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1.
BMC Psychol ; 12(1): 330, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38840256

RESUMO

This present research aims to clarify the intricate conjunction of enterprise social media (ESM) utilization and employee agility with a main focus on uncovering the underlying mechanisms that work through the mediating influence of work engagement and the moderating influence of regulatory focus. Drawing upon regularity focus theory, 353 Chinese samples of ESM users in organizational contexts are analyzed using SPSS 23.0. The empirical findings substantiate a robust and significant positive linkage between ESM usage and worker agility. Further reinforcing the model, the mediating role of work engagement is established as it channels the impact of ESM usage on worker agility. Turning to the moderating effects, the study unveils the differential impact of prevention focus and promotion focus, wherein individuals with a lower prevention focus exhibit a more pronounced positive linkage between ESM usage and worker agility. Similarly, individuals with a higher promotion focus demonstrate a heightened positive association between ESM usage and worker agility. By comprehensively inspecting the intricate dynamics of ESM usage, work engagement, and regulatory focus, this study enhances our theoretical understanding of how these factors synergistically shape employee agility, ultimately furnishing organizations with invaluable insights to foster and cultivate an agile workforce.


Assuntos
Mídias Sociais , Engajamento no Trabalho , Humanos , Adulto , Feminino , Masculino , Mídias Sociais/estatística & dados numéricos , Emprego/psicologia , China , Adulto Jovem , Pessoa de Meia-Idade
2.
PLoS One ; 19(6): e0304199, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38843191

RESUMO

Achieving full and stable employment is not only one of the goals of macro-control by governments but also a key issue that labor migrants must address. To understand the impact of relocation adaptation on the employment stability of Chinese-style labor migrants, members of the group visited the labor migrant settlement sites in Yinchuan City and used questionnaires to investigate the adaptation and employment status of farmers after relocation. The article attempts to analyze the impact of relocation adaptability, embodied by social adaptability, economic adaptability, and cultural adaptability, on the employment stability of Chinese-style labor migrants using structural equation modeling with the highly representative field research data from the labor migrant community in Yinchuan City as an example. The results of the study show that the social, economic, and cultural adaptability dimensions of relocation adaptability all have a significant positive effect on employment stability. Therefore, to promote the stable employment of Chinese-style labor migrants, it is necessary to enhance economic adaptability to stabilize employment and increase income, enhance social adaptability to proactively adapt and actively participate, and strengthen cultural adaptability to proactively seek change and actively adapt to better improve the employment situation of labor migrants in an orderly manner.


Assuntos
Emigração e Imigração , Emprego , Migrantes , China , Humanos , Migrantes/psicologia , Feminino , Masculino , Adulto , Inquéritos e Questionários , Segurança do Emprego , População do Leste Asiático
3.
New Dir Stud Leadersh ; 2024(182): 107-118, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38837677

RESUMO

Student employment is a common co-curricular activity among undergraduate students. Previous studies have primarily focused on the impact of employment on academic outcomes and post-graduation labor market success. Although there is an assumption that on-campus student employment influences leadership learning, there is a lack of research directly exploring this topic. Therefore, this study explores how on-campus student employment influences leadership capacity development in undergraduate students who worked in a department in Student Affairs. Findings suggest that on-campus student employment influenced leadership capacity development in undergraduate students.


Assuntos
Emprego , Liderança , Estudantes , Humanos , Adulto Jovem , Universidades , Adulto , Feminino , Masculino
4.
BMC Public Health ; 24(1): 1534, 2024 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-38849810

RESUMO

BACKGROUND: Choosing a suitable job and leading a fulfilling professional life is vital for individuals, regardless of disability. Governments provide rehabilitation services to promote employment for individuals with disabilities, but research on their effects is limited. This study aimed to examine the impact of rehabilitation services on employment among people with physical disabilities in South Korea using propensity score matching. METHODS: This study utilized an observational research design. Data were obtained from the 2020 National Survey of Disabled Persons, including 1,757 individuals aged 20 or older with physical disabilities. Descriptive statistics, chi-square and independent t-tests, logistic regression, and propensity score matching were employed. RESULTS: The results for employment of individuals with physical disabilities showed no difference between the with rehabilitation services and the without rehabilitation services group. Based on subgroup analysis, when individuals with physical disabilities who rated their subjective health status low received rehabilitation services, it had a positive effect on employment. CONCLUSIONS: The results of this study could serve as foundational data for future policies and educational directions concerning rehabilitation services for persons with disabilities.


