[Spanish version of the Nordic Musculoskeletal Questionnaire: cross-cultural adaptation and validation in nursing aides].

BACKGROUND: The aim of this study is to translate, culturally adapt, and validate a Spanish version of the Nordic Musculoskeletal Questionnaire for a sample of nursing assistant aides. METHODS: The questionnaire was translated and culturally adapted. Next, it was included in a battery of tests that was completed by 526 nursing assistants working in residential care homes in the Principality of Asturias (Spain). To assess its validity, the Exploratory Factor Analysis and the Confirmatory Factor Analysis were used. The internal consistency was estimated with McDonald's Omega coefficient (?), complemented by the test-retest reliability analysis through the intraclass correlation coefficient. The validity of the criteria was established by the correlation between total score on the test and quality of life measures, job insecurity and psychological demand, and social support at work. RESULTS: The Exploratory Factor Analysis and Confirmatory Factor Analysis adjustment indices confirmed it is a unidimensional test. The internal consistency values indicated very high reliability (? = 0.81). Similarly, the intraclass correlation coefficient showed statistically significant values and an excellent correlation coefficient (r = 0.95). The validity of the criteria showed a statistically significant correlation with all the constructs studied, particularly with quality of life. CONCLUSIONS: This Spanish version of the Nordic Musculoskeletal Questionnaire has good psychometric qualities for a population of nursing aides and therefore may be a valid and reliable tool for assessing musculoskeletal disorders.

Versión española del Nordic Musculoskeletal Questionnaire: adaptación transcultural y validación en personal auxiliar de enfermería / Spanish version of the Nordic Musculoskeletal Questionnaire: cross-cultural adaptation and validation in nursing aides

Fundamento. El objetivo de este trabajo es traducir, adaptar culturalmente y validar una versión española del Nordic Musculoskeletal Questionnaire (NMQ) en una muestra de personal auxiliar de enfermería. Metodología. Se realizó la traducción y adaptación cultural del cuestionario y se incluyó dentro de una batería de escalas, cumplimentada por 526 auxiliares de enfermería de centros residenciales para personas mayores del Principado de Asturias. Se analizó la validación de la escala a través de la sucesión del análisis factorial exploratorio (AFE) y el análisis factorial confirmatorio (AFC). La consistencia interna se estimó con el coeficiente ordinal ω de McDonald, complementándose con el análisis de fiabilidad test-retest por medio del coeficiente de correlación intraclase (ICC). La validez de criterio se estimó a través de la correlación de la puntuación total de la prueba con las medidas de calidad de vida, incertidumbre laboral, demanda psicológica y apoyo social en el trabajo. Resultados. Los índices de ajuste de AFE y AFC mostraron que se trata de una prueba unidimensional. Los valores de consistencia interna señalaron una fiabilidad muy alta (ω= 0,81) y el ICC fue excelente (r= 0,95). La validez de criterio mostró una correlación estadísticamente significativa con todos los constructos estudiados, especialmente con la calidad de vida. Conclusiones. La presente versión española del NMQ presenta unas buenas cualidades psicométricas en la población de personal auxiliar de enfermería por lo que podría ser una herramienta válida y fiable en la evaluación de los trastornos musculoesqueléticos. (AU)

Background. The aim of this study is to translate, culturally adapt, and validate a Spanish version of the Nordic Musculoskeletal Questionnaire for a sample of nursing assistant aides. Methods. The questionnaire was translated and culturally adapted. Next, it was included in a battery of tests that was completed by 526 nursing assistants working in residential care homes in the Principality of Asturias (Spain). To assess its validity, the Exploratory Factor Analysis and the Confirmatory Factor Analysis were used. The internal consistency was estimated with McDonald’s Omega coefficient (ω), complemented by the test-retest reliability analysis through the intraclass correlation coefficient. The validity of the criteria was established by the correlation between total score on the test and quality of life measures, job insecurity and psychological demand, and social support at work. Results. The Exploratory Factor Analysis and Confirmatory Factor Analysis adjustment indices confirmed it is a unidimensional test. The internal consistency values indicated very high reliability (ω = 0.81). Similarly, the intraclass correlation coefficient showed statistically significant values and an excellent correlation coefficient (r = 0.95). The validity of the criteria showed a statistically significant correlation with all the constructs studied, particularly with quality of life. Conclusions. This Spanish version of the Nordic Musculoskeletal Questionnaire has good psychometric qualities for a population of nursing aides and therefore may be a valid and reliable tool for assessing musculoskeletal disorders. (AU)

Evidence-Based Implementation of the Family-Centered Model and the Use of Tele-Intervention in Early Childhood Services: A Systematic Review.

