Work Ability and Psychosocial Factors in Healthcare Settings During COVID-19 Pandemic – Specific Focus on Ageing Workers

Kurashvili, Mari; Reinhold, Karin; Järvis, Marina

doi:10.2478/eb-2022-0011

Cited by 3 publications

(1 citation statement)

References 50 publications

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“…Investment in developing nurses' AMR competencies could be particularly important in the Georgian context.As surgeon and administrator participants noted, while nurses played an important role in ASP, many did not have sufficient qualifications. This is corroborated by reporting that patient and health outcomes in Georgia are affected by a nursing shortage, affected by factors such as low wages, professional development opportunities, labour migration, and social stigma (22)(23)(24). Barriers to health worker ASP uptake related to the ASP delivery and health system context.Non-introduced hospital participants lacked awareness of the SAP project.…”

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confidence: 82%

A qualitative study on factors influencing health workers’ uptake of a pilot surgical antibiotic prophylaxis stewardship programme in selected Georgian hospitals

Narayan,

Warsi,

Kachkachishvili

et al. 2024

Preprint

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Antimicrobial misuse in surgical antibiotic prophylaxis (SAP) can include the inappropriate use of broad-spectrum antibiotics or prolonged dosing. In 2021, a pilot antimicrobial stewardship programme (ASP) was launched in Georgia, which involved developing and adapting SAP guidelines, establishing an interprofessional SAP prescribing approach, collecting surgical site infection (SSI) data via routinely collected data and telephonic patient follow-ups, and providing surgical unit staff with prescribing feedback and training on antimicrobial resistance (AMR) and antimicrobial stewardship (AMS). ASP introduction was staggered across ten hospitals over three years.This study explored behavioural determinants of surgical teams’ ASP uptake in five hospitals where the ASP was introduced or about to be introduced. Findings primarily concerned epidemiologists’ and nurses’ ASP-related behaviour. Those at ASP non-introduced hospitals were less involved in the SAP prescribing process, had lower AMR awareness, and lacked professional development opportunities. Those at ASP-introduced hospitals exhibited higher AMR knowledge and felt ASP participation boosted confidence, facilitated work, and furnished key professional development.Results indicate interprofessional collaboration on SAP prescribing supported ASP uptake across teams, and investment in health worker training and administrative encouragement ensured effective ASP participation and implementation. Findings highlight the crucial role of epidemiologists in SAP and illustrate a need for developing Georgian nurses’ AMR competencies as a vehicle to address public AMR knowledge gaps. Longer-term ASP uptake will need to consider the regulatory context in which hospitals lack access to national-level SSI data and feedback on SSI reporting but are fined for reporting non-compliance.Despite resource limitations and a small sample size, the study engaged all pilot ASP health workers. Respondents’ inexperience of qualitative research participation and ensuant hesitation limited exploration of motivational factors supporting health workers’ ASP uptake, which could be explored in further research.

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confidence: 82%

A qualitative study on factors influencing health workers’ uptake of a pilot surgical antibiotic prophylaxis stewardship programme in selected Georgian hospitals

Narayan,

Warsi,

Kachkachishvili

et al. 2024

Preprint

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Psychosocial hazards: An overview and industrial relations perspective

Quinlan

2023

Journal of Industrial Relations

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The past two decades witnessed rapidly growing interest in psychosocial hazards at work. The paper overviews the state of knowledge of psychosocial hazards, demonstrating they have long existed, are present in virtually all work settings but seem to becoming more prevalent due to changes in work and society over the past four decades. A number of models seeking to explain psychosocial hazards are critically examined. It is argued there a number of superior alternatives to the currently dominant model–the Job Demands Resources (JDR) model–and these models are more closely aligned to areas of interest to industrial relations. It argues that the combination of several models or a new model based on their strengths could provide both a better understanding of the underlying causes of psychosocial hazards and in turn inform more effective interventions. Drawing on the last point the final sections of the paper consider industry, NGO and union interventions to address psychosocial hazards and the evolving regulatory framework. The paper argues for historically informed industrial relations (IR) perspective using superior models to better understand and address psychosocial hazards.

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Correlations between well-being of nurses and psychosocial working conditions – a descriptive cross-sectional study

Tomaszewska,

Kowalczuk,

Majchrowicz

2024

Front. Public Health

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IntroductionWork in health care is classified as a difficult profession and nurses are considered among the professional group that is exposed to the permanent impact of occupational stress. Psychosocial working conditions and related hazards are defined as those aspects that have the potential to cause harm to an employee’s mental or physical health. Lack of psycho-physical health well-being reduces job satisfaction and thus job commitment.AimThe aim of this study was to assess the overall well-being of nurses and examine the correlation between nurses’ well-being and their assessment of psychosocial working conditions in conjunction with occupational and demographic factors.Materials and methodsA descriptive cross-sectional survey was conducted among 526 nurses employed in a selected public clinical hospital in Poland. All nurses provided labor during the survey. A diagnostic survey method using the standardized Psychosocial Working Conditions questionnaire based on the demands-control-support stress model was used for measurement.ResultsThe examined nurses rated highly job demands (mean 3.46) as well as the scale of desired changes (mean 3.44). The ability to control their work (mean 3.19) and the level of social support (mean 3.21) were rated at a slightly lower level. The scale of well-being was rated highest by respondents (mean 3.68). Several statistically significant correlations (p < 0.05) can be observed between the well-being scale and the other scales of psychosocial working conditions across age categories. The least correlated are the well-being and demands scales, although as age increases with higher levels of well-being, the demands scale scores decrease.ConclusionThe well-being of the examined nurses was closely related to sociodemographic data and the individual scales of the Psychosocial Working Conditions questionnaire. Chronic diseases are associated with greater demands at work and reduced well-being. Respondents who receive higher levels of support at work experience higher levels of well-being.

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Work Ability and Psychosocial Factors in Healthcare Settings During COVID-19 Pandemic – Specific Focus on Ageing Workers

Cited by 3 publications

References 50 publications

A qualitative study on factors influencing health workers’ uptake of a pilot surgical antibiotic prophylaxis stewardship programme in selected Georgian hospitals

A qualitative study on factors influencing health workers’ uptake of a pilot surgical antibiotic prophylaxis stewardship programme in selected Georgian hospitals

Psychosocial hazards: An overview and industrial relations perspective

Correlations between well-being of nurses and psychosocial working conditions – a descriptive cross-sectional study

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