Assuntos
Pessoas com Deficiência , Emprego , Pontuação de Propensão , Humanos , Pessoas com Deficiência/reabilitação , Pessoas com Deficiência/estatística & dados numéricos , Feminino , Masculino , República da Coreia , Adulto , Emprego/estatística & dados numéricos , Pessoa de Meia-Idade , Adulto Jovem , Inquéritos e Questionários , Idoso
5.
BMJ Open ; 14(6): e078850, 2024 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-38839393

RESUMO

OBJECTIVES: This study aimed to identify factors that shaped working parents (WPs') experiences of COVID-19-related social restrictions and analyse the relationships between those factors. DESIGN: A qualitative descriptive design was used to collect five time points of data including two online questionnaires and three telephone or online interviews between March 2021 and August 2021 with some follow-up interviews in December 2022. SETTING: The COVID-19 pandemic led to social restrictions which greatly impacted WPs who had to both work and look after their children within their home space without any formal childcare. PARTICIPANTS: 19 participants living in Scotland who had at least one child of primary school age and who had been working in March 2020. RESULTS: All parents were affected by social restrictions during the COVID-19 pandemic, with the flexibility of employers, their socioeconomic situation and the amount of space in their home environment being particularly influential. The impact of social restrictions was greater for lone parents (LPs) due to the inability to share childcare with another adult in the home. Parents in low-income households were affected due to pre-existing inequalities of resources. CONCLUSIONS: These findings indicate several policy options that could mitigate negative outcomes for parents in the case of a future pandemic, including options to lessen inequities experienced by LPs. These include priority access to school places (particularly for children with underlying chronic medical conditions), the ability to establish a 'support bubble' at the beginning of social restrictions and being given access to safe outside places for children without a garden.


Assuntos
COVID-19 , Pais , Pesquisa Qualitativa , Humanos , COVID-19/epidemiologia , COVID-19/psicologia , Escócia/epidemiologia , Feminino , Masculino , Pais/psicologia , Criança , Adulto , SARS-CoV-2 , Instituições Acadêmicas , Fatores Socioeconômicos , Emprego , Pessoa de Meia-Idade , Pandemias
7.
Rev Med Suisse ; 20(878): 1179-1181, 2024 Jun 12.
Artigo em Francês | MEDLINE | ID: mdl-38867564

RESUMO

Under Swiss law, the maternity leave (14 weeks) and paternity leave (2 weeks) allowance, for self-employed individuals as well, shall be 80% of salary, to a maximum of 220 CHF a day, i.e. 6600 CHF a month. This amount is generally insufficient to cover the fixed expenses of the Swiss self-employed physician, which are 19'400 CHF per month on average, and only partly reducible during the leave. The use of personal savings excepted, the obvious solution is replacement, which is already implemented in many other countries, but still poorly developed in Switzerland. A project of an internet platform to centralize supply and demand at federal level is under development.


Selon la loi suisse, le montant de l'allocation parentale, également pour les indépendants (maternité : 14 semaines ; paternité : 2 semaines) correspond à 80 % du salaire, et est d'au maximum 220.- CHF par jour, soit 6600.- CHF par mois. Ce montant est généralement insuffisant pour couvrir les charges des médecins indépendants suisses, qui sont en moyenne de 19 400.- CHF par mois, et seulement partiellement réductibles durant le congé. Hormis le recours aux économies personnelles, la solution qui s'impose est celle du remplacement, déjà fonctionnel dans bien d'autres pays, et encore peu développé en Suisse. Un projet de plateforme de remplacement pour centraliser l'offre et la demande au niveau fédéral est en cours de développement.


