Understanding sickness absence in nurses and personal support workers: Insights from frontline staff and key informants in Northeastern Ontario

Work ◽  
2020 ◽  
Vol 66 (4) ◽  
pp. 755-766
Author(s):  
Basem Gohar ◽  
Michel Larivière ◽  
Nancy Lightfoot ◽  
Elizabeth Wenghofer ◽  
Céline Larivière ◽  
...  
Keyword(s):  
Focus Group ◽  
Sickness Absence ◽  
Well Being ◽  
Healthcare Sector ◽  
Sickness Absenteeism ◽  
Key Informants ◽  
Staff Shortage ◽  
Personal Support ◽  
Personal Support Workers ◽  
Group Sessions

BACKGROUND: Nurses and personal support workers (PSWs) have high sickness absence rates in Canada. Whilst the evidence-based literature helped to identify the variables related to sickness absenteeism, understanding “why” remains unknown. This information could benefit the healthcare sector in northeastern Ontario and in locations where healthcare is one of the largest employment sectors and where nursing staff have high absence and turnover rates. OBJECTIVE: To identify and understand the factors associated with sickness absence among nurses and PSWs through several experiences while investigating if there are northern-related reasons to explain the high rates of sickness absence. METHODS: In this descriptive qualitative study, focus group sessions took place with registered nurses (n = 6), registered practical nurses (n = 4), PSWs (n = 8), and key informants who specialize in occupational health and nursing unions (n = 5). Focus group sessions were transcribed verbatim followed by inductive thematic analysis. RESULTS: Four main themes emerged, which were occupational/organizational challenges, physical health, emotional toll on mental well-being, and northern-related challenges. Descriptions of why such factors lead to sickness absence were addressed with staff shortage serving as an underlying factor. CONCLUSION: Despite the complexity of the manifestations of sickness absence, work support and timely debriefing could reduce sickness absence and by extension, staff shortage.

Leaveism and public sector reform: will the practice continue?

2014 ◽  
Vol 1 (2) ◽  
pp. 205-212 ◽  
Author(s):  
Ian Hesketh ◽  
Cary L. Cooper ◽  
Jonathan Ivy
Keyword(s):  
Public Sector ◽  
Employee Engagement ◽  
Sickness Absence ◽  
Well Being ◽  
Evaluation Tool ◽  
Public Sector Reform ◽  
Sector Reform ◽  
Sickness Absenteeism ◽  
Content Type ◽  
Organisational Effectiveness

Purpose – The purpose of this paper is to examine and report how the construct of “Well-being” is being recognised within the public services. Using research conducted in a northern provincial police force in the UK the paper explores the issues that may contribute to sickness absence, presenteeism and leaveism; a recently described manifestation of workload overload. As sweeping public sector reform results in reduced workforce and potentially static demand, the question asked here is, “how do organisations adapt to the shifting landscape and retain employee engagement in the workplace?” Design/methodology/approach – The study used A Short Stress Evaluation Tool to assess the risk of stress in the workforce. The questionnaire employed an online self-administered survey and collected data from 155 respondents on stress perceptions, health, attitude towards the organisation, job satisfaction and commitment to the organisation. Findings – Sickness absence figures receive detailed attention when it comes to managing employees, but they may not represent a reliable picture. In this study one-third of respondents indicated that they had taken leave when they had actually been ill or injured; leaveism. The concept of leaveism does not currently appear within sickness absence reporting mechanisms, and the authors would suggest that the omission of this concept leaves a lacuna in current thinking that may have significant impact on both individual and organisational performance. Research limitations/implications – This research clearly shows that the issue of leaveism is a valid concept and has potentially far-reaching consequences. This study has only touched on the first (of three) of the leaveism behaviours and is conducted solely in a policing environment (although non-warranted employees are included in the research cohort). Further research could include attempts to quantify elements two and three of leaveism, and explore to what extent these may impact on organisations undergoing public sector reform. Practical implications – Previous studies have highlighted the negative health effects on “stayers” in public sector downsizing exercises. This in turn raises the question of just how these “survivors” cope with the new regime; with potentially more work and less pay. The authors ask what behaviour cuts of this magnitude will eventually drive when the dust settles? As a consequence could the authors see an end to the practice of leaveism? In which case the authors could make the assumption that (in its first form) it may convert to sickness absenteeism? With a third of people surveyed conceding to the practice, this has far-reaching consequences. In comparison to presenteeism, which has no overt costs, this scenario presents an entirely different fiscal proposition. Originality/value – Leaveism, a recently described and under researched phenomenon, is a hidden source of potential abstractions from the workplace, and could impact enormously on organisational effectiveness. The motivation for the practice is unclear, and could be a manifestation of loyalty, enjoyment or duty. It could also be construed as a reaction to fear of job loss, redundancy or down grade. Whatever the underlying reason this study clearly illustrates the potentially harmful consequences to (public sector) organisations.

