Abstract:
BACKGROUND:Nursing professionals and care assistants are often subject to a combination of negative physical and psychosocial work environment factors, but most disability pension studies on such occupations have focused on one or the other of these factors. As they often coexist, there are reasons to assume that simultaneously being exposed to both types of exposures will increase the risk of disability more than being exposed to either. OBJECTIVES:The study examined combinations of physical and psychosocial work conditions as predictors of future disability pension among nursing professionals and care assistants in Sweden. PARTICIPANTS:The study was based on a random and representative sample of 79,004 participants in any of the Swedish Work Environment Surveys from 1993 to 2013. A total of 2576 nursing professionals, 10,175 care assistants, and 66,253 workers in other occupations were included. METHODS:Information on background factors and disability pension was obtained from population registers. Cox proportional hazard regressions with 95% confidence intervals (CI) were performed to study if pairs of combinations of physical and psychosocial factors were related to an increased risk of disability pension. Additionally, measures of synergistic effects were estimated. The analyses were stratified on occupation group, with adjustment for selected confounders. RESULTS:The results indicated increased hazard ratios (HR) for disability pension for most combinations of physical and psychosocial working conditions. The hazard ratios for joint exposure to high demands and heavy physical work were high among both nursing professionals (HR 1.91; CI 1.06-3.44) and care assistants (HR 2.09; CI 1.63-2.69). Also, the combination of high demands and strenuous postures resulted in significantly elevated risks of disability pension among nursing professionals (HR 1.95; CI 1.20-3.16) and care assistants (HR 2.18; CI 1.71-2.77). The HRs for joint exposure to low control and both heavy physical work and strenuous postures were significant among all other occupations (HR 2.30; CI 2.05-2.58 and HR 2.24; CI 2.01-2.51), and among care assistants (HR 1.52; CI 1.26-1.85 and HR 1.61; CI 1.34-1.93), but not significant among nursing professionals. The synergistic effects on disability pension from combined exposures were generally positive among all three occupational groups. CONCLUSION:Nursing professionals and care assistants exposed to both negative physical and psychosocial conditions had an increased risk of disability pension. A synergistic effect with respect to disability pension was found among care assistants who reported low control and strenuous postures at work.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Gustafsson K,Marklund S,Aronsson G,Leineweber Cdoi
10.1016/j.ijnurstu.2019.103484subject
Has Abstractpub_date
2020-02-01 00:00:00pages
103484eissn
0020-7489issn
1873-491Xpii
S0020-7489(19)30291-3journal_volume
102pub_type
杂志文章abstract:BACKGROUND:Chronic obstructive pulmonary disease (COPD) is predominantly caused by cigarette smoking and is considered a worldwide preventable chronic illness. Smoking cessation is considered the primary intervention for disease management and nurses should play a major role in assisting patients to stop smoking. Curre...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2011.01.002
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Over the past 20 years, military forces worldwide have been engaged in a number of conflicts and humanitarian operations and the impact of this on the field of military nursing research is unknown. The aim of this bibliometric review was to investigate the research field of military nursing in the main datab...
journal_title:International journal of nursing studies
pub_type: 历史文章,杂志文章,评审
doi:10.1016/j.ijnurstu.2015.06.008
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND:Nurses have played a pivotal role in the delivery of continence services yet little is known about the nature or impact of urinary symptoms experienced by patients in receipt of such care. AIM:To define the nature and impact of urinary symptoms experienced by patients in receipt of community nursing service...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2006.09.006
更新日期:2008-03-01 00:00:00
abstract::Meeting patients' fundamental care needs is essential for optimal safety and recovery and positive experiences within any healthcare setting. There is growing international evidence, however, that these fundamentals are often poorly executed in acute care settings, resulting in patient safety threats, poorer and costl...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.01.006
更新日期:2016-05-01 00:00:00
abstract::During a grounded theory study into health visiting the role of the relationship with clients was uncovered. It was found that they have a necessary enabling and mediating function for health visitors' work. Although the literature has highlighted the importance of the relationships in health visiting, the work involv...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(94)90015-9
更新日期:1994-10-01 00:00:00
abstract:BACKGROUND:Evidence-based practice is considered a foundation for the provision of quality care and one way to integrate scientific knowledge into clinical problem-solving. Despite the extensive amount of research that has been conducted to evaluate evidence-based practice implementation and research utilization, these...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.09.006
更新日期:2018-01-01 00:00:00
abstract:BACKGROUND:Korean adolescents' smoking is currently being considered as a crucial factor determining the health status of adolescents and an important public health and social issue. OBJECTIVES:The purpose of the study was to test the applicability of the Transtheoretical model to gain an understanding of smoking beha...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.06.008
更新日期:2006-05-01 00:00:00
abstract::A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest-posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for patients with type 2 di...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(01)00046-3
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Pressure ulcers continue to be a significant problem in hospitals, nursing homes and community care settings. Pressure ulcer incidence is widely accepted as an indicator for the quality of care. Negative attitudes towards pressure ulcer prevention may result in suboptimal preventive care. A reliable and vali...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.04.004
更新日期:2010-11-01 00:00:00
abstract::The aim of this study is to evaluate the reliability and validity of the Byron Physical Assessment Framework (BPAF). The BPAF is a systems based checklist of physiological measurements, signs, and symptoms designed to structure and document the assessment of a patients physical condition by nursing staff. Initially th...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(98)00042-x
更新日期:1998-12-01 00:00:00
abstract:OBJECTIVES:To investigate the effectiveness of a risk assessment system in reducing the risk of violence in an acute care hospital in the Canadian province of British Columbia. METHODS:Hospital violence incident rates (number of incidents/100,000 work hours) were calculated and compared pre, during and post implementa...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.10.006