Assuntos
Licença Parental , Humanos , Licença Parental/estatística & dados numéricos , Suíça , Feminino , Médicos/psicologia , Emprego , Salários e Benefícios/estatística & dados numéricos
8.
PLoS One ; 19(6): e0305249, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38861562

RESUMO

This paper aims to explore the impact of China's value-added tax (VAT) credit refunds policy on the enterprises' labor demand through a paradigm combining ex-ante analysis and ex-post test. By introducing the VAT credit refunds into the production-decision model of the enterprise, calibrating the parameters and conducting the dynamic effects tests using the data of Chinese A-share listed enterprises, this paper finds that the labor employment of the pilot enterprises exhibits a V-shaped fluctuation trend. In the initial implementation of the policy, due to the existence of layoff costs, iso-cost line of the enterprise bends, which results in that the enterprise with a capital-labor substitution elasticity greater than 1 will not reduce labor hiring, as it has already deployed labor force before the implementation of the policy. When the enterprise enter the next production cycle where the labor force can be freely allocated, the labor employment of the enterprise with a capital-labor elasticity of substitution greater than 1 will decline compared to that without the policy. In the long run, as output increases, the labor demand will recover. The results of ex-post test are consistent with that of the ex-ante analysis. Additionally, heterogeneity test reveals that the greater the elasticity of capital-labor substitution of the sub-industry is, the more severe the degree of the V-shaped fluctuation is. Following the implementation of the policy, the continuous increase in enterprise output and capital stock verifies the relevant transmission mechanism. This study provides a more detailed perspective for comprehensively understanding the impact of VAT credit refunds policy on employment.


Assuntos
Emprego , Impostos , China , Impostos/economia , Emprego/economia , Humanos , Modelos Econômicos
9.
BMC Health Serv Res ; 24(1): 720, 2024 Jun 11.
Artigo em Inglês | MEDLINE | ID: mdl-38862954

RESUMO

BACKGROUND: The relationship between work and health is complex and bidirectional, where work can have both health-harming and health-enhancing effects. Though employment is recognized as a social determinant of health, and clinical healthcare delivery systems are increasingly using screening tools to ask patients about social needs, little research has explored the extent to which employment-related social risk is captured in these screening tools. This study aimed to identify and characterize employment- and work-related questions in social risk screening tools that have been implemented in clinical healthcare delivery systems. METHODS: We conducted a qualitative content analysis of employment-related items in screening tools that have been implemented in clinical healthcare service delivery systems. Three content areas guided data extraction and analysis: Setting, Domain, and Level of Contextualization. RESULTS: Screening tools that asked employment-related questions were implemented in settings that were diverse in the populations served and the scope of care provided. The intent of employment-related items focused on four domains: Social Risk Factor, Social Need, Employment Exposure, and Legal Need. Most questions were found to have a low Level of Contextualization and were largely focused on identifying an individual's employment status. CONCLUSIONS: Several existing screening tools include measures of employment-related social risk, but these items do not have a clear purpose and range widely depending on the setting in which they are implemented. In order to maximize the utility of these tools, clinical healthcare delivery systems should carefully consider what domain(s) they aim to capture and how they anticipate using the screening tools to address social determinants of health.


