1
|
Pelto-Piri V, Kjellin L, Backman G, Carlsson K, Björkdahl A. Patient responsiveness as a safewards fidelity indicator: a qualitative interview study on an acute psychiatric in-patient ward. BMC Health Serv Res 2024; 24:922. [PMID: 39135020 PMCID: PMC11321007 DOI: 10.1186/s12913-024-11326-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Accepted: 07/17/2024] [Indexed: 08/15/2024] Open
Abstract
BACKGROUND The Safewards model aims to reduce conflict and use of containment on psychiatric wards. To evaluate the implementation of Safewards and understand why it is effective in some settings but not in others, it is important to assess the level of implementation fidelity. To do this, the Safewards Fidelity Checklist (SFC) is often used, which focuses on objective visual observations of interventions but does not include patient responsiveness. The latter is a key indicator of implementation fidelity and includes engagement, relevance, acceptability and usefulness. The aim of the present study was to investigate the fidelity of Safewards implementation on an acute psychiatric ward from the perspective of patient responsiveness. METHOD The study was conducted on a ward for patients with mainly affective disorders. To assess the general level of fidelity the SFC was used together with a detailed ward walkthrough. Ten patients were interviewed with a focus on patient responsiveness to each of the seven interventions implemented on the ward. Data were analysed using qualitative descriptive analysis. RESULTS The findings indicate high implementation fidelity, which was reflected in the SFC assessment, walkthrough and patient responsiveness. Patients gave examples of improvements that had happened over time or of the ward being better than other wards. They felt respected, less alone, hopeful and safe. They also described supporting fellow patients and taking responsibility for the ward climate. However, some patients were unfamiliar with a ward where so much communication was expected. Several suggestions were made about improving Safewards. CONCLUSIONS This study confirms previous research that patient responsiveness is an important factor for achieving fidelity in a prevention programme. The patients' descriptions of the acceptability, relevance and usefulness of the specific interventions reflected to a high degree the objective visual observations made by means of the SFC and ward walkthrough. Patient engagement was demonstrated by several suggestions about how to adapt the interventions. There is potential to obtain valuable input from patients when adapting Safewards in practice. This study also presents many examples of practical work with these interventions and the effects it can have on patients' experiences of care.
Collapse
Affiliation(s)
- Veikko Pelto-Piri
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
| | - Lars Kjellin
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Gabriella Backman
- Psychiatric outpatient clinic, Region Värmland, Kristinehamn, Sweden
| | - Karoline Carlsson
- Psychiatric Outpatient Clinic, Västra Götalandsregionen, Alingsås, Sweden
| | - Anna Björkdahl
- Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| |
Collapse
|
2
|
Sepehrian R, Aghaei Hashjin A, Farahmandnia H. A systematic review of programs and interventions for reduction of sickness absence in nursing staff with work-related musculoskeletal disorders. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:205. [PMID: 39297114 PMCID: PMC11410163 DOI: 10.4103/jehp.jehp_722_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Accepted: 07/08/2023] [Indexed: 09/21/2024]
Abstract
Negative consequences of musculoskeletal pain and injuries on the nurses' health and well-being can increase job dissatisfaction and impose high costs on healthcare centers due to lost workdays and compensation claims. This study aimed to identify policies, programs, and interventions that might be effective in the prevention and reduction of sickness absence and improvement of work outcomes in nursing staff with these problems. The systematic review was conducted according to the preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Electronic databases were searched up to November 9-23, 2022. The keywords "musculoskeletal disorders", "nurse", "return to work", "sickness absence", and "sick leave" and their equivalents were combined using Boolean operators OR/AND. Reference lists of eligible literatures were also screened to identify related studies. In this study, a total of 3365 records were retrieved. After two rounds of screening, 15 studies were selected for qualitative synthesis. These studies included seven randomized controlled trial, five pre-post studies, two cohort, and one cross-sectional. Six types of interventions identified including back college, early workplace-based intervention, physical activity/training, psychosocial education, multifaceted intervention, and ergonomics program. There is insufficient evidence to identify effective interventions in preventing and reducing sickness absence, and improvement of work outcomes in nursing personnel with work-related musculoskeletal disorders. Numerous factors affected the occurrence of such disorders, and their consequences, therefore comprehensive strategy tailored to the injured person's needs should be considered.
Collapse
Affiliation(s)
- Razieh Sepehrian
- Department of Health Services Management, School of Health Services Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Asgar Aghaei Hashjin
- Department of Health Services Management, School of Health Services Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Hojat Farahmandnia
- Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran
| |
Collapse
|
3
|
Liao X, Wang Y, Zeng Q, Wang J, Yang X, Yan W, Wang G, Zeng Y. Is there a bidirectional relationship between workplace bullying and the risk of sickness absence? Systematic review and meta-analysis of prospective studies. Occup Environ Med 2023; 80:529-537. [PMID: 37468282 DOI: 10.1136/oemed-2023-108823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Accepted: 07/07/2023] [Indexed: 07/21/2023]
Abstract
Exposure to workplace bullying increases the risk of sickness absence. However, the extent and direction of this relationship for different follow-up lengths are not well established. To provide evidence regarding the direction and extent of the relationship between workplace bullying and different durations of sickness absence. We searched nine databases from their inception to 29 November 2022. Multiple independent observers screened the literature, extracted the data and used the Risk Of Bias In Non-randomised Studies of Exposure to assess the methodological quality. The overall effect sizes of odds ratio, relative risk, hazard ratio and 95% confidence intervals were calculated. Our meta-analysis demonstrated a 26% increased risk of sick leave among workers exposed to workplace bullying for all follow-up lengths (95% CI 1.18 to 1.35), even after adjusting for confounding factors. Moreover, we found a significant association between long-term sickness absence and a higher likelihood of subsequent exposure to workplace bullying, with a pooled OR of 1.63 (95% CI 1.21 to 2.04). Our study established a bidirectional relationship between workplace bullying and long-term sickness absence, highlighting that it increases the risk of sickness absence at different follow-up lengths among employees who have been bullied. Hence, organisations should be mindful of workers who resume work after prolonged absences due to illness and adopt appropriate management strategies to prevent workplace bullying.
Collapse
Affiliation(s)
- Xinqi Liao
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Yuqiang Wang
- Chengdu Fifth People's Hospital, Chengdu, Sichuan, China
| | - Qinglin Zeng
- Sichuan College of Traditional Chinese Medicine, Mianyang, Sichuan, China
| | - Jinfeng Wang
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Xiangyu Yang
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| | - Wen Yan
- State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, China
| | - Guofu Wang
- Chengdu Fifth People's Hospital, Chengdu, Sichuan, China
| | - Yanli Zeng
- College of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China
| |
Collapse
|
4
|
Nasaif H, Alaradi M, Hammam R, Bucheeri M, Abdulla M, Abdulla H. Prevalence of self-reported musculoskeletal symptoms among nurses: a multicenter cross-sectional study in Bahrain. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2023; 29:192-198. [PMID: 34989658 DOI: 10.1080/10803548.2021.2025315] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Objectives. This study aimed to assess the prevalence of self-reported musculoskeletal symptoms among nurses in Bahrain and determine the factors that contribute to the occurrence of these symptoms. Methods. A cross-sectional study was conducted using data from a convenience sample of 550 nurses working in three hospitals in the Kingdom of Bahrain. The prevalence of self-reported musculoskeletal symptoms in the last 12 months was assessed using the self-administered Nordic musculoskeletal questionnaire (NMQ). Results. A total of 550 nurses participated in the study. Most were females (n = 488, 89.1%) between 31 and 40 years of age (n = 239, 43.8%). The overall self-reported prevalence of musculoskeletal complaints of all joints in the past 12 months was 88.1%. The highest prevalence was in the lower back (72.3%), followed by the shoulder (52.8%) and the neck (49%). The lowest prevalence was the elbow (12.1%). The prevalence of lower back symptoms was significantly associated with age (p < 0.001), coexisting medical conditions (p < 0.001), area of practice (p < 0.001), number of tasks (p < 0.001) and types of shifts (p < 0.001). Conclusion. The findings indicate a high prevalence of symptoms among nurses. There is a need to implement strategies in healthcare facilities to improve working environment conditions and reduce the prevalence rate.
Collapse
Affiliation(s)
- Husain Nasaif
- School of Nursing & Midwifery, Royal College of Surgeons in Ireland and Medical University of Bahrain, Bahrain
| | - Maryam Alaradi
- School of Nursing & Midwifery, Royal College of Surgeons in Ireland and Medical University of Bahrain, Bahrain
| | - Ridha Hammam
- Intensive Care Unit, Ministry of Health, Bahrain
| | | | | | | |
Collapse
|
5
|
Barene S, Krustrup P, Holtermann A. Does a 40-week Football and Zumba exercise intervention influence self-reported job satisfaction, work role functioning and sick leave among female hospital employees? A cluster-randomised controlled trial. Eur J Sport Sci 2022:1-11. [PMID: 36305278 DOI: 10.1080/17461391.2022.2139634] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
This 40-week cluster-randomised controlled trial (RCT) examines the effects of football and Zumba on self-perceived job satisfaction, work role functioning and sick leave among Norwegian female hospital employees. Hundred-and-seven employees, mainly consisting of nurses (80%), were allocated into three groups; Football (FG), Zumba (ZG) and Control (CG). The exercise groups were offered two to three and one to two 1-h weekly sessions during the first 12 and last 28 weeks, respectively, with an actual weekly exercise frequency of 2.4 ± 0.5 and 0.9 ± 0.2 in FG and 2.3 ± 0.3 and 0.8 ± 0.2 in ZG. Outcome variables were measured at baseline, 12 and 40 weeks. In comparison to CG (4.8 days 95% CI 3.2-6.4), ZG (1.9 days, 95% CI 0.4-3.5) had a significant lower overall mean days of sickness absence during last sick leave period (-2.9 days, 95% CI -5.1 to -0.7, p = .011) which corresponded to a moderate effect size (d = 0.60). Between baseline (88.5%, 95% CI 84.3-92.6) and 12 weeks (93.8%, 95% CI 89.4-98.2), ZG showed significant within-group improvement in total score of the Work Role Functioning Questionnaire (WRFQ) (5.3%, 95% CI 0.6-10.1, p = .029), corresponding to a moderate effect size (d = 0.40). This study indicates that two to three 1-h weekly Zumba sessions can have a preventive effect on sick leave in female hospital employees.HighlightsParticipants in Zumba exercise organised by the workplace showed a significant lower number of sick leave days compared with the controls.Despite a correspondingly significant reduction in exercise adherence in both groups in the last 28 weeks, only FG showed tendencies for group improvement in job satisfaction and total WRFQ in this period.Workplace promotion of exercise and physical activity can thus be beneficial for both the workers and the organisation.
