Work-redesign and Well-being in Nursing Homes for the Elderly: a Cross-sectional and Controlled-intervention Study
AbstractBackground: Job conditions in the field of nursing imply high risk factors for impaired well-being of employees. To analyse the associations between stressors, resources and well-being of nurses, we used a two-stage procedure including a cross-sectional study followed by a health-oriented work-redesign intervention. Methods: In Study 1, based on self-reported questionnaires we analysed the working conditions and indicators of psychophysical health of N=1848 nurses. In Study 2, based on data of shift observations and questionnaires a participatory work redesign intervention was conducted over a period of eight months using a baseline and follow-up assessment in the intervention (N=14) and control unit (N=14). Findings: Study 1 revealed significant associations between work stressors and caregiversâ€™ psychophysical health. Concerning procedural outcomes in Study 2, an unexpected change of leadership negatively influenced the organization and implementation of the developed solutions. Work-related stressors (e.g., time pressure) significantly increased in the control but not in the intervention ward at follow up evaluation. Discussion: We will discuss study limitations as well as specific critical challenges and implications for the evaluation of work-redesign interventions in nursing homes for the elderly.