Psychological Empowerment as a Mediator of Effort–Reward Imbalance Effects on Burnout, Anxiety and Depression Among Nursing Home Professionals: A Cross‐Sectional Study

Journal of Advanced Nursing, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 16, 2025

Few studies have explored empowerment as a predictor of mental health outcomes in geriatric healthcare professionals. This research addresses this gap by using the 'effort-reward imbalance' theory work-related stress to develop comprehensive model, examining role psychological nursing home cross-sectional exploratory study used structural equation modelling (SEM) test model on mediating relationship between effort-reward ratio and burnout, anxiety depression. From 2021 2023, we convenience sampling enrol 280 physicians, nurses other workers from 13 homes France. Self-administered measurements included Psychological Empowerments Scale, Effort-Reward Imbalance Questionnaire, Maslach burnout inventory-Human Services Survey Hospital Anxiety Depression Scale. Of professionals included, 245 had complete data. Findings confirmed direct predictive paths The negative path was significant, depression prediction empowerment. not explained Mediation effects were confirmed. Model fit indices indicated good fit, supporting reducing impact imbalance outcomes, except for anxiety. appears be promising way enhance protect Understanding is first step towards implementing interventions quality care work conditions.

Language: Английский

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Availability and use of institutional support programs for emergency department healthcare personnel during the COVID-19 pandemic

PLoS ONE, Journal Year: 2024, Volume and Issue: 19(4), P. e0298807 - e0298807

Published: April 16, 2024

Objectives The COVID-19 pandemic placed health care personnel (HCP) at risk for stress, anxiety, burnout, and post-traumatic stress disorder (PTSD). To address this, hospitals developed programs to mitigate risk. objectives of the current study were measure availability use these in a cohort academic emergency departments (EDs) United States early identify factors associated with program use. Methods Cross-sectional survey ED HCP 21 EDs 15 states between June September 2020. Site investigators provided data on 28 grouped into 9 categories. Individual support included: financial, workload mitigation, individual testing, emotional (e.g., mental hotline), instrumental childcare) Clinical work team communication debriefing critical incident), patient-family facilitation, patient services social work, ethics consultation), system-level exposure reduction. Participants corresponding whether they used programs. We generalized linear mixed models clustered site association demographic facility characteristics Results received 1,541 responses (96% response rate) from physicians or advanced practice providers, nurses, nonclinical staff. Program each categories was high (>95% hospitals). variable, clinical more frequently (28–50% eligible across categories) than employee (6–13% categories). Fifty-seven percent respondents reported that had affected their 12% elevated PTSD. did not significantly differ who symptoms anxiety and/or compared those not. Conclusions Early pandemic, widely available HCP, but low. Future will focus identifying barriers facilitators specific most likely be effective during periods highest occupational stress.

Language: Английский

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Exploring the Impact of COVID-19 Restrictions on Nursing Home Residents’, Families’, and Staff’s Perceptions of Bioethical Principles: A Qualitative Study

Journal of Applied Gerontology, Journal Year: 2024, Volume and Issue: 43(11), P. 1640 - 1656

Published: May 14, 2024

In this study, we employed a pre-interview survey and conducted interviews with nursing home staff members residents/family to understand their perceptions of whether the COVID-19 restrictions fulfilled obligations residents under various principles, including autonomy, beneficence, nonmaleficence, justice, privacy. We 20 semi-structured from 14 facilities, and/or family 13 facilities. used qualitative descriptive study design thematic analysis methodology analyze interviews. Findings indicated that, compared staff, families perceived lower adherence bioethics principles during pandemic. Qualitative themes included specific restrictions, challenges, facility notifications, consequences, communication, relationships between members. Our exposes struggle balance infection control respecting bioethical in homes, suggesting avenues for improving processes policies public health emergencies.

Language: Английский

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Comparison of psychopathology, purpose in life and moral courage between nursing home and hospital healthcare workers during the COVID-19 pandemic

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: Aug. 7, 2024

The COVID-19 pandemic deeply affected healthcare workers, although the impact may have differed according to different workplace contexts. aim of this current research was compare psychopathology presented by hospital versus nursing home workers during and analyse predictive role purpose in life moral courage appearance psychopathology. This an observational, cross-sectional study carried out on a sample 108 54 each from or homes, who were recruited 5 6th waves Spain. Various self-reported scales used assess anxiety, depression, acute/post-traumatic stress disorder, drug alcohol abuse, burnout, life, courage. Compared had higher scores prevalence anxiety (74.1% vs. 42%), depression (40.7% 14.8%), post-traumatic disorder (55.6% 25.9). In overall sample, protective factor against (OR = 0.54) burnout 0.48); 0.47) acute 0.45); exposure family/friends SARS-CoV-2 risk for 2.24), 1.33), depersonalisation subscale 1.84). conclusion, increased presence be influenced occupational contexts, personal factors such as SARS-CoV-2, internal dimensions knowledge could useful understanding how future epidemic might affect mental health labour

Language: Английский

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