Shaw Lynn, Masood Mehvish, Neufeld Kimberly, Connelly Denise, Stanley Meagan, Guitar Nicole A, Garnett Anna, Nikkhou Anahita
School of Occupational Therapy, Western University, London, ON N6A 3K7, Canada.
School of Physical Therapy, Western University, London, ON N6A 3K7, Canada.
Healthcare (Basel). 2024 Oct 17;12(20):2065. doi: 10.3390/healthcare12202065.
Work disparities, such as unfairness in pay or unequal distribution of work experienced by nurses in long-term care (LTC), can impact the retention and health of this workforce. : Despite the significant impact of disparities on nurses' health in LTC, a literature review on work disparities of nurses in LTC has not been conducted. : This scoping review aimed to explore the nature and extent of research on meso-level work disparities experienced by nurses in LTC and its links with nurse health and well-being. Five databases were searched: MEDLINE (Ovid), EMBASE (Ovid), PsycINFO (Ovid), SCOPUS, and CINAHL (EBSCO host). : Of the 5652 articles retrieved, 16 studies (14 quantitative and 2 qualitative) published between 1997 and 2024 met the inclusion criteria. A total of 53 work disparities were identified. Only four articles investigated the association of a work disparity with a variable of health (e.g., physical, mental, or poor general health). : The results suggest that more attention to how disparities impact nurses' health and lived experiences is warranted. Meso-level disparities from this review provide an initial basis to consider possibilities in the workplace, especially in supporting equity and opportunities for health and well-being at work (e.g., through fair access to professional growth opportunities and a more equitable balance of work expectations and demands of nursing staff). Future studies of the intersection of macro- and meso-level factors are needed to inform better workplace practices and social and economic policies to support the well-being, health, and safety of nurses at work in LTC.
工作差异，如长期护理（LTC）护士所经历的薪酬不公平或工作分配不均，可能会影响这支劳动力队伍的留存率和健康状况。尽管差异对长期护理护士的健康有重大影响，但尚未对长期护理护士的工作差异进行文献综述。本范围综述旨在探讨长期护理护士所经历的中观层面工作差异的研究性质和程度，及其与护士健康和福祉的联系。检索了五个数据库：MEDLINE（Ovid）、EMBASE（Ovid）、PsycINFO（Ovid）、SCOPUS和CINAHL（EBSCO主机）。在检索到的5652篇文章中，1997年至2024年发表的16项研究（14项定量研究和2项定性研究）符合纳入标准。共确定了53种工作差异。只有四篇文章研究了工作差异与健康变量（如身体、心理或总体健康状况不佳）之间的关联。结果表明，有必要更多地关注差异如何影响护士的健康和生活经历。本次综述中的中观层面差异为考虑工作场所的可能性提供了初步依据，特别是在支持工作中的公平以及健康和福祉机会方面（例如，通过公平获得职业发展机会以及更公平地平衡护理人员的工作期望和需求）。需要对宏观和中观层面因素的交叉点进行未来研究，以为更好的工作场所实践以及社会和经济政策提供信息，以支持长期护理工作中护士的福祉、健康和安全。
