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Association between Psychosocial Working Conditions and Perceived Physical Exertion among Eldercare Workers: A Cross-Sectional Multilevel Analysis of Nursing Homes, Wards and Workers

Author

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  • Leticia Bergamin Januario

    (Department of Occupational Health Sciences and Psychology, Centre for Musculoskeletal Research, University of Gävle, Kungsbäcksvägen 47, 801 76 Gävle, Sweden)

  • Kristina Karstad

    (National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen, Denmark)

  • Reiner Rugulies

    (National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen, Denmark
    Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353 Copenhagen, Denmark
    Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353 Copenhagen, Denmark)

  • Gunnar Bergström

    (Department of Occupational Health Sciences and Psychology, Centre for Musculoskeletal Research, University of Gävle, Kungsbäcksvägen 47, 801 76 Gävle, Sweden
    Unit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Nobels Väg 13, 171 65 Stockholm, Sweden)

  • Andreas Holtermann

    (National Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen, Denmark)

  • David M. Hallman

    (Department of Occupational Health Sciences and Psychology, Centre for Musculoskeletal Research, University of Gävle, Kungsbäcksvägen 47, 801 76 Gävle, Sweden)

Abstract

This cross-sectional multilevel study aims at investigating the associations between psychosocial working conditions of different workplace levels and perceived physical exertion among eldercare workers. Data were obtained from the ‘Danish Observational Study of Eldercare work and musculoskeletal disorderS’ (DOSES) study, including 536 eldercare workers, nested in 126 wards and 20 nursing homes. Psychosocial working conditions were measured by the Copenhagen Psychosocial Questionnaire (COPSOQ). The physical workload was measured with a self-administered scale (0–10) rating perceived physical exertion. Multilevel linear mixed models were used to determine associations of psychosocial conditions between nursing homes, wards, and workers with physical exertion. Most of the variance in the perceived physical exertion was explained by differences between workers (83%), but some variance was explained by wards (11%) and nursing homes (6%). Workers employed in nursing homes with low influence ( p = 0.01) and poor leadership ( p = 0.02), and in wards with high quantitative demands ( p = 0.03), high work pace ( p < 0.001), and low justice ( p = 0.01) were at increased risk of reporting higher physical exertion. The strongest associations were found for low influence, low quality of leadership, and high work pace at nursing homes and ward levels. In conclusion, improving specific psychosocial working conditions at nursing home and ward levels may be of particular importance to reduce excessive physical workload in eldercare workers.

Suggested Citation

  • Leticia Bergamin Januario & Kristina Karstad & Reiner Rugulies & Gunnar Bergström & Andreas Holtermann & David M. Hallman, 2019. "Association between Psychosocial Working Conditions and Perceived Physical Exertion among Eldercare Workers: A Cross-Sectional Multilevel Analysis of Nursing Homes, Wards and Workers," IJERPH, MDPI, vol. 16(19), pages 1-13, September.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:19:p:3610-:d:271002
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    References listed on IDEAS

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    1. Marklund, Staffan & Bolin, Malin & von Essen, Jan, 2008. "Can individual health differences be explained by workplace characteristics?--A multilevel analysis," Social Science & Medicine, Elsevier, vol. 66(3), pages 650-662, February.
    2. Trinkoff, A.M. & Johantgen, M. & Muntaner, C. & Le, R., 2005. "Staffing and worker injury in nursing homes," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1220-1225.
    3. Janice Hegewald & Wera Berge & Philipp Heinrich & Ronny Staudte & Alice Freiberg & Julia Scharfe & Maria Girbig & Albert Nienhaus & Andreas Seidler, 2018. "Do Technical Aids for Patient Handling Prevent Musculoskeletal Complaints in Health Care Workers?—A Systematic Review of Intervention Studies," IJERPH, MDPI, vol. 15(3), pages 1-19, March.
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    1. Şengül Akdeniz & Mustafa Çoban & Orhan Koç & Mehtap Pekesen & Nilufer Korkmaz Yaylagul & Seda Sönmez & Filiz Yetiz & Gülüşan Özgün Başıbüyük & Mehmet Efe & Ayşe Dericioğulları Ergun & Özlem Özgür & Me, 2022. "Determination of Workload, Work Stress and Related Factors in Nursing Home Workers during the COVID-19 Pandemic in Turkey," IJERPH, MDPI, vol. 20(1), pages 1-13, December.
    2. Ana Mari Fité-Serra & Montserrat Gea-Sánchez & Álvaro Alconada-Romero & José Tomás Mateos & Joan Blanco-Blanco & Eva Barallat-Gimeno & Judith Roca-Llobet & Carles Muntaner, 2019. "Occupational Precariousness of Nursing Staff in Catalonia’s Public and Private Nursing Homes," IJERPH, MDPI, vol. 16(24), pages 1-7, December.

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