Care workers health in Swiss nursing homes and its association with psychosocial work environment: A cross-sectional study

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• 作者：Suzanne R. Dhaini^a ; ¹ ; ^{Suzanne.dhaini@unibas.ch" class="auth_mail" title="E-mail the corresponding author} ; Franziska Zú ; ñ ; iga^a ; ¹ ; ^{Franziska.zuniga@unibas.ch" class="auth_mail" title="E-mail the corresponding author} ; Dietmar Ausserhofer^a ; ^b ; ¹ ; ² ; ^{Dietmar.ausserhofer@unibas.ch" class="auth_mail" title="E-mail the corresponding author} ; ^{dietmar.ausserhofer@claudiana.bz.it" class="auth_mail" title="E-mail the corresponding author} ; Michael Simon^a ; ^c ; ¹ ; ^{Michael.simon@unibas.ch" class="auth_mail" title="E-mail the corresponding author} ; Regina Kunz^d ; ³ ; ^{regina.kunz@usb.ch" class="auth_mail" title="E-mail the corresponding author} ; Sabina De Geest^a ; ¹ ; ^{Sabina.degeest@unibas.ch" class="auth_mail" title="E-mail the corresponding author} ; Rene Schwendimann^a ; ^{Rene.schwendimann@unibas.ch" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Care worker ; Health ; Nursing home ; Work environment
• 刊名：International Journal of Nursing Studies
• 出版年：2016
• 出版时间：January 2016
• 年：2016
• 卷：53
• 期：Complete
• 页码：105-115
• 全文大小：551 K

文摘

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.