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The association of the psychosocial work environm ent with care - - PowerPoint PPT Presentation

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The association of the psychosocial work environm ent with care workers health in Swiss nursing hom es Dhaini S ., Ziga F ., Ausserhofer D., Simon M., Kunz R., De Geest S., Schwendimann R. SHURP Konferenz, 3. Februar 2016, Bern Agenda .

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The association of the psychosocial work environm ent with care workers’ health in Swiss nursing hom es

Dhaini S., Zúñiga F ., Ausserhofer D., Simon M., Kunz R., De Geest S., Schwendimann R. SHURP Konferenz, 3. Februar 2016, Bern

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Agenda.

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 2

1

Background of the study & gaps

2

Theoretical background & conceptual framework

3

Study aims

4

Methods

5

Results

8

Implications for practice

9

Funds & references

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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A healthy workplace: definition

“(…) provides all members of the workforce with physical, psychological, social and

  • rganizational

conditions that protect and promote health (…)”

(WHO, Burton 2010)

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 3 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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Background: healthcare a high risk industry

  • Health care setting is a high-risk industry
  • It is ranking after construction and trucking in work-related

health problems

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 4 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

(Eurofound, 2012; Trinkoff, 2005)

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Where do we stand?

Country *Rate (year) Europe

5.0 (2010) Spain 2.4 (2102) Switzerland 3.1 (2012)

U.S.

4.8 (2013)

Australia

7.7 (2006)

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 5 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

(EU for Safety & Health at Work, 2014; Eurostat, 2010; BLS, 2013)

* Injuries per 100 Full Time Equivalent

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Work-related health problem s

  • 1. Physical health
  • Musculoskeletal pain & injuries
  • Needle stick injuries
  • Skin diseases
  • 1. Mental health problems
  • Emotional exhaustion & burnout

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 6 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

(Alamgir, 2008;Miller, 2006; Trinkoff, 2005; Hasselhorn, 2008; Smith, 2002; Piko, 2006)

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Nursing Hom es: An overview

  • Important sector of the care system
  • Current issues in nursing –CH homes
  • DRG
  • sub-acute care
  • Dementia symptoms

 Care workers perform strenuous activities

(Widmer, 2013)

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 7 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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Gap in the literature.

  • Nursing home care workers` health is not well examined

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 8 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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WHO Health Workplace Model

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(Burton, 2010)

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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Work environm ent m easures.

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  • Collaboration with colleagues &

nursing director

  • Autonomy at work
  • Work stressors:
  • Workloads
  • Conflicts & lack of recognition
  • Lack of preparation
  • Leadership
  • Staffing adequacy

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

  • Workplace violence
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Study Aim s.

  • 1. Explore the prevalence of physical and mental health
  • utcomes among care workers in Swiss nursing homes
  • 2. Explore the association between selected factors in the

psychosocial work environment and health outcomes of care workers

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 11 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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Methods.

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 12

  • Current study:
  • n=3,471
  • direct bed side care workers

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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The study results.

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 13 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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Prevalence of self-reported Physical Health n=3,471

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2 4 6 8 10 12 14 16 18 20 Needle stick injuries Allergies Backpain Joint pain

2 1 19 14

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

%

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Prevalence of self-reported Mental Health n=3,471

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 15

5 10 15 20 25 Sleeplessness Tiredness Headache Emotional Exhaustion

13 14 10 24

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

%

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Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 16

10 20 30 40 Physical Health Mental health 38 27 %

Percentage of care workers with at least 1 health

  • utcom e

n=3,471

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 17

Work environm ent & Physical health

Work stressors Workload Lack of job preparation Conflict & lack of recognition Staffing adequacy Verbal aggression Work stressors Workload Lack of job preparation Staffing adequacy Verbal aggression

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

Back pain Joint pain Needle stick & Allergies

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Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 18

Work environm ent & Mental health

Work stressors Workload Conflict & lack of recognition Work stressors Workload Conflict & lack of recognition Staffing adequacy Autonomy

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

Sleeplessness Tiredness

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Work environm ent & Mental health (cont` d)

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Work stressors Workload Conflict & lack of recognition Collaboration with nursing director Leadership Work stressors Workload Lack of job preparation Conflict & lack of recognition

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

Headache Emotional Exhaustion

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Sum m ary.

