scholarly journals Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals

BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Martine Elbejjani ◽  
Mary Abed Al Ahad ◽  
Michael Simon ◽  
Dietmar Ausserhofer ◽  
Nuhad Dumit ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Work Environment ◽  
Emotional Exhaustion ◽  
Task Allocation ◽  
Health Problems ◽  
Cross Sectional ◽  
Environment Factors ◽  
Perceived Workload ◽  
Work Environment Factors

Abstract Background Worldwide, studies show a relationship between nurses’ health and some work environment factors; however, data on nurses’ health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors: overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources and adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care)) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses. Methods A cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two Lebanese university-affiliated hospitals; 170 RNs had complete data. Adjusted multivariable logistic regression models were used to estimate the association between work environment factors and health outcomes. Results The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disease was associated with higher overall (OR = 1.36 (95%CI = 1.03, 1.80)), temporal (OR = 1.30 (95%CI = 1.09, 1.55)), and physical demands (OR = 1.20 (95%CI = 1.03, 1.49)), higher task allocation to RNs (OR = 1.11 (95%CI = 1.01, 1.23)) and lower teamwork climate (OR = 0.60 (95%CI = 0.36, 0.98). Higher odds of mental/emotional problems were associated with higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18 to 88%). Work environment indicators were associated with higher co-occurrence of health problems. Conclusions Results show elevated health burden and co-morbidity among Lebanese RNs and highlight the value of comprehensive approaches that can simultaneously improve several work environment factors (namely self-perceived workload, teamwork,, resources, and nursing task allocation) to reduce this burden.

scholarly journals Work environment-related factors and nurses’ health outcomes: A cross-sectional study in Lebanese hospitals

2020 ◽  
Author(s):  
Martine ELBEJJANI ◽  
Mary Abed Al Ahad ◽  
Michael SIMON ◽  
Dietmar AUSSERHOFER ◽  
Nuhad DUMIT ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Work Environment ◽  
Emotional Exhaustion ◽  
Task Allocation ◽  
Health Problems ◽  
Cross Sectional ◽  
Environment Factors ◽  
Perceived Workload ◽  
Work Environment Factors

Abstract Background: Worldwide, studies show a relationship between nurses’ health and some work environment factors; however, data on nurses’ health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors: overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources and adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care)) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses. Methods: A cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two Lebanese university-affiliated hospitals; 170 RNs had complete data. Adjusted multivariable logistic regression models were used to estimate the association between work environment factors and health outcomes. Results: The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disease was associated with higher overall (OR=1.36 (95%CI=1.03, 1.80)), temporal (OR=1.30 (95%CI=1.09, 1.55)), and physical demands (OR=1.20 (95%CI=1.03, 1.49)), higher task allocation to RNs (OR=1.11 (95%CI=1.01, 1.23)) and lower teamwork climate (OR=0.60 (95%CI=0.36, 0.98). Higher odds of mental/emotional problems were associated with higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18% to 88%). Work environment indicators were associated with higher co-occurrence of health problems. Conclusions: Results show elevated health burden and co-morbidity among Lebanese RNs and highlight the value of comprehensive approaches that can simultaneously improve several work environment factors (namely self-perceived workload, teamwork, , resources, and nursing task allocation) to reduce this burden.

scholarly journals Work environment-related factors and nurses’ health outcomes: A cross-sectional study in Lebanese hospitals

2020 ◽  
Author(s):  
Martine ELBEJJANI ◽  
Mary Abed Al Ahad ◽  
Michael SIMON ◽  
Dietmar AUSSERHOFER ◽  
Nuhad DUMIT ◽  
...  
Keyword(s):  
Mental Health ◽  
Work Environment ◽  
Emotional Exhaustion ◽  
Maslach Burnout Inventory ◽  
Health Problems ◽  
Cross Sectional ◽  
Environment Factors ◽  
Work Environment Factors ◽  
Relationship Of ◽  
The Relationship

