Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals
Abstract Background Worldwide, studies show a relationship between nurses’ health and some work environment factors; however, data on nurses’ health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work env...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | BMC Nursing |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12912-020-00485-z |
| _version_ | 1828834643295600640 |
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| author | Martine Elbejjani Mary Abed Al Ahad Michael Simon Dietmar Ausserhofer Nuhad Dumit Huda Abu-Saad Huijer Suzanne R. Dhaini |
| author_facet | Martine Elbejjani Mary Abed Al Ahad Michael Simon Dietmar Ausserhofer Nuhad Dumit Huda Abu-Saad Huijer Suzanne R. Dhaini |
| author_sort | Martine Elbejjani |
| collection | DOAJ |
| description | Abstract Background Worldwide, studies show a relationship between nurses’ health and some work environment factors; however, data on nurses’ health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors: overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources and adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care)) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses. Methods A cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two Lebanese university-affiliated hospitals; 170 RNs had complete data. Adjusted multivariable logistic regression models were used to estimate the association between work environment factors and health outcomes. Results The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disease was associated with higher overall (OR = 1.36 (95%CI = 1.03, 1.80)), temporal (OR = 1.30 (95%CI = 1.09, 1.55)), and physical demands (OR = 1.20 (95%CI = 1.03, 1.49)), higher task allocation to RNs (OR = 1.11 (95%CI = 1.01, 1.23)) and lower teamwork climate (OR = 0.60 (95%CI = 0.36, 0.98). Higher odds of mental/emotional problems were associated with higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18 to 88%). Work environment indicators were associated with higher co-occurrence of health problems. Conclusions Results show elevated health burden and co-morbidity among Lebanese RNs and highlight the value of comprehensive approaches that can simultaneously improve several work environment factors (namely self-perceived workload, teamwork,, resources, and nursing task allocation) to reduce this burden. |
| first_indexed | 2024-12-12T17:43:33Z |
| format | Article |
| id | doaj.art-d8a73e1c4557460bb0438fe3a3de7b75 |
| institution | Directory Open Access Journal |
| issn | 1472-6955 |
| language | English |
| last_indexed | 2024-12-12T17:43:33Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj.art-d8a73e1c4557460bb0438fe3a3de7b752022-12-22T00:17:00ZengBMCBMC Nursing1472-69552020-10-0119111110.1186/s12912-020-00485-zWork environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitalsMartine Elbejjani0Mary Abed Al Ahad1Michael Simon2Dietmar Ausserhofer3Nuhad Dumit4Huda Abu-Saad Huijer5Suzanne R. Dhaini6Clinical Research Institute, and Department of Internal Medicine, Faculty of Medicine, American University of BeirutHariri School of Nursing, American University of BeirutInstitute of Nursing Science, University of BaselInstitute of Nursing Science, University of BaselHariri School of Nursing, American University of BeirutHariri School of Nursing, American University of BeirutHariri School of Nursing, American University of BeirutAbstract Background Worldwide, studies show a relationship between nurses’ health and some work environment factors; however, data on nurses’ health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors: overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources and adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care)) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses. Methods A cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two Lebanese university-affiliated hospitals; 170 RNs had complete data. Adjusted multivariable logistic regression models were used to estimate the association between work environment factors and health outcomes. Results The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disease was associated with higher overall (OR = 1.36 (95%CI = 1.03, 1.80)), temporal (OR = 1.30 (95%CI = 1.09, 1.55)), and physical demands (OR = 1.20 (95%CI = 1.03, 1.49)), higher task allocation to RNs (OR = 1.11 (95%CI = 1.01, 1.23)) and lower teamwork climate (OR = 0.60 (95%CI = 0.36, 0.98). Higher odds of mental/emotional problems were associated with higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18 to 88%). Work environment indicators were associated with higher co-occurrence of health problems. Conclusions Results show elevated health burden and co-morbidity among Lebanese RNs and highlight the value of comprehensive approaches that can simultaneously improve several work environment factors (namely self-perceived workload, teamwork,, resources, and nursing task allocation) to reduce this burden.http://link.springer.com/article/10.1186/s12912-020-00485-znurse’s work environmentNurses’ healthNurses’ physical healthNurses’ mental healthWork environment indicators |
| spellingShingle | Martine Elbejjani Mary Abed Al Ahad Michael Simon Dietmar Ausserhofer Nuhad Dumit Huda Abu-Saad Huijer Suzanne R. Dhaini Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals BMC Nursing nurse’s work environment Nurses’ health Nurses’ physical health Nurses’ mental health Work environment indicators |
| title | Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals |
| title_full | Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals |
| title_fullStr | Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals |
| title_full_unstemmed | Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals |
| title_short | Work environment-related factors and nurses’ health outcomes: a cross-sectional study in Lebanese hospitals |
| title_sort | work environment related factors and nurses health outcomes a cross sectional study in lebanese hospitals |
| topic | nurse’s work environment Nurses’ health Nurses’ physical health Nurses’ mental health Work environment indicators |
| url | http://link.springer.com/article/10.1186/s12912-020-00485-z |
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