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dc.contributor.authorElbejjani, Martine
dc.contributor.authorAbed Al Ahad, Mary
dc.contributor.authorSimon, Michael
dc.contributor.authorAusserhofer, Dietmar
dc.contributor.authorDumit, Nuhad
dc.contributor.authorAbu-Saad Huijer, Huda
dc.contributor.authorDhaini, Suzanne R.
dc.identifier.citationElbejjani , M , Abed Al Ahad , M , Simon , M , Ausserhofer , D , Dumit , N , Abu-Saad Huijer , H & Dhaini , S R 2020 , ' Work environment-related factors and nurses’ health outcomes : a cross-sectional study in Lebanese hospitals ' , BMC Nursing , vol. 19 , 95 .
dc.identifier.otherPURE: 270686352
dc.identifier.otherPURE UUID: 9fa0591c-be8d-4c90-a1b6-652676b604bb
dc.identifier.otherORCID: /0000-0002-9006-730X/work/82179929
dc.descriptionThe proposed study was funded for 2 years (2018–2020) by the Medical Practice Plan funding award, Faculty of Medicine, American University of Beirut, Lebanon.en
dc.description.abstractBackground Worldwide, studies show a relationship between nurses’ health and some work environment factors; however, data on nurses’ health and self-perceived workload and nursing task allocation are lacking, particularly for Lebanese nurses. We assessed the relationship of several work environment factors: overall workload and specific temporal, physical, mental, effort, frustration, and performance demands (NASA Task Load Index), staffing resources and adequacy and leadership (Practice Environment Scale of Nursing Work Index), teamwork climate (Safety Attitudes Questionnaire), and nursing task allocation (Basel Extent of Rationing of Nursing Care)) with self-reported musculoskeletal, cardiovascular, skin, and mental health diseases (Work Ability Index) and emotional exhaustion (Maslach Burnout Inventory) among Lebanese nurses. Methods A cross-sectional self-report survey was distributed to all 289 registered nurses (RNs) in the medical, surgical, and pediatric units in two Lebanese university-affiliated hospitals; 170 RNs had complete data. Adjusted multivariable logistic regression models were used to estimate the association between work environment factors and health outcomes. Results The most prevalent outcomes were musculoskeletal disease (69%), emotional exhaustion (59%), and mental health problems (56%); 70% of RNs had ≥2 and 35.29% had ≥4 co-occurring health problems. Musculoskeletal disease was associated with higher overall (OR = 1.36 (95%CI = 1.03, 1.80)), temporal (OR = 1.30 (95%CI = 1.09, 1.55)), and physical demands (OR = 1.20 (95%CI = 1.03, 1.49)), higher task allocation to RNs (OR = 1.11 (95%CI = 1.01, 1.23)) and lower teamwork climate (OR = 0.60 (95%CI = 0.36, 0.98). Higher odds of mental/emotional problems were associated with higher overall, temporal, frustration, and effort demands, and lower teamwork climate, performance satisfaction, and resources adequacy (increased odds ranging from 18 to 88%). Work environment indicators were associated with higher co-occurrence of health problems. Conclusions Results show elevated health burden and co-morbidity among Lebanese RNs and highlight the value of comprehensive approaches that can simultaneously improve several work environment factors (namely self-perceived workload, teamwork,, resources, and nursing task allocation) to reduce this burden.
dc.relation.ispartofBMC Nursingen
dc.rightsCopyright © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.en
dc.subjectNurse's work environmenten
dc.subjectNurse's healthen
dc.subjectNurse's physical healthen
dc.subjectNurse's mental healthen
dc.subjectWork environment indicatorsen
dc.subjectRT Nursingen
dc.titleWork environment-related factors and nurses’ health outcomes : a cross-sectional study in Lebanese hospitalsen
dc.typeJournal articleen
dc.description.versionPublisher PDFen
dc.contributor.institutionUniversity of St Andrews.School of Geography & Sustainable Developmenten
dc.contributor.institutionUniversity of St Andrews.Population and Health Researchen
dc.description.statusPeer revieweden

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