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Nurses’ Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes

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  • Carole Pélissier

    (Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, Université de St Etienne, 42055 Saint-Etienne, France
    Service de Santé au Travail et Pathologies Professionnelles, CHU de Saint-Etienne, 42055 Saint-Etienne, France)

  • Barbara Charbotel

    (Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, F-69373 Lyon, France
    Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service de Pathologies Professionnelles, F-69495 Pierre Bénite, France)

  • Jean Baptiste Fassier

    (Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, F-69373 Lyon, France
    Hospices Civils de Lyon, Service de Médecine et Santé au Travail, 69002 Lyon, France)

  • Emmanuel Fort

    (Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, F-69373 Lyon, France)

  • Luc Fontana

    (Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, Université de St Etienne, 42055 Saint-Etienne, France
    Service de Santé au Travail et Pathologies Professionnelles, CHU de Saint-Etienne, 42055 Saint-Etienne, France)

Abstract

This study aimed to evaluate the association between intention to leave work, and working conditions and health status among female care-staff in nursing homes. A multicenter cross-sectional study included female care-staff in 105 nursing homes for the elderly. We used validated questionnaires to assess occupational, psychosocial and medical data in a multicenter transverse study. Univariate analysis on chi² test was performed with stratification according to job (nurse, nursing assistant), and variables found to be significant on each dimension were included on multivariate models. 1428 nursing assistants and 342 registered nurses were included. 391 nursing assistants and 85 registered nurses intended to leave their work with the elderly. The registered nurses’ intention to leave was associated with deteriorated care-team or residents relations, and with perceived elevated hardship due to the proximity of residents’ death. The nursing assistants’ intention to leave was associated with deteriorated management relation, with job insecurity and elevated hardship due to the residents’ intellectual deterioration. Impaired physical or psychological health status also correlated with this intention. Policy to reduce voluntary turnover of care-staff in nursing homes for the elderly could be based on multifactorial management, acting on work organization and reducing psychosocial stress.

Suggested Citation

  • Carole Pélissier & Barbara Charbotel & Jean Baptiste Fassier & Emmanuel Fort & Luc Fontana, 2018. "Nurses’ Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1850-:d:166054
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    References listed on IDEAS

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    1. van Vegchel, Natasja & de Jonge, Jan & Bosma, Hans & Schaufeli, Wilmar, 2005. "Reviewing the effort-reward imbalance model: drawing up the balance of 45 empirical studies," Social Science & Medicine, Elsevier, vol. 60(5), pages 1117-1131, March.
    2. Chiang, Yu-Mei & Chang, Yuhsuan, 2012. "Stress, depression, and intention to leave among nurses in different medical units: Implications for healthcare management/nursing practice," Health Policy, Elsevier, vol. 108(2), pages 149-157.
    3. Siegrist, Johannes & Starke, Dagmar & Chandola, Tarani & Godin, Isabelle & Marmot, Michael & Niedhammer, Isabelle & Peter, Richard, 2004. "The measurement of effort-reward imbalance at work: European comparisons," Social Science & Medicine, Elsevier, vol. 58(8), pages 1483-1499, April.
    4. Zeytinoglu, Isik U. & Denton, Margaret & Plenderleith, Jennifer Millen, 2011. "Flexible employment and nurses' intention to leave the profession: The role of support at work," Health Policy, Elsevier, vol. 99(2), pages 149-157, February.
    5. Vimala Ramoo & Khatijah L Abdullah & Chua Yan Piaw, 2013. "The relationship between job satisfaction and intention to leave current employment among registered nurses in a teaching hospital," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(21-22), pages 3141-3152, November.
    6. Zeytinoglu, Isik Urla & Denton, Margaret & Davies, Sharon & Baumann, Andrea & Blythe, Jennifer & Boos, Linda, 2006. "Retaining nurses in their employing hospitals and in the profession: Effects of job preference, unpaid overtime, importance of earnings and stress," Health Policy, Elsevier, vol. 79(1), pages 57-72, November.
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    Cited by:

    1. Magnus Helgesson & Staffan Marklund & Klas Gustafsson & Gunnar Aronsson & Constanze Leineweber, 2020. "Interaction Effects of Physical and Psychosocial Working Conditions on Risk for Sickness Absence: A Prospective Study of Nurses and Care Assistants in Sweden," IJERPH, MDPI, vol. 17(20), pages 1-15, October.
    2. Ana María Porcel-Gálvez & Sergio Barrientos-Trigo & Sara Bermúdez-García & Elena Fernández-García & Mercedes Bueno-Ferrán & Bárbara Badanta, 2020. "The Nursing Stress Scale-Spanish Version: An Update to Its Psychometric Properties and Validation of a Short-form Version in Acute Care Hospital Settings," IJERPH, MDPI, vol. 17(22), pages 1-13, November.
    3. Mihaela Alexandra Gherman & Laura Arhiri & Andrei Corneliu Holman & Camelia Soponaru, 2022. "Injurious Memories from the COVID-19 Frontline: The Impact of Episodic Memories of Self- and Other-Potentially Morally Injurious Events on Romanian Nurses’ Burnout, Turnover Intentions and Basic Need ," IJERPH, MDPI, vol. 19(15), pages 1-25, August.
    4. Derong Zeng & Nozomu Takada & Yukari Hara & Shoko Sugiyama & Yoshimi Ito & Yoko Nihei & Kyoko Asakura, 2022. "Impact of Intrinsic and Extrinsic Motivation on Work Engagement: A Cross-Sectional Study of Nurses Working in Long-Term Care Facilities," IJERPH, MDPI, vol. 19(3), pages 1-13, January.
    5. Eva Smokrović & Tomislav Kizivat & Antun Bajan & Krešimir Šolić & Zvjezdana Gvozdanović & Nikolina Farčić & Boštjan Žvanut, 2022. "A Conceptual Model of Nurses’ Turnover Intention," IJERPH, MDPI, vol. 19(13), pages 1-14, July.
    6. Nesrine Tebbeb & Fanny Villemagne & Thomas Prieur & Solène Dorier & Emmanuel Fort & Thomas Célarier & Luc Fontana & Nathalie Barth & Carole Pélissier, 2022. "COVID-19 Health Crisis Workloads and Screening for Psychological Impact in Nursing Home Staff: A Qualitative and Quantitative Survey," IJERPH, MDPI, vol. 19(7), pages 1-17, March.

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