| Titre : | Prevalence of Occupational Constraints among Healthcare Professionals and Associations with Employment Sustainability (Intentions to Stay) in the Hospital Sector: An Analysis from the 2019 French National Working Conditions Survey |
| Auteurs : | Sandra Chiamaka Chimezie ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2024 |
| Description : | 60p. / fig., tabl. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Hôpital ; Hôpital public ; Hôpital privé ; Profession santé ; Soignant ; Condition travail ; Facteur psychosocial ; Temps travail ; Organisation travail ; Exposition professionnelle ; Agent pathogène ; Pollution chimique ; Posture ; Maintien dans l'emploi |
| Résumé : |
Objectives: The healthcare sector faces significant sustainability challenges due to a worsening global shortage of healthcare professionals, with a critical imbalance between the demand for healthcare services and the availability of healthcare workers. Despite being the backbone of any functioning health system, healthcare workers frequently encounter occupational constraints that impact their well-being, job satisfaction and ultimately job retention, highlighting the urgent need to ensure their right to healthy and safe working conditions. The study aims to explore the prevalence of occupational constraints among healthcare workers by type of occupation and according to the type of establishments (public or private hospitals) and assess the association between healthcare workers’exposures to occupational constraints and their intentions to stay.
Methods: Data were collected from the French cross-sectional Working conditions survey conducted in 2019. We included 2,158 healthcare workers employed in public and private hospitals. Occupational constraints were assessed across five domains: psychosocial factors, physical constraints, biomechanical constraints, working-time constraints, and organisational work-change factors. Logistic regression models were used to analyze the association between these constraints and the intention to stay in the job, adjusting for sociodemographic factors and health characteristics. Results: The prevalence of intention to stay until retirement varied across healthcare professionals but was similar overall in public hospitals and in private hospitals (47% and 42% respectively). Significant associations were observed between various occupational constraints and decreased intention to stay. Psychosocial factors such as high job insecurity (OR=0.78, 95% CI: 0.62-1.0), high emotional demands (OR=0.77, 95% CI: 0.60-1.0), and limited possibilities for development (OR=0.61, 95% CI: 0.48-0.77) were significantly associated with lower odds of intending to stay. Biomechanical exposures and organisational work-change factors also emerged as significant deterrents to job retention, particularly among nurses and nursing assistants. Conclusion: The study highlights the complex nature of occupational constraints and their varying impacts on different healthcare occupational categories. Addressing psychosocial factors such as enhancing autonomy, ensuring job security, and providing opportunities for professional development could enhance job retention across healthcare professions and implementing ergonomic interventionscould mitigate the impact of biomechanical constraints, particularly for nurses and nursing assistants. Tailored interventions that address the unique occupational constraints faced by each healthcare profession are crucial for promoting a sustainable healthcare workforce |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2024/mph/sandra_chiamaka_chimezie.pdf |
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