DETERQVT: Determinants of the Quality of Work Life of Psychiatric Nurses and Relief on the Quality of Care
Study Details
Study Description
Brief Summary
Psychological well-being at work is a major public health issue. The number of sick leave in hospitals has increased by 10% in five years and the average cost of absenteeism is around 3000 euros per agent per year. These changes are associated with the increase in turnover among nurses, thus raising the question of its impact on the quality of care. Psychological suffering at work is one of the main determinants of intention to leave for nurses. We hypothesize that an improvement in the quality of work life of nurses could lead to greater loyalty, greater motivation of nurses and greater attractiveness within the community. 'institution. Among the works on psychological well-being at work, few have been interested in the structural aspects of the organization of care and in particular to the variables specific to the caregivers themselves, such as the quality of life at work. Nevertheless, studies carried out in industry show significant and positive links between quality of life at work and performance at work. Thus, it seems appropriate to identify the factors likely to lead to an improvement in the quality of work life of psychiatric nurses and to determine the elements that can help to strengthen it. Moreover, it appears that the field of psychiatry could constitute an ideal field of experimentation. Psychiatry teams treat patients with chronic, severe and debilitating conditions, which are subject to significant social stigmatization, and expose nurses to a high rate of burnout. The organization of psychiatric care is also multidisciplinary. The various care procedures allow caregivers to carry out activities that include more or less significant participation in decision-making. Also, studying the determinants of the quality of working life among psychiatric nurses seems to us an important goal in order to put in place actions to strengthen psychological well-being at work, and thus to reduce turn-over and improve the quality of care.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
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Detailed Description
Psychological well-being at work is a major public health issue. The number of sick leave in hospitals has increased by 10% in five years and the average cost of absenteeism is around 3000 euros per agent per year. These changes are associated with the increase in turnover among nurses, thus raising the question of its impact on the quality of care. Psychological suffering at work is one of the main determinants of intention to leave for nurses. We hypothesize that an improvement in the quality of work life of nurses could allow greater loyalty, greater motivation of nurses and greater attractiveness within the institution. Among the works on psychological well-being at work, few have been interested in the structural aspects of the organization of care and in particular to the variables specific to the caregivers themselves, such as the quality of life at work. Nevertheless, studies carried out in industry show significant and positive links between quality of life at work and performance at work. Thus, it seems appropriate to identify the factors likely to lead to an improvement in the quality of life at work of psychiatric nurses and to determine the elements that can help reinforce it. Moreover, it appears that the field of psychiatry could constitute an ideal field of experimentation. Psychiatry teams treat patients with chronic, severe and disabling conditions, which are subject to significant social stigma, and expose nurses to a high rate of burnout. The organization of psychiatric care is also multidisciplinary. The various care procedures allow caregivers to carry out activities that include more or less significant participation in decision-making. Also, studying the determinants of the quality of life at work among psychiatric nurses seems to be an important goal in order to implement actions to strengthen psychological well-being at work, and thus reduce turnover and to improve the quality of care.
The main objective is to identify the individual, organizational and managerial factors that can explain changes in the quality of work life of psychiatric nurses.
To study the link between changes in the quality of work life of nurses and the quality of care delivered to patients.
Study the effects of a change in the quality of work life of nurses on turnover.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Psychiatric nurses Nurse with a degree in the state or psychiatric sector. Work in a psychiatric ward that offers full hospitalization, a day hospital (HdJ) or a medico-psychological center (CMP). |
Behavioral: Quality of live at work
The judging criteria will be collected using two questionnaires: a questionnaire sent to the local referent of each center and a questionnaire for each nurse. Because the study is longitudinal (two collections of data), the questionnaires will be completed twice to twelve months apart by the same nurses.
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Outcome Measures
Primary Outcome Measures
- Measuring the quality of work life of nurses by the French version of the quality of life (QOL) at work scale of Elizur and Shye (1990). [1 year]
The quality of work life of nurses as measured by the French version of the quality of life at work scale of Elizur and Shye (1990). This scale assesses four dimensions of quality of life at work. It has 16 items that can be answered using a Likert scale ranging from 1 (very little) to 6 (mostly). The higher the score, the better the quality of life at work.
Secondary Outcome Measures
- Measuring psychological well-being at work using the scale of Gilbert, Dagenais-Desmarais and Savoie (2011). [1 year]
Psychological well-being at work measure using the scale of Gilbert, Dagenais-Desmarais and Savoie (2011).
- Measuring job satisfaction using an adaptation of the job satisfaction scale of Fouquereau and Rioux (2002). [1 year]
Job satisfaction measure using an adaptation of the job satisfaction scale of Fouquereau and Rioux (2002).
- Measuring work engagement using the French version of UWES-9 (Schaufeli, Bakker, Salanova, 2006). [1 year]
Work engagement measured using the French version of UWES-9 (Schaufeli, Bakker, Salanova, 2006).
- Measuring the satisfaction of psychological needs at work using the satisfaction scale of the psychological needs of Gillet, Rosnet and Vallerand (2008). [1 year]
The satisfaction of psychological needs at work measured using the satisfaction scale of the psychological needs of Gillet, Rosnet and Vallerand (2008).
- Measuring the feeling of self-efficacy from the questionnaire referring to specific behaviors in Nagels (2008) [1 year]
The feeling of self-efficacy measured from the questionnaire referring to specific behaviors in Nagels (2008)
- Measuring thetransformational leadership using the scale developed by Carless, Wearing and Mann (2000). [1 year]
Transformational leadership measured using the scale developed by Carless, Wearing and Mann (2000).
- Measuring the support for autonomy using a version adapted to the work context of the Measuring the Perception Scale of Support for Sport Autonomy of Gillet, Vallerand, Paty, Gobancé and Berjot (2010). [1 year]
Support for autonomy measured using a version adapted to the work context of the Perception Scale of Support for Sport Autonomy of Gillet, Vallerand, Paty, Gobancé and Berjot (2010).
- Measuring the personality using Big Five Inventory by John, Donahue and Kentle (1991). [1 year]
Personality measured using Big Five Inventory by John, Donahue and Kentle (1991).
- Measuring the well-being by a self-evaluation of Terrien's patient well-being practices, Anthoine and Mouret (2012). [1 year]
Well-being measured by a self-evaluation of Terrien's patient well-being practices, Anthoine and Mouret (2012).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Nurse with a degree in the state or psychiatric sector.
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Working in a psychiatric ward that offers full hospitalization, a day hospital (HdJ) or a medico-psychological center (CMP).
Exclusion Criteria:
- N/A
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University Hospital, Tours
Investigators
- Study Director: Pierre CHEYROUX, University Hospital of TOURS
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- PHRIP13-PC-DETERQVT