Unpaid informal carers: The ‘shadow’ workforce in health care

2020 ◽  
pp. 33-58
Author(s):  
A. Paul Williams ◽  
Janet M. Lum
Keyword(s):  
Human Resources ◽  
Well Being ◽  
Social Needs ◽  
Health Human Resource ◽  
Policy Makers ◽  
Social Closure ◽  
Personal Support ◽  
The Family ◽  
Personal Support Workers ◽  
Informal Carers

Much of the international literature on health human resources focuses on highly trained, regulated and visible professionals with exclusionary social closure in neo-Weberian terms, such as doctors and nurses. However, researchers and policy makers are now paying more attention to the increasingly important role played by less well-trained, often unregulated, and less visible occupations such as personal support workers. Beyond these categories of paid workers exists another mostly uncharted health human resource: unpaid, little trained, largely unregulated and invisible informal carers. They include the family, friends and neighbours who provide the bulk of everyday care required to support the well being and independence of growing numbers of people facing multiple chronic health and social needs in community settings. Focusing on Canada, this chapter documents the characteristics and contributions of informal carers, and highlights the challenging realities of informal caregiving – both from the perspective of carers and policy makers considering how best to support and encourage unpaid, informal carers without driving up formal health system costs.

Workload, workplace violence and harassment, and well-being of personal support workers in home and community care

2021 ◽  
Vol 76 (2) ◽  
pp. 312-335
Author(s):  
Firat K. Sayin ◽  
Margaret Denton ◽  
Catherine Brookman ◽  
Sharon Davies ◽  
Isik U. Zeytinoglu
Keyword(s):  
Job Satisfaction ◽  
Workplace Violence ◽  
Healthcare Workers ◽  
Community Care ◽  
Well Being ◽  
Negatively Associated ◽  
Personal Support ◽  
Home And Community Care ◽  
Personal Support Workers ◽  
Intrinsic Job Satisfaction

Demand for home and community care services has continuously increased in Canada and elsewhere in the last few decades due to aging of the population and healthcare policy changes shaped by budgetary limitations. As a result, home and community care organizations are having trouble hiring adequate numbers of healthcare workers to meet the escalating demand, the result being increased workload on these workers. Another stream of literature has shown that care recipients and their family members, frustrated with the limited ability of healthcare workers to provide adequate care because of increased workload, might resort to violence and harassment. Bringing these two streams of literature together, we examined the relationships among three variables : workload ; workplace violence and harassment ; and well-being of personal support workers (PSWs). Using structural equation modeling, we analyzed a 2015 Ontario-wide survey of 1,347 PSWs employed in the home and community care sector. The results indicate that workload is negatively associated with extrinsic and intrinsic job satisfaction, and this relationship is mediated by violence and harassment and by stress. Specifically, workload is positively associated with violence and harassment at work, which in turn is positively associated with stress, which in turn is negatively associated with extrinsic and intrinsic job satisfaction. Our study contributes to the literature by examining the impact of a work environment factor, workload, on the well-being of PSWs. This approach makes it possible to expand the current literature’s focus on psychological processes at the individual level to a more contextual approach. Furthermore, the results have important implications for home and community care organizations as well as for the healthcare sector in general. The well-being of PSWs is critical to retaining them and to ensuring the quality of care they provide their clients. Thus, their workload should be lowered to a more manageable level to help minimize the violence and harassment they experience.

scholarly journals Development of an Animal-Assisted Activity/Therapy Dog Checklist for Long-Term Care Facilities

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 854-854
Author(s):  
Karen Dunn ◽  
Amy Johnson ◽  
Melissa Winkle
Keyword(s):  
Focus Group ◽  
Long Term Care ◽  
Care Facility ◽  
Well Being ◽  
Term Care ◽  
Therapy Dog ◽  
Care Facilities ◽  
Therapy Standards ◽  
Group Sessions

