Share This Article:

Psychosocial Health and Workability among Staff Working with People with Cognitive Restrictions and Intellectual Disabilities

Full-Text HTML XML Download Download as PDF (Size:2502KB) PP. 2481-2489
DOI: 10.4236/health.2014.618285    2,306 Downloads   2,640 Views   Citations

ABSTRACT

Little is known about the psychosocial work situation among staff working with people with cognitive restrictions, and research is needed. Aim: The aim of this study was to describe the symptom panorama and psychosocial work situation of staff working with people with cognitive restrictions and to identify predictors for their job satisfaction and workability. A cross sectional study was performed. Method: The Questionnaire Psycho Social Nordic (QPS-Nordic questionnaire) was used. Results: The results showed that the majority of the staff working with people with cognitive restrictions were satisfied with their job, but musculoskeletal symptoms were described by 40%. Decision demands at work were high compared to quantitative and learning demands. Musculoskeletal symptoms were related to low ability to master the work, low job control and high job demands. Symptoms from the neck region were correlated to stress. A low level of neck pain was related to a high level of job satisfaction. Predictors for workability were positive challenges in work and not being hindered by musculoskeletal symptoms in work. Predictors for job satisfaction were mastery, workability and not having pain during the last 7 days. Conclusion: Due to the relatively small sample the results should be interpreted with caution. The results indicated that positive challenges in work and not being hindered by musculoskeletal disorders predicted workability in this group and that mastery, workability and not having pain during the last 7 days predicted job satisfaction.

Cite this paper

Kjellstrand, C. and Gard, G. (2014) Psychosocial Health and Workability among Staff Working with People with Cognitive Restrictions and Intellectual Disabilities. Health, 6, 2481-2489. doi: 10.4236/health.2014.618285.

