Work-Related Psychosocial Risk Factors and Care Workers Mental Health (In Estonian Nursing Homes)

Open access

Abstract

The humankind is ageing rapidly, and as a result, there is an increasing need for old people’s homes. The nursing homes face different problems in financing and recruiting the labour force and management. Lack of resources causes the situation, when managers have to find possibilities to accomplish services and to provide quality care with the limited funds. This situation has an additional impact on the nursing professionals, who have to deal with many psychosocial risk factors in their work. The aim of the paper is to explore the work-related psychosocial risk factors and their relationships with mental health problems (MHPs) amongst care workers. A cross-sectional survey was undertaken amongst the care workers in nine Estonian nursing homes. Psychosocial work factors and MHPs (stress, somatic symptoms, depressive symptoms, burnout, cognitive symptoms, and sleep disorders) were analysed using the second version of the Copenhagen Psychosocial Questionnaire (COPSOQ II). Descriptive statistics and Pearson’s r correlation were used to analyse the data. The analysis was based on 340 care worker surveys. The highest mean scores for the studied work-related psychosocial factors were recorded for the quantitative demands, influence, rewards, role conflicts, trust, insecurity and work-family balance. Low mean scores were recorded for the meaning of work, role clarity, social relationships at work. The lowest score was followed by burnout and the highest - by cognitive symptoms.

Aiken, L.H., & Patrician, P.A. (2000). Measuring Organizational Traits of Hospitals: the Revised Nursing Work Index. Nursing Research, 49(3), 146-153. https://doi.org/10.1097/00006199-200005000-00006

Begat, I., Ellefsen, B., & Severinsson, E. (2005). Nurses’ Satisfaction with their Work Environment and the Outcomes of Clinical Nursing Supervision on Nurses’ Experiences of Well−Being - Norwegian Study. Journal of Nursing Management, 13(3), 221−230. https://doi.org/10.1111/j.1365-2834.2004.00527.x

Duncan, S., Rodney, P.A., & Thorne, S. (2014). Forging a Strong Nursing Future: Insights from the Canadian Context. Journal of Research in Nursing, 19(7-8), 621-633. https://doi.org/10.1177/1744987114559063

Edberg, A., Bird, M., Richards, D.A. Woods, R., Keeley, P., & Davis-Quarrell, V. (2008). Strain in Nursing Care of people with Dementia: Nurses’ Experience in Australia, Sweden and United Kingdom. Aging & Mental Health, 12(2), 236-243. https://doi.org/10.1080/13607860701616374

Hamdan, M. (2013). Measuring Safety Culture in Palestinian Neonatal Intensive Care Unit Using the Safety Attitudes Questionnaire. Journal of Critical Care, 28(5), 886e7-886e14. https://doi.org/10.1016/j.jcrc.2013.06.002

Freimann, T., Coggon, D., Merisalu, E., Animägi, L. & Pääsuke, M. (2013). Risk Factors for Musculoskeletal Pain Amongst Nurses in Estonia: A Cross-Sectional Study. BMC Musculoskeletal Disorders, 14, 334. https://doi.org/10.1186/1471-2474-14-334

Freimann, T. & Merisalu, E. (2015). Work-Related Psychosocial Risk Factors and Mental Health Problems Amongst Nurses at a University Hospital in Estonia: A Cross-Sectional Study. Scandinavian Journal of Work Environment Health, 43(5), 447-452. https://doi.org/10.1177/1403494815579477

Freimann, T., Pääsuke, M. & Merisalu, E. (2016). Work-Related Psychosocial Factors and Mental Health Problems Associated with Musculoskeletal Pain in Nurses: A Cross-Sectional Study. Pain Research and Management, ID 9361016, 7 pp. http://dx.doi.org/10.1155/2016/9361016

Gabriel, P., & Liimatainen, M.-R. (2000). Mental Health in the Workplace. Introduction Executive Summaries. Geneva: International Labour Organization. Retrieved from https://digitalcommons.ilr.cornell.edu/cgi/viewcontent.cgi?article=1224&context=gladnetcollect

German, P.B., & Gumming, G. (2010). The Influence of Nursing Leadership on Nurse Performance: A Systematic Literature Review. Journal of Nursing Management, 18(4), 425−439. https://doi.org/10.1111/j.1365-2834.2010.01100.x

Giurgiu, D.I., Geoffrion, C., Grasset, B., Dessomme, B.K., Moret, L., Roquelaure, Y., Caubet, A., Verger, C., Laraqui, C.E.H., Lombrail, P., Geraut, C., & Tripodi, D. (2015). Psychosocial and Occupational Risk Perception among Health Care Workers: a Moroccan Multicenter Study, BMC Res Notes, 8(408), 1− 10. https://doi.org/10.1186/s13104-015-1326-2

Javaid, M.U., Isha, A.S.N., Ghazali, Z., & Nübling, M. (2018). Does Psychosocial Work Environment Factors Predict Stress and Mean Arterial Pressure in the Malaysia Industry Workers? BioMed Research International, ID 9563714, 1 − 11. https://doi.org/10.1155/2018/9563714

Järvis, M., & Tint, P. (2009). The Formation of a Good Safety Culture at Enterprise. Journal of Business Economics and Management, 10(2), 169−180. https://doi.org/10.3846/1611-1699.2009.10.169-180

Kleimann, L., Frank, L., Ciesla, G., Rupnow, M., & Brodaty, H. (2004). Psychometric Performance of an Assessment Scale for Strain in Nursing Care: the M-NCAS. Health Quality of Life Outcomes, 2(62), 1−10. https://doi.org/10.1186/1477-7525-2-62

