Psychosocial and Organizational Processes and Determinants of Health Care Workers’ (HCW) Health at Work in French Public EHPAD (Assisted Living Residences): A Qualitative Approach Using Grounded Theory

Anne Armant, Florian Ollierou, Jules Gauvin, Christine Jeoffrion, Baptiste Cougot, Mathias Waelli, Leila Moret, Kristina Beauvivre, Ghozlane Fleury-Bahi, Gilles Berrut and Dominique Tripodi
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Anne Armant: Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France
Florian Ollierou: Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France
Jules Gauvin: Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France
Christine Jeoffrion: Laboratoire Inter-Universitaire de Psychologie, Personnalité, Cognition et Changement Social LIP/PC2S—EA 4145, Université of Grenoble Alpes, F 38058 Grenoble, France
Baptiste Cougot: Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France
Mathias Waelli: Management des Organisation en Santé MOS, EA 7348, Ecole des Hautes Etudes en Santé Publique EHESP, F 35043 Rennes, France
Leila Moret: Methods in Patients-Centered Outcomes and Health Research-SPHERE, UMR INSERM U 1246–EA 4275, 22 Bd Bénoni Goullin, University of Nantes, F 42200 Nantes, France
Kristina Beauvivre: Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France
Ghozlane Fleury-Bahi: Laboratoire de Psychologie des Pays de la Loire LPPL-EA 4638, Department of Psychology, University of Nantes, F 44000 Nantes, France
Gilles Berrut: Gerontology Department, Pôle Hospitalo-Universitaire Gérontologie, Nantes University Hospital, F 44093 Nantes, France
Dominique Tripodi: Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France

IJERPH, 2021, vol. 18, issue 14, 1-23

Abstract: In a context marked by negative health indicators that make structural aspects more salient, this paper aimed at understanding and explaining the processes and determinants at work that positively and negatively interfere with the professionals’ health in the French public nursing home environment. To this purpose, the qualitative approach by grounded theory was chosen. In total, 90 semi-structured interviews were recorded and 43 were transcribed; in addition, 10 observations of 46 participations in meetings and working groups were carried out in four public service and hospital establishments. Our results indicate that the role of health workers, its definition, and its execution are fundamental to the understanding of their health at work. Two protective and constructive processes are involved in the maintenance and development of the professionals’ health in this work, with considerable confrontations with death and suffering: individual and collective control of emotional and cognitive commitment, and the development of resources for formation, information, and cooperation. Nonetheless, they are jeopardized when a lasting imbalance is generated between the work’s demands and the available resources. This leads to a loss spiral in organizational, inter-individual, and individual resources that makes it difficult to sustain work.

Keywords: nursing home; social determinants of health; occupational health or health at work; burnout; demands and resources; social roles; qualitative approach; grounded theory (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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