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Multicenter Study
. 2018 Aug 27;15(9):1850.
doi: 10.3390/ijerph15091850.

Nurses' Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes

Carole Pélissier  1   2 , Barbara Charbotel  3   4 , Jean Baptiste Fassier  5   6 , Emmanuel Fort  7 , Luc Fontana  8   9
Affiliations
Multicenter Study

Nurses' Occupational and Medical Risks Factors of Leaving the Profession in Nursing Homes

Carole Pélissier et al. Int J Environ Res Public Health. .

Abstract

This study aimed to evaluate the association between intention to leave work, and working conditions and health status among female care-staff in nursing homes. A multicenter cross-sectional study included female care-staff in 105 nursing homes for the elderly. We used validated questionnaires to assess occupational, psychosocial and medical data in a multicenter transverse study. Univariate analysis on chi² test was performed with stratification according to job (nurse, nursing assistant), and variables found to be significant on each dimension were included on multivariate models. 1428 nursing assistants and 342 registered nurses were included. 391 nursing assistants and 85 registered nurses intended to leave their work with the elderly. The registered nurses' intention to leave was associated with deteriorated care-team or residents relations, and with perceived elevated hardship due to the proximity of residents' death. The nursing assistants' intention to leave was associated with deteriorated management relation, with job insecurity and elevated hardship due to the residents' intellectual deterioration. Impaired physical or psychological health status also correlated with this intention. Policy to reduce voluntary turnover of care-staff in nursing homes for the elderly could be based on multifactorial management, acting on work organization and reducing psychosocial stress.

Keywords: care workers’ intention to leave; impaired well-being; musculoskeletal complaints; nursing homes for the elderly; psychosocial factors.

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Conflict of interest statement

The authors declare no conflict of interest.

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