Abstract Background: Worldwide, studies show that nurses’ health is related to some work environment factors; however, data on nursing tasks’ allocation and self-perceived workload are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors (overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses. Methods: A cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two university-affiliated hospitals in Lebanon; 170 RNs provided complete data. Adjusted multivariable logistic regression models were used to assess the relationship of work environment factors with health conditions. Results: The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disorders were associated with higher overall (OR=1.36 (95%CI=1.03, 1.80)), temporal (OR=1.30 (95%CI=1.09, 1.55)), and physical demands (OR=1.20 (95%CI=1.03, 1.49)), more nursing tasks allocation to RNs (OR=1.11 (95%CI=1.01, 1.23)) and lower teamwork climate (OR=0.60 (95%CI=0.36, 0.98). Higher odds of mental/emotional problems were related to higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18% to 88%). Work-environment factors were related to higher co-occurrence of health problems. Conclusions: Results show high health burden and co-morbidity among Lebanese RNs and highlight the value of more comprehensive approaches towards improving many work environment factors (including team climate, various components of workload, resources, and nursing tasks’ allocation) to reduce this burden.

scholarly journals Work environment-related factors and nurses’ health outcomes: A cross-sectional study in Lebanese hospitals

2020 ◽  
Author(s):  
Martine ELBEJJANI ◽  
Mary Abed Al Ahad ◽  
Michael SIMON ◽  
Dietmar AUSSERHOFER ◽  
Nuhad DUMIT ◽  
...  
Keyword(s):  
Work Environment ◽  
Health Risks ◽  
Emotional Health ◽  
Health Problems ◽  
Related Factors ◽  
Cross Sectional ◽  
Environment Factors ◽  
Work Environment Factors ◽  
Relationship Of ◽  
The Relationship

Abstract Background: Worldwide, studies show that work environment factors are related with increased health risks among nurses. However, it remains unclear how specific work-related factors relate to certain health outcomes and data investigating allocation of nursing tasks and detailed assessments of self-perceived workload are lacking. Data are particularly lacking for Lebanese nurses. We assessed the relationship of several work environment factors (overall workload and specific temporal, physical, mental, effort, frustration, and performance demands, staffing resources adequacy, leadership, teamwork climate, and allocation of nursing tasks per professional category) with the presence of health problems, including musculoskeletal, cardiovascular, skin, and mental health diseases and emotional exhaustion among Lebanese nurses.Methods:Data come from a cross-sectional self-report survey of 289 registered nurses (RNs) working in two university-affiliated hospitals in Lebanon. Adjusted multivariable logistic regression models were used to assess the relationship of work-environment factors with nurses’ health conditions.Results:The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); we found high co-comorbidity levels with 70% of RNs having ≥2 and 35.29% having ≥4 co-occurring health problems. There was a widespread pattern of associations between work environment-related factors and musculoskeletal and mental/emotional health problems, with positive associations of higher overall workloads and temporal demands and negative associations of teamwork climate with both musculoskeletal ((OR=1.36 (95%CI=1.03, 1.80); 1.30 (95%CI=1.09, 1.55); 0.60 (95%CI=0.36, 0.98), respectively) and mental/emotional health problems (increased risk ranging from 22% to 88%). Higher physical demands and allocation of nursing tasks to the RNs were associated with higher odds of musculoskeletal disease (OR=1.20 (95%CI=1.03, 1.49); 1.11 (95%CI=1.01, 1.23)); more frustration and effort demands and lower performance satisfaction and resources adequacy were related to mental/emotional problems (OR=1.22 (95%CI=1.06, 1.41); 1.26 (95%CI=1.06, 1.49); 0.82 (95%CI=0.70, 09.97); 0.54 (95%CI=0.35, 0.82)). Work-environment factors were also related to a higher co-occurrence of health problems among nurses.Conclusions:Results highlight the value of a more comprehensive approach towards improving the work environment of Lebanese nurses (including improving team climate, different components of workload demands, resources, and the allocation of nursing tasks) which can simultaneously improve multiple health risks in this burdened population.

scholarly journals Mental Health in Young Healthcare and Social Work Professionals: Associations with Psychosocial Work Environment Factors

2020 ◽  
Author(s):  
Tore Bonsaksen ◽  
Per Nerdrum ◽  
Amy Østertun Geirdal
Keyword(s):  
Mental Health ◽  
Social Work ◽  
Work Environment ◽  
Psychosocial Work Environment ◽  
Health Work ◽  
Psychosocial Work ◽  
Cross Sectional ◽  
Environment Factors ◽  
Work Environment Factors ◽  
Mental Health Work