Abstract Animal-assisted activities (AAA) and therapy standards of practice have been published to protect the well-being of animals, animal handlers, and the special populations of patients that benefit from this mode of treatment. Inconsistencies among practice standards with concerns surrounding the topics of dog welfare, human well-being, and zoonotic transmission have been reported. The purpose of this qualitative research study was to review published AAA and therapy standards with older adult populations for best practices, conduct focus group sessions with caregivers from long-term care facilities that allow therapy dog visitation, and synthesize findings into an AAA checklist to be used by long-term care facility decision-makers when interviewing or bringing in therapy dog teams. Comparative analyses utilizing a systematic and sequential approach was used to analyze the data from the focus group sessions. Due to the COVID-19 pandemic, only two focus group sessions at one long-term care facility were conducted resulting in a total of 15 caregivers. Four themes emerged from the data: promotes positive mood, essential resident screenings, caregiver roles, and memory aides. Relevant themes and AAA and therapy standards and guidelines were then combined in the development of the AAA/Therapy Dog Checklist. Administrators may find having a user-friendly AAA/therapy dog checklist a useful tool that can be used when interviewing therapy dog teams to ensure future dog therapy experiences will be positive and safe. The safety and well-being of residents in long-term care facilities and animals are essential to promote positive health outcomes for both populations.

What is first? Stressful life events, negative well-being or sickness absenteeism?

2002 ◽  
Author(s):  
T. van Vuuren ◽  
S. van der Heuvel ◽  
S. Andriessen ◽  
P. Smulders ◽  
P. Bongers
Keyword(s):  
Life Events ◽  
Stressful Life Events ◽  
Well Being ◽  
Stressful Life ◽  
Sickness Absenteeism

Policy Review: Dubai Health Authority’s COVID-19 Rapid Response

2020 ◽  
Vol 5 (Special) ◽  
Keyword(s):  
United Arab Emirates ◽  
Well Being ◽  
Healthcare Services ◽  
Rapid Response ◽  
Policy Implications ◽  
World Health ◽  
Healthcare Sector ◽  
Services Delivery ◽  
First Case ◽  
The World

Dubai Health Authority (DHA) is the entity regulating the healthcare sector in the Emirate of Dubai, ensuring high quality and safe healthcare services delivery to the population. The World Health Organization (WHO) declared COVID-19 a pandemic on the 11th of March 2020, indicating to the world that further infection spread is very likely, and alerting countries that they should be ready for possible widespread community transmission. The first case of COVID-19 in the United Arab Emirates was confirmed on 29th of January 2020; since then, the number of cases has continued to grow exponentially. As of 8th of July 2020 (end of the day), 53,045 cases of coronavirus have been confirmed with a death toll of 327 cases. The UAE has conducted over 3,720,000 COVID-19 tests among UAE citizens and residents over the past four months, in line with the government’s plans to strengthen virus screening to contain the spread of COVID-19. There were vital UAE policies, laws, regulations, and decrees that have been announced for immediate implementation to limit the spread of COVID- 19, to prevent panic and to ensure the overall food, nutrition, and well-being are provided. The UAE is amongst the World’s Top 10 for COVID-19 Treatment Efficiency and in the World’s Top 20 for the implementation of COVID-19 Safety measures. The UAE’s mission is to work towards resuming life after COVID-19 and enter into the recovery phases. This policy research paper will discuss the Dubai Health Authority’s rapid response initiatives towards combating the control and spread of COVID-19 and future policy implications and recommendations. The underlying factors and policy options will be discussed in terms of governance, finance, and delivery.

Dari Idealisme ke Pragmatisme: Pergeseran Paradigma dalam Pengembangan Hukum Ekonomi Syariah di Indonesia

2020 ◽  
Vol 14 (2) ◽  
pp. 191-210
Author(s):  
Addiarrahman Addiarrahman ◽  
Illy Yanti
Keyword(s):  
Focus Group ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Business World ◽  
Key Informants ◽  
The Public ◽  
Financial Products ◽  
Legal Consideration ◽  
Economic Law ◽  
Islamic Economic

This study seeks to understand the pragmatism of the development of sharia economic law, and its implications for Islamic financial products in Indonesia. The data comes from the results of interviews and focus group discussions with key informants from academics, practitioners, authorities, and the public. This research finds that pragmatism in the development of Islamic economic law is an approach that still dominates the DSN-MUI fatwas. The pragmatism style used is complex-eclectic pragmatism which is represented through makhārij al-fiqhiyyah, which is to choose a mild opinion by sticking to the strongest method or also called "taysīr al-manhajī". The use of this method is intended to ensure that the fatwa is truly able to answer the needs of the business world, as well as being in line with sharia principles. DSN-MUI also does not use maslahah as a legal consideration in a free or liberal way. Rather, it returns maslahah in consideration of the method, so that it is permissible to use the bay’ al-'inān contract only in a forced state (ḍarurah).

scholarly journals The Healthcare Sector Employer’s Duty of Care: Implications for Worker Well-Being

