Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey

Abstract Background The study aimed to investigate the relationship between different work schedules and self-reported working conditions and health risk behaviours among nurses and nurse assistants (NNA) in France. It hypothesized that work schedules, particularly long shifts, could impact work-lif...

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Main Authors: Guillaume Fond, Guillaume Lucas, Laurent Boyer
Format: Article
Language:English
Published: BMC 2023-08-01
Series:BMC Nursing
Subjects:
Online Access:https://doi.org/10.1186/s12912-023-01403-9
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author Guillaume Fond
Guillaume Lucas
Laurent Boyer
author_facet Guillaume Fond
Guillaume Lucas
Laurent Boyer
author_sort Guillaume Fond
collection DOAJ
description Abstract Background The study aimed to investigate the relationship between different work schedules and self-reported working conditions and health risk behaviours among nurses and nurse assistants (NNA) in France. It hypothesized that work schedules, particularly long shifts, could impact work-life balance, workload, stress levels, burnout, and smoking habits. NNA had the option to work either with a 7-hour schedule, 5 days per week, or with long work schedules consisting of ten to twelve-hour shifts, three days per week. These schedules could potentially influence various aspects of their professional lives. Methods The survey followed the guidelines of the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement and was administered to NNA working in public and private national healthcare facilities in France. The researchers used the Job Content Questionnaire to assess the work environment and the French version of the 22-item Maslach Burnout Inventory (MBI) scale to measure burnout. Results A total of 3,133 NNA participated in the study, including 2,369 nurses (75.6%) and 764 nurse assistants (24.4%). Among them, 1,811 individuals (57.8%) followed a 7-hour work schedule, while 1,322 individuals (42.2%) had a long work schedule. Multivariate analyses revealed that NNA working with long schedules reported higher psychological demands, more frequent burnout, a higher number of daily smoked cigarettes, and greater coffee consumption. These findings were independent of other factors such as sector of employment, type of healthcare facility, job status, work schedules, night shifts, department specialty, age, and family responsibilities. Conclusions While some NNA may choose long schedules to have more days off, those working with these schedules experience greater work-related burdens and engage in worse health risk behaviours as a coping mechanism. It emphasizes the importance of considering health-promoting work schedules to address the high psychological demands and burnout experienced by NNA with long schedules. Implementing changes in work schedules could potentially improve the overall well-being and job satisfaction of these healthcare professionals.
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spelling doaj.art-9723e9f9efce4745aa95b5d06c19e18d2023-11-19T12:51:01ZengBMCBMC Nursing1472-69552023-08-012211810.1186/s12912-023-01403-9Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS surveyGuillaume Fond0Guillaume Lucas1Laurent Boyer2CEReSS-Health Service Research and Quality of Life Center, Assistance Publique des Hôpitaux de Marseille, Aix-Marseille UniversityCEReSS-Health Service Research and Quality of Life Center, Assistance Publique des Hôpitaux de Marseille, Aix-Marseille UniversityCEReSS-Health Service Research and Quality of Life Center, Assistance Publique des Hôpitaux de Marseille, Aix-Marseille UniversityAbstract Background The study aimed to investigate the relationship between different work schedules and self-reported working conditions and health risk behaviours among nurses and nurse assistants (NNA) in France. It hypothesized that work schedules, particularly long shifts, could impact work-life balance, workload, stress levels, burnout, and smoking habits. NNA had the option to work either with a 7-hour schedule, 5 days per week, or with long work schedules consisting of ten to twelve-hour shifts, three days per week. These schedules could potentially influence various aspects of their professional lives. Methods The survey followed the guidelines of the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement and was administered to NNA working in public and private national healthcare facilities in France. The researchers used the Job Content Questionnaire to assess the work environment and the French version of the 22-item Maslach Burnout Inventory (MBI) scale to measure burnout. Results A total of 3,133 NNA participated in the study, including 2,369 nurses (75.6%) and 764 nurse assistants (24.4%). Among them, 1,811 individuals (57.8%) followed a 7-hour work schedule, while 1,322 individuals (42.2%) had a long work schedule. Multivariate analyses revealed that NNA working with long schedules reported higher psychological demands, more frequent burnout, a higher number of daily smoked cigarettes, and greater coffee consumption. These findings were independent of other factors such as sector of employment, type of healthcare facility, job status, work schedules, night shifts, department specialty, age, and family responsibilities. Conclusions While some NNA may choose long schedules to have more days off, those working with these schedules experience greater work-related burdens and engage in worse health risk behaviours as a coping mechanism. It emphasizes the importance of considering health-promoting work schedules to address the high psychological demands and burnout experienced by NNA with long schedules. Implementing changes in work schedules could potentially improve the overall well-being and job satisfaction of these healthcare professionals.https://doi.org/10.1186/s12912-023-01403-9Public healthMental healthNursing, burnoutWork schedule
spellingShingle Guillaume Fond
Guillaume Lucas
Laurent Boyer
Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey
BMC Nursing
Public health
Mental health
Nursing, burnout
Work schedule
title Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey
title_full Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey
title_fullStr Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey
title_full_unstemmed Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey
title_short Health-promoting work schedules among nurses and nurse assistants in France: results from nationwide AMADEUS survey
title_sort health promoting work schedules among nurses and nurse assistants in france results from nationwide amadeus survey
topic Public health
Mental health
Nursing, burnout
Work schedule
url https://doi.org/10.1186/s12912-023-01403-9
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