Modelo esfuerzo-recompensa, salud y enfermedad en personal sanitariouna revisión sistemática
- Marta García-Maroto 1
- Lourdes Luceño-Moreno 1
- Jesús Martín-García 1
- 1 Facultad de Psicología, Universidad Complutense de Madrid, Madrid, España
ISSN: 1134-7937
Année de publication: 2022
Volumen: 28
Número: 1
Pages: 16-29
Type: Article
D'autres publications dans: Ansiedad y estrés
Résumé
La bibliografía científica ha evidenciado asociaciones entre la percepción de un alto desequilibrio esfuerzo-recompensa (Effort-Reward Imbalance, ERI) y mala salud o enfermedad en sanitarios. En este trabajo se realizó una revisión sistemática de estudios que analizaron cómo influyen los riesgos psicosociales del entorno laboral, conceptualizados desde el modelo del desequilibrio esfuerzo-recompensa, en diferentes dimensiones de salud o enfermedad en personal sanitario. Para ello, se revisaron artículos publicados entre 2010 y 2019 consultando las bases de datos Web of Knowledge, PsycINFO y Scopus. Se incluyeron 27 artículos científicos. Un alto ERI y un exceso de compromiso (sobrecompromiso) se asocian con mala salud o enfermedad en personal sanitario. Las principales limitaciones de esta revisión son un posible sesgo de publicación y la imposibilidad de establecer relaciones de causalidad entre los riesgos psicosociales del entorno y la salud o enfermedad. Es necesario evaluar los riesgos psicosociales del entorno laboral de los sanitarios y desarrollar y aplicar programas de intervención para que haya un ajuste adecuado entre esfuerzos y recompensas.
Références bibliographiques
- Amutio Kareaga, A., Ayestaran Exeberria, S., & Smith, J. C. (2008). Evaluación del burnout y bienestar psicológico en los profesionales sanitarios del País Vasco. Revista de Psicología del Trabajo y de las Organizaciones, 24(2), 235-252. https://doi.org/10.4321/s1576-59622008000200006
- Arial, M., Wild, P., Benoit, D., Chouaniere, D., & Danuser, B. (2011). Multi-level modeling of aspects associated with poor mental health in a sample of prehospital emergency professionals. American Journal of Industrial Medicine, 54(11), 847–857. http://doi.org/10.1002/ajim.20992
- Assunção, A. Á., Machado, C. J., Prais, H. A. C., & de Araujo, T. M. (2013). Working conditions and common mental disorders in physicians in Brazil. Occupational Medicine, 63(3), 234-237. http://doi.org/10.1093/occmed/ kqt009
- Cano-Langreo, M., Cicirello-Salas, S., López-López, A., & Aguilar-Vela, M. (2014). Marco actual del suicidio e ideas suicidas en personal sanitario. Medicina y seguridad del trabajo, 60(234), 198-218. https://doi. org/10.4321/s0465-546x2014000100015
- Colindres, C. V., Bryce, E., Coral-Rosero, P., Ramos-Soto, R. M., Bonilla, F., & Yassi, A. (2018). Effect of effortâ-reward imbalance and burnout on infection control among Ecuadorian nurses. International Nursing Review, 65(2), 190-199. http://doi.org/10.1093/occmed/kqp167
- Darboe, A., Lin, I.-F., & Kuo, H.-W. (2016). Effort-reward imbalance and self-rated health among Gambian healthcare professionals. BMC Health Services Research, 16(1). http://doi.org/10.1186/s12913-016-1347-0
- De Araújo, T. M., Siegrist, J., Moreno, A. B., de Jesus Mendes da Fonseca, M., Barreto, S. M., Chor, D., & Griep, R. H. (2019). Effort-reward imbalance, over-commitment and depressive episodes at work: evidence from the ELSA-Brasil Cohort Study. International journal of environmental research and public health, 16(17), 3025. http://doi.org/10.3390/ ijerph16173025
- Dragano, N., Siegrist, J., Nyberg, S. T., Lunau, T., Fransson, E. I., Alfredsson, L., Fahlén, G., Goldberg, M., Hamer, M., Heikkilä, K., Jöckel, K-H., Knutsson, A., Madsen, I. E. H., Nielsen, M. L., Nordin, M., Oksanen, T., Pejtersen, J. H., Pentti, J., Rugulies, R., … Salo, P., (2017). Effort–reward imbalance at work and incident coronary heart disease: a multicohort study of 90,164 individuals. Epidemiology (Cambridge, Mass.), 28(4), 619. http://doi. org/10.1097/EDE.0000000000000666
- Elm, E. von, Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ, 335(7624), 806–808. http://doi.org/10.1136/ bmj.39335.541782.ad
- Gómez-Martínez, S., Ballester-Arnal, R., Gil-Julia, B., & Abizanda-Campos, R. (2015). Ansiedad, depresión y malestar emocional en los profesionales sanitarios de las Unidades de Cuidados Intensivos. Anales de psicología, 31(2), 743-750. https://doi.org/10.6018/analesps.31.2.158501
