TY - JOUR
T1 - Psychosocial work environment and mental health-related long-term sickness absence among nurses
AU - Roelen, Corné A.M.
AU - van Hoffen, Marieke F.A.
AU - Waage, Siri
AU - Schaufeli, Wilmar B.
AU - Twisk, Jos W.R.
AU - Bjorvatn, Bjørn
AU - Moen, Bente E.
AU - Pallesen, Ståle
PY - 2018/2/1
Y1 - 2018/2/1
N2 - 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.
AB - 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.
KW - Absenteeism
KW - Job demands-resources model
KW - Mental health
KW - Nurses
KW - Psychosocial work environment
KW - Sick leave
UR - http://www.scopus.com/inward/record.url?scp=85031429816&partnerID=8YFLogxK
U2 - https://doi.org/10.1007/s00420-017-1268-1
DO - https://doi.org/10.1007/s00420-017-1268-1
M3 - Article
C2 - 29032390
SN - 0340-0131
VL - 91
SP - 195
EP - 203
JO - International Archives of Occupational and Environmental Health
JF - International Archives of Occupational and Environmental Health
IS - 2
ER -