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Published in: International Journal of Behavioral Medicine 2/2010

01-06-2010

Job Stress: Its Relationship to Hospital Pharmacists’ Insomnia and Work Outcomes

Authors: Ying-Chen Yeh, Blossom Yen-Ju Lin, Wen-Hung Lin, Thomas T. H. Wan

Published in: International Journal of Behavioral Medicine | Issue 2/2010

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Abstract

Background

Research must examine the nature of the work environment in order to achieve insight into the causes and effects of factors relevant to reducing job-related stress and improving the quality of work.

Purpose

This study aims to describe the job stressors of hospital pharmacists and to explore their effects on hospital pharmacists’ insomnia and work-related outcomes.

Method

The study employed a cross-sectional, mailed survey. Structured questionnaires were distributed by postal mail to hospital pharmacists between February and April 2005. The individual hospital pharmacist is the unit of analysis. Descriptive analyses and structural equation modeling were performed on the survey responses from the 247 hospital pharmacists who responded.

Results

The top ten stress burdens occur in the areas of dispensing, pharmacy management, and hospital rules. The study findings confirmed the proposed hypotheses: that a hospital pharmacist’s job stressors are related to his or her insomnia, intention to reduce working hours, intention to change job content, and intention to quit employment. The study also found associations between hospital pharmacists’ social supports, gender, age, and monthly income and their insomnia and work outcomes.