Abstract Background: Associations between work environment factors and mental health may differ between groups. The study aimed to explore associations between aspects of the psychosocial work environment and mental health among young professionals in four healthcare and social work groups in Norway.Methods: 856 employees were included in this cross-sectional study six years after graduation. The participants completed questionnaires concerned with mental health, work environment, work engagement, and psychological work factors. Data were analyzed with linear and logistic regression analyses.Results: In the whole sample, poorer mental health was associated with higher demands, lower support, lower job satisfaction, more work-home interaction problems, and lower coping in the job. Each unit increase in work-home interaction problems doubled the likelihood of having case-level psychological distress. The strength of the associations between mental health and other factors, such as the demands and support experienced in the job and perceived coping in the job, varied by professional group. Conclusions: Problems concerned with the interaction between work and home were generally associated with poorer mental health. Between professional groups, other independent variables were differently associated with mental health. Work environment factors should receive continued attention in efforts to investigate and promote mental health.

scholarly journals Variability of Clinical Practice in the Third Stage of Labour in Spain

2019 ◽  
Vol 8 (5) ◽  
pp. 637 ◽  
Author(s):  
Inmaculada Ortiz-Esquinas ◽  
Juan Gómez-Salgado ◽  
Ana I. Pascual-Pedreño ◽  
Julián Rodríguez-Almagro ◽  
Juan Miguel Martínez-Galiano ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Work Environment ◽  
Clinical Management ◽  
Active Management ◽  
Odds Ratios ◽  
Cross Sectional ◽  
Environment Factors ◽  
The Third ◽  
Third Stage ◽  
Work Environment Factors

Clinical practice guidelines recommend the active management of the third stage of labour, but it is currently unknown what practices professionals actually perform. Therefore, the aim of this study was to determine the variability of professional practices in the management of the third stage of labour and to identify any associated professional and work environment factors. A nationwide cross-sectional study was performed with 1054 obstetrics professionals between September and November 2018 in Spain. A self-designed questionnaire was administered online. The crude odds ratios (OR) and adjusted odds ratios (ORa) were estimated using binary logistic regression. The main outcome measures were included in the clinical management of the third stage of labour and they were: type of management, drugs, doses, routes of administration, and waiting times used. The results showed that 75.3% (783) of the professionals used uterotonic agents for delivery. Oxytocin was the most commonly administered drug. Professionals who attend home births were less likely to use uterotonics (ORa: 0.23; 95% confidence interval (CI): 0.12–0.47), while those who completed their training after 2007 (ORa: 1.57 (95% CI: 1.13–2.18) and worked in a hospital that attended >4000 births per year (ORa: 7.95 CI: 4.02–15.72) were more likely to use them. Statistically significant differences were also observed between midwives and gynaecologists as for the clinical management of this stage of labour (p < 0.005). These findings could suggest that there is clinical variability among obstetrics professionals regarding the management of delivery. Part of this variability can be attributed to professional and work environment factors.

scholarly journals Effect of Nursing Care Delivery Models on Registered Nurse Outcomes

2019 ◽  
Vol 5 ◽  
pp. 237796081986908 ◽  
Author(s):  
Farinaz Havaei ◽  
V. Susan Dahinten ◽  
Maura MacPhee
Keyword(s):  
Work Environment ◽  
Nursing Care ◽  
Emotional Exhaustion ◽  
Care Delivery ◽  
Environment Factors ◽  
Skill Mix ◽  
Licensed Practical Nurses ◽  
Practical Nurses ◽  
Work Environment Factors ◽  
Nurse Outcomes

The two key components of models of nursing care delivery are mode of nursing care delivery and skill mix. While mode of nursing care delivery refers to the independent or collaborative work of nurses to provide care to a group of patients, skill mix is defined as direct care nurse classifications. Previous research has typically focused on only one component at a time (mode or skill mix). There exists little research that investigates both components simultaneously. This study examined the effect of mode of nursing care delivery and skill mix on nurse emotional exhaustion and job satisfaction after controlling for nurse demographics, workload factors, and work environment factors. A secondary analysis was done with survey data from 416 British Columbia medical–surgical registered nurses. Data were analyzed using hierarchical multiple regression and moderated regression. Registered nurses in a skill mix with licensed practical nurses reported lower emotional exhaustion when caring for more acute patients compared with those in a skill mix without licensed practical nurses. While mode of nursing care delivery was not related to nurse outcomes, work environment factors were the strongest predictors of both nurse outcomes. Skill mix moderated the relationship between patient acuity and emotional exhaustion. Nurse managers should invest in nurses’ conditions of work environments.

scholarly journals Absenteeism and Presenteeism among Care Workers in Swiss Nursing Homes and Their Association with Psychosocial Work Environment: A Multi-Site Cross-Sectional Study