Assuntos
Atenção à Saúde , Emprego , Humanos , Determinantes Sociais da Saúde , Pesquisa Qualitativa , Programas de Rastreamento/métodos
10.
BMC Public Health ; 24(1): 1402, 2024 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-38797845

RESUMO

BACKGROUND: Prior research has showed the importance of providing integrated support services to prevent and reduce youth not in education, employment, or training (NEET) related challenges. There is limited evidence on NEET youth's perspectives and preferences for employment, education, and training services. The objective of this study was to identify employment, education and training service preferences of NEET youth. We acknowledge the deficit-based lens associated with the term NEET and use 'upcoming youth' to refer to this population group. METHODS: Canadian youth (14-29 years) who reported Upcoming status or at-risk of Upcoming status were recruited to the study. We used a discrete choice experiment (DCE) survey, which included ten attributes with three levels each indicating service characteristics. Sawtooth software was used to design and administer the DCE. Participants also provided demographic information and completed the Global Appraisal of Individual Needs-Short Screener. We analyzed the data using hierarchical Bayesian methods to determine service attribute importance and latent class analyses to identify groups of participants with similar service preferences. RESULTS: A total of n=503 youth participated in the study. 51% of participants were 24-29 years of age; 18.7% identified as having Upcoming status; 41.1% were from rural areas; and 36.0% of youth stated that they met basic needs with a little left. Participants strongly preferred services that promoted life skills, mentorship, basic income, and securing a work or educational placement. Three latent classes were identified and included: (i) job and educational services (38.9%), or services that include career counseling and securing a work or educational placement; (ii) mental health and wellness services (34.9%), or services that offer support for mental health and wellness in the workplace and free mental health and substance use services; and (iii) holistic skills building services (26.1%), or services that endorsed skills for school and job success, and life skills. CONCLUSIONS: This study identified employment, education, and training service preferences among Upcoming youth. The findings indicate a need to create a service model that supports holistic skills building, mental health and wellness, and long-term school and job opportunities.


Assuntos
Comportamento de Escolha , Humanos , Feminino , Masculino , Adolescente , Canadá , Adulto , Adulto Jovem , Emprego/estatística & dados numéricos , Inquéritos e Questionários , Teorema de Bayes
11.
F1000Res ; 13: 420, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38784086

RESUMO

In this opinion article, the author argues that highly skilled migrants in Japan face many challenges and are ineffectively used due to the existence of interior frontiers. Although interior frontiers are more subtle than the external boundaries these migrants have had to cross to enter the country, they have tremendous power over their everyday lives. Ethnocentric attitudes, influenced by Nihonjinron, have contributed to the existence of these frontiers. They emphasise homogeneity instead of flexibility and accommodation, and exist in the workplace. Employers want a homogeneous workplace and highly skilled migrants face strong pressures to assimilate. There is also an insistence on Japanese human resource practices such as seniority-based pay and promotion. An interior frontier also exists in the hiring process, and migrants are less likely to progress beyond the first round of interviews. With Japan's rapidly aging and declining population and acute labour shortages, there is urgency in addressing these frontiers.


Assuntos
Migrantes , Japão , Humanos , Migrantes/psicologia , Emprego , Local de Trabalho
12.
PLoS One ; 19(5): e0303911, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38768173

RESUMO

PURPOSE: In this study, it is aimed to determine personal wellbeing and social participation levels across different physical disability types and levels of mobility. METHODS: A sample of 85 individuals with physical disabilities, excluding those with mental disabilities were included. Sociodemographics, mobility of the participants, cause, duration of disability were recorded. Personal Wellbeing Index-Adult (PWI-A) scale was used for the assessment of wellbeing and Keele Assessment of Participation (KAP) for social participation. RESULTS: Female, single, unemployed subjects and individuals with neurologic disability showed significantly higher median KAP-scores(p = 0.009, p = 0.050, p<0.001, p = 0.050, respectively).The median KAP-score of the independently mobile group was significantly lower compared to the other two groups (p = 0.001). The factors affecting KAP were determined as employment, mobility level and personal wellbeing (p = 0.002, p = 0.024, p = 0.050, respectively). CONCLUSION: Mobility level, employment and personal wellbeing are the determinants of social participation in people with disabilities. Neurological disability, female gender, being single, unemployment and mobility limitations are factors that reduce social participation.