Conclusion

Hygienic job stressors based on Herzberg’s two-factor motivation theory were examined in this study. These stressors were verified to be related to hospital pharmacists’ insomnia and work outcomes. Hospital administrators could consider ways to improve the influences on hospital pharmacists’ health.
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Literature
1.
go back to reference Ivancevich JM, Matteson MT. Organizational behavior and management. New York: Irwin; 1996. Ivancevich JM, Matteson MT. Organizational behavior and management. New York: Irwin; 1996.
2.
go back to reference Lazarus RS, Folkman S. Stress appraisal and coping. New York: Springer; 1984. Lazarus RS, Folkman S. Stress appraisal and coping. New York: Springer; 1984.
3.
go back to reference Lidwall U, Marklund S. What is healthy work for women and men?—a case-control study of gender- and sector-specific effects of psycho-social working conditions on long-term sickness absence. Work. 2006;27(2):153–63.PubMed Lidwall U, Marklund S. What is healthy work for women and men?—a case-control study of gender- and sector-specific effects of psycho-social working conditions on long-term sickness absence. Work. 2006;27(2):153–63.PubMed
4.
go back to reference Musich S, Hook D, Baaner S, et al. The association of corporate work environment factors, health risks, and medical conditions with presenteeism among Australian employees. Am J Health Promot. 2006;21(2):127–36.PubMed Musich S, Hook D, Baaner S, et al. The association of corporate work environment factors, health risks, and medical conditions with presenteeism among Australian employees. Am J Health Promot. 2006;21(2):127–36.PubMed
5.
go back to reference Kivimäki M, Virtanen M, Elovainio M, Kouvonen A, Väänänen A, Vahtera J. Work stress in the etiology of coronary heart disease—a meta-analysis. Scand J Work, Environ & Health. 2006;32(6):431–42. Kivimäki M, Virtanen M, Elovainio M, Kouvonen A, Väänänen A, Vahtera J. Work stress in the etiology of coronary heart disease—a meta-analysis. Scand J Work, Environ & Health. 2006;32(6):431–42.
6.
go back to reference Ivancevich JM, Matteson MT. Stress and work. Glenview, IL: Scott Foreman & Co.; 1980. Ivancevich JM, Matteson MT. Stress and work. Glenview, IL: Scott Foreman & Co.; 1980.
7.
go back to reference Lin BYJ, Yeh YC, Lin WH. Job design and psychological status of Taiwan pharmacists on job outcomes: an application of job characteristics model. International Journal of Public Policy (in press). Lin BYJ, Yeh YC, Lin WH. Job design and psychological status of Taiwan pharmacists on job outcomes: an application of job characteristics model. International Journal of Public Policy (in press).
8.
go back to reference Mott DA. Pharmacist job turnover, length of service, and reasons for leaving, 1983–1997. Am J Health Syst Pharm. 2000;57(10):975–84.PubMed Mott DA. Pharmacist job turnover, length of service, and reasons for leaving, 1983–1997. Am J Health Syst Pharm. 2000;57(10):975–84.PubMed
9.
go back to reference Wolfgang AP. Is pharmacist turnover a function of job stress? Am Pharm. 1987;NS27(5):33–7.PubMed Wolfgang AP. Is pharmacist turnover a function of job stress? Am Pharm. 1987;NS27(5):33–7.PubMed
10.
go back to reference Wolfgang AP, Wolfgang CF. Hospital pharmacy directors’ perceptions of job stress in staff pharmacists. Am J Hosp Pharm. 1992;49(8):1955–7.PubMed Wolfgang AP, Wolfgang CF. Hospital pharmacy directors’ perceptions of job stress in staff pharmacists. Am J Hosp Pharm. 1992;49(8):1955–7.PubMed
11.
go back to reference Mott DA, Doucette WR, Gaither CA, et al. Pharmacists’ attitudes toward work life: results from a national survey of pharmacists. J Am Pharm Assoc. 2004;44(3):326–36.CrossRef Mott DA, Doucette WR, Gaither CA, et al. Pharmacists’ attitudes toward work life: results from a national survey of pharmacists. J Am Pharm Assoc. 2004;44(3):326–36.CrossRef
12.
go back to reference Wolfgang AP, Kirk KW, Shepherd MD. Job stress in pharmacy practice: implications for managers. Am Pharm. 1985;NS25(7):46–9.PubMed Wolfgang AP, Kirk KW, Shepherd MD. Job stress in pharmacy practice: implications for managers. Am Pharm. 1985;NS25(7):46–9.PubMed
13.
go back to reference Wolfgang AP, Perri M 3rd, Wolfgang CF. Job-related stress experienced by hospital pharmacists and nurses. Am J Hosp Pharm. 1988;45(6):1342–5.PubMed Wolfgang AP, Perri M 3rd, Wolfgang CF. Job-related stress experienced by hospital pharmacists and nurses. Am J Hosp Pharm. 1988;45(6):1342–5.PubMed
14.
go back to reference Gaither CA, Nadkarni A, Mott DA, Schommer JC, Doucette WR, Kreling DH, et al. Should I stay or should I go? The influence of individual and organizational factors on pharmacists’ future work plans. J Am Pharm Assoc. 2007;47(2):165–73.CrossRef Gaither CA, Nadkarni A, Mott DA, Schommer JC, Doucette WR, Kreling DH, et al. Should I stay or should I go? The influence of individual and organizational factors on pharmacists’ future work plans. J Am Pharm Assoc. 2007;47(2):165–73.CrossRef