Collapse
Affiliation(s)
- Svein Barene
- Department of Public Health and Sport Science, Inland Norway University of Applied Sciences, Elverum, Norway
| | - Peter Krustrup
- Department of Sports Science and Clinical Biomechanics, Sport and Health Sciences Cluster (SHSC), University of Southern Denmark, Odense, Denmark
- Danish Institute for Advanced Study (DIAS), University of Southern Denmark, Odense, Denmark, Department of Sports Science and Clinical Biomechanics, Sport and Health Sciences Cluster (SHSC), University of Southern Denmark, Odense, Denmark
- Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, Exeter, United Kingdom
| | - Andreas Holtermann
- National Research Centre for the Working Environment, Copenhagen, Denmark
| |
Collapse
|
6
|
Burr H, Balducci C, Conway PM, Rose U. Workplace Bullying and Long-Term Sickness Absence-A Five-Year Follow-Up Study of 2476 Employees Aged 31 to 60 Years in Germany. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19127193. [PMID: 35742441 PMCID: PMC9222956 DOI: 10.3390/ijerph19127193] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/17/2022] [Revised: 06/08/2022] [Accepted: 06/09/2022] [Indexed: 02/04/2023]
Abstract
Objectives: The aim was to investigate workplace bullying as a risk factor for five-year occurrence of long-term sickness absence (LTSA) in a representative cohort of employees in Germany. Methods: In the German Study on Mental Health at Work (S-MGA) (n = 2476), episodes of long-term sickness absence (LTSA) between baseline and follow-up were assessed in the follow-up interview. Workplace bullying was measured in the baseline interview using a hybrid approach, which combines the behavioural experience and self-labelling methods. Through binomial regressions, the association of baseline level of workplace bullying with first-episode LTSA during follow-up was estimated, adjusting for baseline age, gender, occupational level, smoking status and physical demands at work. Results: Severe bullying heightened the risk for LTSA by approximately 50% (Rate ratio—RR: 1.48, 95% Confidence interval—CI: 1.05; 2.19), while occasional bullying heightened the risk by 15% (RR: 1.15, CI: 0.85; 1.55). When excluding LTSA events occurring in the first 2 years, the associations between bullying and LTSA increased by approximately one third. Conclusions: Workplace bullying seems to be a risk factor for LTSA even when controlling for occupational level, smoking and physical demands at work and when taking possible reverse causality into account. We suggest to investigate effects of LTSA in more settings, to distinguish between occasional and severe bullying and employ longer follow-up intervals.
Collapse
Affiliation(s)
- Hermann Burr
- Federal Institute for Occupational Safety and Health (BAuA), Nöldnerstraße 40-42, 10317 Berlin, Germany;
- Correspondence: ; Tel.: +49-030-515-484355
| | - Cristian Balducci
- Department of Psychology, University of Bologna, Viale Berti Pichat, 5, 40127 Bologna, Italy;
| | - Paul Maurice Conway
- Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1165 Copenhagen, Denmark;
| | - Uwe Rose
- Federal Institute for Occupational Safety and Health (BAuA), Nöldnerstraße 40-42, 10317 Berlin, Germany;
| |
Collapse
|
7
|
Saposnik G, Bueno-Gil G, Sempere ÁP, Río-Muñoz BD, Lendínez-Mesa A, Azanza-Munarriz C, Becerril-Ríos N, Goicochea-Briceño H, Horno R, Sánchez-Franco C, Medrano N, Rodríguez-Antigüedad A, Maurino J. Sick leave and occupational burnout among nurses caring for patients with multiple sclerosis. Mult Scler Relat Disord 2022; 63:103916. [DOI: 10.1016/j.msard.2022.103916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Revised: 04/09/2022] [Accepted: 05/26/2022] [Indexed: 11/16/2022]
|
8
|
Gohar B, Larivière M, Lightfoot N, Larivière C, Wenghofer E, Nowrouzi-Kia B. Demographic, Lifestyle, and Physical Health Predictors of Sickness Absenteeism in Nursing: A Meta-Analysis. Saf Health Work 2021; 12:536-543. [PMID: 34900373 PMCID: PMC8640582 DOI: 10.1016/j.shaw.2021.07.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2020] [Revised: 06/22/2021] [Accepted: 07/07/2021] [Indexed: 01/08/2023] Open
Abstract
Background Sickness absenteeism is an area of concern in nursing and is more concerning given the recent impacts of the COVID-19 pandemic on healthcare. This study is one of two meta-analyses that examined sickness absenteeism in nursing. In this study, we examined demographic, lifestyle, and physical health predictors. Methods We reviewed five databases (CINAHL, ProQuest Allied, ProQuest database theses, PsycINFO, and PubMed) for our search. We registered the systematic review (CRD de-identified) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Additionally, we used the Population/Intervention/Comparison/Outcome Tool to improve our searches. Results: Following quality testing, 17 articles were used for quantitative synthesis. Female employees were at higher risks of sickness absenteeism than their male counterparts (OR = 1.73; 95% CI: 1.33-2.25). Nursing staff who rated their health as poor had a greater likelihood of experiencing sickness absence (OR = 1.38; 95% CI: 1.19-1.60). Also, previous sick leave predicted future leaves (OR = 3.35; 95% CI: 1.37-8.19). Moreover, experiencing musculoskeletal pain (OR = 2.41 95% CI: 1.77-3.27) increased the likelihood of sickness absence with greater odds when it is a back pain (OR = 3.05; 95% CI: 1.66-5.62). Increased age, physical activity, and sleep were not associated with sick leave. Conclusion Several variables were statistically associated with the occurrence of sickness absenteeism. One primary concern is the limited research in this area despite alarming rates of sick leave in healthcare. More research is required to identify predictors of sickness absence, and thereby, implement preventative measures.
Collapse
Affiliation(s)
- Basem Gohar
- Department of Population Medicine, University of Guelph, Guelph, Canada.,Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada
| | - Michel Larivière
- School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Nancy Lightfoot
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada
| | - Céline Larivière
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Elizabeth Wenghofer
- School of Kinesiology & Health Sciences, Laurentian University, Sudbury, Canada.,Northern Ontario School of Medicine, Subury, Canada
| | - Behdin Nowrouzi-Kia
- Centre for Research in Occupational Safety and Health, Laurentian University, Sudbury, Canada.,Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada
| |
Collapse
|
9
|
Gohar B, Larivière M, Lightfoot N, Wenghofer E, Larivière C, Nowrouzi-Kia B. Meta-analysis of nursing-related organizational and psychosocial predictors of sickness absence. Occup Med (Lond) 2021; 70:593-601. [PMID: 33313909 DOI: 10.1093/occmed/kqaa144] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Nursing is a stressful occupation with high rates of sickness absence. To date, there are no meta-analyses that statistically determined the correlates of sickness absence in this population. AIMS This meta-analysis examined organizational and psychosocial predictors of sickness absence among nursing staff. METHODS As a registered systematic review (PROSPERO: CRD42017071040), which followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, five databases (CINAHL, PROQuest Allied, PROQuest database theses, PsycINFO, PubMed) were reviewed to examine predictors of sickness absence in nurses and nursing assistants between 1990 and 2019. The Population/Intervention/Comparison/Outcome tool was used to support our searches. Effect sizes were analysed using random-effects model. RESULTS Following critical appraisals using (i) National Institutes of Health's Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies and (ii) Strengthening the Reporting of Observational Studies in Epidemiology, 21 studies were included. Nursing assistants had greater odds of sickness absence than nurses. Working night shifts, in paediatrics or psychiatric units, experiencing poor mental health, and fatigue, also increased the odds of sickness absence. There was no evidence that job satisfaction or job strain influenced sickness absence; however, job demand increased the likelihood. Finally, work support reduced the odds of lost-time. CONCLUSIONS We synthesized three decades of research where several factors influenced sickness absence. Due to limited recent research, the results should be interpreted with caution as some practices may have changed overtime or between countries. Nevertheless, these findings could help in applying preventative strategies to mitigate lost-time in a vulnerable working population.
