Open Access Open Badges Research article

Applying the revised Chinese Job Content Questionnaire to assess psychosocial work conditions among Taiwan's hospital workers

Tsair-Wei Chien12, Wen-Pin Lai3, Hsien-Yi Wang4, Sen-Yen Hsu5, Roberto Vasquez Castillo6, How-Ran Guo7, Shih-Chung Chen8 and Shih-Bin Su109*

Author Affiliations

1 Department of Management, Chi-Mei Medical Center, Taiwan

2 Department of Hospital and Health Care Administration, Chia-Nan University of Pharmacy and Science, Tainan, Taiwan

3 Department of Emergency Medicine, Chi-Mei Medical Center, Taiwan

4 Department of Nephrology, Chi-Mei Medical Center, Taiwan

5 Department of Psychiatry, Chi-Mei Hospital, Liouying, Taiwan

6 Director of Local Integral Health Assistance System (SILAIS), Carazo, Nicaragua, Central America

7 Department of Environmental and Occupational Health, National Cheng Kung University, Taiwan

8 Institute of Biomedical Engineering, Southern Taiwan University, Tainan, Taiwan

9 Department of Biotechnology, Southern Taiwan University, Tainan, Taiwan

10 Department of Family Medicine, Chi-Mei Medical Center, Tainan, Taiwan

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BMC Public Health 2011, 11:478  doi:10.1186/1471-2458-11-478

Published: 18 June 2011



For hospital accreditation and health promotion reasons, we examined whether the 22-item Job Content Questionnaire (JCQ) could be applied to evaluate job strain of individual hospital employees and to determine the number of factors extracted from JCQ. Additionally, we developed an Excel module of self-evaluation diagnostic system for consultation with experts.


To develop an Excel-based self-evaluation diagnostic system for consultation to experts to make job strain assessment easier and quicker than ever, Rasch rating scale model was used to analyze data from 1,644 hospital employees who enrolled in 2008 for a job strain survey. We determined whether the 22-item Job Content Questionnaire (JCQ) could evaluate job strain of individual employees in work sites. The respective item responding to specific groups' occupational hazards causing job stress was investigated by using skewness coefficient with its 95% CI through item-by-item analyses.


Each of those 22 items on the questionnaire was examined to have five factors. The prevalence rate of Chinese hospital workers with high job strain was 16.5%.


Graphical representations of four quadrants, item-by-item bar chart plots and skewness 95% CI comparison generated in Excel can help employers and consultants of an organization focusing on a small number of key areas of concern for each worker in job strain.