RESUMO
BACKGROUND: Musculoskeletal disorders are a widespread affliction in the nursing profession. Back or neck-pain-related disability of nursing staff is mainly attributed to physical and psychosocial risk factors. OBJECTIVES: To investigate which-and to what extent-physical and psychosocial risk factors are associated with neck/back-pain-related disability in nursing, and to assess the role of the type of health care institution (hospitals, nursing homes and home care institutions) within different countries in this problem. DESIGN: Cross-sectional secondary analysis of multinational data of nurses and auxiliary staff in hospitals (n=16,770), nursing homes (n=2140) and home care institutions (n=2606) in seven countries from the European NEXT-Study. METHODS: Multinomial logistic regression analysis with raw models for each factor and mutually adjusted with all analysed variables. RESULTS: Analysis of the pooled data revealed effort-reward imbalance as the predominant risk factor for disability in all settings (odds ratios for high disability by effort-reward ratio: hospital 5.05 [4.30-5.93]; nursing home 6.52 [4.04-10.52] and home care 6.4 [3.83-10.70] [after mutual adjustment of psychosocial and physical risk factors]). In contrast, physical exposure to lifting and bending showed only limited associations with odds ratios below 1.6; the availability and use of lifting aids was-after mutual adjustment-not or only marginally associated with disability. These findings were basically confirmed in separate analyses for all seven countries and types of institutions. CONCLUSIONS: The findings show a pronounced association between psychosocial factors and back or neck-pain-related disability. Further research should consider psychosocial factors and should take the setting where nurses work into account.
Assuntos
Dor nas Costas/epidemiologia , Pessoas com Deficiência/estatística & dados numéricos , Cervicalgia/epidemiologia , Recursos Humanos de Enfermagem/organização & administração , Doenças Profissionais/epidemiologia , Adolescente , Adulto , Dor nas Costas/etiologia , Dor nas Costas/prevenção & controle , Estudos Transversais , Pessoas com Deficiência/psicologia , Europa (Continente)/epidemiologia , Feminino , Serviços de Assistência Domiciliar , Hospitais , Humanos , Remoção/efeitos adversos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Cervicalgia/etiologia , Cervicalgia/prevenção & controle , Casas de Saúde , Pesquisa em Enfermagem , Recursos Humanos de Enfermagem/psicologia , Doenças Profissionais/etiologia , Doenças Profissionais/prevenção & controle , Vigilância da População , Medição de Risco , Fatores de Risco , Carga de Trabalho/estatística & dados numéricosRESUMO
To ease and speed up the translation of the ICNP version 1 into the German language a web service was developed to support the collaborative work of all Austrian, Swiss, and German translators and subsequently of the evaluators of the resultant translation. The web service does help to support a modified Delphi technique. Since the web service is multilingual by design it can facilitate the translation of the ICNP into other languages as well. The process chosen can be adopted by other projects involved in translating terminologies.
Assuntos
Processo de Enfermagem/classificação , Tradução , Vocabulário Controlado , Cooperação Internacional , Conselho Internacional de Enfermagem , Internet , Multilinguismo , Informática em EnfermagemAssuntos
Conflito Psicológico , Características da Família , Licença para Cuidar de Pessoa da Família/estatística & dados numéricos , Identidade de Gênero , Recursos Humanos de Enfermagem Hospitalar/estatística & dados numéricos , Aposentadoria/estatística & dados numéricos , Adulto , Idoso , Comparação Transcultural , Europa (Continente) , Feminino , Alemanha , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Inquéritos Epidemiológicos , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-IdadeRESUMO
The effort-reward imbalance (ERI) model was used to analyze burnout and intention to leave the nursing profession (ITL) in nurses (n = 21,229) in seven European countries, as part of the NEXT-Study. Data were gathered using the short form of the ERI questionnaire. Burnout was assessed using the Copenhagen Burnout Inventory. Multivariate logistic regression analysis controlled for age and gender. ERI was very high in Poland, Germany, Italy, and Slovakia. High ERI was associated with burnout. Odds ratios (ORs) ranged from 2.6 to 13.2 for ERI and from 3.0 to 5.5 for overcommitment (OC). Nurses with high ERI also had high ORs for ITL (2.6-5.7). The association of OC and ITL was weaker (1.1-1.7). The strong and consistent associations of ERI model results with psychological health and with ITL support the relevance of the model for examining different outcome levels. Nurses in transitional countries, as expected, experienced high ERI. High ERI in stable countries suggests that their economic sectors, particularly health care, may be in transition.