• lack of nurses • many nurses leave their profession due to a work home conflict

(1)

NEXT-Kitakyushu 2004

Work Home Conflict among nurses in Europe

- results from the European NEXT - Study

(QLK6-CT-2001-00475)

Angelika Kuemmerling, Michael Simon, Hans-Martin Hasselhorn and the NEXT-Study Group

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 42097 Wuppertal, Germany Email: next@uni-wuppertal.de Internet: www.next-study.net

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)

The NEXT-Study:..

10 participating countries

^FIN

^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)

• The demands 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 the demands 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 family conflict (WFC)

family work conflict (FWC)

Work home conflict - 2 directions

WORK HOME

(5)

1 2 3 4 5

BE D FIN FR IT NL PL SLK

WFC &

FWC scores (mean)

work family conflict (WFC) family work conflict (FWC) max.

min.

Work family conflict &

family work conflict scores (RN)

50

25 75

work family conflict - histogram

min. max work home conflict

100 90 80 70 60 50 40 30 20 10 0

frequen- cy

5000

4000

3000

2000

1000

0

Std.dev. = 26.20 mean = 42.2

(6)

the questions:

1. intensity?

3. consequences?

WFC vs burnout by quartiles

23

32

38

52

0 10 20 30 40 50 60 70 80 90 100

low medium low

medium high

high

Belgium Germany Finland France Italy Norway Netherlands Poland Slovakia

mean burnout

score (0-100)

work-family-conflict

(7)

WFC vs intention to leave the nursing profession by quartiles

14

18

20

31

0 5 10 15 20 25 30 35 40

low medium low

medium high

high

Belgium Germany Finland France Italy Norway Netherlands Poland Slovakia

proportion frequently

consi- dering leaving

the profession

(%)

work family conflict

the questions:

1. intensity?

3. consequences?

(8)

model of work family conflict (Greenhaus and Beutell (1985)

quantitativ e demands quantitativ e demands quantitativ e demands quantitativ e demands quantitativ e demands quantitativ e demands quantitativ e demands quantitativ e demands

1.

Slovakia Poland Netherlands Italy

France Finland Germany Belgium

4.

3.

2.

causes of WFC

- multiple linear regression

(9)

1.

overtime

Slovakia

overtime

Poland

overtime

Netherlands

overtime

Italy

overtime

France

overtime

Finland

overtime

Germany

overtime

Belgium

4.

3.

2.

causes of WFC

1.

overtime not day

shift

Slovakia

not day shift overtime

Poland

overtime day &

night shift

Netherlands

overtime

Italy

not regular day work overtime

France

day & night shift overtime

not regular day work

Finland

overtime

Germany

overtime day &

night shift

Belgium

4.

3.

2.

causes of WFC

(10)

1.

quality of leadership overtime

not day shift

Slovakia

quality of leadership not day

shift overtime

Poland

working hours/week overtime

day &

night shift

Netherlands

emotional demands gender

(women+) overtime

Italy

not regular day work overtime

emotional demands

France

day & night shift overtime

not regular day work

Finland

emotional demands overtime

working hours/week

Germany

overtime working

hours/week day &

night shift

Belgium

4.

3.

2.

causes of WFC

shift patterns and work family conflict

0 10 20 30 40 50

shift work with nights shift work without nights only night shift day work others day work regular hours

work familiy conflict score (+ 99% CI)

(11)

summary results

• quantitative demands highest predictor (= perceived work pressure)

• irregularity is second predictor

• unpredictability = overtime

• leadership only on Poland and Slovakia

• international benchmarking shows that WHC is not inevitable

• WFC may be a psychosocial topic at OH work

the NEXT-Consortium

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

D

S D D B FIN F I NL UK UK PL PL SLK

(12)

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 42097 Wuppertal, Germany Email: next@uni-wuppertal.de Internet: www.next-study.net

University of Wuppertal

• lack of nurses • many nurses leave their profession due to a work home conflict

Thank you!

www.next-study.net