Associations of Job Strain and Health: Differences Among Nurses and Personal Support Workers in Residential Care Homes During the COVID-19 Pandemic.

IF 2.2 4区 医学 Q1 NURSING
Workplace Health & Safety Pub Date : 2026-09-01 Epub Date: 2026-05-16 DOI:10.1177/21650799261440222
Valentina Antonipillai, Edward Ng, Andrea Baumann, Rochelle Garner, Mary Crea-Arsenio, Dafna Kohen
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引用次数: 0

Abstract

Background: The COVID-19 pandemic revealed stressful working conditions experienced by health care workers in long-term care and seniors' (LTCS) homes worldwide. However, differences in job strain among regulated and unregulated health care workers and its relationship to their health are understudied. This study examined associations between job strain-related working conditions and health changes, exploring differences between nurses and personal support workers (PSWs).

Methods: This cross-sectional study used the Survey of Health Care Workers' Experiences During the Pandemic (2021). Job strain-related working conditions included workload increases, working overtime, and beyond-role work. Outcomes were workers' perceived changes in general health and mental health during the pandemic. Descriptive statistics and multivariable logistic regression models were employed, stratified by occupation, and controlled for covariates.

Findings: Job strain prevalence during the pandemic was high, with more nurses reporting job strain-related working conditions (increased workloads, overtime, or beyond-role work) than PSWs. Associations between job strain working conditions and worsened health varied by occupation. Beyond-role work was associated with worsened mental health for both workers, but only worsened general health for nurses, not PSWs.

Conclusions: Differences among nurses and PSWs demonstrate the importance of understanding variations in roles, occupational experiences and policies regulating health care workers.

Application to practice: These findings support the need for targeted monitoring of mental and general health among nurses and PSWs in LTCS settings. Occupational health practitioners can identify experiences of job strain among staff and provide counsel for solutions, collaborating with management to ensure the LTCS workforce's health and safety.

工作压力与健康的关联:2019冠状病毒病大流行期间养老院护士和个人支持工作者的差异
背景:2019冠状病毒病(COVID-19)大流行揭示了全球长期护理和老年人(LTCS)家庭卫生保健工作者所经历的压力工作条件。然而,受管制和不受管制的卫生保健工作者的工作压力差异及其与健康的关系尚未得到充分研究。本研究考察了与工作压力相关的工作条件与健康变化之间的关系,探讨了护士和个人支持工作者(psw)之间的差异。方法:本横断面研究采用了大流行期间卫生保健工作者经验调查(2021年)。与工作压力相关的工作条件包括工作量增加、加班和超出角色的工作。结果是工人在大流行期间感知到的一般健康和心理健康的变化。采用描述性统计和多变量逻辑回归模型,按职业分层,并控制协变量。研究结果:大流行期间的工作压力流行率很高,与psw相比,更多的护士报告了与工作压力相关的工作条件(工作量增加、加班或超出角色的工作)。工作压力、工作条件和健康恶化之间的关系因职业而异。角色外工作与两种工作者的心理健康状况恶化有关,但只与护士的一般健康状况有关,而与社会福利工作者无关。结论:护士和社会福利工作者之间的差异表明理解角色、职业经验和卫生保健工作者政策差异的重要性。在实践中的应用:这些发现支持有针对性地监测LTCS环境中护士和psw的心理和一般健康的必要性。职业健康从业人员可以确定工作人员的工作压力经历,并为解决方案提供咨询,与管理层合作,确保LTCS工作人员的健康和安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.70
自引率
3.80%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity is the official publication of the American Association of Occupational Health Nursing, Inc. (AAOHN). It is a scientific peer-reviewed Journal. Its purpose is to support and promote the practice of occupational and environmental health nurses by providing leading edge research findings and evidence-based clinical practices. It publishes articles that span the range of issues facing occupational and environmental health professionals, including emergency and all-hazard preparedness, health promotion, safety, productivity, environmental health, case management, workers'' compensation, business and leadership, compliance and information management.
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