scholarly journals THU0613 Exploring the impact of health status and well-being of people with inflammatory arthritis on presenteeism in the workplace: a qualitative study

Author(s):  
CJ Jones ◽  
K Payne ◽  
B Gannon ◽  
S Verstappen
2018 ◽  
Vol 13 (03) ◽  
pp. 519-526 ◽  
Author(s):  
Hideko Sato ◽  
Teeranee Techasrivichien ◽  
Atsuko Omori ◽  
Masako Ono-Kihara ◽  
Masahiro Kihara

AbstractObjectiveThe goal of this study was to assess the psychosocial consequences among nurses affected by the Great East Japan Earthquake in order to identify their coping strategies and explore possible countermeasures against complex disasters.MethodsIn 2012, we conducted a qualitative study and screened participants for posttraumatic stress disorder (PTSD).ResultsThirty-eight nurses participated in this study. The result showed a relatively high proportion of probable PTSD (39%). Thirty-two conceptual codes emerged from the data and were grouped into 8 categories: “initial acute stress,” “acute stress turning chronic,” “chronic physical and mental fatigue,” “occupational stress,” “fear of the impact of radiation on children’s health,” “occupational satisfaction,” “positive influences of the disaster experiences,” and “impact of mutual care through interpersonal cognition.”ConclusionsThe study reveals that mutual care may have a positive impact in assisting recovery and enhancing the psychological well-being of nurses. We suggest that disaster management should take into consideration the conflict between professional and family responsibilities. In the light of the chronic impact of the nuclear crisis, enhanced support for interpersonal relationships and human resources, as well as appropriate safety precautions, is urgently needed to help affected nurses. (Disaster Med Public Health Preparedness. 2019;13:519-526)


2001 ◽  
Vol 26 (2) ◽  
pp. 161-216 ◽  
Author(s):  
Darren E.R. Warburton ◽  
Norman Gledhill ◽  
Arthur Quinney

The objective of this review is to examine the effects of changes in the individual components of musculoskeletal fitness on indicators of health status. Available evidence regarding the impact of changes in musculoskeletal fitness on indicators of health status is summarized and evaluated. Intervention programs designed specifically to enhance musculoskeletal fitness have been effective in improving several indicators of health status including glucose metabolism, obesity, bone health, independent living, the incidence of falling and associated injuries, and/or psychological well-being. An enhanced musculoskeletal fitness is associated with an improvement in health status. Key words: strength, muscular endurance, power, flexibility, health status


2020 ◽  
Vol 32 (7) ◽  
pp. 839-847
Author(s):  
Lucy Webster ◽  
Kingsley Powell ◽  
Sergi G. Costafreda ◽  
Gill Livingston

ABSTRACTObjectives:Nearly 40% of care home residents who are living with dementia also have symptoms of disturbed sleep. However, the impact of these disturbances is relatively unknown and is needed to indicate whether interventions are warranted; therefore, we aimed to investigate the impact.Design:One-to-one semi-structured interviews.Settings:Four UK care homes.Participants:We interviewed 18 nurses and care assistants about residents with sleep disturbances.Measurements:We used a topic guide to explore staff experience of sleep disturbance in residents with dementia. The interviews were audio recorded and transcribed and then analyzed thematically by two researchers independently.Results:Staff described that sleep disturbances in most, but not all, residents impacted negatively on the resident, other residents, staff, and relatives. Residents became more irritable or agitated if they had slept badly. They slept in the daytime after a bad night, which then increased their chances of being awake the following night. For some, being sleepy in the day led to falls, missing medication, drinks, and meals. Staff perceived hypnotics as having low efficacy, but increasing the risk of falls and drowsiness. Other residents were disturbed by noise, and staff described stress when several residents had sleep disturbance. Some of the strategies reported by staff to deal with sleep disturbances such as feeding or providing caffeinated tea at night might be counterproductive.Conclusions:Sleep disturbances in care home residents living with dementia negatively affect their physical and psychological well-being. These disturbances also disturb other residents and increase stress in staff.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e028336 ◽  
Author(s):  
Yves Jackson ◽  
Delphine S Courvoisier ◽  
Aline Duvoisin ◽  
Giovanni Ferro-Luzzi ◽  
Patrick Bodenmann ◽  
...  

IntroductionMigrants without residency permit, known as undocumented, tend to live in precarious conditions and be exposed to an accumulation of adverse determinants of health. Only scarce evidence exists on the social, economic and living conditions-related factors influencing their health status and well-being. No study has assessed the impact of legal status regularisation. The Parchemins study is the first prospective, mixed-methods study aiming at measuring the impact on health and well-being of a regularisation policy on undocumented migrants in Europe.Methods and analysisThe Parchemins study will compare self-rated health and satisfaction with life in a group of adult undocumented migrants who qualify for applying for a residency permit (intervention group) with a group of undocumented migrants who lack one or more eligibility criteria for regularisation (control group) in Geneva Canton, Switzerland. Asylum seekers are not included in this study. The total sample will include 400 participants. Data collection will consist of standardised questionnaires complemented by semidirected interviews in a subsample (n=38) of migrants qualifying for regularisation. The baseline data will be collected just before or during the regularisation, and participants will subsequently be followed up yearly for 3 years. The quantitative part will explore variables about health (ie, health status, occupational health, health-seeking behaviours, access to care, healthcare utilisation), well-being (measured by satisfaction with different dimensions of life), living conditions (ie, employment, accommodation, social support) and economic situation (income, expenditures). Several confounders including sociodemographic characteristics and migration history will be collected. The qualitative part will explore longitudinally the experience of change in legal status at individual and family levels.Ethics and disseminationThis study was approved by the Ethics Committee of Geneva, Switzerland. All participants provided informed consent. Results will be shared with undocumented migrants and disseminated in scientific journals and conferences. Fully anonymised data will be available to researchers.


