Selander Kirsikka, Korkiakangas Eveliina, Laitinen Jaana
Finnish Institute of Occupational Health, Kuopio, Finland.
J Adv Nurs. 2025 Jan;81(1):260-270. doi: 10.1111/jan.16215. Epub 2024 May 7.
To analyse whether the harmful effect of job demands on recovery can be alleviated by healthy lifestyle, psychological recovery experiences and job resources. We also describe their prevalence among employees in different types of eldercare service and in the health and social services sector in general.
Cross-sectional study.
The data were collected using a self-report survey in 2020 in the health and social services sector organizations (n = 4478). Employees were classified as the following service types: general health and social services (N = 3225), home care (N = 452), service housing (N = 550) and outpatient and ward care (N = 202). The data were analysed using percentages, cross-tabulations and logistic regression analysis.
Poor recovery, high job demands, low appreciation and low autonomy in terms of worktime and breaks were more prevalent in eldercare. Employers could alleviate the risk of high job demands by offering job resources-appreciation, autonomy in terms of worktimes and breaks-and motivating employees to maintain healthy lifestyle habits and use recovery experiences such as relaxation.
The study emphasizes the importance of appreciation in the health and social services sector context. Even with moderate levels of appreciation employers can protect employees from poor recovery from work in the demanding health and social services work environment.
Eldercare employees face continuous and accumulating work strain at the same time as the sector struggles against a labour shortage. One way to prevent the harmful consequences of strain is to enhance recovery from work. Employers could alleviate the risk of high job demands and poor recovery by showing appreciation and giving employees more autonomy in terms of work time and breaks during the workday. This could also motivate employees to keep up healthy lifestyle habits and use their recovery experiences. Results are important especially in the daily management of HSS work. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Managers in the health and social services sector and eldercare can use these findings to promote recovery from work.
STROBE checklist.
No patient or public contribution.
分析健康的生活方式、心理恢复体验和工作资源是否能够减轻工作要求对恢复的有害影响。我们还描述了它们在不同类型的老年护理服务以及整个健康和社会服务部门员工中的普遍程度。
横断面研究。
2020年在健康和社会服务部门组织中(n = 4478)通过自我报告调查收集数据。员工被分为以下服务类型:一般健康和社会服务(N = 3225)、家庭护理(N = 452)、服务性住房(N = 550)以及门诊和病房护理(N = 202)。使用百分比、交叉表和逻辑回归分析对数据进行分析。
在老年护理中,恢复不佳、工作要求高、认可度低以及在工作时间和休息方面自主性低的情况更为普遍。雇主可以通过提供工作资源——认可度、工作时间和休息方面的自主性——并激励员工保持健康的生活方式习惯以及利用如放松等恢复体验来减轻高工作要求带来的风险。
该研究强调了在健康和社会服务部门背景下认可度的重要性。即使是适度的认可度水平,雇主也可以保护员工在要求苛刻的健康和社会服务工作环境中避免工作恢复不佳。
老年护理员工在该部门面临劳动力短缺问题的同时,还面临持续且不断累积的工作压力。预防压力有害后果的一种方法是加强工作恢复。雇主可以通过表达认可并在工作日的工作时间和休息方面给予员工更多自主权,来减轻高工作要求和恢复不佳的风险。这也可以激励员工保持健康的生活方式习惯并利用他们的恢复体验。研究结果在健康和社会服务工作的日常管理中尤为重要。本文对更广泛的全球临床社区有何贡献?:健康和社会服务部门以及老年护理的管理人员可以利用这些发现来促进工作恢复。
STROBE清单。
无患者或公众贡献。