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Working conditions and physical and mental health in non-medical staff of nursing homes for elderly patients

Identifieur interne : 000143 ( France/Analysis ); précédent : 000142; suivant : 000144

Working conditions and physical and mental health in non-medical staff of nursing homes for elderly patients

Auteurs : Carole Pelissier [France]

Source :

RBID : Hal:tel-01366424

Descripteurs français

English descriptors

Abstract

Background: Non-medical staff in nursing homes for the elderly are exposed to high levels of physical and psychological stress related to managing increasingly dependent residents with multiple pathologies. Our research approach is based on Green and Kreuter's public health model. This is intended to describe the physical and mental health (epidemiological diagnosis) and to explore working conditions as experienced by nursing home staff (behavioral and environmental diagnosis).Methods: A cross-sectional descriptive survey was conducted by 78 occupational physicians on 2,649 employees (706 housekeepers, 1,565 nursing assistants and 378 nurses) in 105 nursing homes for the elderly in the Rhône-Alpes Region of France. Employee data were collected on several validated questionnaires. All statistical analyses were performed on SAS software, version 9.3.Results: Respondents related elevated hardship and desired more continuous training in palliative care. They were highly exposed to psychosocial stress (strong effort, low reward, effort/reward imbalance, overcommitment). Neck and upper-limb musculoskeletal complaints and signs of psychological distress were significantly associated with exposure to psychosocial stress.Conclusions: The next phase of the research plan should consist in establishing an educational diagnosis by assessing the organizational factors associated with psychosocial stress in nursing home staff.


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Hal:tel-01366424

Le document en format XML

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<p>Background: Non-medical staff in nursing homes for the elderly are exposed to high levels of physical and psychological stress related to managing increasingly dependent residents with multiple pathologies. Our research approach is based on Green and Kreuter's public health model. This is intended to describe the physical and mental health (epidemiological diagnosis) and to explore working conditions as experienced by nursing home staff (behavioral and environmental diagnosis).Methods: A cross-sectional descriptive survey was conducted by 78 occupational physicians on 2,649 employees (706 housekeepers, 1,565 nursing assistants and 378 nurses) in 105 nursing homes for the elderly in the Rhône-Alpes Region of France. Employee data were collected on several validated questionnaires. All statistical analyses were performed on SAS software, version 9.3.Results: Respondents related elevated hardship and desired more continuous training in palliative care. They were highly exposed to psychosocial stress (strong effort, low reward, effort/reward imbalance, overcommitment). Neck and upper-limb musculoskeletal complaints and signs of psychological distress were significantly associated with exposure to psychosocial stress.Conclusions: The next phase of the research plan should consist in establishing an educational diagnosis by assessing the organizational factors associated with psychosocial stress in nursing home staff.</p>
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{{Explor lien
   |wiki=    Sante
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   |étape=   Analysis
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   |texte=   Working conditions and physical and mental health in non-medical staff of nursing homes for elderly patients
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