BACKGROUND: The purpose of this review is to explore the evidence and efficacy of two trends in early childhood intervention services: the family-centered model and the use of tele-intervention. METHODS: A systematic review was carried out following the PRISMA methodology and using three databases: Web of Science, PubMed and Scopus. The studies included were those aimed at children from 0 to 6 years of age, focused on early intervention, and which alluded to the family-centered model and/or tele-intervention. RESULTS: a total of 33 studies were included. Five main themes were identified: (1) The participation of children and family is facilitated and improved by the family-centered model of care; (2) the feeling of competence, self-efficacy, satisfaction and empowerment in professionals and families have a positive impact on quality of life; (3) the use of tele-intervention as a tool for prevention and intervention; (4) preparation for telepractice can improve the development of commitment; (5) tele-intervention as a possible solution to contextual barriers. CONCLUSIONS: Tele-intervention in pediatrics is presented as a tool inherent to the family-centered model since its implementation involves several common strategies. Future lines of research should explore the use of this tool as a possible solution to contextual barriers.

Revisiting the work-suicide link: renewed evidence and models of analysis in workplace contexts.

Suicide is a priority public health problem for the World Health Organization. It is a multifactorial phenomenon, for which there is no effective strategy for prevention and reduction. The scientific knowledge generated has not paid much attention to the differentiating role of work and employment on the phenomenon of suicide. This article first presents Abrutyn's recent conceptual model of suicide, which has a psychosocial, holistic and integrated approach. Based on this model, it examines the most recent and solid evidence and trends linking working conditions and phenomenon of suicide, identifying the most relevant findings in work stress theories. It concludes by pointing out avenues of development for a more holistic and ecological understanding of suicide.

Cross-cultural adaptation of the Job Insecurity Scale (JIS) in Brazil and cross-national analysis of Job Insecurity effects in Brazil and Spain.

BACKGROUND: Job flexibilisation has increased interest in job insecurity and its consequences. Job insecurity, understood as a fear of losing employment, is linked to a deterioration of mental health, social relations or job satisfaction. Its study has been developed primarily in Europe, in the absence of validated psychometric scales in the Latin American context. To bridge this knowledge gap, the aim of this study is to cross-culturally adapt the Job Insecurity Scale (JIS) in Brazil, and secondly, to establish a cross-national analysis between people employed in Brazil and Spain. METHODS: As criteria for the sample, people with formally established employment in Brazil and Spain were selected. For the scale adaptation process, a sequence of EFA, CFA and validity tests are carried out, as well as a multigroup invariance according to the gender variable. The cross-national comparison compares the effect sizes of affective and cognitive job insecurity on the mental health variable measured with the GHQ-28 scale in both countries. RESULTS: 1165 employed people participate in the study, of whom 573 reside in Brazil and 592 in Spain. The results of the scale adaptation show that the JIS is suitable for use in the Brazilian employment context. The scale offers a factorialisation in two dimensions (affective and cognitive) (CFI = 0.993; TLI = 0.987; RMSEA = 0.04; SRMR = 0.049; GFI = 0.999; NFI = 0.980) with good reliability (ω > 0.84). The cross-national comparison shows that job insecurity has a greater weight in explaining the mental health of the employed population in Brazil than in Spain, which is related to higher indicators of job insecurity in the Brazilian context. CONCLUSIONS: With this validation we now have a validated scale of job insecurity validated for the Brazilian context. The comparison between countries shows the need to establish these analyses, since the behaviour of the phenomenon is different in the contexts studied.

Psychosocial Risk in COVID Context: The Impact of Economic Factors and Labour Protection Policy (ERTEs) in Spain.

The pandemic and the current situation have caused working poverty and therefore social risk, which implies a deterioration in well-being, affecting mental health and anxiety. In this context, the employment situation tends to be regarded ignoring previous social differences, economic and mental components, which should be considered when establishing priorities to program a global action of various synergistic elements. The study involved 4686 people (3500 women and 1186 men). They all completed a questionnaire that evaluated their anxiety, employment situation, income, changes of working status, and fears of becoming infected at the workplace. The results show the need to take into account the social determinants of mental health in vulnerable groups due to socioeconomic factors, job changes, contractual changes, age, or gender, considering the need to generate strategies to manage mental health and deal with it at a structural level, therefore displacing individual focus policies and interventions. An example of these policies are ERTEs (record of temporary employment regulation), constituting a perceived measure of protection and acting as an effective buffer against the economic crisis, thus reducing anxiety.

Influence of Job Insecurity on Musculoskeletal Disorders: A Mediation Model with Nursing Aides.

