Does collective efficacy moderate the associations between physical work load and intention to leave or sickness absence?

Associations between perceived quantitative work demands at different organisational levels and pain and sickness absence in eldercare workers: a multi-level longitudinal analysis

PURPOSE

Eldercare work is characterised by high quantitative work demands and high occurrence of musculoskeletal pain and sickness absence. Our aim was to investigate the association between quantitative demands aggregated at the different organizational levels of eldercare and low back pain (LBP) and sickness absence due to pain among workers.

METHODS

This study was conducted in 527 eldercare workers from 105 wards across 20 nursing homes in Denmark. We collected workers' perceived quantitative demands at baseline and workers' LBP and sickness absence repeatedly over the following year. We aggregated worker-level quantitative demands to the ward and nursing home-levels, and used mixed-effects regression models to investigate the associations between quantitative demands at different organizational levels and LBP and sickness absence over 1 year.

RESULTS

Across all models, increased quantitative demands (0-100 scale) at the worker-level was associated with an increased likelihood (OR 1.02) and intensity of LBP (β = 0.01). We did not identify any associations between quantitative demands at the ward-level and either of our outcomes. Across all models, increased quantitative demands at the nursing home-level was associated with increased days with sickness absence due to pain (β = 0.03 to 0.06).

CONCLUSION

In eldercare, workers' perceived quantitative demands are associated with the presence and intensity of LBP. Further, quantitative demands across the overall nursing home-level are associated with sickness absence due to pain among eldercare workers. These results are of relevance to developing organisational interventions targeting quantitative demands to reduce sickness absence in eldercare.

Driving for the unique opportunity for work: a qualitative study of nurses' motivation to commute to work

Purpose

This study aims to investigate what motivates nurses who live in a rural region with many vacant positions to choose a longer commute to work in a more populous capital region.

Design/methodology/approach

A qualitative descriptive design was used for this study. Nineteen commuting nurses were recruited through purposeful and snowball sampling and interviewed over the telephone. The interviews were analyzed using a manifest and latent content analysis.

Findings

The findings showed how the participating nurses' motivations to work in the capital region far away from their home were grounded in reaching the unique opportunity for work as a part of the unique organizational conditions, the unique positions and the unique work environment. The analysis showed how the nurses believed in better possibilities for themselves regarding opportunities for careers, specialized positions, development and education, as well as a lower hierarchy in management.

Research limitations/implications

Studies of commuting among nurses are sparsely investigated in the literature and especially through the lens of motivation. The few existing studies report on cross-sectional data, and to the authors’ knowledge, no studies have been investigated using a qualitative design. For future research, it would therefore be relevant to investigate nurses' motivation to commute to work in other countries in a larger sample and perhaps with larger commuting distances. This could contribute to a broader and more nuanced understanding of the factors that motivate nurses to commute long distances to work, not just nationally but also internationally.

Practical implications

The authors have conceptualized which factors most affect nurses' motivation to commute to work from a rural to more populous capital region in Figure 2. Here, the findings of the study are presented alongside the two theoretical perspectives used to frame the study. The figure can be used as a benchmark for organizational leaders who are interested in recruitment and retention of nurses, and in particular whether they are interested in the specific factors affecting nurses' motivation to commute to work. Based on the study findings, the authors suggest that rural hospital organizations can benefit from focusing on building their reputation and including what factors make them unique and desirable. However, this is a balancing act for organizational leaders, as they must deliver on promises made to nurses when they are engaged in recruitment. If they fail to do so, as indicated in the findings, nurses are likely to leave the organization for other job opportunities.

Originality/value

This study contributes to new knowledge on why nurses decide to commute to work from rural areas to more populated areas. Looking at the nurses' reasons and perspective for commuting, the authors must acknowledge the difficulties in retaining nurses in rural regions. From a recruitment and retention perspective, nurse employers in rural regions must increase their offerings of unique work opportunities, including maintaining competitive pay and offering career, development and educational opportunities.

The effects of work factors on nurses' job satisfaction, quality of care and turnover intentions in oncology

AIMS

We examined the effects of perceived supervisor support, value congruence and hospital nurse staffing on nurses' job satisfaction through the satisfaction of the three psychological needs for autonomy, competence and relatedness. Then, we examined the links between job satisfaction and quality of care as well as turnover intentions from the workplace.

BACKGROUND

There is growing interest in the relationships between work factors and nurses' job satisfaction. However, minimal research has investigated the effects of perceived supervisor support, value congruence and staffing on nurses' job satisfaction and the psychological mechanisms by which these factors lead to positive outcomes.

DESIGN

A cross-sectional questionnaire was distributed in 11 oncology units between September 2015 - February 2016.

METHOD

Data were collected from a sample of 144 French nurses who completed measures of perceived supervisor support, value congruence, staffing adequacy, psychological need satisfaction, job satisfaction, quality of care and turnover intentions.

RESULTS

The hypothesized model was tested with path analyses. Results revealed that psychological need satisfaction partially mediated the effects of perceived supervisor support, value congruence and hospital nurse staffing on job satisfaction. Moreover, job satisfaction was positively associated with quality of care and negatively linked to turnover intentions.

CONCLUSION

Overall, these findings provide insight into the influence of perceived supervisor support, value congruence and staffing on nurses' attitudes and behaviours.