Kristensen, T.S., Hannerz, H., Hųgh, A., Born, V. (2005). The Copenhagen Psychosocial Questionnaire (COPSOQ) - A tool for the Assessment and Improvement of the Psychosocial Work Environment. Scandinavian Journal of Work Environment Health, 31(6), 438-449. https://doi.org/10.5271/sjweh.948

Lambert, V.A., & Lambert, C.E. (2001). Literature Review of Role Stress/Strain on Nurses: an International Perspective. Nursing & Health Sciences Journal, 3(3), 161−172. https://doi.org/10.1046/j.1442-2018.2001.00086.x

Leka, S., & Jain, A. (2010). Health Impact of Psychosocial Hazards at Work: An Overview. Geneva: World Health Organization. Retrieved from http://www.who.int/iris/handle/10665/44428

Leka, S., Van Wassenhove, W., & Jain, A. (2015). Is Psychosocial Risk Prevention Possible? Deconstructing Common Presumptions. Safety Science, 71(A), 61-67. http://dx.doi.org/10.1016/j.ssci.2014.03.014

Lewis, R., Yarker, J., Donaldson-Feilder, E., Flaxman, P., Munir, F. (2010). Using a Competency-Based Approach to Identify the Management Behaviours Required to Manage Workplace Stress in Nursing: a Critical Incident Study. International Journal of Nurses Studies, 47(3), 307-313. https://doi.org/10.1016/j.ijnurstu.2009.07.004

Lim, J., Bogossian, F., & Ahem, K. (2010). Stress and Coping in Australian Nurses: a Systematic Review. International Nursing Review, 57(1), 22-31. https://doi.org/10.1111/j.1466-7657.2009.00765.x

Malloy, T., & Penprase, B. (2010). Nursing Leadership Style and Psychosocial Work Environment. Journal of Nursing Management, 18(6), 715-725. https://doi.org/10.1111/j.1365-2834.2010.01094.x

McHugh, M.D., Kutney-Lee, A., Cimiotti, J.P., Sloane, D.M., Aiken, L.M. (2011). Nurses’ Widespread Job Dissatisfaction, Burnout, and Frustration with Health Benefits Signal Problems for Patient Care. Health Affairs (Millwood), 30(2), 202-210. https://doi.org/10.1377/hlthaff.2010.0100

Olsen, K. (2012). Occupational Health and Safety Professionals Strategies to Improve Working Environment and their Self-Assessed Impact, Work - A Journal of Prevention Assessment & Rehabilitation, 2012, 41, 2625-2632. https://doi.org/10.3233/WOR-2012-0506-2625

Ribbe, M.W., Ljunggren, G., Steel, K., Topinkova, E., Hawes, C., Ikegami, N., Henrard, J.-C., Jonnson, P.V. (1997). Nursing Homes in 10 Nations: A Comparison Between Countries and Settings. Age and Ageing, 26(2), 3-12. https://doi.org/10.1093/ageing/26.suppl_2.3

Sepp, J., Järvis, M., Tint, P., Siirak, V., Reinhold, K. (2015). EMG Measurement of Thumb Muscles of Nurses and Caregivers. Agronomy Research, 13(3), 836-845. Retrieved from https://www.etis.ee/Portal/Publications/Display/d2fee671-e824-4a27-816f-33e3cc8e18d9

Sepp, J., & Tint, P. (2017). The Components of Non-Punitive Environment in Nursing. Safety of Technogenic Environment, 8(1), 24-30. https://doi.org/10.1515/ste-2017-0004

Steel, K., Sherwood, S., & Ribbe, M.W. (1997). The Future: A Person-Specific Standardized Assessment Instrument. Age Ageing, 26(S2), 83-85. Retrieved from https://goo.gl/8PmcAa

Titzer, J.I., Shirey, M.R., & Hauck, S. (2014). A Nurse Manager Succession Planning Model with Associated Empirical Outcomes. Journal of Nursing Administration, 44(1), 37-46. https://doi.org/10.1097/NNA.0000000000000019

Toode, K., Routasalo, P., Helminen, M., & Suominen, T. (2015). Hospital Nurses’ Working Conditions in Relation to Motivation and Patient Safety. Nursing Management, 21(10), 31−41. https://doi.org/10.7748/nm.21.10.31.e1293

Van Beek, I., Hu, Q., Schaufeli, W., Taris, T.W., Schreurs, B. H. J. (2012). For Fun, Love, or Money: What Drives Workaholic, Engaged, and Burned-Out Employees at Work? Applied Psychology: An International Review, 61(1), 30-55. https://doi.org/10.1111/j.1464-0597.2011.00454.x

Van den- Pol-Grevelink, A., Jukema, J.S., & Smits, C.H.M. (2011). Person-Centred Care and Job Satisfaction of Caregivers in Nursing Homes: A Systematic Review of the Impact of Different Forms of Person-Centred Care on Various Dimensions of Job Satisfaction. International Journal of Geriatric Psychiatry, 27(3), 219-229. https://doi.org/10.1002/gps.2719

Zaree T. Y., Nazari J., Jafarabadi M. A., Alinia T. (2017). Impact of Psychosocial Factors on Occurrence of Medication Errors among Tehran Public Hospitals Nurses by Evaluating the Balance between Effort and Reward. Safety and Health at Work, 9(4), 447-453. https://doi.org/10.1016/j.shaw.2017.12.005

Zimmermann, S., Williams, C.S., Reed, P.S., Boustani, M., Preisser, J.S., Heck, E., Sloane, P.D. (2005). Attitudes, Stress and Satisfaction of Staff Who Care for Residents with Dementia. Gerontologist, 45((1), 96-105. https://doi.org/10.1093/geront/45.suppl_1.96.

Journal Information

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 207 207 36
PDF Downloads 124 124 30