Health-related quality of life and working conditions among nursing providers

• Autor(a) principal: Silva, Amanda Aparecida
• Data de Publicação: 2010
• Outros Autores: Souza, José Maria Pacheco de, Borges, Flávio Notarnicola da Silva, Fischer, Frida Marina
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/32823
• topic: Recursos Humanos de Enfermagem; Condições de Trabalho; Qualidade de Vida; Nível de Saúde; Estudos Transversais; Fatores psicossociais no trabalho; Personal de Enfermería; Condiciones de Trabajo; Calidad de Vida; Estado de Salud; Estudios Transversales; Fatores psicossociais en el trabajoo; Nursing Staff; Working Conditions; Quality of Life; Health Status; Cross-Sectional Studies; Psychosocial factors at work

OBJECTIVE: To evaluate working conditions associated with health-related quality of life (HRQL) among nursing providers. METHODS: Cross-sectional study conducted in a university hospital in the city of São Paulo, Southeastern Brazil, during 2004-2005. The study sample comprised 696 registered nurses, nurse technicians and nurse assistants, predominantly females (87.8%), who worked day and/or night shifts. Data on sociodemographic information, working and living conditions, lifestyles, and health symptoms were collected using self-administered questionnaires. The following questionnaires were also used: Job Stress Scale, Effort-Reward Imbalance (ERI) and Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Ordinal logistic regression analysis using proportional odds model was performed to evaluate each dimension of the SF-36. RESULTS: Around 22% of the sample was found to be have high strain and 8% showed an effort-reward imbalance at work. The dimensions with the lowest mean scores in the SF-36 were vitality, bodily pain and mental health. High-strain job, effort-reward imbalance (ERI>;1.01), and being a registered nurse were independently associated with low scores on the role emotional dimension. Those dimensions associated to mental health were the ones most affected by psychosocial factors at work. CONCLUSIONS: Effort-reward imbalance was more associated with health than high-strain (high demand and low control). The study results suggest that the joint analysis of psychosocial factors at work such as effort-reward imbalance and demand-control can provide more insight to the discussion of professional roles, working conditions and HRQL of nursing providers.