https://doi.org/10.4081/gimle.678

[Mental health in hospitals. Analysis of risk conditions by department, age and gender aimed at developing good practices for nurses' health]

Salute mentale in ospedale Analisi delle condizioni di rischio per reparto, età e genere orientata alla costruzione di buone pratiche per la salute delle infermiere

Vol. 37 No. 1 (2015)
Published: January 20 2015
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Authors

Silvana Salerno
silvana.salerno@enea.it
ENEA Divisione di Biomedicina Ambientale, Rome, Italy.
Laura Dimitri
Azienda Sanitaria Locale Roma H, Rome, Italy.
Lucilla Livigni
Medicina del lavoro, Università di Tor Vergata, Rome, Italy.
Andrea Magrini
Medicina del lavoro, Università di Tor Vergata, Rome, Italy.
Irene Figà Talamanca
4 Dipartimento di Sanità Pubblica e Malattie Infettive, Università La Sapienza, Rome, Italy.

Background. Nurses mental health is still a major and unachieved goal in many public hospital settings. Hospital work organization analysis shows differences in health professions, hospital units, age and gender.
Objectives. To analyse work organisation and its effects on nurses mental health in three high risks hospital units (Oncoematology, First Aid, General Medicine) in order to improve good practices for nurses health.
Methods. The Method of Organizational Congruences (72 hours of observation) has been used to detect organizational constraints and their possible effects on nurses' mental health. General Health Questionnaire (Goldberg D., 12 items) and the Check up Surveys for burnout (Leiter MP and Maslach C.) have been used to evaluate the mental health status of the 80 nurses employed (78% women).

Results. High emotional work load in Oncoematology Unit, high monotony and repetitiveness with lower emotional load in First Aid Unit, high mental and physical workload in General Medicine Unit. Burnout was significantly higher in General Medicine Unit, followed by First Aid Unit and Oncoematology Unit. Female nurses reported more chronic diseases than males. The GHQ showed high frequency of minor psychiatric disorders (58%) in all units, higher in General Medicine Unit (78%).
Conclusions. The overall results show how organisational constraints and mental health conditions differ per hospital units, age groups and gender. Good nursing practices, to prevent mental health problems, should therefore be developed specifically in each hospital unit according to these results.

