Universität zu Köln

Raspe, Matthias, Koch, Peter, Zilezinski, Max, Schulte, Kevin, Bitzinger, Diane, Gaisee, Ulrike, Hammerschmide, Andreas, Koehnlein, Ralf, Puppe, Julian, Tress, Florian, Uden, Theodor and Nienhausz, Albert (2020). Working conditions and health status of young physicians and nurses in German hospitals. Bundesgesundheitsblatt-Gesund., 63 (1). S. 113 - 122. NEW YORK: SPRINGER. ISSN 1437-1588

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Abstract

Background Profound transformations in the German healthcare system lead to intense working conditions for young employees in inpatient care. Published data suggest associated health risks. Objectives This investigation aims to assess current stress factors, their consequences, and subjective measures for improvement. Methods During September 2017, a cross-sectional survey was conducted among physicians and nurses <= 35 years of age and with work experience in inpatient care not exceeding six years. Field access was gained via seven scientific and professional societies. The electronic questionnaire consisted of mainly validated instruments. Regression models included confounders into the final data analysis. Results Included in the final data analysis were 1060 complete cases. The overall response rate was 13%. Different stress factors (e.g. time-related or psychosocial) were found at high levels. These stress factors were connected to reduced health and higher risk of burnout. Furthermore, they were associated with inferior perceived quality of care. Young physicians claimed less documentation requirements and less intense working conditions. Young nurses demanded fair salary and an appropriate nurse-patient allocation. Conclusion Today's working conditions in inpatient care are a threat to the health status of young employees. General conditions, which ensure a sustainable healthy and effective working environment, need to be ensured.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Raspe, Matthias UNSPECIFIED UNSPECIFIED UNSPECIFIED Koch, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Zilezinski, Max UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulte, Kevin UNSPECIFIED UNSPECIFIED UNSPECIFIED Bitzinger, Diane UNSPECIFIED UNSPECIFIED UNSPECIFIED Gaisee, Ulrike UNSPECIFIED UNSPECIFIED UNSPECIFIED Hammerschmide, Andreas UNSPECIFIED UNSPECIFIED UNSPECIFIED Koehnlein, Ralf UNSPECIFIED UNSPECIFIED UNSPECIFIED Puppe, Julian UNSPECIFIED UNSPECIFIED UNSPECIFIED Tress, Florian UNSPECIFIED UNSPECIFIED UNSPECIFIED Uden, Theodor UNSPECIFIED UNSPECIFIED UNSPECIFIED Nienhausz, Albert UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-127706
DOI:	10.1007/s00103-019-03057-y
Journal or Publication Title:	Bundesgesundheitsblatt-Gesund.
Volume:	63
Number:	1
Page Range:	S. 113 - 122
Date:	2020
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1437-1588
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EFFORT-REWARD IMBALANCE; TRAINING CONDITIONS; INTERNAL-MEDICINE; NATIONWIDE SURVEY; JOB-SATISFACTION; STRESS; QUESTIONNAIRE; ASSOCIATION; RESIDENTS; INTENTION Multiple languages Public, Environmental & Occupational Health Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12770