2021 ◽  
Vol 12 ◽  
Author(s):  
Nina Obbarius ◽  
Felix Fischer ◽  
Gregor Liegl ◽  
Alexander Obbarius ◽  
Matthias Rose

BackgroundStress is a major risk factor for the impairment of psychological well-being. The present study aimed to evaluate the empirical evidence of the Transactional Stress Model proposed by Lazarus and Folkman in patients with psychosomatic health conditions.MethodsA structural equation model was applied in two separate subsamples of inpatients from the Department of Psychosomatic Medicine (total n = 2,216) for consecutive model building (sample 1, n = 1,129) and confirmatory analyses (sample 2, n = 1,087) using self-reported health status information about perceived stress, personal resources, coping mechanisms, stress response, and psychological well-being.ResultsThe initial model was created to reflect the theoretical assumptions by Lazarus and Folkman about their transactional stress concept. This model was modified until a sufficient model fit was reached (sample 1: CFI = 0.904, TLI = 0.898, RMSEA = 0.072 [0.071–0.074], SRMR = 0.061). The modified model was confirmed in a second sample (sample 2: CFI = 0.932, TLI = 0.928, RMSEA = 0.066 [0.065–0.068], SRMR = 0.052). Perceived external stressors and personal resources explained 91% of the variance of the stress response, which was closely related to symptoms of depression (63% variance explained). The attenuating effect of resources on stress response was higher (standardized β = -0.73, p < 0.001) than the impact of perceived stressors on stress response (standardized β = 0.34, p < 0.001).ConclusionThe empirical data largely confirmed the theoretical assumption of the Transactional Stress Model, which was first presented by Lazarus and Folkman, in patients with a wide range of psychosomatic conditions. However, data analyses were solely based on self-reported health status. Thus, proposed inner psychological mechanisms such as the appraisal process could not be included in this empirical validation. The operationalization and understanding of coping processes should be further improved.


2020 ◽  
Author(s):  
Chiara Cerami ◽  
Marco Canevelli ◽  
Gaia Santi ◽  
Caterina Galandra ◽  
Alessandra Dodich ◽  
...  

Background: The early identification of fragile populations in the Covid-19 era would help governments to allocate resources and plan strategies to contain consequences of the pandemic. Beyond frailty, social vulnerability to environmental stressors, such as the social distancing enforced to reduce the SARS-CoV2 contagion, can modify long-term disease risk and induce health status changes in the general population. Methods: We assessed frailty and social vulnerability indices in 1258 Italian residents during the lockdown phase (March 14-31, 2020) via an on-line survey. We compared indices taking into account age categories (young, middle, older adults and elders) and gender. Results: While frailty showed a linear increase with age and was greater in females than in males, social vulnerability was higher in young adults and elders compared to middle aged and older adults, and in males than females. Both frailty and social vulnerability contributed in explaining the individual perception of the impact of Covid-19 emergency on health, which was further modulated by proactive attitudes/behaviors and social isolation.Conclusions: Social isolation and loneliness following the Covid-19 outbreak may exert dramatic psychosocial effects in the general population. The early detection of vulnerable categories, at risk to become ill and develop long-lasting health status changes, would help in the next future to prevent consequences on general well-being by allocating resources to targeted interventions managing psychosocial distress and increasing young adults and elderly resilience towards the post-Covid-19 crisis.


Author(s):  
Minkyung Gu ◽  
Ran Kim ◽  
Hyunjung Lee ◽  
Sohyune Sok

The frequency of earthquakes in South Korea is increasing. This study aimed to examine and identify the factors influencing the degree of disaster-incident-related impacts among Korean nursing students who have actual disaster experience. The study sample consisted of 153 nursing students living around the Phohang-si area in Gyeongsang-do, South Korea, and who have actual disaster-incident-related experience. Measures used in this study were the Impact of Event Scale, Perceived Health Status Scale, Psychological Well-Being Scale, and Coping Strategy Indicator (Korean version). The data collection period was from October to December 2018. Factors that influence disaster-incident-related impacts among Korean nursing students in descending order are as follows: perceived health status (β = 0.48), gender (β = −0.28), coping skill (β = 0.18), psychological well-being (β = 0.14), need for disaster education (β = 0.12), and major satisfaction (β = −0.12). This study provides preliminary evidence that perceived health status is a major and primary predictor of disaster-incident-related impacts among Korean nursing students, followed by coping skill and psychological well-being. The findings can be reflected in a pertinent curriculum by actively considering these factors in designing nursing education interventions for managing disaster-incident-related impacts among Korean nursing students.


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