Psychosocial work environment and mental health-related long-term sickness absence among nurses
- PMID: 29032390
- PMCID: PMC5797212
- DOI: 10.1007/s00420-017-1268-1
Psychosocial work environment and mental health-related long-term sickness absence among nurses
Abstract
Purpose: We investigated which job demands and job resources were predictive of mental health-related long-term sickness absence (LTSA) in nurses.
Methods: The data of 2059 nurses were obtained from the Norwegian survey of Shift work, Sleep and Health. Job demands (psychological demands, role conflict, and harassment at the workplace) and job resources (social support at work, role clarity, and fair leadership) were measured at baseline and linked to mental health-related LTSA during 2-year follow-up. Cox regression models estimated hazard ratios (HR) and related 95% confidence intervals (CI). The c-statistic was used to investigate the discriminative ability of the Cox regression models.
Results: A total of 1533 (75%) nurses were included in the analyses; 103 (7%) of them had mental health-related LTSA during 2-year follow-up. Harassment (HR = 1.07; 95% CI 1.01-1.17) and social support (HR = 0.92; 95% CI 0.87-0.98) were associated with mental health-related LTSA. However, the Cox regression model did not discriminate between nurses with and without mental health-related LTSA (c = 0.59; 95% CI 0.53-0.65).
Conclusions: Harassment was positively and social support at the workplace was negatively related to mental health-related LTSA, but both failed to discriminate between nurses with and without mental health-related LTSA during 2-year follow-up.
Keywords: Absenteeism; Job demands-resources model; Mental health; Nurses; Psychosocial work environment; Sick leave.
Conflict of interest statement
Funding
The longitudinal Survey of Shift work, Sleep and Health (SUSSH) was funded by the Health Authorities Western Norway Helse Vest, Nordforsk Nordic Program on Health and Welfare, and the Norwegian Nurses Organization. The present study used SUSSH data for secondary analyses, but was not funded.
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
The Survey of Shift work, Sleep, and Health (SUSSH) was conducted in accordance with the ethical standards of the Regional Committee for Medical Research Ethics West-Norway (REK-WEST 088.08) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The Norwegian Data Inspectorate gave formal consent for the use of SUSSH data for the present study.
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