title: Work-related psychosocial risk factors and mental health problems amongst nurses at a university hospital in Estonia: a cross-sectional study.
abstract: OBJECTIVE
  Rapid changes in the Estonian health care system have placed extra pressure on the nursing profession, but the potential impacts of psychosocial changes have not been investigated. We aimed to explore the work-related psychosocial risk factors and their relationships with mental health problems (MHPs) amongst nurses at the university hospital in Estonia.
  
  
  METHODS
  A cross-sectional survey was undertaken amongst registered nurses at Tartu University Hospital (TUH). Psychosocial work factors and MHPs (stress, somatic symptoms, depressive symptoms and burnout) were measured using version two of the Copenhagen Psychosocial Questionnaire (COPSOQ II). Descriptive statistics and Pearson's r correlation with sequential Bonferroni correction were used to analyse the data.
  
  
  RESULTS
  The analysis was based on 404 nurses (45% of the full-time working population of nurses). The highest mean scores recorded for the positive work-related psychosocial factors studied were meaning of work, role clarity, social relationships and mutual trust between employees. The highest scores for the negative factors studied were the demands for hiding emotions, work pace, cognitive and emotional demands. Stress and burnout showed the highest mean scores amongst the MHPs. Quantitative and emotional demands were positively related to all of the studied MHPs, while work pace and role conflicts had a positive correlation with stress and burnout. All of the studied negative psychosocial factors were significantly correlated with burnout.
  
  
  CONCLUSIONS
  work-related psychosocial risk factors such as quantitative demands work load, emotional demands, work pace and role conflicts, had significant positive relationships with MHPS in nurses in Estonia, and may contribute to high levels of stress as well as burnout amongst nurses: .
authors: Tartu University Hospital, Estonia, Department of Public Health, Medical Faculty, University of Tartu, Estonia Department of Public Health, Medical Faculty, University of Tartu, Estonia tiina.freimann@kliinikum.ee.
authors: Tiina
authors: T
authors: Freimann
authors: Department of Public Health, Medical Faculty, University of Tartu, Estonia.
authors: Eda
authors: E
authors: Merisalu
mesh_terms: D002055:Burnout, Professional / Q000453:epidemiology; D003220:Conflict, Psychological; D003430:Cross-Sectional Studies; D003863:Depression / Q000453:epidemiology; D004957:Estonia / Q000453:epidemiology; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D001523:Mental Disorders / Q000453:epidemiology*; D024802:Nurse's Role / Q000523:psychology; D009741:Nursing Staff, Hospital / Q000523:psychology*; D012307:Risk Factors; D013001:Somatoform Disorders / Q000453:epidemiology; D013315:Stress, Psychological / Q000453:epidemiology*; D014937:Work / Q000523:psychology*; D016526:Workload / Q000523:psychology
keywords: Psychosocial risk factors; burnout; mental health problems; stress