Collapse
Affiliation(s)
- B Gohar
- Psychology Department, University of Guelph, Guelph, Canada.,Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - M Larivière
- School of Human Kinetics, Northern Ontario School of Medicine, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - N Lightfoot
- School of Rural & Northern Health, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - E Wenghofer
- School of Rural & Northern Health, Laurentian University, Sudbury, Canada
| | - C Larivière
- School of Human Kinetics, Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada
| | - B Nowrouzi-Kia
- Centre for Research in Occupational Safety & Health, Laurentian University, Sudbury, Canada.,Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Canada
| |
Collapse
|
10
|
Cheung K, Ma KY, Cheung HH, Lee CH, Chan IMM, Cheung ST, Chung WY, Yeung SS, Lo WC. Predictors of work-related musculoskeletal symptoms in shoulders among nursing assistants working in nursing homes. PeerJ 2021; 9:e11152. [PMID: 33986982 PMCID: PMC8101459 DOI: 10.7717/peerj.11152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Accepted: 03/03/2021] [Indexed: 11/20/2022] Open
Abstract
Nursing assistants (NAs) working in nursing homes (NHs) are at higher risk for work-related musculoskeletal symptoms (WRMSs) than their counterparts working in other health care settings. Worldwide, NAs have ranked shoulders in the top three body parts at risk of WRMSs. However, factors associated with their shoulder WRMSs are currently unknown. The aim of this study was to identify these associated risk factors among NAs working in NHs. 440 NAs from 47 nursing homes (with 60-90% response rate from each nursing home), recruited by convenience sampling, participated in this cross-sectional study in 2014-2015. A validated and reliable questionnaire was used for data collection. Information on demographic, job content questionnaire (JCQ), perceived physical exertion (PE), workstyle, ergonomic and manual handling knowledge and other work-related factors was collected using a self-administered questionnaire. 53% of the participants reported experiencing with WRMSs in their shoulders. Nine associated factors of shoulder WRMSs were identified using bivariate analysis. With the adjustment of age and gender using multivariable logistic regression, body mass index (OR = .931, 95% CI [.874-.991]), job title of health workers (OR = 2.72, 95% CI [1.18-6.25]) and workstyle-working through pain (OR = 1.06, 95% CI [1.01-1.11]) remained as predictors. Effort should be directed at integrating "workstyle intervention" into lifestyle physical activity training for NAs.
Collapse
Affiliation(s)
- Kin Cheung
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| | - Ka Yan Ma
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| | - Hin Hei Cheung
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| | - Chun Ho Lee
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| | - In Mink Mavis Chan
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| | - Sin Ting Cheung
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| | - Wing Yee Chung
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| | - Sun Sun Yeung
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| | - Wing Chi Lo
- School of Nursing, The Hong Kong Polytechnic University, Kowloon, Kowloon, Hong Kong
| |
Collapse
|
11
|
Frick B, Simmons R, Stein F. Timing matters: worker absenteeism in a weekly backward rotating shift model. THE EUROPEAN JOURNAL OF HEALTH ECONOMICS : HEPAC : HEALTH ECONOMICS IN PREVENTION AND CARE 2020; 21:1399-1410. [PMID: 32930894 DOI: 10.1007/s10198-020-01232-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/07/2020] [Accepted: 08/26/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVES We analyze the impact of the positioning of shifts (morning, afternoon, night) on worker absenteeism in a large German automobile plant. METHODS Using a completely balanced panel of 153 organizational units over the 2-year-period 2009 to 2010 (i.e. 104 consecutive weeks with 15,912 unit-week-observations) we estimate a series of GLM and Fixed Effects models. RESULTS Our main finding is that during afternoon shifts absence rates are significantly higher than during either morning or night shifts and that absence rates are particularly high during the afternoon shift immediately following the 3 weeks of consecutive night shifts. We attribute our first finding to the "social opportunity costs" of working and the second one to a "tax evasion effect". CONCLUSIONS When designing new shift models, firms should try to anticipate their workers' reaction to avoid unintended incentives.
Collapse
Affiliation(s)
- Bernd Frick
- Management Department, Paderborn University, Warburger Strasse 100, 33098, Paderborn, Germany.
| | - Robert Simmons
- Department of Economics, Lancaster University Management School, Lancaster, LA1 4YX, UK
| | - Friedrich Stein
- Institute for Labor and Personnel Management, Mobile Life Campus, Volkswagen AG, Hermann-Münch-Strasse 1, 38440, Wolfsburg, Germany
| |
Collapse
|
12
|
Leineweber C, Marklund S, Gustafsson K, Helgesson M. Work environment risk factors for the duration of all cause and diagnose-specific sickness absence among healthcare workers in Sweden: a prospective study. Occup Environ Med 2020; 77:782-789. [PMID: 32764106 DOI: 10.1136/oemed-2020-106510] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 06/13/2020] [Accepted: 06/21/2020] [Indexed: 11/03/2022]
Abstract
OBJECTIVES Increasing sickness absence (SA) has been reported among healthcare workers in Sweden. Our aim was to analyse the impact of work environment factors on short-term and long-term SA based on musculoskeletal and psychiatric diagnoses among healthcare workers. METHODS The study sample consisted of healthcare workers (n=12 452) drawn from representative samples of workers aged 16 to 64, who participated in the Swedish Work Environment Surveys (SWES) between 1993 and 2013. The outcomes were either short-term (≤28 days) or long-term (>104 days) SA between 1994 and 2016. HRs and 95% CIs were calculated for the impact of physical and psychosocial working conditions on risk of subsequent short-term or long-term SA for 3 years after participation in SWES. RESULTS Heavy physical work and strenuous work postures showed elevated HRs for short-term and long-term SA compared with those without these work exposures. Similarly, high job demands and low job control each increased the risk for both short-term and long-term SA compared with employees with low job demands and high job control. Low job support increased the risk for short-term SA compared with those with high job support. Working conditions were strongly related to short-term SA due to musculoskeletal diagnoses but not to short-term SA due to psychiatric diagnoses. None of the work characteristics, except strenuous postures, elevated the risk for long-term SA due to psychiatric diagnosis compared with employees without these characteristics. CONCLUSIONS Ergonomic improvements and stress reduction among healthcare workers are likely to reduce the prevalence of SA foremost due to musculoskeletal diagnoses.
Collapse
Affiliation(s)
| | - Staffan Marklund
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Klas Gustafsson
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| | - Magnus Helgesson
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden
| |
Collapse
|
13
|
Amiri S, Behnezhad S. Association between job strain and sick leave: a systematic review and meta-analysis of prospective cohort studies. Public Health 2020; 185:235-242. [PMID: 32682182 DOI: 10.1016/j.puhe.2020.05.023] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2020] [Revised: 04/30/2020] [Accepted: 05/08/2020] [Indexed: 12/14/2022]
|
14
|
Marklund S, Gustafsson K, Aronsson G, Leineweber C, Helgesson M. Working conditions and compensated sickness absence among nurses and care assistants in Sweden during two decades: a cross-sectional biennial survey study. BMJ Open 2019; 9:e030096. [PMID: 31712334 PMCID: PMC6858201 DOI: 10.1136/bmjopen-2019-030096] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
OBJECTIVES The aims of the study were to trace the patterns of work environment factors and compensated sickness absence (SA) among nurses and care assistants compared with other occupations and to compare SA among exposed and non-exposed nurses and care assistants. DESIGN A cross-sectional survey on work environment factors based on the biennial Swedish Work Environment Surveys 1991-2013, linked to longitudinal register data on SA 1993-2014. PARTICIPANTS The study included 98 249 individuals, stratified into nurses and care assistants (n=16 179) and a reference population including all other occupations (n=82 070). OUTCOME MEASURE Annual days of compensated SA (>14 days) 3 years after exposure years. RESULTS Nurses and care assistants had higher SA in 1993-2014 compared with all other occupations, and differences in background factors only partly explained this relationship. For both groups, exposure to physical work factors remained steady, but the number of exposed were 10%-30% higher among nurses and care assistants. Those exposed to heavy physical work and strenuous working postures had in most years significantly higher SA when compared with non-exposed (rate ratio range: 1.4-1.9). Exposure to high job demands increased 10%-25% in 1991-1999 among nurses and care assistants but became more stable in 2001-2013 and high proportions of high job demands coincided with the increase in SA in 1995-1999. Nurses and care assistants exposed to high job demands had for most years significantly higher SA than non-exposed (rate ratio range: 1.5-2.1). Low job control and low support from supervisors elevated SA significantly only for a few years. CONCLUSIONS Exposure to negative work factors among nurses and care assistants was weakly associated with variations in SA, but may be related to their higher level of SA when compared with other occupations. Improved physical and psychosocial working conditions may reduce the elevated SA level in these occupations.