Work-related musculoskeletal disorders are some of the most prevalent diseases in the world. They have a multifactorial aetiology encompassing ergonomic and psychosocial risk factors. The aim of this study is to analyse the way job insecurity and physical workload are linked to musculoskeletal disorders, as well as the mediating role other psychosocial work risks can have on this potential relationship. A parallel mediation path regression analysis was designed using a sample of 457 nursing aides. The influence job insecurity and physical workload has on the onset of musculoskeletal symptoms together with the variables which mediate this relationship were examined. The results prove that both independent variables explain the onset of musculoskeletal symptoms in these professionals. The influence exerted by job insecurity is mediated by the social support received at work and the demands of the job. However, when analysing the physical workload, the social support received at work is not relevant as a mediator in this relationship. Job insecurity and physical workload are significant variables on the occurrence of musculoskeletal symptoms. The data obtained supports the need to focus on physical and psychosocial factors in order to prevent these disorders.

Perceived precarious life: a SEM model for re-dimensioning of precarious work and its impact on mental health.

Introduction: Precarious work is one of the most studied concepts related to work, and its effects have been analyzed in relation to variables such as mental health and wellbeing. However, there is a tendency to atomise the analysis of precarious work, without understanding that people's working life is intertwined with other areas of their life. Objective: Faced with this situation, this paper presents the concept of perceived precarious life, which is aligned with contemporary models of social inclusion and exclusion. Thus, perceived precarious life comprises variables of labor precariousness, social support and hopelessness in the family economic situation. Methods: To test this idea, a structural equation model (SEM) is presented, which tests the structure of the construct of perceived precarious life by relating it to mental health and coping strategies. Results: After testing the fit of the model in both men and women, a SEM path analysis is designed between the variables, observing that perceived precarious life has an effect on mental health (ß = 0.635, p < 0.01). This relationship is mediated by unproductive coping strategies (ß = 0.142, p < 0.01). Conclusion: This model exposes a broad and integrated conceptualization of precariousness, combining aspects of work, relationships and hopelessness, which allows for an understanding of the integral experience of precariousness.

Impact of Burnout on Daily Activities from an Occupational Therapy Perspective: A Serial Mediation Model with the IDA Scale.

BACKGROUND: Burnout syndrome is one of the most frequent health complications among workers. Acknowledging the work perspective as something basic and essential in a person's life means that this disorder can have huge implications in their most basic daily activities. METHODS: A cross-sectional, quantitative observational design was conducted with data from Spanish workers. A serial mediation model was applied to study the relationship between daily activities and burnout syndrome. For this purpose, the IDA scale was developed. CONCLUSIONS: The results show us that peoples' work situation has an impact on their daily life. There is quantitative evidence of the impact on daily life occupations and how it further decreases the levels of health and well-being of the person, on their independence and, consequently, on their quality of life.

Technodiscipline of Work: Does Post-Pandemic Platform Employment Generate New Psychosocial Risks?

In the publication Uses of work and forms of governance: precarious work as a tool of discipline Alonso and Fernández [...].

Difference between Impacts of COVID-19 on Women and Men's Psychological, Social, Vulnerable Work Situations, and Economic Well-Being.

The SARS-CoV-2 virus changed social reality worldwide, affecting people's health and work life, particularly their anxiety levels. The purpose of this study is to verify the situation of women in terms of anxiety and social determinants in Spain during the pandemic. The sample consisted of 4686 people (3500 women and 1186 men). The tools used were the State-Trait Anxiety Inventory (STAI) and an ad hoc questionnaire to assess the work and mental situation of the participants. The results indicate a higher rate of anxiety among women than among men and reveal a relationship between higher levels of anxiety and more vulnerable work situations in terms of higher unemployment rates, contract changes, etc. Furthermore, there was a higher percentage of women than men in the sectors where the health crisis has had a greater impact and presence, with repercussions on the physical, mental, and social health of the entire population and especially on women. It is necessary to take into account the social determinants of health, not only at the structural level, in terms of the socio-economic and political contexts, to avoid and limit the axes of inequality such as gender.

Self-Criticism in In-Work Poverty: The Mediating Role of Social Support in the Era of Flexibility.

In-work poverty reflects situations of income below the poverty threshold among employed people, involving a deterioration of wellbeing. The International Labour Organization prioritises this situation, which in countries such as Spain, Germany or Italy reaches rates of 11.8%, 10.6% and 11.8%, respectively. Within a context of flexibility, the occupational situation tends to be understood as an individual responsibility, which is why this study analyses the increase in self-criticism in these situations, and the role of social support in this relationship. The mediation of social support in the manifestation of self-criticism among people experiencing in-work poverty is analysed. The participants were 1430 employed people, grouped into those in a situation of poverty and those who are not. The results show that people in a situation of in-work poverty present a higher score in self-criticism and lower in social support. Social support is a mediating variable that prevents the manifestation of self-criticism. Lastly, a gender analysis shows that women experience this relationship more intensely. These findings enable a critical assessment of the activation policies that only take an individual approach. As an alternative, we propose strengthening interventions that foster social support, particularly among women.

