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Healthy Working Conditions for Healthcare Staff

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Global Health".

Deadline for manuscript submissions: closed (11 September 2020) | Viewed by 48679

Special Issue Editor


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Guest Editor
Division of Psychiatry and Applied Psychology, School of Medicine, University of Nottingham, Jubilee Campus, Nottingham NG8 1BB, UK
Interests: health services research; return-to-work and job retention; employment and mental health

Special Issue Information

Dear Colleagues,

Healthcare staff are a pivotal part of the workforce in any society, providing physical and mental healthcare services in hospitals and the wider community. However, with increasing demands on services and staff shortages, many healthcare staff are exposed to a wide range of physical and psychosocial working conditions that put them at risk of poor physical and mental health and well-being. Large-scale reorganisation of healthcare services has also brought about changes to traditional ways of working in healthcare which may provide new challenges as well as opportunities for how work is designed. For example, new advanced practitioner roles have been developed, allowing nurses to take on more tasks traditionally carried out by doctors. Services have also been redesigned to provide more integrated and mulitdisciplinary models of care. New regulatory requirements and changes to the economic models and markets within healthcare are amongst other contextual factors within which these changes occur. Furthermore, effective workplace interventions to improve the health and wellbeing of healthcare staff are a priority for healthcare organisations attempting to retain staff and reduce costs of sickness absence and turnover.

This issue aims to contribute to our understanding of emerging work-related risk factors for the health and well-being of healthcare staff and the effectiveness of interventions to tackle them. There are a wide range of different professionals and job roles within the healthcare workforce, and we welcome research articles across the full spectrum of these. Of specific interest are articles on topics such as the identification, assessment and management of workplace risks for healthcare staff; the influence of working condition on work-related health and other related outcomes (e.g., turnover, absence, engagement); the design of healthy and engaging work for healthcare staff; the evaluation of interventions to improve the health of healthcare workers; and the use of novel research methods to understand the health of healthcare workers.

Dr. Louise Thomson
Guest Editor

Manuscript Submission Information

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Keywords

  • Healthcare staff
  • Healthy work
  • Occupational health
  • Interventions
  • Job retention
  • Sickness absence
  • Return to work
  • Mental health
  • Physical health

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Published Papers (3 papers)

