Relationship between job stress by effort-reward imbalance and work-related and medical accidents among medical professionals at university hospitals in Japan

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  • NISHIKITANI Mariko
    Medical Information Center, Kyushu University Hospital
  • IZUKURA Rieko
    Social Medicine, Department of Basic Medicine, Faculty of Medical Sciences, Kyushu University
  • SAWATARI Hiroyuki
    Department of Perioperative and Critical Care Management, Graduate School of Biomedical and Health Sciences, Hiroshima University
  • A. KIDO Mizuho
    Department of Anatomy and Physiology, Faculty of Medicine, Saga University
  • MORIYA Fukuko
    Executive Assistant to the President, Kurume University
  • KAWANAMI Shoko
    Occupational Health Training Center, University of Occupational and Environmental Health
  • YASUMOTO Sawa
    Fukuoka University Medical Education Center
  • TAKETOMI Kikuko
    School of Nursing, Sapporo City University
  • FUJINO Yuriko
    Simulation Center for Nursing Education, Fukuoka Jo Gakuin Nursing University
  • NAGAYOSHI Kinuko
    Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University
  • KATO Kiyoko
    Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University
  • NAKASHIMA Naoki
    Medical Information Center, Kyushu University Hospital
  • CHISHAKI Akiko
    Faculty of Nursing, Fukuoka Nursing College

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Other Title
  • 大学病院における医療職者の努力–報酬不均衡モデルによる職業性ストレスと労働災害・医療事故との関係
  • ダイガク ビョウイン ニ オケル イリョウショクシャ ノ ドリョク : ホウシュウ フキンコウ モデル ニ ヨル ショクギョウセイ ストレス ト ロウドウ サイガイ ・ イリョウ ジコ ト ノ カンケイ

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<p>We conducted a questionnaire survey among nurses, medical doctors, radiological technologists, and pharmacists in 2020 to identify the factors explanatory associated with work-related and medical accident risks among medical professionals at university hospitals in Japan. Participants were divided into high- and low-risk groups based on their experiences of work-related and medical accidents from the last year before the survey, and their mental health, job-related stress by effort-reward imbalance, and time factors were compared. Among them, 22% of nurses, 16% of medical doctors, 17% of radiological technologists, and 18% of pharmacists were in the high-risk group. Moreover, the high-risk groups, except for pharmacists, had significantly poor health statuses than the low-risk groups. Nurses and medical doctors in the high-risk group had significantly longer working hours and more night shifts than the low-risk groups. This study highlighted that job stress was significantly and independently associated with a high risk of work-related and medical accidents in all occupations, even when adjusted for confounding factors, health status, and time factors. The study suggested that mitigating and controlling stress would reduce accident risk among medical professionals performing interpersonal work.</p>

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