Care workers health in Swiss nursing homes and its association with psychosocial work environment: A cross-sectional study
Care workers health in Swiss nursing homes and its association with psychosocial work environment: A cross-sectional study
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DOI：
10.1016/j.ijnurstu.2015.08.011
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发表时间：
2016-01-01
影响因子：
8.1
通讯作者：
Schwendimann, Rene
中科院分区：
文献类型：
--
作者：
Dhaini, Suzanne R.;Zuniga, Franziska;Schwendimann, Rene
背景：以往的研究表明，护理人员在养老院的健康状况不佳。然而，人们对疗养院护理人员的身心健康状况及其与社会心理工作环境的关系知之甚少。目的：（1）探讨瑞士疗养院护理人员的身心健康状况，（2）其与社会心理工作环境的关系。方法：这是瑞士养老院人力资源项目（SHURP）的二次数据分析。我们使用了2012年5月至2013年4月期间收集的在瑞士养老院（N=155）工作的护理人员（N=3471）的社会人口特征和工作环境因素的调查数据。GEE Logistic回归模型被用来估计心理社会工作环境和身心健康结果之间的关系，考虑到护理人员的年龄。结果：背痛（19.0%）和情绪疲惫（24.2%）是最常见的自我报告的身心健康。背痛与工作量增加有关（优势比（OR）1.52，置信区间（CI）1.29-1.79），与其他卫生专业人员的冲突和缺乏认识（OR 1.72，CI 1.40-2.11），以及居民频繁的言语攻击（OR 1.36，CI 1.06-1.74），与人员配备充足性呈负相关（OR 0.69，CI 0.56-0.84）;情绪衰竭与工作量增加有关（OR 1.96，CI 1.65-2.34），缺乏工作准备（OR 1.41，CI 1.14-1.73），与其他卫生专业人员发生冲突，缺乏认可（OR 1.68，CI 1.37-2.06），与领导能力呈负相关（OR 0.70，CI 0.56-0.87）。结论：瑞士养老院护理人员的身心健康状况值得关注。修改心理社会工作环境因素提供了有前途的战略，以改善健康。需要进行纵向研究，对护理人员的健康状况进行有针对性的评估，同时考虑到他们的年龄，以及沿着接触拟议的世卫组织模式的所有四个领域。(C)2015爱思唯尔有限公司版权所有。
Background: Previous studies have demonstrated poor health of care workers in nursing homes. Yet, little is known about the prevalence of physical and mental health outcomes, and their associations with the psychosocial work environment in nursing homes.Objectives: (1) To explore the prevalence of physical and mental health outcomes of care workers in Swiss nursing homes, (2) their association with psychosocial work environment.Methods: This is a secondary data analysis of the cross-sectional Swiss Nursing Home Human Resources Project (SHURP). We used survey data on socio-demographic characteristics and work environment factors from care workers (N=3471) working in Swiss nursing homes (N=155), collected between May 2012 and April 2013. GEE logistic regression models were used to estimate the relationship between psychosocial work environment and physical and mental health outcomes, taking into account care workers' age.Results: Back pain (19.0%) and emotional exhaustion (24.2%) were the most frequent self-reported physical and mental health. Back pain was associated with increased workload (odds ratios (OR) 1.52, confidence interval (CI) 1.29-1.79), conflict with other health professionals and lack of recognition (OR 1.72, CI 1.40-2.11), and frequent verbal aggression by residents (OR 1.36, CI 1.06-1.74), and inversely associated with staffing adequacy (OR 0.69, CI 0.56-0.84); emotional exhaustion was associated with increased workload (OR 1.96, CI 1.65-2.34), lack of job preparation (OR 1.41, CI 1.14-1.73), and conflict with other health professionals and lack of recognition (OR 1.68, CI 1.37-2.06), and inversely associated with leadership (OR 0.70, CI 0.56-0.87).Conclusions: Physical and mental health among care workers in Swiss nursing homes is of concern. Modifying psychosocial work environment factors offer promising strategies to improve health. Longitudinal studies are needed to conduct targeted assessments of care workers health status, taking into account their age, along with the exposure to all four domains of the proposed WHO model. (C) 2015 Elsevier Ltd. All rights reserved.