Collapse
Affiliation(s)
- Staffan Marklund
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden, Karolinska Institutet, Stockholm, Sweden
| | - Klas Gustafsson
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden, Karolinska Institutet, Stockholm, Sweden
| | - Gunnar Aronsson
- Department of Psychology, Stockholm University, Stockholm, Sweden
| | | | - Magnus Helgesson
- Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden, Karolinska Institutet, Stockholm, Sweden
| |
Collapse
|
15
|
Alsafy NN, Alhendal ES, Alhawaj SH, El-Shazly MK, Kamel MI. Knowledge of primary care nurses regarding domestic violence. ALEXANDRIA JOURNAL OF MEDICINE 2019. [DOI: 10.1016/j.ajme.2011.02.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
Affiliation(s)
| | | | - Shurooq H. Alhawaj
- Head of East Sabahiya Clinic Al-Ahmadi Health Region Ministry of Health Kuwait
| | - Medhat K. El-Shazly
- Department of Medical Statistics Medical Research Institute Alexandria University Egypt
- Department of Health Information and Medical Records Ministry of Health Kuwait
| | - Mohamed I. Kamel
- Community Medicine Department Faculty of Medicine Alexandria University Egypt
- Department of Occupational Medicine Ministry of Health Kuwait
| |
Collapse
|
16
|
Hylén U, Kjellin L, Pelto-Piri V, Warg LE. Psychosocial work environment within psychiatric inpatient care in Sweden: Violence, stress, and value incongruence among nursing staff. Int J Ment Health Nurs 2018; 27:1086-1098. [PMID: 29193626 DOI: 10.1111/inm.12421] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/30/2017] [Indexed: 01/29/2023]
Affiliation(s)
- Ulrika Hylén
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Lars Kjellin
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Veikko Pelto-Piri
- University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
| | - Lars-Erik Warg
- Department of Occupational and Environmental Medicine, School of Law, Psychology and Social Work, Örebro University, Örebro, Sweden
| |
Collapse
|
17
|
Sagherian K, Unick GJ, Zhu S, Derickson D, Hinds PS, Geiger-Brown J. Acute fatigue predicts sickness absence in the workplace: A 1-year retrospective cohort study in paediatric nurses. J Adv Nurs 2017; 73:2933-2941. [DOI: 10.1111/jan.13357] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/22/2017] [Indexed: 12/19/2022]
Affiliation(s)
- Knar Sagherian
- School of Nursing; University of Maryland; Baltimore MD USA
| | - George J. Unick
- School of Social Work; University of Maryland; Baltimore MD USA
| | - Shijun Zhu
- School of Nursing; University of Maryland; Baltimore MD USA
| | | | - Pamela S. Hinds
- Department of Pediatrics; George Washington University; Washington DC USA
- Department of Nursing Research and Quality Outcomes; Children's National Medical Center; Washington DC USA
| | | |
Collapse
|
18
|
Assunção AÁ, de Medeiros AM, Pinheiro TMM. Self-reported medical leave by Brazilian Labor-law magistrates. Work 2016; 55:715-724. [DOI: 10.3233/wor-162432] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
19
|
Bassi I, Assunção AÁ, Pimenta AM, Benavides FG, Ubalde-Lopez M. Sickness absence among health workers in belo horizonte, brazil. J Occup Health 2016; 58:179-85. [PMID: 27010082 PMCID: PMC5356964 DOI: 10.1539/joh.15-0121-oa] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2015] [Accepted: 10/19/2015] [Indexed: 01/13/2023] Open
Abstract
OBJECTIVES To describe the prevalence of sickness absence and to analyze factors associated with the outcome according to gender in a sample of healthcare workers at the Belo Horizonte Health Department. METHOD This study was based on a Belo Horizonte Health Department survey carried out between September 2008 and January 2009. From a randomly selected sample of 2,205 workers, 1,808 agreed to participate. Workers were classified into Health Staff or Health Care. Other explanatory variables were social and demographic data, work characteristics, and personal health. The Poisson regression was applied to analyze factors associated with sickness absence by the prevalence ratio (PR). RESULTS The overall prevalence of sickness absence was 31.5% (23.8% for men and 34.6% for women). In the final model, we found higher rates of sickness absence in both male and female workers involved in tasks with high psychosocial demands (PR=1.86 men; PR=1.38 women) and in those that reported using medication for treating chronic diseases (PR=1.96 men; PR=1.50 women). Women having a permanent job contract had a higher prevalence of sickness absence than those having a temporary job contract (PR=1.71). CONCLUSION Our findings suggest a paradox in how healthcare is organized: good results in terms of its global objective of providing healthcare for citizens contrast with lack of effective measures for protecting healthcare workers.
Collapse
Affiliation(s)
- Iara Bassi
- Program of Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais (UFMG)
| | | | | | | | | |
Collapse
|
20
|
Hariri A, Hay AN. Pending appendicectomy: a personal experience and review of a doctor's own illness. BMJ Case Rep 2016; 2016:bcr-2016-215498. [PMID: 27174455 DOI: 10.1136/bcr-2016-215498] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Doctors will inevitably 1 day become patients. Whether as an acute emergency or as part of routine screening, doctors often find it difficult to recognise and act on their own healthcare needs. This article aims to provide a personal account and reflections from the point of view of a doctor in denial about his acute appendicitis, and a friend and fellow colleague's attempts to convince him to seek help. We review the challenges, learning points and literature about why doctors ignore their health needs, both physical and psychological, and suggest potential changes to tackle this issue based on the current literature, support networks and personal experiences.
Collapse
Affiliation(s)
- Ahmad Hariri
- Department of Head and Neck Surgery, Pennine Acute Hospitals NHS Trust, Bury, UK
| | - Alexandra Naomi Hay
- Department of Anaesthetics and Intensive Care Medicine, North West London Hospitals NHS Trust, Harrow, UK
| |
Collapse
|
21
|
Pęciłło M. Selected aspects of absence at work and work-related health problems in Polish enterprises. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2016; 21:268-75. [PMID: 26647948 PMCID: PMC4685531 DOI: 10.1080/10803548.2015.1081768] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Workers' working conditions, work-related health problems and sickness absence are interdependent factors. Both workers' health problems and their absence are adverse events which generate significant costs for both Poland's Social Insurance Institution (ZUS) and employers. Despite the related burdens, it is difficult to assess the number of workers who experience work-related health problems, to indicate the share of those workers who have been unfit for work owing to such disorders and to indicate the types of workers' disorders which are caused by factors the workers are exposed to in the working environment. This article presents the findings of surveys carried out in selected production and service-providing companies, assessing the scale and nature of work-related health problems and their links with workers' sickness absence.
Collapse
Affiliation(s)
- Małgorzata Pęciłło
- a Central Institute for Labour Protection - National Research Institute (CIOP-PIB) , Poland
| |
Collapse
|
22
|
Suni JH, Rinne M, Kankaanpää M, Taulaniemi A, Lusa S, Lindholm H, Parkkari J. Neuromuscular exercise and back counselling for female nursing personnel with recurrent non-specific low back pain: study protocol of a randomised controlled trial (NURSE-RCT). BMJ Open Sport Exerc Med 2016; 2:e000098. [PMID: 27900169 PMCID: PMC5117067 DOI: 10.1136/bmjsem-2015-000098] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/01/2016] [Indexed: 12/19/2022] Open
Abstract
Introduction Nursing personnel have high risk for incidence of low back pain (LBP) followed by development of chronic pain and disability. Multiple risk factors such as patient handling, night shift work and lack of supporting work culture have been identified. In subacute LBP, high-fear avoidance is prognostic for more pain, disability and not returning to work. Lack of leisure-time physical activity predicts long-term sickness absence. The purpose of this study is to compare effectiveness of 6-month neuromuscular exercise and counselling in treating back pain in female nursing personnel with recurrent non-specific LBP pain compared with either (exercise or counselling) alone and a non-treatment control group. Methods and analysis The design is of a double-blinded four-arm randomised controlled trial with cost-effectiveness evaluation at 12 and 24 months. The study is conducted in 3 consecutive substudies. The main eligibility criteria are experience of LBP during the past 4 weeks with intensity of at least 2 (Numeric Rating Scale 0–10) and engagement in patient handling. Sample size was estimated for the primary outcome of pain intensity (visual analogue scale). Study measurements are outlined according to the model of International Classification of Functioning, Disability and Health, which incorporates the biopsychosocial processes assessed. Ethics and dissemination This study is carried out conforming to the guidelines of good scientific practice and provisions of the declaration of Helsinki. Increasing physical and mental capacity with interventions taking place immediately after working hours near the worksite may reduce development of chronic LBP and work disability in female nursing personnel with recurrent non-specific LBP. Trial registration number NCT04165698.
Collapse
Affiliation(s)
- Jaana H Suni
- UKK Institute for Health Promotion Research , Tampere , Finland
| | - Marjo Rinne
- UKK Institute for Health Promotion Research , Tampere , Finland
| | - Markku Kankaanpää
- Pirkanmaa Hospital District, Physical and Rehabilitation Medicine Outpatient Clinic , Tampere , Finland
| | | | - Sirpa Lusa
- Finnish Institute of Occupational Medicine , Helsinki , Finland
| | - Harri Lindholm
- Finnish Institute of Occupational Medicine , Helsinki , Finland
| | - Jari Parkkari
- UKK Institute for Health Promotion Research , Tampere , Finland
| |
Collapse
|
23
|
Abstract
OBJECTIVE To develop a team-based Total Worker Health™ (injury prevention + health promotion) intervention for home care workers and estimate intervention effects on workers' well-being and health and safety behaviors. METHODS Home care workers (n = 16) met monthly in teams for education and social support using a scripted, peer-led approach. Meeting process measures and pre-/postintervention outcome measures were collected. RESULTS Knowledge gains averaged 18.7% (standard deviation = 0.04), and 62.0% (standard deviation = 0.13) of participants reported making safety or health changes between meetings. Workers' well-being improved significantly (life satisfaction, d = 0.65, P < 0.05; negative affect, d = 0.64, P < 0.05), and the majority of other safety and health outcomes changed in expected directions. CONCLUSIONS COMPASS is a feasible intervention model for simultaneously preventing injuries and promoting health among home care workers.
