Professional autonomy and work setting as contributing factors to depression and absenteeism in Canadian nurses
Professional autonomy and work setting as contributing factors to depression and absenteeism in Canadian nurses
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DOI：
10.1016/j.outlook.2014.12.014
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发表时间：
2015-05-01
期刊：
影响因子：
4.3
通讯作者：
Wang, JianLi
中科院分区：
文献类型：
--
作者：
Enns, Victoria;Currie, Shawn;Wang, JianLi
目的：加拿大护士的抑郁症患病率是全国职业女性平均水平的两倍。本研究旨在界定的作用，专业自主权，医疗保健设置，工作环境的特点，抑郁症和缺勤的危险因素在女nurs.Methods：一个横截面，二次分析进行了一个大的代表性样本的女护士在医院和其他设置在加拿大（N = 17,437）。采用单因素和多因素分析来检验假设，即在考虑了其他危险因素后，工作环境因素是女护士抑郁症和缺勤的重要决定因素。在过去的12个月中经历过严重的抑郁发作与较低的自主性显著相关（优势比[OR] = 0.93）、较高的工作压力（OR = 2.2）、执业护士（OR = 0.82）和在非医院环境中工作（OR = 1.5）。较高的缺勤率与相同的变量，以及有较少的控制权在一个人的工作schedule.Conclusions：努力增加护士的自主权，减少工作压力，可能有助于解决这个专业组的高患病率的抑郁症。
Objectives: The prevalence of major depression in Canadian nurses is double the national average for working women. The present study sought to delineate the role of professional autonomy, health care setting, and work environment characteristics as risk factors for depression and absenteeism in female nurses.Methods: A cross-sectional, secondary analysis was conducted on a large representative sample of female nurses working in hospitals and other settings across Canada (N = 17,437). Univariate and multivariate analyses were used to test the hypothesis that work environment factors are significant determinants of major depression and absenteeism in female nurses after accounting for other risk factors.Results: Experiencing a major depressive episode in the past 12 months was significantly associated with lower autonomy (odds ratio [OR] = 0.93), higher job strain (OR = 2.2), being a licensed practical nurse (OR = 0.82), and working in a nonhospital setting (OR = 1.5). Higher absenteeism was associated with the same variables as well as having less control over one's work schedule.Conclusions: Efforts to increase autonomy of nurses and reduce job strain may help to address the high prevalence of major depression in this professional group.