Assuntos
Pessoas com Deficiência , Participação Social , Humanos , Feminino , Masculino , Pessoas com Deficiência/psicologia , Participação Social/psicologia , Adulto , Pessoa de Meia-Idade , Emprego , Adulto Jovem , Idoso
13.
PLoS One ; 19(5): e0302979, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38781248

RESUMO

This study examines the socioeconomic impact of the COVID-19 pandemic and the sufficiency of government support. Based on an online survey with 920 respondents, the cross-tabulation and binary logistic regression results show: firstly, in terms of loss of income, male respondents are more likely to have a loss of income as compared to female counterparts, and secondly, among different categories of employment status, the self-employed respondents are the most vulnerable group, given that more than 20 percent of them experienced loss of income due to the COVID-19 pandemic. Moreover, respondents working in small-and-medium enterprises (SMEs) and the informal sector are more likely to face loss of income as compared to respondents working in other sectors of employment. Likewise, respondents without tertiary education level are more likely to have a loss of income as compared to respondents with university certification. The baseline results highlight the insufficiency of government financial support programs based on the perspective of Malaysians from different demographic backgrounds. As a policy implication, the findings could guide the State in formulating the right policies for target groups who need more assistance than others in the community.


Assuntos
COVID-19 , Pandemias , Fatores Socioeconômicos , Humanos , COVID-19/epidemiologia , COVID-19/economia , Masculino , Feminino , Adulto , Estudos Retrospectivos , Pessoa de Meia-Idade , Pandemias/economia , Governo , Renda/estatística & dados numéricos , Emprego/economia , Emprego/estatística & dados numéricos , Apoio Financeiro , SARS-CoV-2 , Inquéritos e Questionários , Financiamento Governamental/economia , Adulto Jovem
14.
BMC Public Health ; 24(1): 1315, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38750531

RESUMO

BACKGROUND: The aim of this study was to contribute to the theoretical development within the field of labour market effects on mental health during life by integrating Bronfenbrenner's ecological model with mainly earlier theoretical work on life-course theory. METHODS: An integrative review was performed of all 52 publications about labour market conditions in relation to mental health from the longitudinal Northern Swedish Cohort study. Inductive and deductive qualitative content analysis were performed in relation to Bronfenbrenner's ecological framework combined with life-course theories. RESULTS: The following nine themes were identified: 1. Macroeconomic recession impairs mental health among young people. 2. The mental health effects on individuals of youth unemployment seem rather insensitive to recession. 3. Small but consistent negative effect of neighbourhood unemployment and other work-related disadvantaged on individuals' mental health over life. 4. Youth unemployment becomes embodied as scars of mental ill-health over life. 5. Weak labour market attachment impairs mental health over life. 6. Bidirectional relations between health and weak labour market attachment over life. 7. Macrolevel structures are of importance for how labour market position cause poor health. 8. Unequal gender relations at work impacts negatively on mental health. 9. The agency to improve health over life in dyadic relations. Unemployment in society permeates from the macrolevel into the exolevel, defined by Bronfenbrenner as for example the labour market of parents or partners or the neighbourhood into the settings closest to the individual (the micro- and mesolevel) and affects the relations between the work, family, and leisure spheres of the individual. Neighbourhood unemployment leads to poor health among those who live there, independent of their employment status. Individuals' exposure to unemployment and temporary employment leads to poorer mental health over the life-course. Temporal dimensions were identified and combined with Bronfenbrenner levels into a contextual life-course model CONCLUSION: Combining the ecosocial theory with life-course theories provides a framework for understanding the embodiment of work-related mental health over life. The labour market conditions surrounding the individual are of crucial importance for the embodiment of mental health over life, at the same time as individual agency can be health promoting. Mental health can be improved by societal efforts in regulations of the labour market.


