Work and Health Innovation Research Laboratory, Department of Occupational Medicine and Environmental Health, Nantes University Hospital, F 44093 Nantes, France.
Laboratoire de Psychologie des Pays de la Loire LPPL-EA 4638, Department of Psychology, University of Nantes, F 44000 Nantes, France.
Int J Environ Res Public Health. 2021 Jul 7;18(14):7286. doi: 10.3390/ijerph18147286.
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.
在一个以负面健康指标为特征的背景下，这些指标使结构方面更加突出，本文旨在理解和解释积极和消极地干扰法国公立养老院环境中专业人员健康的工作过程和决定因素。为此，选择了扎根理论的定性方法。总共记录了 90 次半结构化访谈并转录了 43 次；此外，在四个公共服务和医院机构中进行了 10 次对 46 次会议和工作组参与的观察。我们的研究结果表明，卫生工作者的角色、其定义及其执行对于理解他们的工作健康至关重要。在这项工作中，有两个保护和建设性的过程涉及到专业人员的健康的维持和发展，并且与死亡和痛苦有很大的对抗：个人和集体控制情感和认知承诺，以及为培训、信息和合作发展资源。然而，当工作需求和可用资源之间产生持久的不平衡时，它们就会受到威胁。这导致组织、人际和个人资源的损失螺旋式下降，使得工作难以维持。
