1
|
Bernardes RA, Caldeira S, Stolt M, Parola V, Neves H, Cruz A. Occupational Health Nursing models and theories: A critical analysis in the scope of the unitary-transformative perspective. Nurs Philos 2024; 25:e12500. [PMID: 39137282 DOI: 10.1111/nup.12500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 07/24/2024] [Accepted: 08/06/2024] [Indexed: 08/15/2024]
Abstract
Occupational Health Nursing (OHN) has followed a complex path to build and strengthen its theoretical basis. Starting with Public Health core principles, theories were shaped by the dualism of person worker and working environment, where sometimes the centre of the thought was given to the latter and other times to the former. The problem was not much on such conflict but on the definition of the correct OHN focus and whether genuine nursing knowledge was being applied. We are worried that other disciplines radically influenced the theoretical path taken by OHN theorists. To approach this problem, a unitary-transformative perspective can help us describe and analyse this phenomenon and engage scholars to reflect upon the accurate epistemological focus of OHN. We aimed to deepen this reflection and uncover a new OHN theoretical focus.
Collapse
Affiliation(s)
- Rafael A Bernardes
- Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Sílvia Caldeira
- Centre for Interdisciplinary Research in Health, Faculty of Health Sciences and Nursing, Universidade Católica Portuguesa, Lisbon, Portugal
| | - Minna Stolt
- Department of Nursing Science, University of Turku, Turku, Finland
| | - Vítor Parola
- The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
| | - Hugo Neves
- The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
| | - Arménio Cruz
- The Health Sciences Research Unit: Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
| |
Collapse
|
2
|
Prolonging working life among blue-collar workers: The buffering effect of psychosocial job resources on the association between physically demanding and hazardous work and retirement timing. SSM Popul Health 2023; 22:101372. [PMID: 36891500 PMCID: PMC9986637 DOI: 10.1016/j.ssmph.2023.101372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2022] [Revised: 01/12/2023] [Accepted: 02/20/2023] [Indexed: 03/05/2023] Open
Abstract
The need to delay retirement timing has been acknowledged in Western countries due to demographic ageing. The aim of the present study was to examine the buffering effects of job resources (decision authority, social support, work-time control, and rewards) on the association of exposures to physically demanding work tasks and physically hazardous work environment with non-disability retirement timing. Results from discrete-time event history analyses, in a sample of blue-collar workers (n = 1741; 2792 observations) from the nationwide longitudinal Swedish Longitudinal Occupational Survey of Health (SLOSH), supported that decision authority and social support may buffer the negative impact of heavy physical demands on working longer (continuing working vs retiring). Stratified analyses by gender showed that the buffering effect of decision authority remained statistically significant for men, while that of social support remained statistically significant for women. Moreover, an age effect was displayed, such that a buffering effect of social support on the association of heavy physical demands and high physical hazards with working longer were found among older men (≥64 years), but not younger (59-63 years). The findings suggest that heavy physical demands should be reduced, however, when not feasible physical demands should be accompanied by social support at work for delaying retirement.
Collapse
|
3
|
Griep RH, Almeida MDCC, Barreto SM, Brunoni AR, Duncan BB, Giatti L, Mill JG, Molina MDCB, Moreno AB, Patrão AL, Schmidt MI, da Fonseca MDJM. Working from home, work-time control and mental health: Results from the Brazilian longitudinal study of adult health (ELSA-Brasil). Front Psychol 2022; 13:993317. [PMID: 36262442 PMCID: PMC9574257 DOI: 10.3389/fpsyg.2022.993317] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 08/29/2022] [Indexed: 11/22/2022] Open
Abstract
This cross-sectional study investigated the association between work-time control (WTC), independently and in combination with hours worked (HW), and four mental health outcomes among 2,318 participants of the Longitudinal Study of Adult Health (ELSA-Brasil) who worked from home during the COVID-19 pandemic. WTC was assessed by the WTC Scale, and mental health outcomes included depression, anxiety, stress (measured by the Depression, Anxiety and Stress Scale, DASS-21), and self-rated mental health. Logistic regression models were used to determine odds ratios (ORs) and 95% confidence intervals (CIs). Among women, long HW were associated with stress (OR = 1.56; 95% CI = 1.11–2.20) and poor self-rated mental health (OR = 1.64; 95% CI = 1.13–2.38), whereas they were protective against anxiety among men (OR = 0.59; 95% CI = 0.37–0.93). In both sexes, weak WTC was associated with all mental health outcomes. Among women, the long HW/weak WTC combination was associated with all mental health outcomes, and short HW/weak WTC was associated with anxiety and stress. Among men, long HW/strong WTC was protective against depression and stress, while short HW/strong WTC and short HW/weak WTC was associated with all mental health outcomes. In both sexes, weak WTC, independently and in combination with HW, was associated with all mental health outcomes. WTC can improve working conditions, protect against mental distress, and fosterwork-life balance for those who work from home.