Assuntos
Saúde Mental , Desemprego , Humanos , Suécia/epidemiologia , Saúde Mental/estatística & dados numéricos , Feminino , Masculino , Desemprego/psicologia , Desemprego/estatística & dados numéricos , Adulto , Emprego/psicologia , Emprego/estatística & dados numéricos , Adolescente , Estudos de Coortes , Modelos Teóricos , Adulto Jovem , Estudos Longitudinais , Recessão Econômica , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia
15.
J Health Econ ; 95: 102886, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38703637

RESUMO

This study examines the gender-specific and enduring impacts of parental health shocks on adult children's employment in China, where both formal care and health insurance are limited. Using an event-study approach, we establish a causal link between parental health shocks and a notable decline in female employment, which persists for at least six years following the shock. Male employment, however, exhibits minimal change on average, although this conceals an increase among poor families, indicating a channel beyond heightened informal care. Our findings underscore the consequences of "growing old before getting rich" for developing countries.


Assuntos
Filhos Adultos , Emprego , Humanos , Masculino , Feminino , Emprego/estatística & dados numéricos , Adulto , China , Fatores Sexuais , Pais , Pessoa de Meia-Idade , Nível de Saúde
16.
Res Dev Disabil ; 149: 104750, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38723430

RESUMO

The employment of individuals with disabilities is significantly low. Many factors are associated with this issue; however, support and accommodations that can be provided to such individuals can improve their employment rate and outcomes. This study aimed to examine the support provided to employees with disabilities in Saudi Arabia. The descriptive approach was utilized, and a survey was used to collect the data. The sample consisted of 86 employer participants to examine the support of their employees with disabilities. Findings revealed that the support provided was high, and the participants reported that such support facilitates finding and maintaining a job. In addition, the variables were all found to have no significant differences. Providing needed and necessary support is an effective strategy that leads to competitive employment for individuals with disabilities, especially for the long term. Implications and recommendations are also discussed.


Assuntos
Pessoas com Deficiência , Emprego , Humanos , Masculino , Feminino , Pessoas com Deficiência/psicologia , Pessoas com Deficiência/reabilitação , Adulto , Arábia Saudita , Pessoa de Meia-Idade , Inquéritos e Questionários , Apoio Social , Adulto Jovem , Readaptação ao Emprego , Local de Trabalho/psicologia
17.
Soc Sci Med ; 350: 116945, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38733732

RESUMO

Although collaboration between healthcare professionals is essential for the delivery of effective, efficient, and high-quality care, it remains an ongoing and critical challenge across health systems. As a result, many countries are experimenting with innovative payment and employment models. The literature tends to focus on improving collaboration across organizational and sectoral boundaries, and largely ignores potential barriers to collaborative work between members of the same profession within a single organization. Despite intergroup dynamics and professional boundaries having been shown to restrict patient flow and collaboration between specialties, studies have so far tended to overlook the potential effects of differentiated organizational and payment models on physicians' behaviors and intergroup dynamics. In the present study, we seek to unpack the influence of physicians' payment and employment models on their collaborative behaviors and on intergroup dynamics between specialties, adding to the current scholarship on physician payment and employment by considering how physicians' view and act in response to different structural arrangements. The findings suggest that adopting hybrid models, in which physicians are employed or paid differently within the same organization or practice, creates a bifurcation of the profession whereby physicians across different models are perceived to behave differently and have conflicting professional values. These models are perceived to inhibit collaboration between physicians and complicate hospital governance, restricting the ability to move towards new models of care delivery. These findings can be used as a basis for future work that aims to unpack the reality of physician payment and offer important insights for policies surrounding physician employment.


