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The Extent of Psychosocial Distress among Immigrant and Non-Immigrant Homecare Nurses—A Comparative cross Sectional Survey

Author

Listed:
  • Benjamin Schilgen

    (Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany)

  • Albert Nienhaus

    (Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), Institute for Health Services Research in Dermatology and Nursing, University Medical Centre Hamburg-Eppendorf, Bethanien-Höfe Eppendorf, Martinistraße 52, 20246 Hamburg, Germany
    Department of Occupational Health Research, German Social Accident Insurance Institution for the Health and Welfare Services, Pappelallee 33/35/37, 22089 Hamburg, Germany)

  • Mike Mösko

    (Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246 Hamburg, Germany)

Abstract

In times of demographic change, most developed countries are increasingly looking to cover the growing domestic demand for healthcare by hiring nurses from abroad. The evidence concerning the health of immigrant care workers is inconsistent since studies report that it is either better or more impaired than that of their non-immigrant counterparts. This study compared the extent of occupational psychosocial stressors and resources affecting immigrant and non-immigrant homecare nurses. The cross-sectional survey was conducted in the homecare nursing service sector in Hamburg. Psychosocial distress, depressive symptomatology, generalized anxiety, somatic symptom burdens, homecare-specific qualitative stressors, as well as resources, have been measured using a standardized questionnaire. There was no significant difference in the extent of psychosocial distress experienced by immigrant and non-immigrant homecare nurses. Somatic symptom burdens most strongly predicted nurses’ psychosocial distress, in general. For immigrant nurses, greater influence and freedom at work, as well as fixed-term employment, was related to increased levels of distress, while age, working full time, and working overtime predicted distress in non-immigrant nurses. A functioning relationship with colleagues and superiors had a declining effect on immigrant nurses’ psychosocial distress, while shift work arrangements benefitted non-immigrant nurses. Even though the extent of psychosocial distress experienced by immigrant and non-immigrant nurses did not significantly differ, the nurse’s individual explanatory model of psychosocial health should be considered in every occupational and political context.

Suggested Citation

  • Benjamin Schilgen & Albert Nienhaus & Mike Mösko, 2020. "The Extent of Psychosocial Distress among Immigrant and Non-Immigrant Homecare Nurses—A Comparative cross Sectional Survey," IJERPH, MDPI, vol. 17(5), pages 1-20, March.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1635-:d:327813
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    References listed on IDEAS

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    1. Laura Helbling & Shireen Kanji, 2018. "Job Insecurity: Differential Effects of Subjective and Objective Measures on Life Satisfaction Trajectories of Workers Aged 27–30 in Germany," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 137(3), pages 1145-1162, June.
    2. Natalia Stanulewicz & Emily Knox & Melanie Narayanasamy & Noureen Shivji & Kamlesh Khunti & Holly Blake, 2019. "Effectiveness of Lifestyle Health Promotion Interventions for Nurses: A Systematic Review," IJERPH, MDPI, vol. 17(1), pages 1-36, December.
    3. Benjamin Schilgen & Albert Nienhaus & Oriana Handtke & Holger Schulz & Mike Mösko, 2017. "Health situation of migrant and minority nurses: A systematic review," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-28, June.
    4. Shields, Michael A & Price, Stephen Wheatley, 2002. "Racial Harassment, Job Satisfaction and Intentions to Quit: Evidence from the British Nursing Profession," Economica, London School of Economics and Political Science, vol. 69(274), pages 295-226, May.
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