Collapse
|
24
|
Leijten FRM, van den Heuvel SG, van der Beek AJ, Ybema JF, Robroek SJW, Burdorf A. Associations of work-related factors and work engagement with mental and physical health: a 1-year follow-up study among older workers. JOURNAL OF OCCUPATIONAL REHABILITATION 2015; 25:86-95. [PMID: 24928413 DOI: 10.1007/s10926-014-9525-6] [Citation(s) in RCA: 46] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
PURPOSE The goals of this study were to determine whether, among older employees, unfavourable physical and psychosocial work-related factors were associated with poorer mental and physical health and whether high work engagement buffered the associations between unfavourable work-related factors and poorer health. METHODS A 1-year longitudinal study with employed persons aged 45-64 was conducted within the Study on Transitions in Employment, Ability and Motivation (n = 8,837). Using an online questionnaire, work-related factors (physical: physical load; psychosocial: psychological job demands, autonomy, and support) and work engagement were measured at baseline and health at baseline and 1-year follow-up. General linear models were used to assess associations of work-related factors and work engagement with health. Tests of interaction terms assessed whether work engagement buffered the work-related factor-health associations. RESULTS Unfavourable psychosocial work-related factors at baseline were associated with poorer mental health at follow-up. Higher physical load, higher psychological job demands, and lower autonomy at baseline were associated with poorer physical health at follow-up. Higher work engagement at baseline was related to better physical and especially better mental health during the 1-year follow-up. Work engagement had a small effect on the associations between work-related factors and health. CONCLUSIONS Among older employees, especially the promotion of a high work engagement and, to a lesser extent, favourable work-related factors can be beneficial for mental health in particular.
Collapse
Affiliation(s)
- Fenna R M Leijten
- Department of Public Health, Erasmus MC, University Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands
| | | | | | | | | | | |
Collapse
|
25
|
Barene S, Krustrup P, Holtermann A. Effects of the Workplace Health Promotion Activities Soccer and Zumba on Muscle Pain, Work Ability and Perceived Physical Exertion among Female Hospital Employees. PLoS One 2014; 9:e115059. [PMID: 25494175 PMCID: PMC4262471 DOI: 10.1371/journal.pone.0115059] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2014] [Accepted: 11/14/2014] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVES This 40-week workplace physical training RCT investigated the effect of soccer and Zumba, respectively, on muscle pain intensity and duration, work ability, and rating of perceived exertion (RPE) during work among female hospital employees. METHODS 107 hospital employees were cluster-randomized into two training groups, and a control group. The training was conducted outside working hours as two-three 1-h sessions per week for the first 12 weeks, and continued as one-two 1-h sessions per week for the last 28 weeks. Muscle pain intensity and duration, work ability, and RPE during work were measured at baseline and after 12 and 40 weeks. RESULTS After 12 weeks, both the soccer (-1.9, 95% CI, -3.0, -0.8, P = 0.001) and the Zumba group (-1.3, 95% CI, -2.3, -0.3, P = 0.01) reduced the pain intensity (on a scale from 0 to 10) in the neck-shoulder region (eta squared = 0.109), whereas only the soccer group (-1.9, 95% CI, -3.2, -0.7, P = 0.002, eta squared = 0.092) showed a reduction after 40 weeks referencing the control group. After 40 weeks, both the soccer (-16.4 days, 95% CI, -29.6, -3.2, P<0.02) and the Zumba group (-16.6 days, 95% CI, -28.9, -4.2, P<0.01) reduced the pain duration during the past 3 months in the neck-shoulder region (eta squared = 0.077). No significant effects on intensity or duration of pain in the lower back, RPE during work or work ability were found. CONCLUSIONS The present study indicates that workplace initiated soccer and Zumba training improve neck-shoulder pain intensity as well as duration among female hospital employees. TRIAL REGISTRATION International Standard Randomized Controlled Trial Number Register ISRCTN 61986892.
Collapse
Affiliation(s)
- Svein Barene
- Faculty of Public Health, Hedmark University College, Elverum, Norway
- Department of Sports, University of Nordland, Bodø, Norway
- Department of Nutrition, Exercise and Sports, Section of Human Physiology, Copenhagen Centre for Team Sport and Health, University of Copenhagen, Copenhagen, Denmark
- * E-mail:
| | - Peter Krustrup
- Department of Nutrition, Exercise and Sports, Section of Human Physiology, Copenhagen Centre for Team Sport and Health, University of Copenhagen, Copenhagen, Denmark
- Sport and Health Sciences, College of Life and Environmental Sciences, University of Exeter, Exeter, United Kingdom
| | - Andreas Holtermann
- National Research Centre for the Working Environment, Copenhagen, Denmark
| |
Collapse
|
26
|
Aagestad C, Tyssen R, Johannessen HA, Gravseth HM, Tynes T, Sterud T. Psychosocial and organizational risk factors for doctor-certified sick leave: a prospective study of female health and social workers in Norway. BMC Public Health 2014; 14:1016. [PMID: 25266630 PMCID: PMC4190425 DOI: 10.1186/1471-2458-14-1016] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2014] [Accepted: 09/22/2014] [Indexed: 02/07/2023] Open
Abstract
Background Doctor-certified sick leave differs substantially across sectors, and among health and social workers, in particular, there is an increased risk. Previous studies have shown that work environmental factors contribute to sick leave. Hence, the identification of specific organizational and psychosocial risk factors for long- term sick leave, taking into account potential confounding related to mechanical risk factors such as lifting and awkward body postures, will be of importance in the work of prevention. Methods A randomly drawn population sample of Norwegian residents was interviewed about working conditions in 2009 (n = 12,255; response rate 60.9%). Female health and social care workers (n = 925) were followed in a national registry for subsequent sickness absence during 2010. The outcome of interest was doctor-certified sick leave of 21 days or more (long-term sick leave). Eleven work-related psychosocial and organizational factors were evaluated. Results In total, 186 persons (20.1%) were classified with subsequent long-term sick leave. After thoroughly adjusting for competing explanatory variables, the most consistent predictors for long-term sick leave were violence and threats of violence (OR = 1.67; 95% CI 1.14–2.45). The estimated population attributable risk for violence and threats of violence was 13%. Conclusions The present study among female health and social care workers revealed a substantial relationship between self-reported violence and threats of violence and subsequent long- term sick leave.
Collapse
Affiliation(s)
- Cecilie Aagestad
- Department of Occupational Health Surveillance, National Institute of Occupational Health, PO BOX 8149 Dep, NO-0033 Oslo, Norway.
| | | | | | | | | | | |
Collapse
|
27
|
Melsom AM. Long-term sickness absence during pregnancy and the gender balance of workplaces. Scand J Public Health 2014; 42:627-34. [PMID: 25013213 DOI: 10.1177/1403494814541596] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
AIMS This study addresses how the gender composition of workplaces affects pregnant women's sickness absence. It also assesses whether an observed association may be explaine by differential selection to female- or male-dominated workplaces. METHODS The analyses are based on Norwegian registry data from 2003-2011. Using Poisson regressions with detailed control for occupational categories, I examine whether the number of absence days are associated with the proportion of females at the workplace. I address possible selection effects by Poisson regressions with fixed individual effects using only within-individual variation on women with two or more pregnancies during the time window. RESULTS The analyses indicate a positive and significant relationship between the female proportion in workplaces and sickness absence rates during pregnancy. Analyses limited to within-individual variation also show positive and significant effects of similar strength, indicating that the observed relationship is not due to differential selection of absence-prone pregnant workers to female-dominated workplaces. CONCLUSIONS The proportion of female individuals at workplaces is positively associated with sickness absence rates during pregnancy this association is not likely explained by occupational nor individual characteristics the results are consistent with absence culture theory and more lenient norms concerning sickness absence during pregnancy at female-dominated workplaces.
Collapse
Affiliation(s)
- Anne M Melsom
- Department of Sociology and Human Geography, University of Oslo, Oslo, Norway
| |
Collapse
|
28
|
Abstract
Purpose
– This study aims to identify the status of occupational stress among a sample of hospital employees in Iran. It further intended to reveal the harmful effects of occupational stress on employees’ health and well-being.
Design/methodology/approach
– The study used a cross-sectional research design. A validated questionnaire was used to collect data from hospital employees.
Findings
– Job-related, working environment, interpersonal and organisational factors were related to occupational stress. One-fourth of employees rated their occupational stress high. The major sources of occupational stress were inadequate pay, inequality at work, too much work, staff shortage, poor recognition and promotion, time pressure, job insecurity and lack of management support. High levels of occupational stress have been linked to an increased risk of physical injuries, cardiovascular disease, high blood pressure, depression and increases in negative personal behaviours such as anger, anxiety and irritability. Occupational stress was positively associated with employees’ turnover intentions.
Research limitations/implications
– The findings of this study are not generalisable to the wider population of hospital employees in Iran due to the small sample size. Thus, future research should involve additional samples.
Practical implications
– The study has practical relevance for designing and implementing strategies to decrease occupational stress among hospital employees.
Originality/value
– This article contributes to health care theory and practise by identifying factors contributing to employees’ occupational stress and examining the association between occupational stress and two important employee outcomes – health status and turnover intention.
Collapse
|
29
|
Lesuffleur T, Chastang JF, Sandret N, Niedhammer I. Psychosocial factors at work and sickness absence: results from the French national SUMER survey. Am J Ind Med 2014; 57:695-708. [PMID: 24639009 DOI: 10.1002/ajim.22317] [Citation(s) in RCA: 43] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2014] [Indexed: 11/06/2022]
Abstract
OBJECTIVE This study aims at exploring the associations between psychosocial work factors and sickness absence. METHODS The sample from the French National Survey SUMER 2010 included 46,962 employees. Sickness absence spells and days within the last year were studied as two outcomes. Psychosocial work factors included psychological demands, decision latitude, social support, reward, working time, and workplace violence variables. Covariates were age, occupation, economic activity, and other occupational exposures. RESULTS For both genders, low latitude, low reward, shift work, bullying, and verbal abuse were risk factors of absence spells while long working hours were a protective factor. High demands, low support, and physical violence were risk factors for women. Low support and bullying for both genders, high demands for women, and low reward, long working hours, and physical violence for men increased absence duration. CONCLUSIONS This study highlights the importance of psychosocial work factors as risk factors of sickness absence.