Assuntos
Médicos , Humanos , Médicos/economia , Comportamento Cooperativo , Masculino , Feminino , Emprego , Salários e Benefícios/estatística & dados numéricos , Salários e Benefícios/tendências , Dinâmica de Grupo
18.
J Nurs Res ; 32(3): e331, 2024 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-38814996

RESUMO

BACKGROUND: High-quality patient care requires nurses with strong clinical competency. Thus, it is essential to examine the factors associated with clinical competency. PURPOSE: This study was designed to (a) investigate head nurse leadership, staff nurse demographics, and clinical competency; (b) examine the impact of demographics on the clinical competency of staff nurses; (c) analyze the correlation between head nurse leadership and staff nurse clinical competency; and (d) examine the effects of demographics on clinical competency after controlling for the head nurse leadership. METHODS: A cluster sampling method was used to collect data from 200 staff nurses at a national medical center in Taiwan. Questionnaires were used to gather information on head nurse leadership style and staff nurse clinical competency. Descriptive and inferential statistical analyses were conducted, including Mann-Whitney U test, Kruskal-Wallis test, Spearman's rank correlation coefficient, and multivariate analysis of covariance. RESULTS: The average score for transformational leadership style among the head nurses was 2.89, whereas transactional leadership style scored an average of 2.49. The average scores for the components of clinical competency, listed from highest to lowest, were as follows: patient care (3.35), professionalism (3.28), communication skills (3.18), management (2.84), and knowledge (2.73). In addition, statistically significant differences were found in clinical competency based on demographic factors, including age, marital status, educational level, job title, and length of employment. Also, a statistically significant, positive correlation between the head nurse transformational leadership style and nurse clinical competency was found. The main effect of length of employment on the five competency components was statistically significant after controlling for transformational leadership. Furthermore, post hoc analysis of covariance revealed a significant effect of length of employment on patient care, knowledge, communication skills, and management. CONCLUSIONS: The findings of this study indicate transformational leadership and employment length impact the clinical competency of staff nurses, particularly in terms of patient care, communication skills, management, and knowledge. Providing education and training in leadership and management to current and prospective head nurses may be expected to enhance clinical competency in staff nurses and create a more nurturing work environment. Moreover, targeted training may help current head nurses gain insight into their leadership styles and acquire skills to promote transformational leadership. In addition, leadership development may help equip prospective head nurses with critical competencies before assuming leadership responsibilities.


Assuntos
Competência Clínica , Liderança , Humanos , Taiwan , Adulto , Competência Clínica/normas , Competência Clínica/estatística & dados numéricos , Feminino , Masculino , Inquéritos e Questionários , Recursos Humanos de Enfermagem Hospitalar/psicologia , Recursos Humanos de Enfermagem Hospitalar/estatística & dados numéricos , Pessoa de Meia-Idade , Emprego/estatística & dados numéricos , Emprego/normas , Enfermeiros Administradores/psicologia , Enfermeiros Administradores/estatística & dados numéricos
19.
PLoS One ; 19(5): e0304470, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38820387

RESUMO

Young women who are not in education, employment, or training (NEET) experience poorer health and social outcomes compared to non-NEET young women and to NEET young men, especially in deprived areas with intersecting inequalities. The evidence on effective public health approaches is scarce. Interventions that target hope, which NEET young women notably lack, offer a promising theory-driven and intuitive means to prevent mental health problems and improve social outcomes. Hope can be defined as a goal-focused mindset comprising self-agency (motivation and self-belief) and pathways (identifying routes to achieving goals). Hope is implicated in a variety of evidence-based psychosocial interventions for young people, but is not directly targeted by existing prevention programmes for NEET populations. The current study used a phased qualitative research design and participatory methods to model a hope-focused intervention for NEET young women. Phase 1 investigated population needs and intervention parameters through semi-structured interviews with 28 key informants living or working in disadvantaged coastal communities in South-East England. The sample comprised eight NEET young women, four family members, and 16 practitioners from relevant support organisations. Phase 2 refined intervention parameters and outcomes through co-design sessions with four NEET young women, followed by a theory of change workshop with 10 practitioners. The resulting intervention model is articulated as a mentor-supported, in-person psychosocial intervention that builds hope by enhancing positive sense of self and time spent in meaningful activities, before explicitly teaching the skills needed to identify, set, and pursue personally meaningful goals.


