IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i9p1850-d166054.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/9/1850/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/9/1850/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Mario Schnalzenberger & Nicole Schneeweis & Rudolf Winter-Ebmer & Martina Zweimüller, 2014. "Job Quality and Employment of Older People in Europe," LABOUR, CEIS, vol. 28(2), pages 141-162, June.
    2. Liebig, Stefan & Schupp, Jürgen, 2008. "Leistungs- oder Bedarfsgerechtigkeit? Über einen normativen Zielkonflikt des Wohlfahrtsstaats und seiner Bedeutung für die Bewertung des eigenen Erwerbseinkommens," EconStor Open Access Articles and Book Chapters, ZBW - Leibniz Information Centre for Economics, vol. 59(1), pages 7-30.
    3. Oliver Weigelt & J. Charlotte Seidel & Lucy Erber & Johannes Wendsche & Yasemin Z. Varol & Gerald M. Weiher & Petra Gierer & Claudia Sciannimanica & Richard Janzen & Christine J. Syrek, 2023. "Too Committed to Switch Off—Capturing and Organizing the Full Range of Work-Related Rumination from Detachment to Overcommitment," IJERPH, MDPI, vol. 20(4), pages 1-29, February.
    4. Shimazu, Akihito & de Jonge, Jan, 2009. "Reciprocal relations between effort-reward imbalance at work and adverse health: A three-wave panel survey," Social Science & Medicine, Elsevier, vol. 68(1), pages 60-68, January.
    5. Yi-Shih Chung & Paul Tae-Woo Lee & Jeong-Kwan Lee, 2017. "Burnout in seafarers: its antecedents and effects on incidents at sea," Maritime Policy & Management, Taylor & Francis Journals, vol. 44(7), pages 916-931, October.
    6. Jia Ryu & Yeogyeong Yoon & Hyunjoo Kim & Chung Won Kang & Kyunghee Jung-Choi, 2018. "The Change of Self-Rated Health According to Working Hours for Two Years by Gender," IJERPH, MDPI, vol. 15(9), pages 1-13, September.
    7. José Ignacio Cuitún Coronado & Tarani Chandola & Andrew Steptoe, 2018. "Allostatic Load and Effort-Reward Imbalance: Associations over the Working-Career," IJERPH, MDPI, vol. 15(2), pages 1-17, January.
    8. Jing Liao & Eric J Brunner & Meena Kumari, 2013. "Is There an Association between Work Stress and Diurnal Cortisol Patterns? Findings from the Whitehall II Study," PLOS ONE, Public Library of Science, vol. 8(12), pages 1-8, December.
    9. Lin, Chieh-Peng & Tsai, Yuan-Hui & Liu, Min-Ling, 2016. "Something good and something bad in R&D teams: Effects of social identification and dysfunctional behavior," Technological Forecasting and Social Change, Elsevier, vol. 104(C), pages 191-199.
    10. Sperlich, Stefanie & Geyer, Siegfried, 2015. "The mediating effect of effort-reward imbalance in household and family work on the relationship between education and women's health," Social Science & Medicine, Elsevier, vol. 131(C), pages 58-65.
    11. Michael Gast & Janina Lehmann & Elena Schwarz & Christian Hirning & Michael Hoelzer & Harald Guendel & Elisabeth Maria Balint, 2022. "A Single-Day Training for Managers Reduces Cognitive Stigma Regarding Mental Health Problems: A Randomized Trial," IJERPH, MDPI, vol. 19(7), pages 1-12, March.
    12. Johannes Siegrist & Jian Li, 2016. "Associations of Extrinsic and Intrinsic Components of Work Stress with Health: A Systematic Review of Evidence on the Effort-Reward Imbalance Model," IJERPH, MDPI, vol. 13(4), pages 1-14, April.
    13. Jean-Baptist Prel & Mario Iskenius & Richard Peter, 2014. "Are effort–reward imbalance and social isolation mediating the association between education and depressiveness? Baseline findings from the lidA § -study," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(6), pages 945-955, December.
    14. Kalousova, Lucie & Mendes de Leon, Carlos, 2015. "Increase in frailty of older workers and retirees predicted by negative psychosocial working conditions on the job," Social Science & Medicine, Elsevier, vol. 124(C), pages 275-283.
    15. Denise Doiron & Jane Hall & Patricia Kenny & Deborah J. Street, 2014. "Job preferences of students and new graduates in nursing," Applied Economics, Taylor & Francis Journals, vol. 46(9), pages 924-939, March.
    16. Braunheim, Lisa & Dragano, Nico & Khachatryan, Kristine & Beutel, Manfred E. & Brähler, Elmar, 2024. "The effects of effort-reward imbalance on the job, overcommitment, and income on life satisfaction in Germany from a longitudinal perspective," Social Science & Medicine, Elsevier, vol. 341(C).
    17. Jolivet, Anne & Caroly, Sandrine & Ehlinger, Virgine & Kelly-Irving, Michelle & Delpierre, Cyrille & Balducci, Franck & Sobaszek, Annie & De Gaudemaris, Régis & Lang, Thierry, 2010. "Linking hospital workers' organisational work environment to depressive symptoms: A mediating effect of effort-reward imbalance? The ORSOSA study," Social Science & Medicine, Elsevier, vol. 71(3), pages 534-540, August.
    18. Oshio, Takashi & Inoue, Akiomi & Tsutsumi, Akizumi, 2012. "Does workplace social capital moderate the associations between job stressors and psychological distress? A cross-sectional analysis among Japanese workers," CIS Discussion paper series 575, Center for Intergenerational Studies, Institute of Economic Research, Hitotsubashi University.
    19. Chang-Lan Xia & Tung-Ju Wu & An-Pin Wei & Pei-Guan Wu, 2020. "Are Chinese Entrepreneurs Happier than Employees? Evidence Based on a National Workforce Survey in China," IJERPH, MDPI, vol. 18(1), pages 1-21, December.
    20. Stefanie Sperlich & Siegfried Geyer, 2015. "The impact of social and family-related factors on women’s stress experience in household and family work," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(3), pages 375-387, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:9:p:1850-:d:166054. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.