ABSTRACT
INTRODUCTION: Since the Sars-Cov-2 pandemic, the working conditions of professional caregivers have tougher. This has lead to an increased desire to leave the profession. Since thoughts of leaving are influenced by factors such as ability to work and the relationship between effort and reward, both should be recorded and examined in relation to the desire to leave the profession. METHODOLOGY: In a standardized, online-based cross-sectional study, nurses from all areas were asked about their ability to work (Work Ability Index: WAI), the ratio of effort and reward (Effort-Reward-Imbalance: ERI-Ratio) as well as their desire to either leave the job or to change employers. RESULTS: A total of 2,689 questionnaires returned by nurses (average 41.3 years old, 75.1% female) were evaluated. The WAI indicates an average working ability (37.9 (6.7)). Nurses put in more effort than they get rewarded for (ERI ratio 1.7 (0.5)). 38.3% of the nurses considered leaving their job several times a month or more frequently, 30.6% to change their employers. Predicting factors were WAI (OR 0.881, 95%-CI 0.866; 0.897 and 0.923, 95%-CI 0.908; 0.938) and ERI ratio (OR 4.076, 95%-CI 3.224; 5.149 and 4.203, 95%-CI 3.312; 5.334). CONCLUSION: The ability to work and, in particular, the perception of professional effort and the reward received becomes apparent as having an influence on the idea of leaving the profession. The present results show that the ERI is of particular importance. Accordingly, it is important to find out which reward factors have a positive effect on remaining in the profession. The proportion of nurses with an academic degree is higher than expected which might have influenced the results.
Subject(s)
COVID-19 , Nurses , Humans , Female , Adult , Male , Cross-Sectional Studies , Job Satisfaction , COVID-19/epidemiology , Germany/epidemiology , SARS-CoV-2 , Reward , Surveys and Questionnaires , Stress, Psychological , WorkloadSubject(s)
Advanced Practice Nursing/methods , Case Management/organization & administration , Clinical Competence , Nursing Service, Hospital/organization & administration , Advanced Practice Nursing/education , Cooperative Behavior , Curriculum , Education, Nursing, Graduate , Emergency Nursing/methods , Emergency Nursing/organization & administration , Female , Humans , Interdisciplinary Communication , Length of Stay , Middle Aged , Nursing Assessment/methods , Patient Admission , Patient Discharge , Pulmonary Disease, Chronic Obstructive/diagnosis , Pulmonary Disease, Chronic Obstructive/nursing , Pulmonary Disease, Chronic Obstructive/therapyABSTRACT
BACKGROUND: Urinary incontinence is a common health problem, particularly in nursing homes. However, neither its prevalence at the time of entry nor its incidence in the first six months of residence has been assessed in the German nursing home population. Few studies have been performed to identify risk factors for new-onset urinary incontinence. Possible protective factors have not yet been analyzed for Germany. AIM: The study assesses the entry and overall prevalence of urinary incontinence in German nursing homes as well as its incidence during the first six months after entry. It also identifies factors that increase the risk of new-onset urinary incontinence after entry as well as those that promote preservation/restoration of the continence capacity. METHOD: A secondary analysis (cross-section and longitudinal section) was conducted to examine resident- related data recorded by the electronic health care documentation system of a provider with 47 nursing homes. The random sample comprised 2466 (cross-section) and 2000 persons (longitudinal section). RESULTS: Urinary incontinence was seen in 79.5% of residents at the time of entry. Its prevalence rose to 83% after six months. The overall prevalence was 87.3% (2153 of 2466). Bivariate analysis showed a disproportionately high incidence of new-onset urinary incontinence among residents with adequate physical and mental resources and low care needs at the time of entry. Constructing course variables in the bivariate analysis revealed that new-onset urinary incontinence correlated highly with deterioration of the overall physical constitution, the ability to walk and move, and the mental condition, whereas restoration of the continence capacity was clearly associated with improvement in these areas. CONCLUSIONS: The results show that preserving and promoting the mental and physical capacities of residents are the most important preventive and rehabilitating measures for counteracting the development of incontinence after nursing home entry.