Assuntos
Esperança , Humanos , Feminino , Adulto Jovem , Inglaterra , Adolescente , Transtornos Mentais/prevenção & controle , Transtornos Mentais/terapia , Saúde Mental , Pesquisa Qualitativa , Adulto , Emprego , Masculino
20.
JAMA Netw Open ; 7(5): e2410731, 2024 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-38728029

RESUMO

Importance: Employment is an important factor in quality of life and provides social and economic support. Longitudinal data on employment and associations with chronic health conditions for adult survivors of childhood cancer are lacking. Objective: To evaluate longitudinal trends in employment among survivors of childhood cancer. Design, Setting, and Participants: Retrospective cohort study of 5-year cancer survivors diagnosed at age 20 years or younger between 1970 and 1986 enrolled in the multi-institutional Childhood Cancer Survivor Study (CCSS). Sex-stratified employment status at baseline (2002 to 2004) and follow-up (2014 to 2016) was compared with general population rates from the Behavioral Risk Factor Surveillance System cohort. Data were analyzed from July 2021 to June 2022. Exposures: Cancer therapy and preexisting and newly developed chronic health conditions. Main Outcomes and Measures: Standardized prevalence ratios of employment (full-time or part-time, health-related unemployment, unemployed, not in labor force) among adult (aged ≥25 years) survivors between baseline and follow-up compared with the general population. Longitudinal assessment of negative employment transitions (full-time to part-time or unemployed at follow-up). Results: Female participants (3076 participants at baseline; 2852 at follow-up) were a median (range) age of 33 (25-53) years at baseline and 42 (27-65) years at follow-up; male participants (3196 participants at baseline; 2557 at follow-up) were 33 (25-54) and 43 (28-64) years, respectively. The prevalence of full-time or part-time employment at baseline and follow-up was 2215 of 3076 (71.3%) and 1933 of 2852 (64.8%) for female participants and 2753 of 3196 (85.3%) and 2079 of 2557 (77.3%) for male participants, respectively, with declining standardized prevalence ratios over time (female participant baseline, 1.01; 95% CI, 0.98-1.03; follow-up, 0.94; 95% CI, 0.90-0.98; P < .001; male participant baseline, 0.96; 95% CI, 0.94-0.97; follow-up, 0.92; 95% CI, 0.89-0.95; P = .02). While the prevalence of health-related unemployment increased (female participants, 11.6% to 17.2%; male participants, 8.1% to 17.1%), the standardized prevalence ratio remained higher than the general population and declined over time (female participant baseline, 3.78; 95% CI, 3.37-4.23; follow-up, 2.23; 95% CI, 1.97-2.51; P < .001; male participant baseline, 3.12; 95% CI, 2.71-3.60; follow-up, 2.61; 95% CI, 2.24-3.03; P = .002). Among survivors employed full-time at baseline (1488 female participants; 1933 male participants), 285 female participants (19.2%) and 248 male participants (12.8%) experienced a negative employment transition (median [range] follow-up, 11.5 [9.4-13.8] years). Higher numbers and grades of chronic health conditions were significantly associated with these transitions. Conclusions and Relevance: In this retrospective analysis of adult survivors of childhood cancer, significant declines in employment and increases in health-related unemployment among cancer survivors compared with the general population were identified. A substantial portion of survivors in the midcareer age range fell out of the workforce. Awareness among clinicians, caregivers, and employers may facilitate clinical counseling and occupational provisions for supportive work accommodations.


Assuntos
Sobreviventes de Câncer , Emprego , Neoplasias , Humanos , Feminino , Masculino , Sobreviventes de Câncer/estatística & dados numéricos , Sobreviventes de Câncer/psicologia , Emprego/estatística & dados numéricos , Adulto , Doença Crônica/epidemiologia , Estudos Retrospectivos , Estudos Longitudinais , Neoplasias/epidemiologia , Neoplasias/psicologia , Adolescente , Criança , Adulto Jovem , Pessoa de Meia-Idade , Estados Unidos/epidemiologia
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