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 20 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

  • Physical & mental health are of concern
  • Perceived work stressors are associated with physical &

mental health

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Im plications for practice.

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 21 Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

  • Why taking care of the work environment and the

nursing staff?

  • Ethical
  • Legal
  • Business case

Modeling of work environment aspects may improve care workers health

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References.

Universität Basel, Department Public Health | PFLEGEWISSENSCHAFT 22

  • 1. Burton, J., WHO health workplace framework and model: background and supporting literature and practice. 2010, WHO

Headquarters: Geneva, Switzerland. 2.OFS. Absence rate due to illness / accident of employees employed full-time by sex, nationality and occupancy rate. 2012 [cited 21.03.2014; Available from: http://www.bfs.admin.ch/bfs/portal/fr/index/themen/03/02/blank/data/06.Document.169536.xls. 3.BLS, Bureau of Statistics: News release. Employer reported workplace Injuries and illnesses-2012. 2013, US Department of Labor.

  • 4. Cvejanov-Kezunovic, L., et al., Occupational exposure to blood among hospital workers in Montenegro. Archives of Industrial Hygiene

and Toxicology, 2014. 65(3): p. 273-80. 5.Markovic-Denic, L., et al., Occupational exposure to blood and body fluids among health-care workers in Serbia. Med Princ Pract,

  • 2014. 24(1): p. 36-41.

6.Sezgin, D. and M.N. Esin, Predisposing factors for musculoskeletal symptoms in intensive care unit nurses. Int Nurs Rev, 2015. 62(1):

  • p. 92-101.

7.Taghinejad, H., et al., Occupational mental health: A study of work-related mental health among clinical nurses. J Clin Diagn Res,

  • 2014. 8(9): p. Wc01-3.

8.Widmer, R., INTERIM RESULT : HOW DOES THE INTRODUCTION OF Swiss DRG TO LONG-TERM CARE OFF. 2013, CURAVIVA: Switzerland.

  • 9. Alamgir H, Cvitkovich Y, Astrakianakis G, Yu S, Yassi A. Needlestick and other potential blood and body fluid exposures among health

care workers in British Columbia, Canada. Am J Infect Control. 2008;36(1):12-21. Doi: 10.1016/j.ajic.2007.03.005.

  • 10. Miller, A., et al., Evaluation of the effectiveness of portable ceiling lifts in a new long-term care facility. Appl Ergon, 2006. 37(3): p.

377-85. 11.Trinkoff, A.M., et al., Staffing and worker injury in nursing homes. Am J Public Health, 2005. 95(7): p. 1220-5.

  • 12. Hasselhorn HM, Simon M, Nienhaus A, Dulon M, Schmidt S, Muller BH. Prevalence of skin disease in the nursing profession - results

from the European NEXT-study. Ergonomia. 2008;30(4):271-83.

  • 13. Smith DR, Guo YL, Lee YL, Hsieh FS, Chang SJ, Sheu HM. Prevalence of skin disease among nursing home staff in southern
  • Taiwan. Ind Health. 2002;40(1):54-8. Doi: 10.1046/j.1365-4362.2002.01425.x.
  • 14. Piko BF. Burnout, role conflict, job satisfaction and psychosocial health among Hungarian health care staff: a questionnaire survey.

Int J Nurs Stud. 2006;43(3):311-8. Doi: 10.1016/j.ijnurstu.2005.05.003.

  • 15. Eurostat (2010). Health and Safety at Work in Europe (1999–2007): A Statistical Portrait. Luxembourg, Publications Office of the

European Union. Available at: http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-31–09–290/EN/KS-31–09–290- EN.PDF.

  • 16. Eurofound (2012). Fifth European Working Conditions Survey . Luxembourg, Publications Office of

the European Union. Available at: http://www.eurofound.europa.eu/pubdocs/2011/82/en/1/EF1182EN.pdf .

Association of care workers` health and work environment, Dhaini S. et al. , 03.02.2016

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Thank you!

www.shurp.unibas.ch