2021 ◽  
Vol 18 (11) ◽  
pp. 6015
Author(s):  
Melissa McDiarmid ◽  
Marian Condon ◽  
Joanna Gaitens
Keyword(s):  
Middle East ◽  
Healthcare Workers ◽  
Care Program ◽  
Well Being ◽  
Middle East Respiratory Syndrome ◽  
Worker Safety ◽  
Healthcare Sector ◽  
Duty Of Care ◽  
Protective Equipment ◽  
Extreme Risk

Pandemic diseases of this century have differentially targeted healthcare workers globally. These infections include Severe Acute Respiratory Syndrome SARS, the Middle East respiratory syndrome coronavirus Middle East respiratory syndrome coronavirus (MERS-CoV) and Ebola. The COVID-19 pandemic has continued this pattern, putting healthcare workers at extreme risk. Just as healthcare workers have historically been committed to the service of their patients, providing needed care, termed their “duty of care”, so too do healthcare employers have a similar ethical duty to provide care toward their employees arising from historical common law requirements. This paper reports on results of a narrative review performed to assess COVID-19 exposure and disease development in healthcare workers as a function of employer duty of care program elements adopted in the workplace. Significant duty of care deficiencies reported early in the pandemic most commonly involved lack of personal protective equipment (PPE) availability. Beyond worker safety, we also provide evidence that an additional benefit of employer duty of care actions is a greater sense of employee well-being, thus aiding in the prevention of healthcare worker burnout.

Focus on management and leadership in language centres: The needs and challenges of a language centre director

2019 ◽  
Vol 9 (2) ◽  
pp. 351-370
Author(s):  
Heidi Rontu ◽  
Ulla-Kristiina Tuomi ◽  
Petra Gekeler ◽  
Cristina Pérez Guillot ◽  
Sabina Schaffner
Keyword(s):  
Staff Development ◽  
Focus Group ◽  
Well Being ◽  
Leadership Challenges ◽  
Collegial Support ◽  
Professional Network ◽  
Threshold Network ◽  
Challenging Situation ◽  
Mentoring System ◽  
Management And Leadership

Abstract The organisational status and the main tasks of a university language centre are given different interpretations in different universities. Some language centres find themselves in a challenging situation where the centre’s existence seems to be at stake, whereas others prosper and find positively encouraging opportunities for the future. All this is reflected in the work of language centre directors across Europe. To discuss these challenges and to further develop the cooperation of directors, a Focus Group on Management and Leadership has been established by CercleS. The aim of the focus group is to create a low threshold-network for directors for sharing challenges and questions and by doing this to provide collegial support in management and leadership issues. The focus group conducted a survey in 2015 to learn more about the management and leadership challenges and the support needs of directors. In this paper, we will discuss the results of the focus group survey. The target is to discern common themes and develop recommendations for directors’ future professional cooperation. There will be a particular focus on sharing experiences and ideas for strategy work, staff development and funding, by creating a supportive professional network. Such a network includes a coaching and mentoring system for directors within the CercleS member language centres. The common theme is empowerment: supporting directors in a collegial framework to share experiences, develop their centres further, and increase their own personal well-being at work.

scholarly journals Interventions to reduce sickness absence among healthcare workers: a systematic review

2019 ◽  
Vol 8 (2) ◽  
pp. 147-162
Author(s):  
Laura Simmons ◽  
Arwel W. Jones ◽  
Niro Siriwardena ◽  
Christopher Bridle
Keyword(s):  
Systematic Review ◽  
Influenza Vaccination ◽  
Sickness Absence ◽  
Healthcare Workers ◽  
Healthcare Services ◽  
Primary Outcome Measure ◽  
Healthcare Sector ◽  
Intervention Programme ◽  
Content Type ◽  
Multicomponent Intervention

Purpose Sickness absence is a major concern for healthcare services and their employees with healthcare workers having higher sickness absence rates compared to the general population. The purpose of this paper is to systematically review randomised control trials (RCTs) that aimed to reduce sickness absence among healthcare workers. Design/methodology/approach A systematic review was conducted that aimed to include RCTs with study participants who were employed in any part of the healthcare sector. This review included any type of intervention with the primary outcome measure being sickness absence. Findings Seven studies were included in the review and consisted of one exercise-only intervention, three multicomponent intervention programmes, two influenza vaccination interventions and one process consultation. Three studies (exercise-only, one multicomponent intervention programme and one influenza vaccination intervention) were able to demonstrate a reduction in sickness absence compared to control. Research limitations/implications Due to the lack of high-quality evidence, this review identified that there are currently no interventions that healthcare organisations are able to use to effectively reduce sickness absence among their employees. This review also highlights the importance of a standardised measure of sickness absence for healthcare staff, such as shifts. Originality/value To the authors’ knowledge, this is the first systematic review to synthesise such evidence among healthcare workers.

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