- Gómez-Urquiza, J. L., Monsalve-Reyes, C. S., San Luis-Costas, C., Fernández-Castillo, R., Aguayo-Estremera, R., & Cañadas-de la Fuente, G. A. (2017). Factores de riesgo y niveles de burnout en enfermeras de atención primaria: una revisión sistemática. Atención primaria, 49(2), 77-85. https://doi.org/10.1016/j.aprim.2016.05.004
- Griep, R. H., Rotenberg, L., Landsbergis, P., & Vasconcellos-Silva, P. R. (2011). Usocombinado de modelos de estresse no trabalho e a saúde auto-referida na enfermagem. Revista de Saúde Pública, 45(1), 145–152. http://doi.org/10.1590/s0034-89102011000100017
- Halonen, J. I., Virtanen, M., Leineweber, C., Rod, N. H., Westerlund, H., & Hanson, L. L. M. (2018). Associations between onset of effort-reward imbalance at work and onset of musculoskeletal pain: analyzing observational longitudinal data as pseudo-trials. Pain, 159(8), 1477-1483. http://doi. org/10.1097/j.pain.0000000000001230
- Hämmig, O., Brauchli, R., & Bauer, G. (2012). Effort-reward and work-life imbalance, general stress and burnout among employees of a large public hospital in Switzerland. Swiss Medical Weekly. http://doi.org/10.4414/ smw.2012.13577
- Häusler, N., Bopp, M., & Hämmig, O. (2018). Effort–Reward Imbalance, Work– Privacy Conflict, and Burnout Among Hospital Employees. Journal of Occupational and Environmental Medicine, 60(4), e183-e187. http://doi. org/10.1097/JOM.0000000000001287
- He, M., Wang, Q., Zhu, S., Tan, A., He, Q., Chen, T., & Hu, G. (2012). Health-related quality of life of doctors and nurses in China: findings based on the latest open-access data. Quality of Life Research, 21(10), 1727-1730. http://doi.org/10.1007/s11136-011-0088-0
- Instituto Nacional de Seguridad e Higiene en el Trabajo (1997). Nota Técnica de Prevención, NTP 443, Factores psicosociales: metodología de evaluación. https://www.insst.es/documents/94886/326962/ntp_443.pdf/35f6978d-1338-43c3-ace4-e81dd39c11f0
- Jirkovská, B., & Janecková, H. (2019). Workplace stress and employees’ well-being: evidence from long-term care in the Czech Republic. Central European Journal of Public Health, 27(2), 87-92. http://doi.org/10.21101/cejph.a5135
- Joksimovic, L., Starke, D., vd Knesebeck, O., & Siegrist, J. (2002). Perceived work stress, overcommitment, and self-reported musculoskeletal pain: Across-sectional investigation. International journal of behavioral medicine, 9(2), 122-138. https://doi.org/10.1207/s15327558ijbm0902_04
- Jolivet, A., Caroly, S., Ehlinger, V., Kelly-Irving, M., Delpierre, C., Balducci, F., & Lang, T. (2010). Linking hospital workers’ organisational work environment to depressive symptoms: a mediating effect of effort–reward imbalance? The ORSOSA study. Social Science & Medicine, 71(3), 534-540. http://doi.org/10.1016/j.socscimed.2010.04.003
- Jones, M. C., Wells, M., Gao, C., Cassidy, B., & Davie, J. (2011). Work stress and well-being in oncology settings: a multidisciplinary study of health care professionals. Psycho-Oncology, 22(1), 46–53. http://doi.org/10.1002/pon.2055
- Kikuchi, Y., Nakaya, M., Ikeda, M., Narita, K., Takeda, M., & Nishi, M. (2010). Effort–reward imbalance and depressive state in nurses. Occupational Medicine, 60(3), 231-233. http://doi.org/10.1093/occmed/kqp167
- Kikuchi, Y., Nakaya, M., Ikeda, M., Okuzumi, S., Takeda, M., & Nishi, M. (2014). Relationship between depressive state, job stress, and sense of coherence among female nurses. Indian Journal of Occupational and Environmental Medicine, 18(1), 32. http://doi.org/10.4103/0019-5278.134959
- Lamy, S., De Gaudemaris, R., Lepage, B., Sobaszek, A., Caroly, S., Kelly-Irving, M., & Lang, T. (2013). The Organizational Work Factors’ Effect on Mental Health Among Hospital Workers Is Mediated by Perceived Effort–Reward Imbalance: Result of a Longitudinal Study. Journal of Occupational and Environmental Medicine, 55(7), 809-816. http://doi.org/10.1097/ JOM.0b013e31828acb19
- Lee, S.-J., Lee, J. H., Gillen, M., & Krause, N. (2013). Job stress and work-related musculoskeletal symptoms among intensive care unit nurses: a comparison between job demand-control and effort-reward imbalance models. American Journal of Industrial Medicine, 57(2), 214–221. http:// doi.org/10.1002/ajim.22274