Collapse
Affiliation(s)
- Thomas Lesuffleur
- INSERM, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health; Department of Social Epidemiology; F-75013 Paris France
- Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health; Department of Social Epidemiology; F-75013 Paris France
| | - Jean-François Chastang
- INSERM, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health; Department of Social Epidemiology; F-75013 Paris France
- Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health; Department of Social Epidemiology; F-75013 Paris France
| | | | - Isabelle Niedhammer
- INSERM, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health; Department of Social Epidemiology; F-75013 Paris France
- Sorbonne Universités, UPMC Univ Paris 06, UMR_S 1136, Pierre Louis Institute of Epidemiology and Public Health; Department of Social Epidemiology; F-75013 Paris France
| |
Collapse
|
30
|
Quality of life and neck pain in nurses. Int J Occup Med Environ Health 2014; 27:236-42. [PMID: 24839232 DOI: 10.2478/s13382-014-0267-7] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2013] [Accepted: 01/22/2014] [Indexed: 11/20/2022] Open
Abstract
OBJECTIVES To investigate the association between neck pain and psychological stress in nurses. MATERIAL AND METHODS Nurses from the Avon Orthopaedic Centre completed 2 questionnaires: the Short Form-36 (SF-36) and 1 exploring neck pain and associated psychological stress. RESULTS Thirty four nurses entered the study (68% response). Twelve (35.3%) had current neck pain, 13 (38.2%) reported neck pain within the past year and 9 (26.5%) had no neck pain. Subjects with current neck pain had significantly lower mental health (47.1 vs. 70.4; p = 0.002), physical health (60.8 vs. 76.8; p = 0.010) and overall SF-36 scores (56.8 vs. 74.9; p = 0.003). Five (41.7%) subjects with current neck pain and 5 (38.5%) subjects with neck pain in the previous year attributed it to psychological stress. CONCLUSIONS Over 1/3 of nurses have symptomatic neck pain and significantly lower mental and physical health scores. Managing psychological stress may reduce neck pain, leading to improved quality of life for nurses, financial benefits for the NHS, and improved patient care.
Collapse
|
31
|
Slany C, Schütte S, Chastang JF, Parent-Thirion A, Vermeylen G, Niedhammer I. Psychosocial work factors and long sickness absence in Europe. INTERNATIONAL JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HEALTH 2014; 20:16-25. [PMID: 24176393 DOI: 10.1179/2049396713y.0000000048] [Citation(s) in RCA: 78] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
BACKGROUND Studies exploring a wide range of psychosocial work factors separately and together in association with long sickness absence are still lacking. OBJECTIVES The objective of this study was to explore the associations between psychosocial work factors measured following a comprehensive instrument (Copenhagen psychosocial questionnaire, COPSOQ) and long sickness absence (> 7 days/year) in European employees of 34 countries. An additional objective was to study the differences in these associations according to gender and countries. METHODS The study population consisted of 16 120 male and 16 588 female employees from the 2010 European working conditions survey. Twenty-five psychosocial work factors were explored. Statistical analysis was performed using multilevel logistic regression models and interaction testing. RESULTS When studied together in the same model, factors related to job demands (quantitative demands and demands for hiding emotions), possibilities for development, social relationships (role conflicts, quality of leadership, social support, and sense of community), workplace violence (physical violence, bullying, and discrimination), shift work, and job promotion were associated with long sickness absence. Almost no difference was observed according to gender and country. CONCLUSIONS Comprehensive prevention policies oriented to psychosocial work factors may be useful to prevent long sickness absence at European level.
Collapse
|
32
|
Mudaly P, Nkosi ZZ. Factors influencing nurse absenteeism in a general hospital in Durban, South Africa. J Nurs Manag 2013; 23:623-31. [PMID: 24372737 DOI: 10.1111/jonm.12189] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/06/2013] [Indexed: 11/27/2022]
Abstract
AIM To establish reasons for absenteeism amongst professional nurses, enrolled nurses and enrolled nurse auxiliaries in a general hospital in Durban, in order to recommend strategies that could decrease absenteeism. BACKGROUND Nurses endure increased workload, resulting in burnout and absenteeism in workplace environments that already suffer staff shortages. METHOD This study was a quantitative, non-experimental survey. The study population consisted of 60 nurses, including professional and enrolled nurses and enrolled nurse auxiliaries. The survey consisted of closed-ended questions to options of 'agree' and 'disagree' and an open-ended section. RESULT Family matters, lack of motivation to attend work, illness, finance, favouritism, unfriendly nurse managers, long work hours, increased workload, unsatisfactory work conditions, lack of equipment, unfair promotions and selection of nurses for training, staff shortages, lack of a reward system and incoherent decision-making caused nurse absenteeism. CONCLUSION Personal, professional and organisational factors may cause nurse absenteeism, crippling the health sector further against the backdrop of human and mechanical resource shortage. IMPLICATIONS FOR NURSING MANAGEMENT Nurse managers have an important role in reducing absenteeism by addressing the employees' concerns, which can lead to productivity, increased staff morale, decreased medical hazards and satisfied patients.
Collapse
Affiliation(s)
- P Mudaly
- School of Nursing, University of KwaZulu-Natal, Howard College Campus, Durban, South Africa
| | - Z Z Nkosi
- Department of Health Studies, University of South Africa, Theo van Wyk Building, Pretoria, South Africa
| |
Collapse
|
33
|
Barbosa REC, Assunção AÁ, de Araújo TM. Musculoskeletal pain among healthcare workers: an exploratory study on gender differences. Am J Ind Med 2013; 56:1201-12. [PMID: 23868813 DOI: 10.1002/ajim.22215] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/14/2013] [Indexed: 01/11/2023]
Abstract
BACKGROUND Musculoskeletal disorder rates among healthcare workers are high compared to other occupational groups. Studies indicate a higher prevalence of musculoskeletal pain in women as compared to men in most productive sectors. The objectives of our study were to assess the prevalence of upper-limb musculoskeletal pain in male and female employees of the Belo Horizonte municipal Health Department, and to identify associated factors, considering individual and occupational characteristics, by gender. METHODS This cross-sectional study of a proportional sample of 1,721 subjects from a universe of 13,602 workers in the municipal health system evaluated the prevalence of self-reported upper-limb musculoskeletal pain. The magnitude of the associations was estimated by Poisson regression. RESULTS The prevalence of upper-limb musculoskeletal pain was 24.1% among women and 11.0% among men. Women who had high domestic workloads, and performed tasks under high strain showed high prevalence of musculoskeletal pain. For women and men, a high prevalence of upper-limb pain was reported by those who performed highly physically demanding tasks, and those exposed to poor environmental conditions. CONCLUSIONS The findings suggest gender differences in the distribution of upper-limb musculoskeletal pain across occupational groups. It also support initiatives that focus on the need to give visibility to the different effects of working conditions on the health of occupational groups and suggest the importance of developing specific measures to promote women's health. The higher prevalence of pain observed among women with high domestic workloads suggests the importance of these activities when evaluating workload in occupational studies.
Collapse
Affiliation(s)
| | - Ada Ávila Assunção
- Department of Preventive and Social Medicine, Medicine School; Federal University of Minas Gerais, Belo Horizonte, Minas Gerais; Brazil
| | - Tânia Maria de Araújo
- Department of Health; State University of Feira de Santana, Feira de Santana, Bahia; Brazil
| |
Collapse
|
34
|
Belita A, Mbindyo P, English M. Absenteeism amongst health workers--developing a typology to support empiric work in low-income countries and characterizing reported associations. HUMAN RESOURCES FOR HEALTH 2013; 11:34. [PMID: 23866770 PMCID: PMC3721994 DOI: 10.1186/1478-4491-11-34] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Accepted: 07/01/2013] [Indexed: 05/06/2023]
Abstract
The contribution of inadequate health worker numbers and emigration have been highlighted in the international literature, but relatively little attention has been paid to absenteeism as a factor that undermines health-care delivery in low income countries. We therefore aimed to review the literature on absenteeism from a health system manager's perspective to inform needed work on this topic. Specifically, we aimed to develop a typology of definitions that might be useful to classify different forms of absenteeism and identify factors associated with absenteeism. Sixty-nine studies were reviewed, only four were from sub-Saharan Africa where the human resources for health crisis is most acute. Forms of absenteeism studied and methods used vary widely. No previous attempt to develop an overarching approach to classifying forms of absenteeism was identified. A typology based on key characteristics is proposed to fill this gap and considers absenteeism as defined by two key attributes, whether it is: planned/unplanned, and voluntary/involuntary. Factors reported to influence rates of absenteeism may be broadly classified into three thematic categories: workplace and content, personal and organizational and cultural factors. The literature presents an inconsistent picture of the effects of specific factors within these themes perhaps related to true contextual differences or inconsistent definitions of absenteeism.
