of working age, their health situation may negatively impact their functioning at work. However, work participation can also be influenced by contextual (environmental and personal) factors. The aim of this qualitative study was to investigate the pituitary patients’ perspective on their functioning at work and on contextual factors contributing to work-related problems using the expanded International Classification of Functioning, Disability and Health (ICF).Methods: Semi-structured interviews, focusing on contextual factors influencing work ability and experience, were conducted with eight patients with different types of pituitary adenomas (Cushing’s disease, prolactinoma, acromegaly, non-functioning adenoma). Following the steps of an experiential thematic analysis, forty categories were identified, which were organized into eleven themes according to the expanded ICF. Results: Patients reported various problems in work-related activities and work participation. Influencing environmental factors included type of employment, perceived job security, financial security, relationships with colleagues/managers, collaboration with others, physical vs. mental work, managing position, flexibility at work, corporate culture, and physical work environment (work-related), and traveling distance to work, financial savings, and (non)professional support (other environmental factors). Influencing personal factors included professional ambition, sense of duty, motivation, job satisfaction, feeling of fulfilment (work-related), and personality, acceptance, coping styles, and lifestyle (general personal factors). Conclusion: Patients with pituitary disease report several contextual factors that influence their functioning at work. Healthcare and occupational health professionals should be aware of these factors to improve patients’ well-being and functioning at work, ultimately aiming to improve quality of life.

2021 ◽  
Vol 31 (Supplement_2) ◽  
Author(s):  
Ana Ferreira ◽  
Ana Lança ◽  
João Paulo Figueiredo ◽  
Silvia Seco ◽  
António Loureiro ◽  
...  

Abstract Background The ergonomic applied to Dental Medicine aims to develop an ergonomically planned environment, with equipment rationally distributed, to reduce physical and cognitive stress, prevent diseases related to professional exercise, increasing productivity, improving the quality of service provided and reducing fatigue in the working team. However, physical work usually imposes muscle tension on the musculoskeletal system that can culminate in work-related trauma, commonly called Musculoskeletal Disorder. Methods We proposed as an objective, to evaluate how the ergonomic risks in Medical-Dental Clinics, which can cause work-related Musculoskeletal Injuries, influence the quality of life and health of the workers. The checklist was applied based on the legislation in force and, at the same time, a questionnaire was applied for consultation with the workers; identification of the tasks of all workers and their associated risks has been carried out; ergonomic studies of the workstations concerned have been carried out and, in the light of the results obtained, preventive measures have been indicated to address the problems. Results Through the Rula Method, we evaluated the level of performance in relation to the tasks performed and found that most of these corresponded to level 3, which corresponded to values between 5 and 6 and indicated that changes should occur briefly. Conclusion It was concluded that the most outstanding area in need of rapid changes was the surgical area, since it requires more effort on the part of these professionals. It is therefore proposed to implement new measures to improve health and well-being and avoid ergonomically incorrect postures.


2018 ◽  
Vol 27 (23-24) ◽  
pp. 4302-4310 ◽  
Author(s):  
Sophie Schön Persson ◽  
Petra Nilsson Lindström ◽  
Pär Pettersson ◽  
Marie Nilsson ◽  
Kerstin Blomqvist

2019 ◽  
Author(s):  
Alessandra Lazazzara ◽  
Maria Tims ◽  
Davide de Gennaro

Two different research streams are encountered in the job crafting literature. The first, defined as task, cognitive, and relational job crafting by Wrzesniewski and Dutton (2001), has predominantly applied qualitative research designs to explore how employees craft their jobs to better align them with their preferences, abilities, and motivations to enhance work meaning and identity. The second stream, characterized by crafting job demands and job resources (Tims & Bakker, 2010), focuses mostly on quantitative research designs and examines the antecedents of job crafting and whether those antecedents are related to work-related well-being and performance. Although the quantitative studies have recently been meta-analyzed (Lichtenthaler & Fischbach, 2018; Rudolph, Katz, Lavigne, & Zacher, 2017), the knowledge that is captured in the qualitative studies has not been formally integrated. We contribute to a better understanding of job crafting by conducting a meta-synthesis of the qualitative research. Analyzing 24 qualitative studies, we developed a process model of job crafting that enhances an in-depth understanding of the processes associated with job crafting. More specifically, we highlight the motives for job crafting (i.e., proactive or reactive) and how the specific context may influence the form of job crafting in which individuals engage. Next, the process model shows that personal factors connect job crafting forms to the experienced job crafting consequences. The process model enables a better understanding of the conditions under which job crafting is most likely to generate positive or negative experiences.


