Job Stress and Work-Related Musculoskeletal Symptoms Among Intensive Care Unit Nurses: A Comparison Between Job Demand-Control and Effort-Reward Imbalance Models

Details

• Personal Author:
  Gillen, Matthew ; Krause N ; Lee JH ; Lee S-J
• Description:
  Background: The aims of this study were to compare job demand-control (JDC) and effort-reward imbalance (ERI) models in examining the association of job stress with work-related musculoskeletal symptoms and to evaluate the utility of a combined model. Methods: This study analyzed cross-sectional survey data obtained from a nationwide random sample of 304 intensive-care unit (ICU) nurses. Demographic and job factors were controlled in the analyses using logistic regression. Results: Both JDC and ERI variables had strong and statistically significant associations with work-related musculoskeletal symptoms. Effort-reward imbalance had stronger associations than job strain or iso-strain with musculoskeletal symptoms. Effort-reward imbalance alone showed similar or stronger associations with muscusloskeletal symptoms compared to combined variables of the JDC and ERI models. Conclusions: The ERI model appears to capture the magnitude of the musculoskeletal health risk among nurses associated with job stress at least as well and possibly better than the JDC model. Our findings suggest that combining the two models provides little gain compared to using effort-reward imbalance only. [Description provided by NIOSH]
• Subjects:
  Health Personnel Musculoskeletal Diseases Musculoskeletal System Occupational Health Safety Stress, Psychological
• Keywords:
  Author Keywords: Job Stress Effort-reward Imbalance Job Strain Job Stress MSD Musculoskeletal Symptom Musculoskeletal System Disorders Nurses Nursing
• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  214-221
• Volume:
  57
• Issue:
  2
• NIOSHTIC Number:
  nn:20055927
• Citation:
  Am J Ind Med 2014 Feb; 57(2):214-221
• Contact Point Address:
  Soo-Jeong Lee, University of California, San Francisco, School of Nursing, 2 Koret Way, Suite N505, San Francisco, CA 94143-0608
• Email:
  soo-jeong.lee@nursing.ucsf.edu
• Federal Fiscal Year:
  2014
• Performing Organization:
  University of California Los Angeles
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:285b0fbeda30324e068cf14335744a9648f2fcdc5b2459e58f907e547dbab57b86d4a0557f1b57be924afd4d2dbe78d81ff86bf143da2098ff78c6a00b22c399
• Download URL:
  https://stacks.cdc.gov/view/cdc/213679/cdc_213679_DS1.pdf
• File Type:
  [PDF - 116.20 KB ]