Nurses’ Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes

Carole Pélissier, Barbara Charbotel, Jean Baptiste Fassier, Emmanuel Fort and Luc Fontana
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Carole Pélissier: Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, Université de St Etienne, 42055 Saint-Etienne, France
Barbara Charbotel: Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, F-69373 Lyon, France
Jean Baptiste Fassier: Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, F-69373 Lyon, France
Emmanuel Fort: Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, F-69373 Lyon, France
Luc Fontana: Unité Mixte de Recherche Épidémiologique et de Surveillance Transport Travail Environnement (UMRESTTE, UMR_T9405), Institut français des sciences et technologies des transports, de l’aménagement et des réseaux (IFSTTAR), Université de Lyon, Université Lyon 1, Université de St Etienne, 42055 Saint-Etienne, France

IJERPH, 2018, vol. 15, issue 9, 1-14

Abstract: This study aimed to evaluate the association between intention to leave work, and working conditions and health status among female care-staff in nursing homes. A multicenter cross-sectional study included female care-staff in 105 nursing homes for the elderly. We used validated questionnaires to assess occupational, psychosocial and medical data in a multicenter transverse study. Univariate analysis on chi² test was performed with stratification according to job (nurse, nursing assistant), and variables found to be significant on each dimension were included on multivariate models. 1428 nursing assistants and 342 registered nurses were included. 391 nursing assistants and 85 registered nurses intended to leave their work with the elderly. The registered nurses’ intention to leave was associated with deteriorated care-team or residents relations, and with perceived elevated hardship due to the proximity of residents’ death. The nursing assistants’ intention to leave was associated with deteriorated management relation, with job insecurity and elevated hardship due to the residents’ intellectual deterioration. Impaired physical or psychological health status also correlated with this intention. Policy to reduce voluntary turnover of care-staff in nursing homes for the elderly could be based on multifactorial management, acting on work organization and reducing psychosocial stress.

Keywords: care workers’ intention to leave; nursing homes for the elderly; psychosocial factors; musculoskeletal complaints; impaired well-being (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (6)

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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:15:y:2018:i:9:p:1850-:d:166054

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