Collapse
Affiliation(s)
- Rosane Harter Griep
- Laboratory of Health and Environmental Education, Instituto Oswaldo Cruz, Rio de Janeiro, Brazil
- *Correspondence: Rosane Harter Griep, ; orcid.org/0000-0002-6250-2036
| | | | - Sandhi Maria Barreto
- School of Medicine and Hospital das Clínicas/EBSERH, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - André R. Brunoni
- School of Medicine, Universidade de São Paulo, São Paulo, Brazil
| | - Bruce B. Duncan
- Postgraduate Programme in Epidemiology and Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Luana Giatti
- School of Medicine and Hospital das Clínicas/EBSERH, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - José Geraldo Mill
- Department of Physiological Sciences, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Maria del Carmen B. Molina
- Postgraduate Programme in Health and Nutrition, Universidade Federal do Ouro Preto, Ouro Preto, Brazil
- Postgraduate Programme in Collective Health, Universidade Federal do Espírito Santo, Vitória, Brazil
| | - Arlinda B. Moreno
- Department of Epidemiology and Quantitative Methods in Health, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| | - Ana Luisa Patrão
- Center for Psychology, Faculty of Psychology and Education Science of the University of Porto, Porto, Portugal
- Institute of Collective Health, Federal University of Bahia, Salvador, Brazil
| | - Maria Inês Schmidt
- Postgraduate Programme in Epidemiology and Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | - Maria de Jesus Mendes da Fonseca
- Department of Epidemiology and Quantitative Methods in Health, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil
| |
Collapse
|
4
|
Andersen LL, Vinstrup J, Thorsen SV, Pedersen J, Sundstrup E, Rugulies R. Combined psychosocial work factors and risk of long-term sickness absence in the general working population: Prospective cohort with register follow-up among 69 371 workers. Scand J Work Environ Health 2022; 48:549-559. [PMID: 35647686 PMCID: PMC10539106 DOI: 10.5271/sjweh.4035] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2011] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVE This study aimed to investigate the importance of combined psychosocial work factors for the risk of long-term sickness absence (LTSA). METHODS We followed 69 371 employees in the general working population (Work Environment and Health in Denmark study 2012-2018), without LTSA during the preceding year, for up to two years in the Danish Register for Evaluation of Marginalization. Using k-means cluster analyses and weighted Cox-regression controlling for age, gender, survey year, education, health-behaviors, and physical work demands, we determined the prospective association of 11 identified clusters - based on the combination of nine psychosocial work factors (recognition, quantitative demands, work pace, emotional demands, influence, justice, role clarity, role conflicts, and support from colleagues) - with the risk of LTSA. RESULTS During 124 045 person-years of follow-up, 6197 employees developed LTSA (weighted 8.5%). Using the cluster with the most favorable psychosocial scores as reference, clusters scoring poorly on several combined psychosocial factors had increased risk of LTSA. The cluster scoring poor on all nine psychosocial factors exhibited the highest risk [hazard ratio (HR) 1.68, 95% confidence interval (CI) 1.45-1.94]. Scoring poorly on one or two psychosocial factors did not increase the risk of LTSA when combined with favorable scores on the other psychosocial factors. Interaction analyses showed that gender, but not age and education, modified the association between cluster and LTSA. CONCLUSION Scoring poorly on several combined psychosocial work factors plays an important role in the risk of LTSA. Scoring favorably on several psychosocial factors outweighed the potentially adverse effects of scoring poorly on one or two factors.