References

[1] World Health Organization (WHO) (2000) Health Promotion: Bridging the Equity Gap. The 5th Global Conference on Health Promotion, Mexico City.
[2] Shain, M. and Kramer, D.M. (2004) Health Promotion in the Workplace: Framing the Concept; Reviewing the Evidence. Occupational and Environmental Medicine, 61, 643-648.
http://dx.doi.org/10.1136/oem.2004.013193
[3] Ilmarinen, J. (2009) Work Ability: A Comprehensive Concept for Occupational Health, Research and Prevention. Scandinavian Journal of Work Environment and Health, 35, 1-5.
http://dx.doi.org/10.5271/sjweh.1304
[4] Fadyl, J.K., McPherson, K.M., Schluter, P.J. and Turner-Stokes, L. (2010) Factors Contributing to Work-Ability for Injured Workers: Literature Review and Comparison with Available Measures. Disability & Rehabilitation, 32, 1173-1183.
http://dx.doi.org/10.3109/09638281003653302
[5] Holtermann, A., Jorgensen, M.B., Gram, B., Christensen, J.R., Faber, A., Overgaard, K., Andersen, J.E., Mortensen, O.S., Sjogaard, G. and Sogaard, K. (2010) Worksite Interventions for Preventing Physical Deterioration among Employees in Job-Groups with High Physical Work Demands: Background, Design and Conceptual Model of Finale. BMC Public Health, 10, 120.
http://dx.doi.org/10.1186/1471-2458-10-120
[6] Fiabane, E., Giorgi, I., Sguazzin, C. and Argentero, P. (2013) Work Engagement and Occupational Stress in Nurses and Other Healthcare Workers: The Role of Organisational and Personal Factors. University of Pavia, Pavia.
[7] (2010) Arbetsmiljoverkets officiella statistik/arbetsorsakade besvar.
http://www.av.se/dokument/inenglish/oh/The_swedish_work_environment_act.pdf
[8] Chung, Y.C., Hung, C.T., Li, S.-F., Lee, H.-M., Wang, S.-G., Chang, S.-C., Pai, L.-W., Huang, C.-N. and Yang, J.-H. (2013) Risk of Musculoskeletal Disorder among Taiwanese Nurses Cohort: A Nationwide Population-Based Study. BMC Musculoskeletal Disorders, 14, 144.
http://dx.doi.org/10.1186/1471-2474-14-144
[9] (2013) The Work Environment Act. Theme: High Physical Strain within Health Care.
http://www.av.se/dokument/statistik/officiell_stat/
[10] European Agency for Health at Work (2012) Work-Related Musculoskeletal Disorders at Work. Facts and Figures.
https://osha.europa.eu//en/publications/reports/TERO09009ENC
[11] Hamming, O., Knecht, M., Laubli, T. and Bauer, G.F. (2011) Work-Life Conflict and Musculoskeletal Disorders: A Cross-Sectional Study of an Unexplored Association. BMC Musculoskeletal Disorders, 12, 60.
http://www.biomedcentral.com/1471-2474/12/60
[12] Hauke, A., Flintrop, J., Brun, E. and Rugulie, R. (2011) The Impact of Work-Related Psychosocial Stressors on the Onset of Musculoskeletal Disorders in Specific Body Regions: A Review and Meta-Analysis of 54 Longitudinal Studies. Work & Stress, 25, 243-256.
http://dx.doi.org/10.1080/02678373.2011.614069
[13] Torp, S., Riise, T. and Moen, B.E. (2001) The Impact of Psychosocial Work Factors on Musculoskeletal Pain: A Prospective Study. Journal of Occupational and Environmental Medicine, 43, 120-126.
http://dx.doi.org/10.1097/00043764-200102000-00010
[14] Leijon, O., Harenstam, A., Waldenstrom, K., Alderling, M. and Vingard, E. (2006) Target Groups for Prevention of Neck/Shoulder and Low Back Disorders: An Exploratory Cluster Analysis of Working and Living Conditions. Work, 27, 189-204.
[15] Driessen, M.T., Proper, K.I., van Tulder, M.W., Anema, J.R., Bongers, P.M. and van der Beek, A.J. (2010) The Effectiveness of Physical and Organisational Ergonomic Interventions on Low Back Pain and Neck Pain: A Systematic Review. Occupational and Environmental Medicine, 67, 277-285.
http://dx.doi.org/10.1136/oem.2009.047548
[16] Proper, K.I., de Bruyne, M.C., Hildebrandt, V.H., van der Beek, A.J., Meerding, W.J. and Van Mechelen, W. (2004) Costs, Benefits and Effectiveness of Worksite Physical Activity Counseling from the Employer’s Perspective. Scandinavian Journal of Work, Environment & Health, 30, 36-46.
http://dx.doi.org/10.5271/sjweh.763
[17] Lindvall, U. (2010) Long-Term Sickness Absence. Aspects of Society, Work and Family. Department of Neuroscience, Division of Insurance Medicine, The Karolinska Institute, Stockholm.
[18] Gray-Stanley, J.A., Muramatsu, N., Heller, T., Hughes, S., Johnson, T.P. and Ramirez-Valles, J. (2010) Work Stress and Depression among Direct Support Professionals: The Role of Work Support and Locus of Control. Journal of Intellectual Disability Research, 54, 749-761.
http://dx.doi.org/10.1111/j.1365-2788.2010.01303.x
[19] Innstrand, S.T., Espnes, G.A. and Mykletun, R. (2002) Burnout among People Working with Intellectual Disabled Persons: A Theory Update and an Example. Scandinavian Journal of Caring Sciences, 16, 272-279.
http://dx.doi.org/10.1046/j.1471-6712.2002.00084.x
[20] Kowalski, C., Driller, E., Ernstmann, N., Alich, S., Karbach, U., Ommen, O., Schulz-Nieswandt, F. and Pfaff, H. (2010) Associations between Emotional Exhaustion, Socialcapital, Workload and Latitude in Decision-Making among Professionals Working with People with Disabilities. Research in Developmental Disabilities, 31, 470-479.