15.
go back to reference Nakata A, Haratani T, Takahashi M, Kawakami N, Arito H, Kobayashi F, et al. Job stress, social support, and prevalence of insomnia in a population of Japanese daytime workers. Soc Sci Med. 2004;59(8):1719–30.CrossRefPubMed Nakata A, Haratani T, Takahashi M, Kawakami N, Arito H, Kobayashi F, et al. Job stress, social support, and prevalence of insomnia in a population of Japanese daytime workers. Soc Sci Med. 2004;59(8):1719–30.CrossRefPubMed
16.
go back to reference Gottlieb BH, Kelloway EK, Martin-Matthews A. Predictors of work-family conflict, stress, and job satisfaction among nurses. Can J Nurs Res. 1996;28(2):99–117.PubMed Gottlieb BH, Kelloway EK, Martin-Matthews A. Predictors of work-family conflict, stress, and job satisfaction among nurses. Can J Nurs Res. 1996;28(2):99–117.PubMed
17.
go back to reference Janssen N, Nijhuis FJ. Associations between positive changes in perceived work characteristics and changes in fatigue. J Occup Environ Med. 2004;46(8):866–75.CrossRefPubMed Janssen N, Nijhuis FJ. Associations between positive changes in perceived work characteristics and changes in fatigue. J Occup Environ Med. 2004;46(8):866–75.CrossRefPubMed
18.
go back to reference Locker D. Work stress, job satisfaction and emotional well-being among Canadian dental assistants. Community Dent Oral Epidemiol. 1996;24(2):133–7.CrossRefPubMed Locker D. Work stress, job satisfaction and emotional well-being among Canadian dental assistants. Community Dent Oral Epidemiol. 1996;24(2):133–7.CrossRefPubMed
19.
go back to reference Sanne B, Mykletun A, Dahl AA, Moen BE, Tell GS. Testing the Job Demand-Control-Support model with anxiety and depression as outcomes: the Hordaland Health Study. Occup Med. 2005;55(6):463–73.CrossRef Sanne B, Mykletun A, Dahl AA, Moen BE, Tell GS. Testing the Job Demand-Control-Support model with anxiety and depression as outcomes: the Hordaland Health Study. Occup Med. 2005;55(6):463–73.CrossRef
20.
go back to reference Schonfeld IS. Stress in 1st-year women teachers: the context of social support and coping. Genet Soc Gen Psychol Monogr. 2001;127(2):133–68.PubMed Schonfeld IS. Stress in 1st-year women teachers: the context of social support and coping. Genet Soc Gen Psychol Monogr. 2001;127(2):133–68.PubMed
21.
go back to reference Godin I, Kittel F. Differential economic stability and psychosocial stress at work: associations with psychosomatic complaints and absenteeism. Soc Sci Med. 2004;58(8):1543–53.CrossRefPubMed Godin I, Kittel F. Differential economic stability and psychosocial stress at work: associations with psychosomatic complaints and absenteeism. Soc Sci Med. 2004;58(8):1543–53.CrossRefPubMed
22.
go back to reference Heath TJ. Australian veterinarians who work with horses: attitudes to work and career. Aust Vet J. 2004;82(7):404–8.CrossRefPubMed Heath TJ. Australian veterinarians who work with horses: attitudes to work and career. Aust Vet J. 2004;82(7):404–8.CrossRefPubMed
23.
go back to reference Niezborala M, Marquie JC, Baracat B, Esquirol Y, Soulat JM. Job stress and occupational status in a French cohort. Rev Epidemiol Sante Publique. 2003;51(6):607–16.PubMed Niezborala M, Marquie JC, Baracat B, Esquirol Y, Soulat JM. Job stress and occupational status in a French cohort. Rev Epidemiol Sante Publique. 2003;51(6):607–16.PubMed
24.
go back to reference Doi Y. An epidemiologic review on occupational sleep research among Japanese workers. Ind Health. 2005;43(3):3–10.CrossRefPubMed Doi Y. An epidemiologic review on occupational sleep research among Japanese workers. Ind Health. 2005;43(3):3–10.CrossRefPubMed
25.
go back to reference Long JS. Covariance structure models: an introduction to LISREL. Newbury Park, CA: Sage Publications, Inc.; 1983. Long JS. Covariance structure models: an introduction to LISREL. Newbury Park, CA: Sage Publications, Inc.; 1983.
26.
go back to reference Bollen KA. Structural equations with latent variables. New York: Wiley; 1989. Bollen KA. Structural equations with latent variables. New York: Wiley; 1989.
27.
go back to reference Timmreck TC. Managing motivation and developing job satisfaction in the health care work environment. Health Care Manag. 2001;20(1):42–58. Timmreck TC. Managing motivation and developing job satisfaction in the health care work environment. Health Care Manag. 2001;20(1):42–58.
28.
go back to reference McCalister KT, Dolbier CL, Webster JA, Mallon MW, Steinhardt MA. Hardiness and support at work as predictors of work stress and job satisfaction. Am J Health Promot. 2006;20(3):183–91.PubMed McCalister KT, Dolbier CL, Webster JA, Mallon MW, Steinhardt MA. Hardiness and support at work as predictors of work stress and job satisfaction. Am J Health Promot. 2006;20(3):183–91.PubMed