The Influence of Gender Inequality in the Development of Job Insecurity: Differences Between Women and Men.

Job insecurity is an indicator of precarious work that refers to the fear of losing one's job. It is a relevant source of stress, with negative consequences on people's mental health. The main objective and contribution of this study is to identify how gender inequality and job insecurity are related, responding to the lack of consensus found in scientific literature in this field of study. To do so, a predictive study of job insecurity, broken down by gender, is developed, considering sociodemographic and labor variables as antecedents. The sample included 1,005 employees (420 men and 585 women) aged between 18 and 65, and a linear regression was conducted for each group. Results show that women perceive greater insecurity under precarious working conditions (temporary work, informal work, salary cuts, tenure), whereas in the case of men variables related to their professional careers (job category, education) and household incomes were relevant predictors. It is concluded that job insecurity affects both gender groups, but the conditions in which this perception grows are significantly impacted by gender inequality. These findings will allow for holistic and effective actions to decrease the effects of precarious work.

Job Insecurity and Mental Health: The Moderating Role of Coping Strategies From a Gender Perspective.

Job insecurity is a growing phenomenon, typical of an employment context characterised by high rates of temporary work and unemployment. Previous research has shown a direct relationship between job insecurity and mental health impairment. The present analysis goes into this relationship in depth, studying the moderating role of coping strategies and predicting that men and women implement different types of strategies. A sample of 1.008 workers is analysed, 588 women and 420 men. The Tobin CSI scale was used to analyse the coping strategies, in addition to JIS-8 to assess job insecurity, the MOS Perceived Social Support Survey and the GHQ-28 test to evaluate mental health. Then, a hierarchical linear regression was designed to study the moderating role of 8 coping strategies of job insecurity and 4 mental health subscales in men and women, separately. Results illustrate that coping strategies play a moderating role in the relationship between job insecurity and mental health. However, the aggravating role of disengagement coping strategies is more relevant than the buffering role of engagement strategies. On the other hand, women implement a greater number of coping strategies, with more positive results for mental health. Also, in the relationship between job insecurity and mental health the most important strategies are the ones related to social interaction inside and outside an organisation, and these are the main ones used by women. It therefore follows that strengthening rich social relationships inside and outside the working environment is a guarantee of well-being.

Spanish Validation of the job insecurity scale jis-8: viability of the cognitive and affective model / Validación española de la escala de incertidumbre laboral JIS-8: viabilidad del modelo afectivo y cognitivo

Background: This instrumental study is the Spanish adaptation and validation of the Job Insecurity Scale in its 8-item version (JIS-8). This is one of the reference tests in this field and it also allows the distinction between affect and cognition in quantitative job insecurity to be tested. Method: The JIS-8 was carried out on a Spanish sample with 592 participants (186 men, 406 women; Mean age = 36.68), together with mental health and job satisfaction tests. An exploratory factor analysis and confirmatory factor analysis were carried out, and the relationship between the scale and other variables was examined. Results: The Spanish validation shows good construct validity, internal consistency and a Cronbach a = .88, higher than the value obtained in the validation of the original instrument. The analysis shows the consequences of job insecurity on workers’ mental health, as well as on their job satisfaction. The exploratory factor analysis as well as the confirmatory analysis, in which a one-dimensional and a two-dimensional model were tested, maintain the presence of two factors: the cognitive and the affective dimensions. Conclusions: The results underpin the fact that the test is appropriate for application to people in active employment in the Spanish population (AU)

Antecedentes: a través del presente estudio instrumental se adapta al castellano y se valida la Job Insecurity Scale en su versión de 8 ítems (JIS-8), una de las pruebas de referencia en este campo, que además permite poner a prueba la distinción cognitiva y afectiva en la incertidumbre laboral cuantitativa. Método: el JIS-8 fue administrado a una muestra española de 592 participantes (186 hombres, 406 mujeres; Media de edad = 36,68), junto a pruebas de salud mental y satisfacción laboral. Se realizó un análisis factorial exploratorio y confirmatorio, y se ha estudiado la relación de la escala con otras variables. Resultados: la adaptación española muestra validez de constructo, buena consistencia interna y Cronbach a = .88, superior a la obtenida en la validación del instrumento original. El análisis llevado a cabo prueba las consecuencias de la incertidumbre laboral sobre la salud mental de los trabajadores, así como sobre su satisfacción laboral. Tanto el análisis factorial exploratorio como confirmatorio, donde se pusieron a prueba un modelo unidimensional y otro bidimensional, mantiene la presencia de dos factores: las dimensiones cognitiva y afectiva. Conclusiones: los resultados muestran que la prueba es adecuada para su uso en personas en situación laboral activa en población española (AU)