Uso combinado de modelos de estresse no trabalho e a saúde auto-referida na enfermagem

Translated title of the contribution: Combined use of job stress models and self-rated health in nursing

Rosane Härter Griep, Lúcia Rotenberg, Paul Landsbergis, Paulo Roberto Vasconcellos-Silva

Research output: Contribution to journalArticlepeer-review

36 Scopus citations


OBJECTIVE: To identify combinations of two models of psychosocial stress at work among nursing teams and their associations with self-rated health. METHODS: This was a cross-sectional study among workers at three public hospitals in the municipality of Rio de Janeiro, Southeastern Brazil (N = 1307). In 2006, a multidimensional questionnaire including two scales for measuring stress at work (demand-control and effort-reward imbalance models) was administered. Partial and complete (including social support at work) demand-control models were considered, along with partial and complete (including excessive commitment to work) effort-reward models. Multiple logistic regression models were used to estimate adjusted odds ratios and their respective 95% confidence intervals. RESULTS: The dimensions of both models were independently associated with self-rated health, with odds ratios between 1.70 and 3.37. The partial demandcontrol model was less associated with health (OR = 1.79; 95%CI 1.26;2.53) than was the partial effort-reward imbalance model (OR = 2.27; 95%CI 1.57;3.30). Incorporation of social support and excessive commitment to work increased the strength of the demand-control and effort-reward imbalance models, respectively. Increased strength of association was observed when the two partial models were combined. CONCLUSIONS: The results indicate that the effort-reward imbalance model performed better for this specific group and for the outcome evaluated, and that there was an advantage in using complete models or combinations of partial models.

Translated title of the contributionCombined use of job stress models and self-rated health in nursing
Original languagePortuguese
Pages (from-to)145-152
Number of pages8
JournalRevista de Saude Publica
Issue number1
StatePublished - Feb 2011
Externally publishedYes


  • Burnout
  • Cross-Sectional studies
  • Job satisfaction
  • Nurses
  • Professional
  • Working conditions


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