Change in research quality and quality of evidence into prevention of occupational stress of healthcare workers: A systematic literature review.
Item
- Title
- Change in research quality and quality of evidence into prevention of occupational stress of healthcare workers: A systematic literature review.
- Author(s)
- Nuernberger, C-S
- Abstract
- Background Work-related stress (WRS) is defined as a harmful reaction people have to undue pressures and demands placed on them at work. Workers in human health and welfare have commonly reported higher than average levels of occupational stress. WRS has been named as a factor in worse health outcomes. Various physical and mental relaxation interventions have been shown to be effective in stress reduction. Objective The objective was to review up to date research regarding the efficacy of physical and mental relaxation in the prevention of WRS in healthcare professionals. Methodological quality of studies was also compared with the Cochrane review into prevention of occupational stress in healthcare workers to assess whether an update is advisable. Design A structured literature review of randomised controlled trials (RCT) published between 2013-2018. Methods A systematic search of databases ScienceDirect, MEDLINE-PubMed, Physiotherapy Evidence Database, Mendeley, Library Search of the University of Greenwich, Google Scholar and Cochrane Library between August and September. Results were screened according to inclusion/exclusion criteria, study data was extracted, and methodological quality was assed using the Cochrane Collaboration’s tool for assessing risk of bias and the Delphi list. Results 20 eligible studies were identified and reviewed: 4 of the included studies were at high risk of bias, 12 studies had an unclear risk of bias and 4 studies were judged as having a low risk of bias. The mean Delphi list score was 4.25. 16 studies found statistically significant reductions in one or more outcome measures. Discussion Collation and interpretation of findings were limited by heterogeneity in interventions, outcome measures and methodological quality. Moderate evidence was found for the use of mindfulness-based interventions. Results were inconclusive or insufficient studies were identified for all other interventions. Compared to the landmark study improvement can be seen in most categories of risk of bias and general study quality. Conclusion Mindfulness-based interventions may be efficient in reducing WRS in healthcare professionals. Further studies investigating combinations of person- and organisation-directed interventions are warranted. An update of the Cochrane review was found to be premature, as inconclusiveness of the literature has not changed sufficiently.
- presented at
- European School of Osteopathy
- Date Accepted
- 2019
- Date Submitted
- 19.11.2019 18:31:09
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16505
- Inst-Identifier
- 1229
- Keywords
- Healthcare personnel, occupational stress, prevention, relaxation interventions
- Recommended
- 0
- Item sets
- Thesis
Nuernberger, C-S, “Change in research quality and quality of evidence into prevention of occupational stress of healthcare workers: A systematic literature review.”, Osteopathic Research Web, accessed May 1, 2025, https://www.osteopathic-research.com/s/orw/item/324