http://dx.doi.org/10.1016/j.ridd.2009.10.021
[21] Faragher, E.B., Cass, M. and Cooper, C.L. (2005) The Relationship between Job Satisfaction and Health: A Meta- Analysis. Occupational and Environmental Medicine, 62, 105-112.
http://dx.doi.org/10.1136/oem.2002.006734
[22] Lindstrom, K., Elo, A.L., et al. (2000) User’s Guide for the QPS Nordic. General Nordic Questionnaire for Psychological and Social Factors at Work. Copenhagen.
[23] Lindstrom, K., Dallner, M., Elo, A.L., Gamberale, F., Knardahl, S., Skogstad, A. and Orhede, E. (1997) QPS Nordic. Nordic Councils of Ministers, Helsinki.
[24] Dallner, M., Elo, A.L., Gamberlále, F., Hottinen, V., Knardahl, S., Lindstrom, K. and Orhede, E.S. (2000) Validation of the General Nordic Questionnaire QPS Nordic for Psychological and Social Factors at Work. Nordic Council of Ministers, Copenhagen.
[25] Kourinka, I., Johnsson, B., Kilbom, A., Vinterberg, H., Biering-Sorensen, F., Andersson, G., et al. (1987) Standardised Nordic Questionnaire for the Analysis of Musculoskletal Symptoms. Applied Ergonomics, 18, 233-237.
http://dx.doi.org/10.1016/0003-6870(87)90010-X
[26] Toumi, K., Illmarinen, J., Jahkola, A., Katajarinne, L. and Tulkki, A. (1998) WAI: A Method for Work Ability Assessment. Swedish Version Helsinki, Finland National Institute for Working Life.
[27] Ilmarinen, J. (2007) Work Ability Index (WAI). Occupational Medicine, 57, 16.
[28] Borg, G. (1970) Perceived Exertion as an Indicator of Somatic Stress. Scandinavian Journal of Rehabilitation Medicine, 2, 92-98.
[29] Scott, J. and Husisson, E.C. (1976) Graphic Representation of Pain. Pain, 2, 175-184.
http://dx.doi.org/10.1016/0304-3959(76)90113-5
[30] Hair, J.F., Anderson, R.E., Tatham, R. and Black, W. (1998) Multivariate Data Analysis. Prentice Hall, Upper Saddle River.
[31] Smedley, J., Egger, P., Cooper, C. and Coggon, D. (1997) Prospective Cohort Study of Predictors of Incident Low Back Pain in Nurses. BMJ, 314, 1225-1228.
http://dx.doi.org/10.1136/bmj.314.7089.1225
[32] Lagerstrom, M., Hansson, T. and Hagberg, M. (1998) Work-Related Low-Back Problems in Nursing. Scandinavian Journal of Work, Environment & Health, 24, 449-464.
http://dx.doi.org/10.5271/sjweh.369
[33] Horneij, E.L, Jensen, I.B., Holmstrom, E.B. and Ekdahl, C. (2004) Sick Leave among Home-Care Personnel: A Longitudinal Study of Risk Factors. BMC Musculoskeletal Disorders, 5, 38.
http://dx.doi.org/10.1186/1471-2474-5-38
[34] Johansson, G. (2007) The Illness Flexibility Model and Sickness Absence. The Karolinska Institute, Stockholm.
[35] Swedish Council on Health Technology Assessment, SBU (2012) Work Relevance of the Onset of Symptoms and Diseases. Neck and Upper Musculoskeletal System. Asystematic Literature Review. SBU Report.
[36] (2012) Women’s Work Environment. The Work Agency.
http://www.av.se/dokument/omoss/regeringsuppdrag/2012_03_13_kvinnors_arbetsmiljo.pdf
[37] Svensson-Dahlgren, A. and Gard, G. (2009) Soft Values with Hard Impact. A Review of Stress Reducing Interventions on Group and Organisational Level. Physical Therapy Reviews, 14, 369-381.
[38] Ge, C., Fu, J., Chang, Y. and Wang, L. (2011) Factors Associated with Job Satisfaction among Chinese Community Health Workers: A Cross-Sectional Study. BMC Public Health, 11, 884.
http://dx.doi.org/10.1186/1471-2458-11-884
[39] Cancelliere, C., Cassidy, J.D., Ammendolia, C. and Coté, P. (2011) Are Workplace Health Promotion Programs Effective at Improving Presenteeism in Workers? A Systematic Review and Best Evidence Synthesis of the Literature. BMC Public Health, 11, 395.
http://dx.doi.org/10.1186/1471-2458-11-395
[40] Larsson, A., Karlqvist, L., Westerberg, M. and Gard, G. (2012) Identifying Work Ability Promoting Factors for Home Care Aides and Assistant Nurses. BMC Musculoskeletal Disorders, 13, 1.
[41] Joling, C., Blatter, B.M., Ybema, J.F. and Bongers, P.M. (2008) Can Favorable Psychosocial Work Conditions and High Work Dedication Protect against the Occurrence of Work-Related Musculoskeletal Disorders? Scandinavian Journal of Work, Environment & Health, 34, 345-355.
http://dx.doi.org/10.5271/sjweh.1274
[42] Thorsen, S.V., Burr, H., Diderichsen, F. and Bjorner, J.B. (2012) A One-Item Workability Measure Mediates Work Demands, Individual Resources and Health in the Prediction of Sickness Absence. National Research Centre for the Working Environment, Copenhagen.
[43] Gould, R., Ilmarinen, J., Jarvisalo, J. and Koskinen, S. (2008) Dimensions of Work Ability. Results of the Health 2000 Survey. Helsinki, Finnish Centre for Pensions, The Social Insurance Institution, National Public Health Institute, Finnish Institute of Occupational Health.
[44] Holmgren, K., Dahlin-Ivanoff, S., Bjorkelund, C. and Hensing, G. (2009) The Prevalence of Work Related Stress, and Its Association with Self-Perceived Health and Sick-Leave, in a Population of Employed Swedish Women. BMC Public Health, 9, 73-73.

  
comments powered by Disqus

Copyright © 2017 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.