Gerontology ◽  
2015 ◽  
Vol 62 (4) ◽  
pp. 386-395 ◽  
Author(s):  
Suzanne Dhaini ◽  
Franziska Zúñiga ◽  
Dietmar Ausserhofer ◽  
Michael Simon ◽  
Regina Kunz ◽  
...  
Keyword(s):  
Nursing Homes ◽  
Work Environment ◽  
Cross Sectional Study ◽  
Psychosocial Work Environment ◽  
Sectional Study ◽  
Psychosocial Work ◽  
Cross Sectional ◽  
Environment Factors ◽  
Care Workers ◽  
Work Environment Factors

Background: Worker productivity is central to the success of organizations such as healthcare institutions. However, both absenteeism and presenteeism impair that productivity. While various hospital studies have examined the prevalence of presenteeism and absenteeism and its associated factors among care workers, evidence from nursing home settings is scarce. Objective: To explore care workers' self-reported absenteeism and presenteeism in relation to nursing homes' psychosocial work environment factors. Methods: We performed a cross-sectional study utilizing survey data of 3,176 professional care workers in 162 Swiss nursing homes collected between May 2012 and April 2013. A generalized estimating equation ordinal logistic regression model was used to explore associations between psychosocial work environment factors (leadership, staffing resources, work stressors, affective organizational commitment, collaboration with colleagues and supervisors, support from other personnel, job satisfaction, job autonomy) and self-reported absenteeism and presenteeism. Results: Absenteeism and presenteeism were observed in 15.6 and 32.9% of care workers, respectively. While absenteeism showed no relationship with the work environment, low presenteeism correlated with high leadership ratings (odds ratio [OR] 1.22, 95% confidence interval [CI] 1.01-1.48) and adequate staffing resources (OR 1.18, 95% CI 1.02-1.38). Conclusion: Self-reported presenteeism is more common than absenteeism in Swiss nursing homes, and leadership and staffing resource adequacy are significantly associated with presenteeism, but not with absenteeism.

scholarly journals Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal

2020 ◽  
Author(s):  
Pratik Khanal ◽  
Navin Devkota ◽  
Minakshi Dahal ◽  
Kiran Paudel ◽  
Devavrat Joshi
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Mental Health Problems ◽  
Health Workers ◽  
Health Problems ◽  
Anxiety And Depression ◽  
Cross Sectional ◽  
History Of ◽  
Precautionary Measures ◽  
Anxiety Depression

Abstract Background: Health care workers exposed to COVID-19 might be at increased risk of developing mental health problems. The study aimed to identify factors associated with anxiety, depression and insomnia among health workers involved in COVID-19 response in Nepal. Methods: This was a cross-sectional web-based survey conducted between April 26 and May 12, 2020. A total of 475 health workers participated in the study. Anxiety and depression were measured using a 14-item Hospital Anxiety and Depression Scale (HADS: 0- 21) and insomnia was measured by using a 7-item Insomnia Severity Index (ISI: 0-28). Multivariable logistic regression analysis was done to determine the risk factors of mental health outcomes. Results: Overall, 41.9% of health workers had symptoms of anxiety, 37.5% had depression symptoms and 33.9% had symptoms of insomnia. Stigma faced by health workers was significantly associated with higher odds of experiencing symptoms of anxiety (AOR: 2.47; 95% CI: 1.62-3.76), depression (AOR: 2.05; 95% CI: 1.34-3.11) and insomnia (AOR: 2.37; 95% CI: 1.46-3.84). History of medication for mental health problems was significantly associated with a higher likelihood of experiencing symptoms of anxiety (AOR: 3.40; 95% CI:1.31-8.81), depression (AOR: 3.83; 95% CI: 1.45-10.14) and insomnia (AOR: 3.82; 95% CI: 1.52-9.62) while inadequate precautionary measures in the workplace was significantly associated with higher odds of exhibiting symptoms of anxiety (AOR: 1.89; 95% CI: 1.12-3.19) and depression (AOR: 1.97; 95% CI: 1.16-3.37). Nurses (AOR: 2.33; 95% CI: 1.21-4.47) were significantly more likely to experience anxiety symptoms than other health workers. Conclusion: The study findings revealed a considerate proportion of anxiety, depression and insomnia symptoms among health workers during the early phase of the pandemic in Nepal. Health workers facing stigma, those with history of medication for mental health problems, and those reporting inadequate precautionary measures in their workplace were more at risk of developing mental health outcomes. A focus on improving mental wellbeing of health workers should be immediately initiated with attention to reduction of stigma, ensuring an adequate support system such as personal protective equipments, and family support for those with history of mental health problems.

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