Author(s):  
Kathrin Reinke ◽  
Sandra Ohly

Research suggests that work-related use of information and communication technologies (ICTs) after hours involves both harms and benefits for employee well-being. Yet, these findings are mainly based on examining the extent of ICT use as the focal construct of interest. Based on cognitive appraisal theories of stress, we argue that research needs to include individuals’ evaluation of their work-related ICT use after hours as well as the conditions shaping this appraisal to explain double-edged effects of ICT use on well-being. Thus, we investigate (1) how situational and personal factors influence whether work-related ICT use after hours is evaluated as positive or negative, and (2) how these factors and ICT use appraisal relate to employee well-being and recovery, beyond the extent of ICT use. We collected data in a daily diary study over five consecutive days. Multilevel path analyses with data from 51 employees and 151 daily observations indicated that goal progress and autonomous motivation for ICT use were positively related to positive ICT use appraisal. Besides, goal progress predicted less and overload predicted more negative ICT use appraisal. In turn, ICT use appraisal was associated with employees’ affective states and psychological detachment in the evening, beyond the extent of ICT use. Additionally, we found several indirect effects of goal progress and overload on employee well-being and recovery via ICT use appraisal. Our findings emphasize the need to investigate ICT usage experiences to explain the double-edged consequences of work-related ICT use after hours on employee well-being.


2021 ◽  
Author(s):  
Bradley A Evanoff ◽  
Jaime R Strickland ◽  
Ann Marie Dale ◽  
Lisa Hayibor ◽  
Emily Page ◽  
...  

BACKGROUND The response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has created an unprecedented disruption in work conditions. This study describes the mental health and well-being of workers both with and without clinical exposure to patients with coronavirus disease (COVID-19). Objective: The aim of this study is to measure the prevalence of stress, anxiety, depression, work exhaustion, burnout, and decreased well-being among faculty and staff at a university and academic medical center during the SARS-CoV-2 pandemic and describe work-related and personal factors associated with their mental health and well-being. Methods: All faculty, staff, and postdoctoral fellows of a university, including its medical school, were invited in April 2020 to complete an online questionnaire measuring stress, anxiety, depression, work exhaustion, burnout, and decreased well-being. We examined associations between these outcomes and factors including work in high-risk clinical settings and family/home stressors. Results: There were 5550 respondents (overall response rate of 34.3%). Overall, 38% of faculty and 14% of staff (n=915) were providing clinical care, while 57% of faculty and 77% of staff were working from home. Among all workers, anxiety (prevalence ratio 1.37, 95% CI 1.09-1.73), depression (prevalence ratio 1.28, 95% CI 1.03-1.59), and high work exhaustion (prevalence ratio 1.24, 95% CI 1.13-1.36) were independently associated with community or clinical exposure to COVID-19. Poor family-supportive behaviors by supervisors were also associated with these outcomes (prevalence ratio 1.40, 95% CI 1.21-1.62; prevalence ratio 1.69, 95% CI 1.48-1.92; and prevalence ratio 1.54, 95% CI 1.44-1.64, respectively). Age <40 years and a greater number of family/home stressors were also associated with these poorer outcomes. Among the subset of clinicians, caring for patients with COVID-19 and working in high-risk clinical settings were additional risk factors. Conclusions: Our findings suggest that the pandemic has had negative effects on the mental health and well-being of both clinical and nonclinical employees. Mitigating exposure to COVID-19 and increasing supervisor support are modifiable risk factors that may protect mental health and well-being for all workers.


BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e049437
Author(s):  
Jennifer Warren ◽  
Emma Plunkett ◽  
James Rudge ◽  
Christina Stamoulis ◽  
Tomasz Torlinski ◽  
...  

ObjectivesConcern about trainee work-related well-being has been raised in recent years and is the subject of several reviews, reports and research studies. This study aimed to understand the experiences of trainees working in a large intensive care unit during the first surge of the COVID-19 pandemic from an educational and operational perspective in order to highlight what worked and what could be improved.DesignA qualitative study using peer-to-peer semistructured interviews, developed using appreciative inquiry methodology, was conducted during July 2020. Responses were analysed using a thematic analysis technique.SettingA large, tertiary intensive care unit in the UK.ParticipantsAll trainees in anaesthesia and intensive care working on the intensive care unit during the first surge were invited to participate.ResultsForty interviews were conducted and four over-arching themes were identified. These were: feeling safe and supported; physical demands; the emotional burden of caring; and a sense of fulfilment, value and personal development. Positive aspects of the organisational response to the pandemic included communication, personal protective equipment supply, team working and well-being support. Suggestions for improvement focused on rest facilities, rota patterns and hierarchies, creating opportunities for reflection and ensuring continued educational and training opportunities despite operational demands.ConclusionsTrainees described opportunities for learning and fulfilment, as well as challenges, in working through a pandemic. Trainees described their needs and how well these were met during the pandemic. Ideas for improvement most frequently related to basic needs including safety and fatigue, but suggestions also related to supporting learning and development. The appreciative inquiry methodology of the project facilitated effective reflection on positive aspects of trainee experiences.


Author(s):  
Bradley A. Evanoff ◽  
Jaime R. Strickland ◽  
Ann Marie Dale ◽  
Lisa Hayibor ◽  
Emily Page ◽  
...  

ABSTRACTObjectiveMeasure the prevalence of stress, anxiety, depression, work-exhaustion, burnout, and decreased well-being among faculty and staff at a university and academic medical center during the SARS-CoV-2 pandemic, and describe work-related and personal factors associated with mental health and well-being.DesignObservational cohort study conducted between April 17 and May 1, 2020 using a web-based questionnaire.SettingMedical and main campuses of a university.ParticipantsAll faculty, staff, and post-doctoral fellows.ExposuresWork factors including supervisor support and exposure to high-risk clinical settings; personal factors including demographics and family/home stressors.Main Outcomes and MeasuresStress, anxiety, depression, work exhaustion, burnout, and decreased well-being.ResultsThere were 5550 respondents (overall response rate of 34.3%). 38% of faculty and 14% of staff (n=915) were providing clinical care, while 57% of faculty and 77% of staff were working from home. The prevalence of anxiety, depression, and work exhaustion were somewhat higher among clinicians than non-clinicians. Among all workers, anxiety, depression, and high work exhaustion were independently associated with community or clinical exposure to COVID-19 [Prevalence Ratios and 95% confidence intervals 1.37(1.09- 1.73), 1.28(1.03 - 1.59), and 1.24(1.13 - 1.36) respectively]. Poor family supportive behaviors by supervisors were also associated with these outcomes [1.40 (1.21 - 1.62), 1.69 (1.48 - 1.92), 1.54 (1.44 - 1.64)]. Age below 40 and a greater number of family/home stressors were also associated with poorer outcomes. Among the subset of clinicians, caring for patients with COVID-19 and work in high-risk clinical settings were additional risk factors.Conclusions and ImplicationsOur findings suggest that the pandemic has had negative effects on mental health and well-being among both clinical and non-clinical employees. Prevention of exposure to COVID-19 and increased supervisor support are modifiable risk factors that may protect mental health and well-being.


10.2196/21366 ◽  
2020 ◽  
Vol 22 (8) ◽  
pp. e21366 ◽  
Author(s):  
Bradley A Evanoff ◽  
Jaime R Strickland ◽  
Ann Marie Dale ◽  
Lisa Hayibor ◽  
Emily Page ◽  
...  