29.
go back to reference Thompson CA, Prottas DJ. Relationships among organizational family support, job autonomy, perceived control, and employee well-being. J Occup Health Psychol. 2006;11(1):100–18.CrossRefPubMed Thompson CA, Prottas DJ. Relationships among organizational family support, job autonomy, perceived control, and employee well-being. J Occup Health Psychol. 2006;11(1):100–18.CrossRefPubMed
30.
go back to reference Berntsson L, Lundberg U, Krantz G. Gender differences in work-home interplay and symptom perception among Swedish white-collar employees. J Epidemiol Community Health. 2006;60(12):1070–6.CrossRefPubMed Berntsson L, Lundberg U, Krantz G. Gender differences in work-home interplay and symptom perception among Swedish white-collar employees. J Epidemiol Community Health. 2006;60(12):1070–6.CrossRefPubMed
31.
go back to reference Krantz G, Berntsson L, Lundberg U. Total workload, work stress and perceived symptoms in Swedish male and female white-collar employees. Eur J Pub Health. 2005;15(2):209–14.CrossRef Krantz G, Berntsson L, Lundberg U. Total workload, work stress and perceived symptoms in Swedish male and female white-collar employees. Eur J Pub Health. 2005;15(2):209–14.CrossRef
32.
go back to reference Krantz G, Lundberg U. Workload, work stress, and sickness absence in Swedish male and female white-collar employees. Scand J Soc Health. 2006;34(3):238–44.CrossRef Krantz G, Lundberg U. Workload, work stress, and sickness absence in Swedish male and female white-collar employees. Scand J Soc Health. 2006;34(3):238–44.CrossRef
33.
go back to reference Kondo N, Subramanian SV, Kawachi I, Takeda Y, Yamagata Z. Economic recession and health inequalities in Japan: analysis with a national sample, 1986–2001. J Epidemiol Community Health. 2008;62(10):869–75.CrossRefPubMed Kondo N, Subramanian SV, Kawachi I, Takeda Y, Yamagata Z. Economic recession and health inequalities in Japan: analysis with a national sample, 1986–2001. J Epidemiol Community Health. 2008;62(10):869–75.CrossRefPubMed
34.
go back to reference Subramanian SV, Kawachi I. Whose health is affected by income inequality? A multilevel interaction analysis of contemporaneous and lagged effects of state income inequality on individual self-rated health in the United States. Health Place. 2006;12(2):141–56.CrossRefPubMed Subramanian SV, Kawachi I. Whose health is affected by income inequality? A multilevel interaction analysis of contemporaneous and lagged effects of state income inequality on individual self-rated health in the United States. Health Place. 2006;12(2):141–56.CrossRefPubMed
35.
go back to reference Lahelma E, Martikainen P, Laaksonen M, Aittomäki A. Pathways between socioeconomic determinants of health. J Epidemiol Community Health. 2004;58(4):327–32.CrossRefPubMed Lahelma E, Martikainen P, Laaksonen M, Aittomäki A. Pathways between socioeconomic determinants of health. J Epidemiol Community Health. 2004;58(4):327–32.CrossRefPubMed
36.
go back to reference Camerino D, Conway PM, van der Heijden BI, Estryn-Béhar M, Costa G, Hasselhorn HM. Age-dependent relationships between work ability, thinking of quitting the job, and actual leaving among Italian nurses: a longitudinal study. Int J Nurs Stud. 2008;45(11):1645–59.CrossRefPubMed Camerino D, Conway PM, van der Heijden BI, Estryn-Béhar M, Costa G, Hasselhorn HM. Age-dependent relationships between work ability, thinking of quitting the job, and actual leaving among Italian nurses: a longitudinal study. Int J Nurs Stud. 2008;45(11):1645–59.CrossRefPubMed
37.
go back to reference Chan MF, Luk AL, Leong SM, Yeung SM, Van IK. Factors influencing Macao nurses’ intention to leave current employment. J Clin Nursing. 2009;18(6):893–901.CrossRef Chan MF, Luk AL, Leong SM, Yeung SM, Van IK. Factors influencing Macao nurses’ intention to leave current employment. J Clin Nursing. 2009;18(6):893–901.CrossRef
38.
go back to reference Flinkman M, Laine M, Leino-Kilpi H, Hasselhorn HM, Salanterä S. Explaining young registered Finnish nurses’ intention to leave the profession: a questionnaire survey. Int J Nurs Stud. 2008;45(5):727–39.CrossRefPubMed Flinkman M, Laine M, Leino-Kilpi H, Hasselhorn HM, Salanterä S. Explaining young registered Finnish nurses’ intention to leave the profession: a questionnaire survey. Int J Nurs Stud. 2008;45(5):727–39.CrossRefPubMed
Metadata
Title
Job Stress: Its Relationship to Hospital Pharmacists’ Insomnia and Work Outcomes
Authors
Ying-Chen Yeh
Blossom Yen-Ju Lin
Wen-Hung Lin
Thomas T. H. Wan
Publication date
01-06-2010
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2010
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-009-9066-0

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