Behavioral Informatics Team, Health Informatics Centre, Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, Sweden.
Division of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
J Nurs Manag. 2021 Nov;29(8):2603-2610. doi: 10.1111/jonm.13430. Epub 2021 Aug 10.
This study aimed to identify profiles of working conditions to which nurses were exposed to over time and investigate how changes in working conditions relate to shiftworking and health.
Previous studies rarely addressed the issue of working conditions development over long periods and the effects of such development on nurses' health.
Data from a national cohort of nurses in Sweden (N = 2936) were analysed using a person-centred analytical approach-latent profile and latent transition analysis.
Nurses report better psychosocial working conditions as they progress into mid-career. Shiftworking nurses experience poorer working conditions than their dayworking counterparts and tend to move from shiftwork to daywork as they progress into mid-career. In mid-career, nurses in work environments characterized by low autonomy and support tend to report poorer health outcomes.
Current analyses suggest that shiftworking nurses are particularly in need of interventions that address poor work environments. Not only do they experience more negative psychosocial working conditions than their dayworking counterparts, but they do so while having to contend with demanding schedules.
The findings highlight that organisational interventions should target different aspects of the work environment for nurses in diverse stages of their careers.
本研究旨在确定护士随着时间推移而接触到的工作条件特征，并探讨工作条件的变化如何与轮班和健康相关。
以前的研究很少涉及工作条件在长时间内的发展问题，以及这种发展对护士健康的影响。
使用基于个体的分析方法——潜在剖面分析和潜在转变分析，对来自瑞典的全国护士队列（N=2936）的数据进行分析。
随着职业生涯的发展，护士报告的心理社会工作条件更好。轮班护士的工作条件比日班护士差，并且随着职业生涯的发展，他们往往从轮班工作转为日班工作。在职业生涯中期，处于自主性和支持性低的工作环境中的护士往往报告健康状况较差。
目前的分析表明，轮班护士特别需要干预措施来解决不良的工作环境问题。他们不仅经历了比日班护士更负面的心理社会工作条件，而且还必须应对苛刻的日程安排。
研究结果强调，组织干预措施应该针对护士在不同职业生涯阶段工作环境的不同方面。