Background The response to the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic has created an unprecedented disruption in work conditions. This study describes the mental health and well-being of workers both with and without clinical exposure to patients with coronavirus disease (COVID-19). Objective The aim of this study is to measure the prevalence of stress, anxiety, depression, work exhaustion, burnout, and decreased well-being among faculty and staff at a university and academic medical center during the SARS-CoV-2 pandemic and describe work-related and personal factors associated with their mental health and well-being. Methods All faculty, staff, and postdoctoral fellows of a university, including its medical school, were invited in April 2020 to complete an online questionnaire measuring stress, anxiety, depression, work exhaustion, burnout, and decreased well-being. We examined associations between these outcomes and factors including work in high-risk clinical settings and family/home stressors. Results There were 5550 respondents (overall response rate of 34.3%). Overall, 34% of faculty and 14% of staff (n=915) were providing clinical care, while 61% of faculty and 77% of staff were working from home. Among all workers, anxiety (prevalence ratio 1.37, 95% CI 1.09-1.73), depression (prevalence ratio 1.28, 95% CI 1.03-1.59), and high work exhaustion (prevalence ratio 1.24, 95% CI 1.13-1.36) were independently associated with community or clinical exposure to COVID-19. Poor family-supportive behaviors by supervisors were also associated with these outcomes (prevalence ratio 1.40, 95% CI 1.21-1.62; prevalence ratio 1.69, 95% CI 1.48-1.92; and prevalence ratio 1.54, 95% CI 1.44-1.64, respectively). Age <40 years and a greater number of family/home stressors were also associated with these poorer outcomes. Among the subset of clinicians, caring for patients with COVID-19 and working in high-risk clinical settings were additional risk factors. Conclusions Our findings suggest that the pandemic has had negative effects on the mental health and well-being of both clinical and nonclinical employees. Mitigating exposure to COVID-19 and increasing supervisor support are modifiable risk factors that may protect mental health and well-being for all workers.


2021 ◽  
pp. 000841742110228
Author(s):  
Jessica Picotin ◽  
Michaël Beaudoin ◽  
Sandrine Hélie ◽  
Ann-Élisabeth Martin ◽  
Annie Carrier

Background. When acting effectively in their social change agent (SCA) role, occupational therapists can impact population health and occupational justice. However, empirical evidence of the influence of personal and environmental factors on their ability to act as SCAs is scarce. Purpose. To explore personal and environmental factors that influence the ability of occupational therapists to act as effective SCAs. Method. We conducted a descriptive interpretive qualitative study with 18 Québec occupational therapists recognized as successful SCAs. We collected data through semi-structured interviews with three focus groups and analyzed them thematically using a lexicon. Findings. We identified nine cross-cutting personal factors, including discovery, effective communication, and planning, that enable occupational therapists to act as successful SCAs. Six thematic groups of environmental factors facilitated or hindered their actions. Implications. To act effectively as SCAs, occupational therapists need to consider personal and environmental factors involved in their change project.


2021 ◽  
Vol 24 (1) ◽  
pp. 37-65
Author(s):  
Álvaro Javier Molina Fuenzalida

Teachers’ occupational well-being is the work-related aspect of teacher’s well-being. This study investigates the levels of occupational well-being of Baku school teachers and the factors that may influence them. The studied indicators of occupational well-being are self-efficacy, job satisfaction, psychosomatic symptoms, and social relations (among colleagues, principals, and students), and the studied contextual factors are school type, classroom size, gender, age, experience, and education. A quantitative questionnaire based on an OECD instrument was implemented among 100 participants to assess their levels of occupational well-being and compare the above-mentioned contextual factors. The data showed positive levels of the participants’ occupational well-being, the teacher-student relations were notoriously strong, and the teacher-principal relations were significantly low. The classroom size and teachers’ educational level showed the most notorious differences in occupational well-being, while the quality of teachers’ relation with their principal was a predictor of job satisfaction and self-efficacy. The most frequent psychosomatic symptom among the participants was fatigue, which showed some differences across groups. The minor participation of male teachers did not allow for the analysis of the data based on gender. More details and other findings, as well as implications for research and practice, are discussed.


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