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1) Barbini N, Gorini G, Ferrucci L, Biggeri A. The role of professional activity in arterial hypertension. G Ital Med Lav Erg 2007; 29(2): 174-81.
2) Biron AD, Lavoie-Tremblay M, Loiselle CG. Characteristics of work interruptions during medication administration. J Nurs Scholarsh 2009; 41(4): 330-6.
3) Camerino D, Conway PM, van der Heijden BI, Estryn-Béhar M, Costa G, Hasselhorn HM. Age-dependent relationships between work ability, thinking of quitting the job, and actual leaving among Italian nurses: a longitudinal study. Int J Nurs Stud 2008 Nov; 45(11): 1645-59.
4) Caruso A, Vigna C, Bigazzi V, Sperduti I, Bongiorno L, Allocca A. Burnout among physicians and nurses working in oncology. Med Lav 2012; 103(2): 96-105.
5) Debergh DP, Myny D; Van Herzeele I; Van Maele G, Reis Miranda D, Colardyn F. Measuring the nursing workload per shift in the ICU. Intensive Care Med 2012; 38(9): 1438-44.
6) Figà Talamanca I. Differenze di genere nella valutazione del rischio lavorativo: temi per la formazione ed esigenze di ricerca. Genere e stress lavoro-correlato: due opportunità per il "Testo Unico" Verso l'elaborazione di linee guida. Ed. INAIL, Roma 2009: 89-100.
7) Goldberg D. The detection of psychiatric illness by questionnarie. Oxford University Press, 1972.
8) Cristofolini A, Garrino L, Maffei L, Mussano R, Rulli G, Grieco A, Maggi B. The Method of Organizational Congruencies in a Research Programme on hospital work. In Y. Quéinnec and F. Daniellou (eds): Proceedings of the 11*h Congress of the International Ergonomics Association Paris, Ed. Taylor & Francis, London 1991: 1260-1261.
9) http://www.epicentro.iss.it/focus/cardiovascolare/pdf/OEC20082012.pdf.
10) https://osha.europa.eu/en/practical-solutions/en_good-practice_ 2009.pdf.
11) http://www.lavoro.gov.it/lavoro/sicurezzalavoro/MS/buoneprass1/ default.
12) Leiter MP e Maslach C. Come prevenire il burnout e costruire l'impegno (Organizational check up Survey) fornita a pagamento da Giunti-Organizzazioni speciali di Firenze (2005).
13) Letvak S, Ruhm CJ, Mc Coy T. Depression in hospital-employed nurses. Clin Nurse Spec 2012; 26 (3): 177-82.
14) Li J, Galatsch M, Siegrist J, Müller BH, Hasselhorn HM; European NEXT Study group. Reward frustration at work and intention to leave the nursing profession-prospective results from the European longitudinal NEXT study. Int J Nurs Stud 2011; 48(5): 628-35.
15) Maggi B, Grieco A. Il Metodo delle Congruenze Organizzative per lo studio dei rapporti tra lavoro organizzato e salute. Un esempio di applicazione nel settore metallurgico. In G. Battista, P. Catalano (eds), Aspetti emergenti dei rischi e della patologia nel settore della metalmeccanica leggera e delle fonderie di seconda fusione, Atti del Convegno della Regione Toscana, USL 19, Poggibonsi - Colle Val d'Elsa - San Gimignano, 1986.
16) Magrini A, Livigni L, Pietroiusti A, Bergamaschi A. L'analisi di clima come strumento diagnostico per indagare il benessere delle persone sul posto di lavoro. G Ital Med Lav Erg 2008: 30: 1. suppl. 347-351.
17) Mark G, Smith AP. Occupational stress, job characteristics, coping, and the mental health of nurses. Br J Health Psychol 2012; Sep; 17(3): 505-21.
18) Messing K, Silverstein BA. Gender and occupational health. Scand J Work Environ Health 2009; 35 (2): 81-3.
19) Mucci N, Montalti M, Bini C, Cupelli V, Arcangeli G. Valutazione dell'impatto del lavoro notturno sulla salute in una popolazione di lavoratori della Toscana. G Ital Med Lav Erg 2012; 34: 3, Suppl, 381-384.
20) Pisanti R, Van der Doef M, Maes S, Lazzari D, Bertini M. Job characteristics, organizational conditions, and distress/well-being among Italian and Dutch nurses: a cross-national comparison. Int J Nurs Stud 2011; 48 (7): 829-37.
21) Rugless MJ Taylor DM. Sick leave in the emergency department: staff attitudes and the impact of job designation and psychosocial work conditions. Emerg Med Australas 2011; 23 (1): 39-45.
22) Rulli G, Cristofolini A, Bianco R, Garrino L, Maffei L, Mussano R, Maggi B. Organizational analysis of hospital work: identification of constraint elements and hypothesis of their relationship with nurses' wellbeing. Med Lav 1995; 86 (1): 3-15.
23) Salerno S, Livigni L, Magrini A, Figà Talamanca I. Gender and ergonomics: a case study on the "non formal" work of women nurses. Ergonomics 2012; 55 (2), 140-146.
24) Salerno S, Canulla M, Figà Talamanca I. Ageing in nursing: a ten year follow up study. In Costa G, Goedhard W, Ilmarinen J. (eds): Assessment and promotion of work ability, health and well-being of ageing workers. Verona, 18-20 October 2004. Elsevier, 2005: 124-129.
25) Siegrist J. Effort-reward imbalance at work and depression: Current research evidence. Nervenarzt 2013 Jan; 84(1): 33-7.
26) Tanaka M, Tanaka K, Kato N, Watanabe M, Miyaoka H. Analysis of risk of medical errors using structural-equation modelling: a 6-month prospective cohort study. BMJ Qual Saf 2011 Jul 12.

How to Cite



[Mental health in hospitals. Analysis of risk conditions by department, age and gender aimed at developing good practices for nurses’ health]: Salute mentale in ospedale Analisi delle condizioni di rischio per reparto, età e genere orientata alla costruzione di buone pratiche per la salute delle infermiere. (2015). Giornale Italiano Di Medicina Del Lavoro Ed Ergonomia, 37(1), 46-55. https://doi.org/10.4081/gimle.678
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