Collapse
Affiliation(s)
- Alice Belita
- Kenya Medical Research Institute -Wellcome Trust Research Programme, Kenyatta National Hospital, Hospital Road, Nairobi, 00100, Kenya
| | - Patrick Mbindyo
- Kenya Medical Research Institute -Wellcome Trust Research Programme, Kenyatta National Hospital, Hospital Road, Nairobi, 00100, Kenya
| | - Mike English
- Kenya Medical Research Institute -Wellcome Trust Research Programme, Kenyatta National Hospital, Hospital Road, Nairobi, 00100, Kenya
- Nuffield Department of Medicine and Department of Paediatrics, University of Oxford, Old Road Campus, Oxford, OX3 7BN, UK
| |
Collapse
|
35
|
Fekedulegn D, Burchfiel CM, Hartley TA, Andrew ME, Charles LE, Tinney-Zara CA, Violanti JM. Shiftwork and sickness absence among police officers: the BCOPS study. Chronobiol Int 2013; 30:930-41. [PMID: 23808812 DOI: 10.3109/07420528.2013.790043] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Shiftwork, regarded as a significant occupational stressor, has become increasingly prevalent across a wide range of occupations. The adverse health outcomes associated with shiftwork are well documented. Shiftwork is an integral part of law enforcement, a high-stress occupation with elevated risks of chronic disease and mortality. Sickness absence is an important source of productivity loss and may also serve as an indirect measure of workers' morbidity. Prior studies of shiftwork and sickness absenteeism have yielded varying results and the association has not been examined specifically among police officers. The objective of this study was to compare the incidence rate of sick leave (any, ≥3 consecutive days) among day-, afternoon-, and night-shift workers in a cohort of police officers and also examine the role of lifestyle factors as potential moderators of the association. Participants (N=464) from the Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) study examined between 2004 and 2009 were used. Daily work history records that included the shift schedule, number of hours worked, and occurrence of sick leave were available for up to 15 yrs starting in 1994 to the date of the BCOPS study examination for each officer. Poisson regression analysis for ungrouped data was used to estimate incidence rates (IRs) of sick leave by shift, and comparison of IRs across shifts were made by computing incidence rate ratios (IRRs) and their 95% confidence intervals (CIs). Sick leave occurred at a higher rate on the night shift (4.37 per 10,000 person-hours) compared with either day (1.55 per 10,000 person-hours) or afternoon (1.96 per 10,000 person-hours) shifts. The association between shiftwork and sickness absence depended on body mass index (BMI). For overweight individuals (BMI≥25 kg/m2), the covariate-adjusted incidence rate of sick leave (≥1 day) was twice as large for night-shift officers compared with those working on the day (IRR=2.29, 95% CI: 1.69-3.10) or afternoon (IRR=1.74, 95% CI: 1.29-2.34) shift. The IR of three or more consecutive days of sick leave was 1.7 times larger for those working on night shift (IRR=1.65, 95% CI: 1.17-2.31) and 1.5 times larger for those working on afternoon shift (IRR=1.50, 95% CI: 1.08-2.08) compared with day shiftworkers. For subjects with normal BMI (<25 kg/m2), the incidence rates of sick leave did not differ significantly across shifts. In conclusion, shiftwork is independently associated with sickness absence, with officers who work the night shift having elevated incidence of sick leave. In addition, overweight officers who work the night shift may be at additional risk for sickness absence.
Collapse
Affiliation(s)
- Desta Fekedulegn
- Biostatistics and Epidemiology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, West Virginia 26505-2888, USA.
| | | | | | | | | | | | | |
Collapse
|
36
|
Silla I, Gamero N. Shared time pressure at work and its health-related outcomes: Job satisfaction as a mediator. EUROPEAN JOURNAL OF WORK AND ORGANIZATIONAL PSYCHOLOGY 2013. [DOI: 10.1080/1359432x.2012.752898] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Inmaculada Silla
- a Sociotechnical Research Institute (CISOT) , Research Center for Energy Environment and Technology (CIEMAT) , Barcelona , Spain
| | - Nuria Gamero
- b Department of Social Psychology , University of Seville , Seville , Spain
| |
Collapse
|
37
|
Fekedulegn D, Burchfiel CM, Hartley TA, Baughman P, Charles LE, Andrew ME, Violanti JM. Work hours and absenteeism among police officers. INTERNATIONAL JOURNAL OF EMERGENCY MENTAL HEALTH 2013; 15:267-276. [PMID: 24707589 PMCID: PMC4676412] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Abstract
In this study, the cross-sectional association of paid work hours with episodes of work absence was examined in a cohort of police officers. Study subjects were participants from the Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) study examined between 2004 and 2009. Among 395 study participants with complete data, day-by-day work history records during the one-year period prior to date of examination were used to determine episodes of one-day and three day work absence. The Negative binomial regression analysis was used to examine rate ratios (RR) of work absence. Analyses were also stratified by gender. A one-hour increase in total work hours was associated with 5% reduction in rate of one-day work absence (RR = 0.95, 95% CI: 0.92 - 0.98) and with 8% reduction in rate of three-day work absence (RR = 0.92, 95% CI: 0.89 - 0.95). The association of total work hours with episodes of one-day work absence was significant only in men while the association with episodes of three-day work absence was evident in men and women. In conclusion, in this cohort of police officers, work hours were negatively associated with both durations of work absence (one-day, > or = 3 consecutive days).
Collapse
|
38
|
Ljoså CH, Tyssen R, Lau B. Perceived mastery of work among shift workers in the Norwegian offshore petroleum industry. INDUSTRIAL HEALTH 2013; 51:145-53. [PMID: 23095327 DOI: 10.2486/indhealth.2012-0086] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
This study investigated associations between individual and work-related factors and perceived mastery of work among offshore shift workers. 2,406 employees of a Norwegian petroleum company were invited to participate. A web-based survey was used and 1336 completed questionnaires were returned (56%). Mastery of work was assessed using QPS Nordic Mastery Scale and the results were compared with a sample from the QPS Nordic study. Individual factors adjusted for were age, gender, marital status and personality. The following work-related factors were included: demands, control, support, night work and shift work home interference. Female offshore shift workers reported higher levels of perceived mastery of work compared with women in the comparison sample. The following variables were independently associated with perceived mastery of work: female gender (β=0.10, p=0.008), decisional demands (β=0.13, p<0.001), control (β=0.05, p=0.009), social support (β=0.07, p<0.001), shift-work locus of control (β=0.04, p=0.005) and neuroticism (β=-0.29, p<0.001). Post hoc analyses showed no sex differences in perceived mastery in two separate work positions on the platforms. Work-related variables and personality explained 55% and 45% respectively of the total variance (R(2)=0.22) explained by the final model. Female petroleum offshore workers reported somewhat higher levels of mastery of work than their male colleagues, however, this may be due to different work positions. Work-related factors accounted for about half of the explained variance and decisional demands, control and support remained statistically significant after controlling for personality.
Collapse
|
39
|
Sivertsen B, Björnsdóttir E, Øverland S, Bjorvatn B, Salo P. The joint contribution of insomnia and obstructive sleep apnoea on sickness absence. J Sleep Res 2012; 22:223-30. [DOI: 10.1111/j.1365-2869.2012.01055.x] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2012] [Accepted: 08/27/2012] [Indexed: 11/28/2022]
|
40
|
Niedhammer I, Chastang JF, Sultan-Taïeb H, Vermeylen G, Parent-Thirion A. Psychosocial work factors and sickness absence in 31 countries in Europe. Eur J Public Health 2012; 23:622-9. [PMID: 23002241 DOI: 10.1093/eurpub/cks124] [Citation(s) in RCA: 107] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Isabelle Niedhammer
- INSERM, U1018, CESP Centre for research in epidemiology and population health, Epidemiology of occupational and social determinants of health team, Villejuif, France.
| | | | | | | | | |
Collapse
|
41
|
Thorsen SV, Burr H, Diderichsen F, Bjorner JB. A one-item workability measure mediates work demands, individual resources and health in the prediction of sickness absence. Int Arch Occup Environ Health 2012; 86:755-66. [PMID: 22922770 DOI: 10.1007/s00420-012-0807-z] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2012] [Accepted: 07/26/2012] [Indexed: 11/30/2022]
Abstract
OBJECTIVES The study tested the hypothesis that a one-item workability measure represented an assessment of the fit between resources (the individuals' physical and mental health and functioning) and workplace demands and that this resource/demand fit was a mediator in the prediction of sickness absence. We also estimated the relative importance of health and work environment for workability and sickness absence. METHODS Baseline data were collected within a Danish work and health survey (3,214 men and 3,529 women) and followed up in a register of sickness absence. Probit regression analysis with workability as mediator was performed for a binary outcome of sickness absence. The predictors in the analysis were as follows: age, social class, physical health, mental health, number of diagnoses, ergonomic exposures, occupational noise, exposure to risks, social support from supervisor, job control and quantitative demands. RESULTS High age, poor health and ergonomic exposures were associated with low workability and mediated by workability to sickness absence for both genders. Low social class and low quantitative demands were associated with low workability and mediated to sickness absence among men. The mediated part was from 11 to 63 % of the total effect for the significant predictors. CONCLUSION Workability mediated health, age, social class and ergonomic exposures in the prediction of sickness absence. The health predictors had the highest association with both workability and sickness absence; physical work environment was higher associated with the outcomes than psychosocial work environment. However, the explanatory value of the predictors for the variance in the model was low.
Collapse
|
42
|
|
43
|
The impact of workplace risk factors on long-term musculoskeletal sickness absence: a registry-based 5-year follow-up from the Oslo health study. J Occup Environ Med 2012; 53:1478-82. [PMID: 22076041 DOI: 10.1097/jom.0b013e3182398dec] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To determine the influence of work-related risk factors by gender on long-term sickness absence with musculoskeletal diagnoses (LSM). METHODS Data from the Oslo Health Study were linked to the historical event database of Statistics Norway. Eight thousand three hundred thirty-three participants were followed from 2001 through 2005. Generalized linear models were used to compute risk differences for LSM. RESULTS In total, 12.6% of the women and 8.8% of the men experienced at least one LSM. Statistically, significant LSM risk increases between 0.039 and 0.086 in association with work environment were found for heavy physical work, low job control (men only), low support from superior (women only), and having shift/night work (men only). CONCLUSIONS Women exhibited a higher LSM risk, but the associations with job exposures were stronger for men. This should be addressed when occupational health services give advice on preventive measures.
