title: [Which occupational groups in a hospital are particularly stressed?].
abstract: OBJECTIVE
  Increasing workload in health professionals and resulting health consequences have frequently been reported. We analysed the results from an employee attitude survey within a network of workplace health promotion and compared three occupational groups of a university hospital with two samples of employees of other industries.
  
  
  METHODS
  The survey was conducted in the years 2005, 2006 and 2007 using a standardized method, addressing 1748 employees of six companies. In order to compare specific occupational groups, both within the hospital and amongst different companies, five occupational groups were selected (medical profession, nursing service and administration of the hospital, academics of another company and employees of a financial service provider).
  
  
  RESULTS
  Some results were specific for an occupational group, such as lower back pain and skin diseases in nurses and exhaustion in clinicians. Regarding several items the responses of employees of the hospital's administration were similar to that of the medical professionals and differed significantly from the responses of administrative and related employees in other companies. Employees of all occupational groups of the hospital were often frustrated and felt their work was not appreciated. Frequent demands included improved work atmosphere, better appreciation of work and better information regarding innovations.
  
  
  CONCLUSIONS
  The analysis of standardized survey results specific for companies and occupational groups is an appropriate way to identify targets of health promotion. Constant over three surveys, again a high burden of stress was found in health care workers even affecting the administrative staff, regarding several work-related stress factors. According to our results activities to improve the working conditions in hospitals are urgently needed.
authors.affiliation: Institut und Poliklinik für Arbeits-, Sozial- und Umweltmedizin, Universität Erlangen-Nürnberg. klaus.schmid@rzmail.uni-erlangen.de
authors.forename: K
authors.initials: K
authors.lastname: Schmid
authors.forename: H
authors.initials: H
authors.lastname: Drexler
authors.forename: W
authors.initials: W
authors.lastname: Fischmann
authors.forename: W
authors.initials: W
authors.lastname: Uter
authors.forename: J
authors.initials: J
authors.lastname: Kiesel
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002055:Burnout, Professional / Q000453:epidemiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D004648:Employee Grievances / Q000706:statistics & numerical data*; D005260:Female; D005858:Germany; D006301:Health Services Needs and Demand; D006306:Health Surveys; D006740:Hospital Administrators / Q000523:psychology* / Q000706:statistics & numerical data; D006785:Hospitals, University; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D008875:Middle Aged; D009741:Nursing Staff, Hospital / Q000523:psychology* / Q000706:statistics & numerical data; D009784:Occupational Diseases / Q000453:epidemiology / Q000523:psychology*; D015279:Organizational Culture; D009936:Organizational Innovation; D013001:Somatoform Disorders / Q000453:epidemiology / Q000523:psychology; D013315:Stress, Psychological / Q000150:complications*; D011795:Surveys and Questionnaires; D016526:Workload / Q000523:psychology*