lack of nurses many nurses leave their profession due to a work home conflict
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1 NEXT nurses early exit study once she was a nurse... NEXT-Study Group European co-ordination Hans-Martin Hasselhorn Bernd Hans Müller FB D Safety Engineering University of Wuppertal Gauss-Strasse 20 D Wuppertal, Germany next@uni-wuppertal.de Internet: Work Home Conflict among nurses in Europe - results from the European NEXT - Study (QLK6-CT ) Angelika Kuemmerling, Michael Simon, Hans-Martin Hasselhorn and the NEXT-Study Group University of Wuppertal the problems: lack of nurses many nurses leave their profession due to a work home conflict
2 the questions: work home conflict (WHC): 1. intensity? 2. European comparison? 3. consequences? 4. Which aspects at work are responsible for WHC? the tool: European NEXT-Study: assessing reasons, circumstances and consequences of premature departure from the nursing profession.
3 FIN The NEXT-Study:.. 10 participating countries S UK NL B PL D NEXT basic assessment nursing force 77,681 nurses contacted 39,893 respondents response rate 51% (32-77%) 585 institutions In this analysis: 27,603 registered nurses 8 countries
4 Work home conflict scale by Netemeyer et al. (1996) Th of work interfere with my home and family life. The amount of time my job takes makes it difficult to fulfil family responsibilities. Things I want to do at home do not get done because of th of my job. My job produces strain that makes it difficult to fulfil family duties. Due to work-related duties, I have to make changes to my plans for family activities. Work home conflict - 2 directions WORK work family conflict (WFC) family work conflict (FWC) HOME
5 Work family conflict & family work conflict scores (RN) WFC & FWC scores (mean) max work family conflict (WFC) family work conflict (FWC) min. BE D FIN FR IT NL PL SLK work family conflict - histogram frequency min. max work home conflict Std.dev. = mean = 42.2
6 the questions: work home conflict (WHC): 1. intensity? 2. European comparison? 3. consequences? 4. Which aspects at work are responsible for WHC? WFC vs burnout by quartiles mean burnout score (0-100) low medium low medium high high Belgium Germany Finland France Italy Norway Netherlands Poland work-family-conflict
7 WFC vs intention to leave the nursing profession by quartiles proportion frequently considering leaving the profession (%) low medium low medium high high Belgium Germany Finland France Italy Norway Netherlands Poland work family conflict the questions: work home conflict (WHC): 1. intensity? 2. European comparison? 3. consequences? 4. Which aspects at work are responsible for WHC?
8 model of work family conflict (Greenhaus and Beutell (1985) causes of WFC - multiple linear regression Belgium Germany Finland France Italy Netherlands Poland
9 causes of WFC - multiple linear regression Belgium Germany Finland France Italy Netherlands Poland causes of WFC - multiple linear regression Belgium Germany Finland France Italy Netherlands Poland day & night shift not regular day work day & night shift not day shift not day shift day & night shift not regular day work
10 causes of WFC - multiple linear regression Belgium Germany Finland France Italy Netherlands Poland day & night shift working hours/week not regular day work emotional demands day & night shift not day shift working hours/week gender (women+) not day shift emotional demands day & night shift not regular day work emotional demands working hours/week quality of leadership quality of leadership shift patterns and work family conflict day work regular hours day work others only night shift shift work without nights shift work with nights work familiy conflict score (+ 99% CI)
11 summary results highest predictor (= perceived work pressure) irregularity is second predictor unpredictability = leadership only on Poland and international benchmarking shows that WHC is not inevitable WFC may be a psychosocial topic at OH work the NEXT-Consortium D S D D B FIN F I NL UK UK PL PL SLK 1. University of Wuppertal, Hans-Martin Hasselhorn, Bernd Müller, Peter Tackenberg, Angelika Kümmerling, Michel Simon 2. Karolinska Institutet, Stockholm, Malin Josephson, Per Lindberg, Eva Vingård 3. Private University of Witten, Andreas Büscher, Steffi Stelzig 4. FIOSH, Dortmund, Karl Kuhn, Beate Beermann 5. UCL, Brussels, Sabine Stordeur, William D hoore 6. FIOSH, Turku, Marjukka Laine, Gustav Wickström 7. APHP, Paris, Madeleine Estryn Behar, Olivier Nezet, Claire Charton, Jean-Francois Caillard 8. University of Milano, Donatella Camerino, Paul Conway, Alberto Bertazzi 9. University of Twente, Beate van der Heijden, Esther van der Schoot 10. NCSR, London / Edinburgh, Simon Anderson 11. City University, London, Dinah Gould, Marina Fontenla 12. CIOP, Warszaw, Maria Widerszal-Bazyl, Pjotr Radkiewicz 13. Jagiellonian University Krakow, Janusz Pokorski, Joanna Pokorska, Halszka Oginska, Ewa Pietsch 14. P.J. Safarik University Kosice, Maria Kovarova, Alzbeta Hanzlikova, Marian Rimarcik, Marek Jurkovic
12 NEXT nurses early exit study once she was a nurse... Thank you! NEXT-Study Group European co-ordination Hans-Martin Hasselhorn Bernd Hans Müller FB D Safety Engineering University of Wuppertal Gauss-Strasse 20 D Wuppertal, Germany next@uni-wuppertal.de Internet: University of Wuppertal
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