Effects of workday characteristics and job demands on recovery from work among Finnish home care nurses: a multi-source cross-sectional study.

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Visa Väisänen, Salla Ruotsalainen, Pihla Säynäjäkangas, Satu Mänttäri, Jaana Laitinen, Timo Sinervo
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引用次数: 0

Abstract

Objective: Ageing populations and poor care workforce availability are causing increasing job demands for home care nurses across Europe. While recovery from work helps sustain work ability and wellbeing, past research has relied mainly on self-reported measures of health, stressors, and recovery. This study aims to examine how objective and subjective job demands are associated with measured day-time recovery among home care nurses.

Methods: Heart rate variability recording was conducted for 95 Finnish home care nurses. The study participants documented their work tasks throughout the workday and filled a wellbeing questionnaire. The amount of care time, breaktime, number of different weekly clients, and their care needs were obtained from the survey. The associations between job demands and measured day-time recovery were analysed using multivariate linear regression.

Results: The amount of day-time recovery was on average 75 min. The number of different clients during the workday (e.g., care continuity) and higher care needs of the clients were associated with lower day-time recovery. Additionally, something slightly disrupting the course of the workday was associated with increased recovery.

Conclusions: Our findings indicate that reducing especially the objective job demands (workday characteristics) can contribute to better day-time recovery among home care nurses. To help sustain work ability and improve wellbeing, day-time recovery can be promoted with better work scheduling that supports care continuity and ensures sufficient care resources and support for nurses with many clients or clients with high care needs.

工作日特征和工作需求对芬兰家庭护理护士工作恢复的影响:一项多来源横断面研究。
目的:人口老龄化和护理人力资源不足导致整个欧洲对家庭护理护士的工作需求不断增加。虽然从工作中恢复有助于维持工作能力和幸福感,但过去的研究主要依赖于自我报告的健康、压力源和恢复情况。本研究旨在探讨客观和主观工作需求与家庭护理护士日间恢复的关系。方法:对95名芬兰家庭护理护士进行心率变异性记录。研究参与者记录了他们整个工作日的工作任务,并填写了一份健康问卷。通过问卷调查获得护理时间、休息时间、每周不同客户的数量以及他们的护理需求。使用多元线性回归分析工作需求与测量白天恢复之间的关系。结果:日间恢复时间平均为75分钟。工作日内不同客户的数量(如护理连续性)和客户较高的护理需求与较低的日间恢复时间相关。此外,稍微扰乱工作日进程的事情与恢复速度加快有关。结论:我们的研究结果表明,降低客观工作需求(工作日特征)有助于家庭护理护士更好的日间恢复。为了帮助维持工作能力和改善健康,可以通过更好的工作安排来促进日间康复,以支持护理的连续性,并确保有足够的护理资源,并为有许多客户或有高护理需求的客户的护士提供支持。
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来源期刊
International Archives of Occupational and Environmental Health
International Archives of Occupational and Environmental Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.60
自引率
6.70%
发文量
127
审稿时长
3 months
期刊介绍: International Archives of Occupational and Environmental Health publishes Editorials, Review Articles, Original Articles, and Letters to the Editor. It welcomes any manuscripts dealing with occupational or ambient environmental problems, with a special interest in research at the interface of occupational health and clinical medicine. The scope ranges from Biological Monitoring to Dermatology, from Fibers and Dust to Human Toxicology, from Nanomaterials and Ultra-fine Dust to Night- and Shift Work, from Psycho-mental Distress and Burnout to Vibrations. A complete list of topics can be found on the right-hand side under For authors and editors. In addition, all papers should be based on present-day standards and relate to: -Clinical and epidemiological studies on morbidity and mortality -Clinical epidemiological studies on the parameters relevant to the estimation of health risks -Human experimental studies on environmental health effects. Animal experiments are only acceptable if relevant to pathogenic aspects. -Methods for studying the topics mentioned above.
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