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Identifying work ability promoting factors for home care aides and assistant nurses
Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.ORCID-id: 0000-0003-3619-2297
Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.
Luleå tekniska universitet, Institutionen för ekonomi, teknik och samhälle, Innovation och Design.ORCID-id: 0000-0001-5464-9292
Luleå tekniska universitet, Institutionen för hälsovetenskap, Hälsa och rehabilitering.ORCID-id: 0000-0001-6975-8344
2012 (Engelska)Ingår i: BMC Musculoskeletal Disorders, ISSN 1471-2474, E-ISSN 1471-2474, Vol. 13, nr 1Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

In workplace health promotion, all potential resources needs to be taken into consideration, not only factors relating to the absence of injury and the physical health of the workers, but also psychological aspects. A dynamic balance between the resources of the individual employees and the demands of work is an important prerequisite. In the home care services, there is a noticeable trend towards increased psychosocial strain on employees at work. There are a high frequency of work-related musculoskeletal disorders and injuries, and a low prevalence of sustainable work ability. The aim of this research was to identify factors promoting work ability and self-efficacy in care aides and assistant nurses within home care services.This study is based on cross-sectional data collected in a municipality in northern Sweden. Care aides (n = 58) and assistant nurses (n = 79) replied to a self-administered questionnaire (response rate 46%). Hierarchical multiple regression analyses were performed to assess the influence of several independent variables on self-efficacy (model 1) and work ability (model 2) for care aides and assistant nurses separately.Perceptions of personal safety, self-efficacy and musculoskeletal wellbeing contributed to work ability for assistant nurses (R2adj of 0.36, p < 0.001), while for care aides, the safety climate, seniority and age contributed to work ability (R2adj of 0.29, p = 0.001). Self-efficacy was associated with the safety climate and the physical demands of the job in both professions (R2adj of 0.24, p = 0.003 for care aides), and also by sex and age for the assistant nurses (R2adj of 0.31, p < 0.001).The intermediate factors contributed differently to work ability in the two professions. Self-efficacy, personal safety and musculoskeletal wellbeing were important for the assistant nurses, while the work ability of the care aides was associated with the safety climate, but also with the non-changeable factors age and seniority. All these factors are important to acknowledge in practice and in further research. Proactive workplace interventions need to focus on potentially modifiable factors such as self-efficacy, safety climate, physical job demands and musculoskeletal wellbeing.

Abstract [en]

Background In workplace health promotion, all potential resources needs to be taken into consideration, not only factors relating to the absence of injury and the physical health of the workers, but also psychological aspects. A dynamic balance between the resources of the individual employees and the demands of work is an important prerequisite. In the home care services, there is a noticeable trend towards increased psychosocial strain on employees at work. There are a high frequency of work-related musculoskeletal disorders and injuries, and a low prevalence of sustainable work ability. The aim of this research was to identify factors promoting work ability and self-efficacy in care aides and assistant nurses within home care services. Methods This study is based on cross-sectional data collected in a municipality in northern Sweden. Care aides (n=58) and assistant nurses (n=79) replied to a self-administered questionnaire (response rate 46%). Hierarchical multiple regression analyses were performed to assess the influence of several independent variables on self-efficacy (model 1) and work ability (model 2) for care aides and assistant nurses separately. Results Perceptions of personal safety, self-efficacy and musculoskeletal wellbeing contributed to work ability for assistant nurses (R2adj of 0.36, p=0.001), while for care aides, the safety climate, seniority and age contributed to work ability (R2adj of 0.29, p=0.001). Self-efficacy was associated with the safety climate and the physical demands of the job in both professions (R2adj of 0.24, p=0.003 for care aides), and also by sex and age for the assistant nurses (R2adj of 0.31, p<0.001). Conclusions The intermediate factors contributed differently to work ability in the two professions. Self-efficacy, personal safety and musculoskeletal were important for the assistant nurses, while the work ability of the care aides was associated with the safety climate, but also with the non-changeable factors age and seniority. All these factors are important to acknowledge in practice and in further research. Proactive workplace interventions need to focus on potentially modifiable factors such as self-efficacy, safety climate, physical job demands and musculoskeletal wellbeing.

Ort, förlag, år, upplaga, sidor
2012. Vol. 13, nr 1
Nationell ämneskategori
Sjukgymnastik Övrig annan teknik
Forskningsämne
Sjukgymnastik; Entreprenörskap och innovation
Identifikatorer
URN: urn:nbn:se:ltu:diva-5033DOI: 10.1186/1471-2474-13-1ISI: 000301141600001PubMedID: 22236253Scopus ID: 2-s2.0-84855571118Lokalt ID: 30d5451c-91db-4493-9260-5b4f702713daOAI: oai:DiVA.org:ltu-5033DiVA, id: diva2:977907
Projekt
Hälsa och säkerhet i vård- och socialt servicearbete, i ett samhällsperspektiv
Anmärkning
Validerad; 2012; 20110906 (andbra)Tillgänglig från: 2016-09-29 Skapad: 2016-09-29 Senast uppdaterad: 2018-07-10Bibliografiskt granskad

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Larsson, AgnetaKarlqvist, LenaWesterberg, MatsGard, Gunvor

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