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Research

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18 pages, 2519 KiB  
Article
Risk and Protective Factors of Well-Being among Healthcare Staff. A Thematic Analysis
by Sabrina Berlanda, Federica de Cordova, Marta Fraizzoli and Monica Pedrazza
Int. J. Environ. Res. Public Health 2020, 17(18), 6651; https://doi.org/10.3390/ijerph17186651 - 12 Sep 2020
Cited by 10 | Viewed by 5258
Abstract
The purpose of this study was to identify physical and psychosocial working conditions to improve well-being at work among healthcare staff. This is a potent area of inquiry given the relationship between healthcare staff well-being and service quality and other key organizational characteristics. [...] Read more.
The purpose of this study was to identify physical and psychosocial working conditions to improve well-being at work among healthcare staff. This is a potent area of inquiry given the relationship between healthcare staff well-being and service quality and other key organizational characteristics. However, while numerous studies in this area have used a quantitative methodology, very few have applied qualitative methodologies gathering subjective descriptions of the sources of well-being, providing in so doing significant data to explore in depth the factors that influence well-being in healthcare systems. We gathered qualitative data analyzing open-ended questions about risk and protective factors of well-being at work. The sample was made of 795 professionals answering an online questionnaire. Answers were coded and analyzed using the thematic analysis with an inductive approach (data-driven). We identified four themes strongly affecting professional well-being in health-care staff: Interactions, Working Conditions, Emotional Responses to Work, and Competence and Professional Growth. Our findings suggest possible strategies and actions that may be effective in helping to calibrate case-specific support and monitoring interventions to improve health and well-being of healthcare staff. We also discuss the implications of the study and suggest possible avenues for future empirical research. Full article
(This article belongs to the Special Issue Healthy Working Conditions for Healthcare Staff)
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14 pages, 681 KiB  
Article
Patient–Nurse Ratio is Related to Nurses’ Intention to Leave Their Job through Mediating Factors of Burnout and Job Dissatisfaction
by Yi-Chuan Chen, Yue-Liang Leon Guo, Wei-Shan Chin, Nai-Yun Cheng, Jiune-Jye Ho and Judith Shu-Chu Shiao
Int. J. Environ. Res. Public Health 2019, 16(23), 4801; https://doi.org/10.3390/ijerph16234801 - 29 Nov 2019
Cited by 75 | Viewed by 29318
Abstract
In healthcare settings, nurses’ workload, burnout, and job satisfaction are associated to the patient–nurse ratio. Whether this ratio also affects their intention to leave the nursing profession, along with the underlying stress pathway, remains unclear. This study aimed to investigate the effects of [...] Read more.
In healthcare settings, nurses’ workload, burnout, and job satisfaction are associated to the patient–nurse ratio. Whether this ratio also affects their intention to leave the nursing profession, along with the underlying stress pathway, remains unclear. This study aimed to investigate the effects of the patient–nurse ratio on nurses’ intention to leave and considering the mediating roles of burnout and job dissatisfaction. The study analyzed the data of two pooled cross-sectional surveys collected in 2013 and 2014. Measures were obtained by a structure questionnaire, which queried the average daily patient–nurse ratio (ADPNR), nurses’ personal burnout, client-related burnout, job dissatisfaction, intention to leave, and other demographics. ADPNRs were standardized according to hospital levels. Multiple regression models examined mediation hypotheses, and a percentile bootstrap confidence interval was applied to determine the significance of indirect effects. A total of 1409 full-time registered nurses in medical and surgical wards of 24 secondary or tertiary hospitals in Taiwan completed self-administered questionnaires. Most of the participants were female (97.2%), and the mean age was 29.9 years. The association between the standardized ADPNR and intention to leave their job was significantly mediated by personal burnout, client-related burnout, and job dissatisfaction. Higher standardized ADPNRs predicted higher levels of personal burnout, client-related burnout, and job dissatisfaction, each of which resulted in higher levels of intention to leave the current job. The results highlight that appropriate patient–nurse ratio standards may be further discussed by selecting personal burnout, client-related burnout, and job dissatisfaction as indicators. Full article
(This article belongs to the Special Issue Healthy Working Conditions for Healthcare Staff)
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Review

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28 pages, 908 KiB  
Review
A Systematic Review of Job Demands and Resources Associated with Compassion Fatigue in Mental Health Professionals
by Jasmeet Singh, Maria Karanika-Murray, Thom Baguley and John Hudson
Int. J. Environ. Res. Public Health 2020, 17(19), 6987; https://doi.org/10.3390/ijerph17196987 - 24 Sep 2020
Cited by 45 | Viewed by 13400
Abstract
Psychosocial hazards in mental healthcare contribute to the development of compassion fatigue in mental health professionals. Compassion fatigue has a negative impact on the mental health and wellbeing of professionals that can impair the quality of services provided to clients. The majority of [...] Read more.
Psychosocial hazards in mental healthcare contribute to the development of compassion fatigue in mental health professionals. Compassion fatigue has a negative impact on the mental health and wellbeing of professionals that can impair the quality of services provided to clients. The majority of research on compassion fatigue has focused on individual-level variables such as gender, history of trauma and age, among others. It is also imperative to understand the role played by alterable work-related characteristics in contributing to the development of compassion fatigue in order to attenuate its impact on mental health professionals and their clients. The present review examined articles exploring work-related factors associated with compassion fatigue. Fifteen quantitative studies were included and their quality was assessed using a checklist. An inductive content-analysis approach was adopted to synthesise the themes emerging from the data. The results suggested a theoretical model consistent with the Job Demands-Resources model, wherein job demands (such as workplace trauma, workload and therapeutic settings) are associated with compassion fatigue, and job resources (such as supervisors’, coworkers’ and organisational support) mitigate the impact of job demands. In addition to person-oriented factors, work-related factors are critical for the prevention of compassion fatigue. Full article
(This article belongs to the Special Issue Healthy Working Conditions for Healthcare Staff)
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