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Int. J. Environ. Res. Public Health 2018, 15(9), 1850; https://doi.org/10.3390/ijerph15091850

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

1
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
2
Service de Santé au Travail et Pathologies Professionnelles, CHU de Saint-Etienne, 42055 Saint-Etienne, France
3
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
4
Hospices Civils de Lyon, Centre Hospitalier Lyon Sud, Service de Pathologies Professionnelles, F-69495 Pierre Bénite, France
5
Hospices Civils de Lyon, Service de Médecine et Santé au Travail, 69002 Lyon, France
*
Author to whom correspondence should be addressed.
Received: 8 August 2018 / Revised: 17 August 2018 / Accepted: 23 August 2018 / Published: 27 August 2018
(This article belongs to the Special Issue Worker and Public Health and Safety: Current Views)
Full-Text   |   PDF [349 KB, uploaded 27 August 2018]

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. View Full-Text
Keywords: care workers’ intention to leave; nursing homes for the elderly; psychosocial factors; musculoskeletal complaints; impaired well-being care workers’ intention to leave; nursing homes for the elderly; psychosocial factors; musculoskeletal complaints; impaired well-being
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Pélissier, C.; Charbotel, B.; Fassier, J.B.; Fort, E.; Fontana, L. Nurses’ Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes. Int. J. Environ. Res. Public Health 2018, 15, 1850.

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