- Lietz, J., Kozak, A., & Nienhaus, A. (2018). Prevalence and occupational risk factors of musculoskeletal diseases and pain among dental professionals in Western countries: A systematic literature review and meta-analysis. PloS one, 13(12), e0208628. https://doi.org/10.1371/journal. pone.0208628
- Loh, M. Y., Idris, M. A., Dollard, M. F., & Isahak, M. (2018). Psychosocial safety climate as a moderator of the moderators: Contextualizing JDR models and emotional demands effects. Journal of Occupational and Organizational Psychology, 91(3), 620- 644. http://doi.org/10.1111/joop.12211
- Lua, I., de Araújo, T. M., Santos, K. O. B., & de Almeida, M. M. G. (2018). Factors associated with common mental disorders among female nursing professionals in primary health care. Psicologia: Reflexão e Crítica, 31(1). http://doi.org/10.1186/s41155-018-0101-4
- Mark, G., & Smith, A. P. (2011). Occupational stress, job characteristics, coping, and the mental health of nurses. British Journal of Health Psychology, 17(3), 505–521. http://doi.org/10.1111/j.2044-8287.2011.02051.x
- Mingote Adán, J. C., Crespo Hervás, D., Hernández Álvarez, M., Navío, M., & Rodrigo GarcíaPando, C. (2013). Prevención del suicidio en médicos. Medicina y Seguridad del Trabajo, 59(231), 176-204. http://dx.doi. org/10.4321/S0465-546X2013000200002
- Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & The PRISMA Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine, 151(4), 264–269. http://doi.org/10.7326/0003-4819-151-4-200908180-00135
- National Institute for Occupational Safety and Health (NIOSH). (1999). Stress…at Work. https://www.cdc.gov/niosh/docs/99-101/pdfs/99-101. pdf?id=10.26616/NIOSHPUB99101
- Nourry, N., Luc, A., Lefebvre, F., Sultan-Taïeb, H., & Béjean, S. (2014). Psychosocial and organizational work environment of nurse managers and self-reported depressive symptoms: cross-sectional analysis from a cohort of nurse managers. International Journal Of Occupational Medicine and Environmental Health, 27(2), 252-269. http://doi.org/10.2478/ s13382-014-0264-x
- Olibamoyo, O., Coker, O., Adewuya, A., Ogunlesi, O., & Sodipo, O. (2020). Frequency of suicide attempts and attitudes toward suicidal behaviour among doctors and nurses in Lagos, Nigeria. The South African Journal of Psychiatry: SAJP: the Journal of the Society of Psychiatrists of South Africa, 26. http://doi.org/10.4102/sajpsychiatry.v26i0.1402
- Okuyucu, K., Gyi, D., Hignett, S., & Doshani, A. (2019). Midwives are getting hurt: UK survey of the prevalence and risk factors for developing musculoskeletal symptoms. Midwifery, 79, 102546. http://doi.org/10.1016/j. midw.2019.102546
- Perestelo-Pérez, L. (2013). Standards on how to develop and report systematic reviews in Psychology and Health. International Journal of Clinical and Health Psychology, 13(1), 49– 57. http://doi.org/10.1016/S1697- 2600(13)70007-3
- Pinhatti, E. D. G., Ribeiro, R. P., Soares, M. H., Martins, J. T., Lacerda, M. R., & Galdino, M. J. Q. (2018). Psychosocial aspects of work and minor psychic disorders in nursing: use of combined models. Revista Latino-Americana de Enfermagem, 26(0). http://doi.org/10.1590/1518-8345.2769.3068
- Sakzewski, L., & Naser-ud-Din, S. (2015). Work-related musculoskeletal disorders in Australian dentists and orthodontists: risk assessment and prevention. Work, 52(3), 559-579. http://doi.org/10.3233/WOR-152122
- Schreuder, J. A., Roelen, C. A., Koopmans, P. C., Moen, B. E., & Groothoff, J. W. (2010). Effort– reward imbalance is associated with the frequency of sickness absence among female hospital nurses: A cross-sectional study. International Journal of Nursing Studies, 47(5), 569-576. http:// doi.org/10.1016/j.ijnurstu.2009.10.002
- Scottish Intercollegiate Guidelines Network (2019). SIGN 50: A guideline developerıs’ handbook. Recuperado el 7 de abril de 2020, de https://www. sign.ac.uk/assets/sign50_2019.pdf
- Shinan-Altman, S., Cohen, M., Rasmussen, V., Turnell, A., & Butow, P. (2018). Burnout among psychosocial oncologists in Israel: the direct and indirect effects of job demands and job resources. Palliative& Supportive Care, 16(6), 677-684. http://doi.org/10.1017/S1478951517001006
- Siegrist, J., (1996). Adverse health effects of high-effort/low-reward conditions. Journal of Occupational Health Psychology, 1(1), 27-41. http://doi. org/10.1037/1076-8998.1.1.27
- Siegrist, J. (1998). Adverse health effects of effort-reward imbalance at work. Theories of Organizational Stress, 190-204.