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The concept of empowerment seems promising for people living with dementia to live their life as they want to for as long as possible. Therefore, this study aimed to explore what the concept of empowerment means and includes for people living with dementia from the perspectives of people livin...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103823
更新日期:2021-02-01 00:00:00
abstract:BACKGROUND:Social capital can be an important resource to facilitate the needed improvements in quality of care and efficiency in hospitals. OBJECTIVES:To assess the importance of social capital (recognition, vertical trust, horizontal trust and reciprocity) for job satisfaction, work engagement and engagement in clin...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.07.012
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Advances in HIV care have resulted in increasing numbers of HIV patients receiving antiretroviral therapy and achieving viral control. This has led to a focus on the biomedical aspects of care, leaving the data on psychological and social problems relatively neglected; in fact they have never before been sys...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2014.01.015
更新日期:2014-08-01 00:00:00
abstract::As opposed to studies on the immediate psychological impact of traumatic nursing experiences, little attention has been directed to the persistence of certain long-standing hidden symptoms of trauma in some nurses. Since psychological reactions to trauma are claimed to be similar, irrespective of the source of trauma,...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(85)90033-1
更新日期:1985-01-01 00:00:00
abstract::The purpose of this study was to reveal the most unforgettable rescue experiences of nurses at the central site of the 9-21 Taiwan earthquake during the crucial early recovery stage-the first 72h. A purposive sample of 46 nurses was obtained (40 women and 6 men, with an average age of 28). Data were collected using se...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(01)00014-1
更新日期:2002-02-01 00:00:00
abstract:BACKGROUND:Nurse managers play an important role in implementing patient safety practices in hospitals. However, the influence of their professional background on their clinical leadership behaviour remains unclear. Research has demonstrated that concepts of Bourdieu (dispositions of habitus, capital and field) help to...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.09.006
更新日期:2016-11-01 00:00:00
abstract:BACKGROUND:Most paediatric patients have at least one peripheral intravenous catheter insertion during their hospitalisation. Despite the important function of peripheral intravenous catheters for delivery of intravenous therapy, failure and complications rates are widely reported; however these results have not been s...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析
doi:10.1016/j.ijnurstu.2019.103488
更新日期:2020-02-01 00:00:00
abstract:OBJECTIVES:To identify rehabilitation interventions that can be integrated into ward-based nursing for patients with hemispatial neglect following stroke in the right brain hemisphere. DESIGN:A systematic review of interdisciplinary literature. DATA SOURCES:A preliminary literature search without time limits was cond...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.04.004
更新日期:2015-08-01 00:00:00
abstract::This paper reports on the first phase of an action research practice development project to explore, develop and evaluate the role of the generic healthcare support worker in a high dependency rehabilitation service. The project is being jointly conducted by staff from the University of Southampton, the University of ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00026-7
更新日期:1999-08-01 00:00:00
abstract:OBJECTIVES AND DESIGN:This review paper provides an overview of the current state of knowledge on work environment antecedents of workplace bullying and proposes an integrative model of bullying applied to registered nurses. DATA SOURCES AND REVIEW METHODS:A literature search was conducted on the databases PsycInfo, P...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.10.001
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:To compare the efficacy of several antiseptics in decreasing the blood culture contamination rate. DESIGN:Network meta-analysis. DATA SOURCE:Electronic searches of PubMed and Embase were conducted up to November 2015. Only randomized controlled trials or quasi-randomized controlled trials were eligible. We ...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2016.04.004
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:The pandemic of COVID-19 is growing, and a shortage of masks and respirators has been reported globally. Policies of health organizations for healthcare workers are inconsistent, with a change in policy in the US for universal face mask use. The aim of this study was to review the evidence around the efficac...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103629
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Low-value care provides little or no benefit to the patient, causes harm and wastes limited resources. Reducing it is therefore important for safer and more sustainable care. OBJECTIVES:We systematically assessed nursing low-value care practices in Dutch clinical practice guidelines with the aim to facilita...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2018.07.002
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:Specialized early intervention programs for individuals experiencing a first episode of psychosis prioritize service engagement, generally operationalized as attendance, treatment completion, therapeutic alliance, and treatment adherence. However, there are critical theoretical and methodological gaps in und...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103583
更新日期:2020-08-01 00:00:00
abstract::This study represents a survey of the nursing quality assurance programs in 12 hospitals in Alberta. The objectives of the study were: to identify the nature, content and costs of the programs, to determine the extent of nurse involvement in the design and operation of the programs, and the value and importance nurses...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(92)90032-c
更新日期:1992-08-01 00:00:00
abstract::The Congruence Model was used with families of indigent substance abusers. Instead of a focus on pathology, this nursing approach advocated ethnically congruent coping of families within their environment. Forty participants worked on individually chosen goals during eight structured sessions. Evaluation included goal...
journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章
doi:10.1016/0020-7489(94)90011-6
更新日期:1994-02-01 00:00:00
abstract:OBJECTIVE:Determine whether the early detection of parenting problems and developmental problems in young children improves with the help of a validated structured interview. DESIGN:Non-randomized controlled trial held from December 2006 until January 2008. SETTING:Preventive child health care services in the Netherl...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.07.001
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes. Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.11.014
更新日期:2017-02-01 00:00:00
abstract::Although aggression and violence have been increasingly viewed as a major public health problem with a biological and health basis, it has been under-researched in the nursing and health context. This paper reviews early biological risk factors for violence. These factors include pregnancy/birth complications, fetal e...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2004.06.007
更新日期:2005-02-01 00:00:00