scholarly journals Nurses’ Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes

Author(s):  
Carole Pélissier ◽  
Barbara Charbotel ◽  
Jean Fassier ◽  
Emmanuel Fort ◽  
Luc Fontana

This study aimed to evaluate the association between intention to leave work, and working conditions and health status among female care-staff in nursing homes. A multicenter cross-sectional study included female care-staff in 105 nursing homes for the elderly. We used validated questionnaires to assess occupational, psychosocial and medical data in a multicenter transverse study. Univariate analysis on chi² test was performed with stratification according to job (nurse, nursing assistant), and variables found to be significant on each dimension were included on multivariate models. 1428 nursing assistants and 342 registered nurses were included. 391 nursing assistants and 85 registered nurses intended to leave their work with the elderly. The registered nurses’ intention to leave was associated with deteriorated care-team or residents relations, and with perceived elevated hardship due to the proximity of residents’ death. The nursing assistants’ intention to leave was associated with deteriorated management relation, with job insecurity and elevated hardship due to the residents’ intellectual deterioration. Impaired physical or psychological health status also correlated with this intention. Policy to reduce voluntary turnover of care-staff in nursing homes for the elderly could be based on multifactorial management, acting on work organization and reducing psychosocial stress.

2014 ◽  
Vol 52 (4) ◽  
pp. 334-346 ◽  
Author(s):  
Carole PELISSIER ◽  
Luc FONTANA ◽  
Emmanuel FORT ◽  
Jean Pierre AGARD ◽  
Francoise COUPRIE ◽  
...  

2005 ◽  
Vol 47 (4) ◽  
pp. 131-138 ◽  
Author(s):  
Shinji Kumagai ◽  
Hidetsugu Tainaka ◽  
Keiko Miyajima ◽  
Naoko Miyano ◽  
Junko Kosaka ◽  
...  

Author(s):  
I. Zhdanova ◽  
A. Kuznecova ◽  
P. Mihaylina

The article focuses on the study of modern approaches in the typology of nursing homes. Global data on the increase in the share of older people in the total population are presented. In addition, Rosstat data confirm the relevance of studying this topic. Examples of foreign experience in designing and building homes for the elderly show the developed functional composition of the premises, along with the function of accommodation and care - health care, leisure, trade, sports, food and multifunctional spaces to ensure social interaction of different groups of the population. The research reveals a method of "functional improvement" aimed at developing optimal functional interactions between public and residential spaces. A concept project for a "dynamic" scheme has been developed, showing the inclusion of residential blocks in a multifunctional complex. The chosen functional organization allows the creation of private spaces for residents of retirement age and walking areas for visitors to the complex. It is determined that in Russia it is necessary to implement modern approaches adapted to Russian conditions, based on foreign experience. This will enhance the consumer quality of the facility and the comfort level of the elderly, which will undoubtedly provide social interaction through the introduction of educational and leisure functions, as well as improve the ecological and aesthetic qualities of the environment.


2000 ◽  
Vol 125 (2) ◽  
pp. 393-397 ◽  
Author(s):  
Y. DEGUCHI ◽  
Y. TAKASUGI ◽  
K. NISHIMURA

Influenza vaccine effect on the occurrence and severity of influenza virus infection in a population residing in nursing homes for the elderly was studied as a cohort study during an influenza A (H3N2) epidemic in Japan. Of 22462 individuals living in 301 welfare nursing homes, 10739 voluntarily received inactivated, sub-unit trivalent influenza vaccine in a programme supported by the Osaka Prefectural Government. There were statistically significantly fewer cases of influenza, hospital admissions due to severe infection, and deaths due to influenza in the vaccinated cohort compared to the unvaccinated controls. No serious adverse reactions to vaccination were recorded. Thus influenza vaccination is effective for preventing influenza disease in persons aged 65 years and over, and should be an integral part of the care of this population residing in nursing homes.


2018 ◽  
Vol 4 (1) ◽  
pp. 123-126
Author(s):  
Herbert Plischke ◽  
Matthäus Linek ◽  
Johannes Zauner

AbstractLight is an important factor for regulation of circadian, endocrine and metabolic processes in the human body. Through this light has a positive effect on cognition, on the stabilization of circadian rhythms and for general wellbeing. These effects are described as non-visual effects of light. Many dynamic lighting systems are already in use in workplaces and living spaces, aiming to address visual and also non-visual effects. In Europe and US the term “Human Centric Lighting” or abbreviated "HCL” was introduced, as a scientifically agreed concept on how to plan non-visual effects of artificial light in synergy with natural light. Older people, especially with neurological and psychological diseases can especially benefit from this lighting concept. However, in order to achieve the desired non-visual effects, certain conditions should be fulfilled. In Germany the DIN SPEC 67600 is a guideline for the design of biologically effective illumination, with examples for senior- and nursing homes. A goal of this evaluation was to check whether the recommendations of the specification DIN SPEC 67600 in three nursing homes were met and another goal was if effectiveness of the lighting on residents and nursing staff can be determined. Photometric measurements were taken and subjective perceived non-visual effects of light were surveyed using a questionnaire. Results: Although none of the three facilities met all the criteria of the DIN SPEC 67600 guidelines, non-visual lighting effects on residents and nursing staff could be detected. The results also indicate that careful attention should be paid on maintenance of HCL systems. The correct use of HCL solutions in homes for the elderly has opportunities to improve health status if the system is properly designed and maintained. Therefore next to the existing (non-visual) metrics and HCL design guidelines, guidelines for maintaining and regular inspections should be established.


1994 ◽  
Vol 29 (3) ◽  
pp. 231-248 ◽  
Author(s):  
Stephen J. Depaola ◽  
Roberta Neimeyer ◽  
Stephanie K. Ross

The present project investigated the relationship between death fear, attitudes toward the elderly, and personal anxiety toward one's own aging in a group of nursing home employees. Contrary to predictions, nursing professionals (i.e., Registered Nurses, Licensed Practical Nurses) did not have higher levels of death concern when compared to Nursing Assistants; in fact, Nursing Assistants had higher levels of death concerns on four components of death fear (fear of the dead, fear of the unknown, fear of consciousness when dead, and fear for body after death). The results also indicated that Nursing Assistants displayed significantly fewer positive attitudes toward the elderly than did nursing professionals.


2002 ◽  
Vol 185 (2) ◽  
pp. 133-146 ◽  
Author(s):  
Kim Y. Green ◽  
Gaël Belliot ◽  
Jean Lin Taylor ◽  
José Valdesuso ◽  
Judy F. Lew ◽  
...  

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