- Siegrist, J. (2002). Effort-reward imbalance at work and health. Historical and Current Perspectives on Stress and Health, 2, 261-291. https://doi. org/10.1016/S1479-3555(02)02007-3
- Siegrist, J. (2008). Chronic psychosocial stress at work and risk of depression: evidence from prospective studies. European archives of psychiatry and clinical neuroscience, 258(5), 115. https://doi.org/10.1007/s00406-008- 5024-0
- Siegrist, J. (2010). Effort-reward imbalance at work and cardiovascular diseases. International journal of occupational medicine and environmental health, 23(3), 279. https://doi.org/10.2478/v10001-010-0013-8
- Siegrist, J., Starke, D., Chandola, T., Godin, I., Marmot, M., Niedhammer, I., & Peter, R. (2004). The measurement of effort–reward imbalance at work: European comparisons. Social science & medicine, 58(8), 1483-1499. https://doi.org/10.1016/S0277-9536(03)00351-4
- Siegrist, J., Li, J., & Montano, D. (2014). Psychometric properties of the effort-reward imbalance questionnaire. Germany: Duesseldorf University.
- Silva, A. A., Souza, J. M. P. D., Borges, F. N. D. S., & Fischer, F. M. (2010). Health-related quality of life and working conditions among nursing providers. Revista de Saúde Pública, 44(4), 718-725. http://doi. org/10.1590/S0034-89102010000400016
- Silva, T. P. D., Araújo, W. N., Stival, M. M., Toledo, A. M., Burke, T. N., & Carregaro, R. L. (2018). Musculoskeletal discomfort, work ability and fatigue in nursing professionals working in a hospital environment. Rev esc enferm USP, 52, e03332. http://dx.doi.org/10.1590/S1980-220X2017022903332
- Sun, W., Fu, J., Chang, Y., & Wang, L. (2012). Epidemiological study on risk factors for anxiety disorder among Chinese doctors. Journal of Occupational Health, 54(1), 1-8. http://doi.org/10.1539/joh.11-0169-oa
- Teles, M. A. B., Barbosa, M. R., Vargas, A. M. D., Gomes, V. E., e Ferreira, E. F., de Barros Lima, A. M. E., & Ferreira, R. C. (2014). Psychosocial work conditions and quality of life among primary health care employees: a cross sectional study. Health and Quality of Life Outcomes, 12(1), 72. http:// doi.org/10.1186/1477-7525-12-72
- Trybou, J., Germonpre, S., Janssens, H., Casini, A., Braeckman, L., Bacquer, D. D., & Clays, E. (2014). Job-related stress and sickness absence among belgian nurses: A prospective study. Journal of Nursing Scholarship, 46(4), 292-301. http://doi.org/10.1111/jnu.12075
- Vu-Eickmann, P., Li, J., Müller, A., Angerer, P., & Loerbroks, A. (2018). Associations of psychosocial working conditions with health outcomes, quality of care and intentions to leave the profession: results from a cross-sectional study among physician assistants in Germany. International Archives of Occupational and Environmental Health, 91(5), 643-654. http://doi.org/10.1007/s00420-018-1309-4
- Yu, S., Nakata, A., Gu, G., Swanson, N. G., He, L., Zhou, W., & Wang, S. (2012). Job strain, effort-reward imbalance and neck, shoulder and wrist symptoms among Chinese workers. Industrial health, MS1233. https://doi. org/10.2486/indhealth.MS1233