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Job stress and work-related musculoskeletal symptoms among intensive care unit nurses: a comparison between job demand-control and effort-reward imbalance models.
Am J Ind Med 2014; 57(2):214-21AJ

Abstract

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 musculoskeletal 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.

Authors+Show Affiliations

Department of Community Health Systems, School of Nursing, University of California, San Francisco, San Francisco, California.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24166790

Citation

Lee, Soo-Jeong, et al. "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, vol. 57, no. 2, 2014, pp. 214-21.
Lee SJ, Lee JH, Gillen M, et al. Job stress and work-related musculoskeletal symptoms among intensive care unit nurses: a comparison between job demand-control and effort-reward imbalance models. Am J Ind Med. 2014;57(2):214-21.
Lee, S. J., Lee, J. H., Gillen, M., & Krause, N. (2014). 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), pp. 214-21. doi:10.1002/ajim.22274.
Lee SJ, et al. Job Stress and Work-related Musculoskeletal Symptoms Among Intensive Care Unit Nurses: a Comparison Between Job Demand-control and Effort-reward Imbalance Models. Am J Ind Med. 2014;57(2):214-21. PubMed PMID: 24166790.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Job stress and work-related musculoskeletal symptoms among intensive care unit nurses: a comparison between job demand-control and effort-reward imbalance models. AU - Lee,Soo-Jeong, AU - Lee,Joung Hee, AU - Gillen,Marion, AU - Krause,Niklas, Y1 - 2013/10/25/ PY - 2013/10/07/accepted PY - 2013/10/30/entrez PY - 2013/10/30/pubmed PY - 2014/10/1/medline KW - effort-reward imbalance KW - job strain KW - job stress KW - musculoskeletal symptom KW - nurses SP - 214 EP - 21 JF - American journal of industrial medicine JO - Am. J. Ind. Med. VL - 57 IS - 2 N2 - 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 musculoskeletal 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. SN - 1097-0274 UR - https://www.unboundmedicine.com/medline/citation/24166790/Job_stress_and_work_related_musculoskeletal_symptoms_among_intensive_care_unit_nurses:_a_comparison_between_job_demand_control_and_effort_reward_imbalance_models_ L2 - https://doi.org/10.1002/ajim.22274 DB - PRIME DP - Unbound Medicine ER -