Collapse
Affiliation(s)
- Lars L Andersen
- National Research Centre for the Working Environment, Lersø Parkalle 105, DK-2100 Copenhagen, Denmark.
| | | | | | | | | | | |
Collapse
|
5
|
Shiri R, Turunen J, Kausto J, Leino-Arjas P, Varje P, Väänänen A, Ervasti J. The Effect of Employee-Oriented Flexible Work on Mental Health: A Systematic Review. Healthcare (Basel) 2022; 10:883. [PMID: 35628020 PMCID: PMC9141970 DOI: 10.3390/healthcare10050883] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 05/04/2022] [Accepted: 05/06/2022] [Indexed: 11/18/2022] Open
Abstract
The effect of flexible work on mental health is not well known. The aim of this systematic review was to assess the effects of employee-oriented flexible work on mental health problems and associated disability. Literature searches were conducted in the PubMed, Scopus, Web of Sciences, Cochrane Library, PsycINFO, ProQuest and EconPapers databases from their inception through October-November 2020. Sixteen studies on the associations of worktime control, working from home, or flexible working arrangements with mental health related outcomes were included in the review: one cluster randomized controlled trial, two non-randomized controlled trials, two cross-over studies, and 11 prospective cohort studies. Three reviewers independently assessed the met-hodological quality of the included studies and extracted the data. The included studies differed in design, intervention/exposure, and outcome, so meta-analysis was not carried out and qualitative results were reported. A few prospective cohort studies found that low employees' control over worktime increases the risk of depressive symptoms, psychological distress, burnout, and accumulated fatigue. One cross-over and a few cohort studies found small beneficial effects of working partly from home on depressive symptoms, stress, and emotional exhaustion. A small number of controlled trials, cross-over or cohort studies found that flexible working arrangements increase employees' control over working hours, but have only modest beneficial effects on psychological distress, burnout, and emotional exhaustion. This systematic review suggests that employee-oriented flexible work may have small beneficial effects on mental health. However, randomized controlled trials and quasi-experimental studies are needed to identify the health effects of flexible work.
Collapse
Affiliation(s)
- Rahman Shiri
- Finnish Institute of Occupational Health, P.O. Box 18, Työterveyslaitos, FI-00032 Helsinki, Finland; (J.T.); (J.K.); (P.L.-A.); (P.V.); (A.V.); (J.E.)
| | | | | | | | | | | | | |
Collapse
|
6
|
Impact of Long Working Hours and Shift Work on Perceived Unmet Dental Need: A Panel Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18062939. [PMID: 33805606 PMCID: PMC8001453 DOI: 10.3390/ijerph18062939] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 03/08/2021] [Accepted: 03/11/2021] [Indexed: 11/17/2022]
Abstract
This study investigates whether workers with long working hours as well as shift workers perceive higher unmet dental care needs, and whether there is a gender difference in the associations. We used the Korea Health Panel (2009, 2011–2014) involving 20,451 person-wave observations from 5567 individuals. Perceived unmet dental care needs was defined when the participants reported that they perceived a need for dental treatment or check-up but had failed to receive dental care services during the past year. Fixed effects logit models were applied to examine how changes in weekly working hours or shift work status were linked to changes in perceived unmet dental needs within each individual. Among participants, 15.9–24.7% reported perceived unmet dental needs and the most common reason was time scarcity. We found that long working hours (>52 h/week) was significantly associated with perceived unmet dental needs due to time scarcity in both men (OR = 1.42, 95% CI 1.13–1.78) and women (OR = 1.35, 95% CI 1.03–1.79) compared workers working 40–52 h per week. Shift work was also a significant risk factor, but only in women (OR = 1.57, 95% CI 1.06–2.32). These findings provide evidence for labor policies to reduce working hours in order to improve access to dental care services.
Collapse
|