Collapse
|
44
|
Bültmann U, Nielsen MBD, Madsen IEH, Burr H, Rugulies R. Sleep disturbances and fatigue: independent predictors of sickness absence? A prospective study among 6538 employees. Eur J Public Health 2012; 23:123-8. [PMID: 22383478 DOI: 10.1093/eurpub/ckr207] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Although sleep disturbances and fatigue are common conditions, frequently shown to be associated with sickness absence, only a few studies have prospectively investigated their independent effects on sickness absence, while adjusting for depressive symptoms. This study aims (i) to examine whether sleep disturbances and fatigue are independently related to the onset of register-based sickness absence of ≥ 3 weeks during a 1-year follow-up in a representative sample of the Danish workforce and (ii) to determine if possible associations are gender-specific. METHODS Data were used from the Danish Work Environment Cohort Study and linked with sickness absence data from the Danish National Register of Social Transfer Payments. A total of 6538 employees, 3178 men and 3360 women, were included in the analyses. RESULTS Sleep disturbances predicted risk of sickness absence after adjustment for covariates, but lost statistical significance after further adjustment for depressive symptoms. Fatigue among men predicted risk of sickness absence [Hazard ratio (HR) = 1.25, 95% confidence intervals (CI) 1.00-1.56] after adjustment for covariates, depressive symptoms and sleep disturbances. CONCLUSION Sleep disturbances in both genders and fatigue in women did not predict sickness absence after depressive symptoms were taken into account. In men, fatigue was significantly related to future sickness absence, also when adjusted for depressive symptoms and sleep disturbances. Further prospective studies are needed to explore the pathways from fatigue to sickness absence in more detail. The study suggests that early detection and treatment of fatigue in men should be high on the stakeholder's agenda.
Collapse
Affiliation(s)
- Ute Bültmann
- Department of Health Sciences, Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
| | | | | | | | | |
Collapse
|
45
|
Tuvesson H, Wann-Hansson C, Eklund M. The ward atmosphere important for the psychosocial work environment of nursing staff in psychiatric in-patient care. BMC Nurs 2011; 10:12. [PMID: 21679430 PMCID: PMC3141688 DOI: 10.1186/1472-6955-10-12] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2010] [Accepted: 06/16/2011] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The nursing staff working in psychiatric care have a demanding work situation, which may be reflected in how they view their psychosocial work environment and the ward atmosphere. The aims of the present study were to investigate in what way different aspects of the ward atmosphere were related to the psychosocial work environment, as perceived by nursing staff working in psychiatric in-patient care, and possible differences between nurses and nurse assistants. METHODS 93 nursing staff working at 12 general psychiatric in-patient wards in Sweden completed two questionnaires, the Ward Atmosphere Scale and the QPSNordic 34+. Data analyses included descriptive statistics, the Mann-Whitney U-test, Spearman rank correlations and forward stepwise conditional logistic regression analyses. RESULTS The data revealed that there were no differences between nurses and nurse assistants concerning perceptions of the psychosocial work environment and the ward atmosphere. The ward atmosphere subscales Personal Problem Orientation and Program Clarity were associated with a psychosocial work environment characterized by Empowering Leadership. Program Clarity was related to the staff's perceived Role Clarity, and Practical Orientation and Order and Organization were positively related to staff perceptions of the Organizational Climate. CONCLUSIONS The results from the present study indicate that several ward atmosphere subscales were related to the nursing staff's perceptions of the psychosocial work environment in terms of Empowering Leadership, Role Clarity and Organizational Climate. Improvements in the ward atmosphere could be another way to accomplish improvements in the working conditions of the staff, and such improvements would affect nurses and nurse assistants in similar ways.
Collapse
Affiliation(s)
- Hanna Tuvesson
- Department of Health Sciences, Lund University, PO Box 157, SE-221 00 Lund, Sweden.
| | | | | |
Collapse
|
46
|
Terluin B, van Rhenen W, Anema JR, Taris TW. Psychological symptoms and subsequent sickness absence. Int Arch Occup Environ Health 2011; 84:825-37. [DOI: 10.1007/s00420-011-0637-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2010] [Accepted: 03/27/2011] [Indexed: 10/18/2022]
|
47
|
McKenzie GL, Teri L, Salazar MK, Farran CJ, Beck C, Paun O. Relationship between system-level characteristics of assisted living facilities and the health and safety of unlicensed staff. AAOHN JOURNAL : OFFICIAL JOURNAL OF THE AMERICAN ASSOCIATION OF OCCUPATIONAL HEALTH NURSES 2011; 59:173-180. [PMID: 21462900 PMCID: PMC5590219 DOI: 10.3928/08910162-20110328-01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Subscribe] [Scholar Register] [Received: 10/01/2010] [Accepted: 02/07/2011] [Indexed: 05/30/2023]
Abstract
This study examined system-level characteristics of assisted living facilities and the association between these characteristics and the health and safety outcomes of unlicensed staff. Forty-two unlicensed direct care workers completed a survey related to system-level stressors and the individual stress responses of staff. Measurement tools included the Work Stressor Inventory (WSI), General Health Questionnaire (GHQ-12), and Maslach Burnout Inventory (MBI). High levels of emotional exhaustion, psychiatric distress, and work-related injuries were reported by unlicensed staff. Providing care to residents with dementia-related behaviors and supporting families were the most frequently reported work stressors. System-level factors were significantly associated with staff role competence, job commitment, and emotional exhaustion. These results support the need for continued exploration, development, and evaluation of strategies to reduce occupational stressors at multiple levels in assisted living facilities.
Collapse
Affiliation(s)
- Glenise L McKenzie
- School of Nursing, Oregon Health and Science University, Ashland, OR, USA.
| | | | | | | | | | | |
Collapse
|
48
|
Putnik K, de Jong A, Verdonk P. Road to help-seeking among (dedicated) human service professionals with burnout. PATIENT EDUCATION AND COUNSELING 2011; 83:49-54. [PMID: 20149954 DOI: 10.1016/j.pec.2010.01.004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2009] [Revised: 12/02/2009] [Accepted: 01/10/2010] [Indexed: 05/28/2023]
Abstract
OBJECTIVE Describe and interpret the process of help-seeking among human service professionals with burnout. METHODS Semi-structured interviews were conducted with 14 participants. Analysis was conducted using principles of grounded theory. RESULTS All participants were dedicated and responsible workers, selflessly giving themselves to their work. Work was demanding, and often included some form of organisational change. After a period of time the problems of ill health appeared, since persons were overstretching their resources. However, the symptoms were denied, since the image of the ideal worker has been internalised and persons expected maximum performance from themselves. They kept on working hard and delayed the help-seeking process. Eventually, help was sought for medical symptoms or by talking to the supervisors. If postponed for too long, persons experienced a breaking point. CONCLUSION Human service professionals with burnout internalise the ideal image of their professional role. They strive to keep this ideal image at the cost of their own needs, taking a long time to seek help for the obstacles they encounter. PRACTICE IMPLICATIONS More awareness raising is needed in order to recognise early burnout symptoms. Particularly crucial in this process are supervisors and doctors, who have an authority role over employees.
Collapse
Affiliation(s)
- Katarina Putnik
- School Caphri, Department of Social Medicine, Maastricht University, Maastricht, The Netherlands.
| | | | | |
Collapse
|
49
|
McKenzie GL, Teri L, Salazar MK, Farran CJ, Beck C, Paun O. Relationship between System-Level Characteristics of Assisted Living Facilities and the Health and Safety of Unlicensed Staff. ACTA ACUST UNITED AC 2011. [DOI: 10.1177/216507991105900403] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study examined system-level characteristics of assisted living facilities and the association between these characteristics and the health and safety outcomes of unlicensed staff. Forty-two unlicensed direct care workers completed a survey related to system-level stressors and the individual stress responses of staff. Measurement tools included the Work Stressor Inventory (WSI), General Health Questionnaire (GHQ-12), and Maslach Burnout Inventory (MBI). High levels of emotional exhaustion, psychiatric distress, and work-related injuries were reported by unlicensed staff. Providing care to residents with dementia-related behaviors and supporting families were the most frequently reported work stressors. System-level factors were significantly associated with staff role competence, job commitment, and emotional exhaustion. These results support the need for continued exploration, development, and evaluation of strategies to reduce occupational stressors at multiple levels in assisted living facilities.
Collapse
|
50
|
Alshameeri Z, Mohammed M, Malkan D. Correlating the anatomical site of injury and work-related factors with sick leave duration following minor musculoskeletal injuries. ARCHIVES OF ENVIRONMENTAL & OCCUPATIONAL HEALTH 2011; 66:18-25. [PMID: 21337182 DOI: 10.1080/19338244.2010.486425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Many factors are associated with long sick leaves and therefore, reliance solely on disease-related factors can potentially underestimate sick leave durations. Here, we wanted to assess the association between the injury sites, work-related factors, and the length of sick leaves. Comprehensive medical legal reports of workers with pure minor musculoskeletal injuries were reviewed. 2029 reports of workers were included. 32.8% had sick leaves of less than a week in duration. Lower limb injuries were associated with longer sick leaves only in patients performing strenuous jobs. Public sector workers sustaining an injury at work and performing strenuous jobs were associated with longer sick leaves. Senior workers returned earlier to work, but age and gender were not strongly correlated with long sick leaves. There was a weak but significant association between sick leave duration and the period spent refraining from hobby activities, and almost all patients returned to their work before their hobbies.
Collapse
Affiliation(s)
- Zeiad Alshameeri
- Department of Trauma and Orthopaedics, Kings Mill Hospital in Sutton in Ashfield, Nottinghamshire, UK.
| | | | | |
Collapse
|